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Home My WebLink About7845-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Zi8860 Date MARCH 5r 1990 THIS CERTIFIES that the buildin~ Location of Propert~ 1405 CUSTER AVE. House No. County Tax Map No. 1000 Section 070 ONE FAMILY DW~.LLING SOUTHOLD Street Hamlet Block 009 Lot 4.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated Building Permit No. 7845Z APRIL 22r 1975 pursuant to which dated APRIL 23~ 1975 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ONE FAMILY DWE. LLING~ WITH ATTACHED GARAGE. The certificate is issued to MARIO & MARIA ZORI (owner, XX~) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 5-SO-48 JULY 30, 1979 UNDERWRITERS CERTIFICATE NO. N4288t0 APRIL 4~ 1979 PLUMBERS CERTIFICATION DATED N/A /~'~'~ ~tor Rev. 1/81 FORM NO. :~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. /c/ds-- ~ BUILDING PER/vtlT (THIS PERMIT MUST BE KEPT ON THE P~REMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 7845 Z Permission is hereby granted to: ..... ~..~.~!..~ ..... ~...~.~.~.!..~ ......... .Z...~.!... at premises located at .............................. ~.~.~..T..~...q~ ....... ~..V...Ir,.~ ..................................................... ............................................................................ .~.o...u...~..~L c. ~. .......................................................... pursuant to application dated ................................... .~..~)...L......~...~, 197...~..., and approved by the Building Inspector. Fee .... ~t.~...Z..~ ...... pERN'JT ~NcLUDES AFP.,fJ TO REMOVE ~XC~_SS ~': FROM ABOVE PREMISES CESSRcOL cGNS ~ ~ ~C'~ ~- FORM NO, 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N,Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of property w~th accurate location of all buildings, property lines, streets, and unusual natural or topographic featu res. 2. Final approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peoperty showing all property lines, streets, buildings and unusual natural or topograph m featu res. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 Date / New Building .... Z. ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property .... [ ,~..~.~,,,, D .......... House No. Street Hamlet Owner or Owners of Property .... , .~.fi .~. [ ,0,,, ,~,~, .~..~..~,. .................................. County Tax Map No. 1000 Section .... ~/~..~. ....... Block ....C~ .......... Lot...~..?..~. ....... Subdivision .............................. Filed Map No ........... Lot No .............. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................ Construction on above described building and permit meets all applicable codes and regulations. Applicant .... ~, ',~,~,Jz'.'?.: ,~",~, . , .'?~%"~...: ....................... Rev 10-10-78 THE NEW YORK BOARD OF FIRE UNDERWRITERS {~ BUREAU OF ELECTRICITY ~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 TNI~ CE;IFIE8 THAT in the~o~owin~ ~oc=t~on; [] ~emens [] 1st Fl. [] ~n~ FL ~ectio~t B~ock Lot .,,.~,.,,.i,.do. April 2, 1979 and found to be in compliance with the requirernent~ of thls Board. FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS DRYERS RJRNAC~ MOTORS ~JTUIIE AI'~JANCI IIBOIRS TIME CLOCKS UNIT HEATERS MULTI-OUTLET WI:RS SYSTEMS SERVICE DISCONNECT S E R V I C I 1/0 1 1/0 Peter Bogovlc ~lorth ~3ay view Southold, :'.~. Y. LIe.t3?, -'£ Per This certificate must not be altered in any manner;, return to the office of the Board if incorrect. Inspectors may be identified by their credentials. THE NEW YORK BOARD OF FIRE UNDERWRITERS ~ BUREAU OF ELECTRICITY ~ 8S JOHN STREET. NEW YORK, NEW YORK 10038 ~ate J, mU~ Zg, XSm. App"~.t,onNo. o./,e 095539~ SO N 507817 THIS CERTIFIES THAT in the following location; [] Basement [] Ist FI. ~ 2nd Fl. Section Block Lot wes examined on J~l~'~m~'~ 2~ ~ ~.9~ and found to be in compliance with the requirements of this Board. FIXTURE OUTLETS L1 RECEPTACLES SWITCHES HXTURES RANGES OVENS DISHWASHERS EXHAUST FANS · FLUORESCENT DRYERS FURNACE MOTORS TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF ~ST bio Elec. ~ 1-G~CI l-Sm~ke DeCecCo~ 1-4.~k~ H.W.H. Qxxla~ ~. Ccr~. l~i. 1.1.952 i./o Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. I. nspectors may be identified by their ~credentials. COPY BUILDING DEPARTMENT. THIS coPY OF CERTIFICATE MUST NOT BI ALTERED IN ANY MANNER. COUNTY OF SUFFOLK DEPARTMENT OF HEALTH SERVICES DAVID HARRIS, k'~.D,, M.P.H, Health Dept. Ref. #5-S0-48 The attached approval was ism,~ed m~bject to the notztion contained below our approval st~,p. ~..~ou!d ym~ please the fol!~,:ing condition of approval on the f~J~a! C of as tkis will ensure that .~my Cuture owner will b~ made awa~e of the nitrate proble:~. note on final su~ey. ~ ~age dl~pcsal and water Suppl~ Chief of ~eneral M~t"/O ~. M~ri~/ Zor/ Se~ttcell ~CO/C : 40'= 1" H~h ~trates - ~ater not to bo used rot preparation of baby formula or consumption by ~nfants under 6 mos. of age,. tvl o i l l ~r' coUr'~ TOWN OF SOUTHOLD BUILDING DEPARTHENT TOWN HALL SOUTHOLD, NEN YORK 765 - 1802 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY NEW CONSTRUCTION .~ .... OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........ Location of Prnperty..1405.Custer.Avenue ................ gou~hoL~ ............ HOUSE NO. STREET HAMLET Marlo & Maria Zori Owner or Owners of Property ................................................. County Tax Map No. 1000 Section ..07Q. Block .~.=... Lot ..~..~ .... Subdivision ....................... Filed Map ........ Lot .......... Permit No. ?~'/ ,Date of Permit 10-7-77 .Applicant Health Dept. Approval .o7~J~.7~ .......... Underwriters Approval..~=~=79 ...... Planning Board Approval ................ Request for Temporary Certificate ....... Final Certificate .. ~ ............ Fee Submitted: $. 25.00 APPLICANT-~ ..... rev. 10/14/ SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES Health Services Reference Number APPLICATION FOR APPROVAL TO CONSTRUCT A PRIVATE SEWAGE DISPOSAL SYSTEM AND A WATER SUPPLY 1. Applicant ~?C~,o ~c~¢ Phgne~[c, mb~-~¢~ 5. Subdiv. Address [[~ -I f ~' ~%~m. ~s~ ~m~ AJ~ I~ %~5~ 6. Section 2. Property L~cat'ion ~)~lv~ ~ ' - 7. Lot Number 8. Private Well Village .~ff~A Township ~.~"~/~ 9. Public Water 3. Public Water Company Name Distance to main 4. Lot size: Width feet Length feet 10. ll. Sewage Disposal System: A. ~Wgallon septic tank: Precast~" v/,Equivalent Block B. Leaching pools: Number of pools Precast~(~° Block __ ,~pecial__ If private well, fill in the fol- lowing blanks: A. Tank capacity ~c.-. gallons B. Pump G.P.M. F (For Health Services Dept. Use) C. Total well depth D. Depth to ground water E. Amount of water in well The undersigned CERTIFIES: "Construction of authorized installations will be in accordanc~ with the Suffolk County Department of Health Services' current standards thereto." This application will be valid for one year from the date of approval indicated below and may be renewed if a current local Building Department Permit is in effect. Date ~ ~'-~, ~.~ ~ ~ //~?~,~"' Signed FOR THE DEPARTMENT OF HEALTH SERVICES' USE ONLY. Based on the information presented here- with, it is the opinion of the Department of Health Services that an adequate and satis- factory Sewage Disposal System and Water Supply can be installed on this plot. APPROVAL DATE ?~ , · S-15 Rev. 4/1/73 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWH ~LERWS OFFICE ~UTHOLD, H. ~. Di~pproved o/c ..... ~ .............. ~-. .................................... ~ ...................... Application No. APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a This opphcat~on must be completely filled in by typewriter or in mk and submitted in triplicate to the B~ilding Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buddings on premises, relationship to adjmnmg premises or pubhc streets or areas, and g~ving o detailed descnphon of layout ofproperty must be drawn on the d~agram which is part of th~s application. c. The work covered by this apphcat~on may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector w~ll issue a Building Permit to the apphcant. Such permit shall be kept on the premises available for inspection throughout the work. e No budding shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occuponc~ shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances o, Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described The applicant agrees to comply w~th all applicable laws, ordinances, building code, housing code, and regulations, and admit authorized inspectors on premises and in buildings for necessary inspections. (Signature of'applicant, or name, if a corporation) .... (Address of applicant) State whether applicant ~s owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises ..I...[.~l~...~-C~J~.~....~/~.....~..~..q.. ~.t..~...7~.O. ¢~.t ........................ If opphcant ~s a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's L~cense No. Ig~//x~ ~ T~. Plumber's License No ................................................. Electrician's License No ............................................. Other Trade's k~cense No .............................................. 1 Location of land on which proposed work will be done. Map No ' . .............................. Lot No ..................... Street and Number .................................................... .~...~'T~..~.go' .............................................. ~ ~..~..~.~:~. .......... Municipality 2 Sta¢e ex,sting use and occupancy of premises and intended use and occupancy of proposed construction: a Exisiting use and occupancy ...... ..C~..~.f~./g.....Cg..."~'. .......................................................................................... b Intended use and occupancy ...... ..O...~.~...~.~I~J./.L,."~....~...?..~./g.(,~..C.) .~..k~. ..................................................... 3 Nature of work (check which applicable). New Budding '/' Ad&ban Alteration ............. Repair ................. Removal ................. Demoht~or. ................. ~ther Work ................................................. _ ,-,. ,~' (Description) 4 Estimated Cost ......~W/,.u..:..u,...~?. ..................................... Fee ................... :.~. ........... '.z ........... :; ............................ (to be po,d-~°'n ,flhng~.th~s apphcotion) 5 If dwelling, number of dwelhng units .... C)A3~ ............. Number of dwelhng units on' each floor ........................ If garage, number of cars ......... 7r k6,,~..._..~. ........................................................................................ 6 if business, commerool or m~xed occupancy, specify nature and extent of each t~'pe of use ...................... 7 D~mensions of ex~stmg structures, if any' Front ......... ~ ........... Rear ' Depth ~ Hmght - Number of Stones ........ ; .... .- ........................................................................................... D~mens~ons of same structure with alterations or addmons Front ...... Rear Depth ............ ~ ............. Height ..... ~ ............... Number of Stories ..... -. ........................ 8 D~mensions of enbre new construction Front Z~14..~' . ~ u ................................. Rear .... 17...~..:.'~ ............. Depth ..~..~...~...~. He,ght .~-.L J~[Jg~... Number of Stones ..~.~t~. ................................................................ , ................... [©..o..,..o..:.Oct,. 9 S,ze of lot Front .... .......................... Rear ....... ............... Depth~.~..~,.k~..~...~.~..~.,,~..~ 10. Date of Purchase .... ~...~...c.,.Z~......Lc].."/..~. .................. Name of Former Owner (.-~J~,gi?.J(~..~.~qI~0.~P..~....~.P.j.S.~.~Z-~ 11 Zone or use district in which premises ore situated ........................................................................................ 12 Does proposed construction wolate any zoning law, ordinance or regulation JO~. .................................................. 13 Will lot be regraded ....... ~. .............. Will excess fill be removed from premises: (~ Yes ( ) No 14 Name of Owner of prem,ses .J~P.~D ..¢..~.t~l?.[/~...~.~j ......... Address F.e~Zs~.t~O~,e~.u~.14~¢. Phone No.'q.~..;, .~.,...:."J.~'.,- C.~ Dr, 7A'~ ..~ ' ,, II..~,~ Phone No. " Name of Architect ....... ~f:.,~l~¢...,,~.,Le.I ................ Address ..................................................... Nome of Contractor ...... .O..~t;,.~. t4J. d.J...cot~Z0ct¢,'[ ..... Address ............. ]i ................. Phone No. PLOT DIAGRAM Locate clearly and d~stmctly all buddings, whether ex~stmg or proposed, and indicate all set-back dimensions fron property lines Give street and block number or descnpt~on according to deed, and show street names and in&cate whether interior or corner lot STATE OF NEW YORK, ~S S COUNTY OF ......................... ...................... .~Lt,. r...t~..~.¢... ~ .................. .~..~....~,~..~1 ............. be,ng duly sworn, deposes and says that he IS the apphcont (Name ~ inflivi~l signing contract) ~bove n~med He is the ............ '~"~: ......... ................................................................................. (Contractor, ~orporote officer, etc ) of sa~d owner or owners, and ~s duly authorized to ~ or have performed the sa~d work and to make and file th~s application; that all statements contained m th~s apphcat~on are true to the best of his knowledge and behef; anc that the work wdl be performed m the manner set fo~h in the application filed therewith. Sworn to before me this ................ ~.~day of ..................... A'"-¢ ' U 19.. 7 ................................................. r, ............ G~ COHC SLAB OH 8~ I.J..- TO .* A~V~ t U · ~ HOU,$F- TR,kP 5INK NOT L4V~H& P.t'1! D~N/t~& PJ'I DJ~ +4 -0 FI~ FL NOTIFY BUILDING :~65 2660 9AM TO ED iNSPLGTiONS BEFORE 3 FINAL WHeN N P N eL TRUCT N LLING FCIJ~ /~ ! NOl'<'l'kl ID.J~V~TIOM ' '~r~ "I~H * ICOII rZ7 . . ...... j-- 3yOr. x:O oH M~?. LATH ,I S'~Occo oP~ WOOD F~QMY cOt-lC. ~ 500TH ELE.VAT~ON ( 5'1'RE-CT FACADE) Z ~E ~2 ~TE PS U P ~E~TION ~PHF~LT ~H?N~LE /- PLYWOOD ////[NSULRT[ ON / , ROOFING ~xlO KITCHEN PRRKET' FIN. Fl:," ~"'PLYWOOD ~L/BFLOOB :STEEL 8E,qM BEYOND Axg , I~"0'0 -POURED IN CONg..FOLI I"~/ CONE. ~TION FOOT I N ,,~ H-"CONC, SLRB "CRUgHED GRAVEL