HomeMy WebLinkAbout9589-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
UPDATED
CERTIFICATE OF OCCUPANCY
No Z-23646 Date MAY 16, 1995
THIS CERTIFIES that the building DWELLING
Location of Property 365 YENNECOTT DRIVE
House No. Street
County Tax Map NO. i000 Section 55 Block 3
Subdivision YHNNECOTT PARK Filed Map No. 5187
SOUTHOLD, N.Y.
Hamlet
Lot 12
Lot NO. 56
conforms substantially to the Application for Building Permit heretofore
filed in this office dated DECEMBER 13, 1977 pursuant to which
Building Permit No. 9589-Z dated DECEMBER 13, 1977
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 DWELLING WITH ATTACHED GARAGE*
The certificate is issued to FRANK & MARIANNE TRUGLIO
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 7-SO-186-JULY 26, 1978
UNDERWRITERS CERTIFICATE NO. N-395828 - JULY 27, 1978
PLUMBERS CERTIFICATION DATED N/A
*THIS UPDATES CO Z-9140 DATED JULY 31, 1978.
Rev. 1/81
'TOWN
BUILDING
TOWN
SOUTH*OLD,
BUILDING ~PERMIT
(THIS PERMIT MUST BE KEPT ON THE PT~EMISE$ UNT L FULL
COMPLETION OF THE WORK AUTHORIZED)
9~J Z Date .............
at premises located at ................. ,~...~...~;.i~.' ............ ;L.-L....L.~ ......... (-,}~..i..yl ..................................
...... ~ ...................... 7'Z'~ ;~ ~ ~...:......
pur uant to appli ati ted ........ ~; ....... and approved by the
Building Inspector.
Fee $..~. ..................
L
FORM NO. ~
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
$outhold, N. Y.
Certificnte Of Occupnncy
No...Zg.~ .4.0. .... Date ..... J.u..ly.....3.1 ............. , 19..7.8.
THIS CERTIFIES that the building located at .... 3.6.5. .Y.e..nn..e.c. qt..t..D.r.: .... Street
Map No ...... 5187... Block No ........... Lot No ........ ~.6. .......................
conforms substantially to the Application for Building Permit heretofore filed in this office
dated .. Decemb.er....1.3 ..... , 19.7. .. pursuant to which Building Permit No ...... .9.5.89Z
dated .. D.ecemher...1.3 ...... , 19.7~3., was issued, and conforms to all of the require.
ments of the applicable provisions of the law. The occupancy for which this certificate is
issued is. Private One Family Dwelling
The certificate is issued to Anthony & · ~ olina Truglio
( owner, ~A~x
of the aforesaid building.
Suffolk County Department of Health Approval 7-S0-186
N395828
UNDERWRITERS CERTIFICATE No .............................................
HOUSE NUMBER .. 365 Street Yennecott Dr.
Southold, New York
Building Inspector
FOB, M NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No...Z.9~..4Q ..... Date ....... .J.u.ly....~.'I ............ , 19....78
THIS CERTIFIES that the building located at . .~.65..¥.e.mu..e. qg~~ .D..r: ....... Street
Map No .... ~.~.8.7. .... Block No ........... Lot No ......... ~.6. ......................
conforms substantially to the Application for Building Permit heretofore filed in this office
dated ...D.e.c.e~ke~...~ ..... , 19.7.7.. pursuant to which Building Permit No, . 95.8.9.Z.
dated ...De.oem~)e~... iS. ..... , 19..77, was issued, and conforms to all of the require-
ments of the applicable provisions of the law. The occupancy for which this certificate is
issued is ................... P.r..~y.a.~..e..0.n.c..F..a.~..i.Z.y...1~..e.Z.Z..~.~.g .....................
The certificate is issued to ......... .~.'ch.o.r~y. ~ .I~lo.o.%lne. TT~g~.$.o .................
(owner, ~
of the aforesaid building.
Suffolk County Department of Health Approval 7-80-186
UNDERWRITERS CERTIFICATE No. N395828
HOUSE NUMBER ....~.6.5. ....... Street .......... .Y.e..n~, .e.c.o.~.~...D?.: ................
.Sp.u. ~ .hg.l.d. ~ N,Y.
/
... ...........
Building Inspector
Form No. 6
TOWN OF SOUTIiOLD
BUILDING DEP~RTMENT
TOWN t~LL
765-1802
APPLICATION FOIl CERTIFICATE OF OCCUPANCY
A. This application must be filled in by typewriter OR ink and submitted to the building
inspector with the following: for new building or new use:
1o Final survey of property with accurate location of all buildings, property lines,
streets, and unusual natural or topographic features·
2.Final Approval from H~lth Dept. of water supply and sewerage-disposal(S-9 form).
3.Approval of electrical~ installation from Board of Fire Underwriters.
4. Sworn statement from fplumber certifying that the solder used in system contairs
less than 2/10 of i% lead.
5. Commercial building, industrial building, multiple residences and similar buildings
and installations,la certificate of Code Compliance from architect or en inee
responsible for the building, g r
6. Submit Planning Board Approval of completed site plan requirements.
B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
"pre-existing" land uses:
1. Accurate survey of property showing all property lines, streets, building and
unusual natural or topographic features.
2. A properly completed application and a consent to inspect, signed by the applicant.
If a Certificate of Occupancy is denied, the Building Inspector shall state the
reasons therefor in writing to the applicant.
C. Fees
1. Certificate of Occupancy - New dwelling $25.00, Additions .to dwelling $25.00,
Alterations to dwelling $25.00, Swimming pool $25·00, Accessory building $25.00,
Additions to accessory building $25·00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Buildine - $100.00
3(.4~~ Copy of Certificate of Occupancy - $20.00 Updated Certificate of Occupancy - $50.00
Temporary Certificate of Occupancy - Residential $15·00., Commercial $15.00'
Date .. f. ~ ................................
New Construction ......... Old Or Pre-existing Building
Location of Property ..... ~- ~Co%~ ~_.,~
House No. Street Hamlet
Onwer or Owners ~.,f Property .... ~?.Q~.~. ~ ~~ ~P
County .:.f
Tax Map No 1000, Section .......... Blnck.. ~ ..... Lot ......................
'~ ................... Filed map ............ Lot..
.... App
Planning Board Approval ...................
I~OBI~ NO. $
TOWN OF $OUTHOLD
Building Department
Town Cierks Office
Southold, N. ¥. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted in triplicate to the Building
Inspector with the following; for new buildings or new use:
1. Final survey of property with accurate location of all buildings, property lines, streets, and
unusual natural or topographic features.
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
installations, 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.
B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of property showing all property lines, streets, buildings and unusual natural
or topographic features.
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 in-
formation required to prepare a certificate.
C. Fees:
1. Certificate of occupancy $5.00
2. Certificate of occupancy on pre-existing dwelling or land use
3, Copy of certificate of occupancy $1.00
New Building .......~,~..... Old or Pre-existing Building ............................ Vacant Land ............................
Location Of Property ...~,t,% ....... I~:'nt/tl~.~..i.l.....~[~t~-~c:... ...... :~....~ ........ Zl..¥ ........................................
Owner Or Owners Of Property ...i~ .~.~.~-.~......~...~.I.,~.R..~.i .~.''/~.....'~j~'~-j~'~'' ........................ '~ ..............
Subdivision ....................... Lot B ock No ............. House No .............
Permit No ..................... Date Of Permit .................... Applicant ~.~.~..~."~....~......~/~.-.~.....C~ ...................
al . '~ [.~(~ Labor Dept Approva · .
Health Dept. Approv ..1..~ ............... Z"'~'" ......
Underwrite,s Appro¥o ............ lanning oard ^ pro o' ........................................
Request For Temporary Certificate ........................................ Final Certificate ..... ~ ...................
Fee Submitted $ ~..~..r..q?~.. ....................
Construction on above described building and permihmeets all applicable codes and regulations. ,;
Sworn to before me this
................ day of ............................................
Notary Public .................................... County
(stamp or seal)
WILLIAM D. MOORE
Attorney at Law
315 Westphalia Road
P.O. Box 23
Mattituck, New York 11952
Tel: (516) 298-5674
Fax: (516) 298-5664
BY HAND
Southold Town Building Dept.
Southold Town Hall
Main Road
Southold, NY 11971
Attention: Claire
May 12, 1995
Dear Claire:
Re: 365 Yennecott Drive, Southold, NY
As per our telephone conversation, enclosed please find a copy
of the Certificate of Occupancy for the above referenced premises,
an Application for an updated Certificate of Occupancy and our
check payable to "Town of Southold" in the sum of $50.00 for your
fee. Please issue an updated Certificate of Occupancy that
reflects that the garage is included.
We need this Certificate of Occupancy as soon as possible so
that we can schedule a closing. We would appreGiate this being
done on a rush basis. Please call us when it is ready so that we
can pick it up. Thank you for your help in this matter.
/mr
Encls.
Very truly yours,
William D. Moore
By: Margaret Rutkowksi,
Secretary
THE
JUly 27~
THIS CERTIFIES THAT
NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
85 JOHN STREET. NEW YORK. NEW YoRK 10038
the e/ectri~d equipment
Southold~
the/~l~in~ I~atlon; ~ement
20 17 20
DRYE~ [ ~RNACB ~M [ ~ ~ m~ ~mALRK'K
~RV~ ~N~T ~ ~. OF S E R
2 100
I,~ I,B'JW 3.1'~V 3.ar4w HO.(~CRC~COND. A,W.G.
X1 oF cc.3 COND.
IXHAUST FANS
AMT. H.P.
DiMMeRS
E
1-G.F.C.I.
1-3moke Detector
John To Sapanal*o Ino.
102 Oak Ave,
3hlrleym L.I. 11967 LIQ.33~- E 11
his testicle mud nd ~ o~r~ in o~ monner; ~ur. to the off~ o$ the Bom~ ff incorrect. Inspecto~ m~y ~ ide~fi~d ~ their
. MINT. THiS COPY OF CERTW!CA~ MU~ NOT Bm ALTIRID IN ~ ~N!R. ~
'D,*, TE '
- ! t / / (v~c,~'r)-=:, ..=..==TLT=::.;;~'::_t
/ ..........................
%I '. '~ ~ t~ ~ ..............
, ~ ~ ~: .: :: ,..'~
L':"4-';'
' N~6"WA~E R MAiN .........
HAP 3~'[-
~ ~/~z~
,-SUFECO, PEPq7 OF* HEAf TH
DAtE t
S~'A~4DA~D~ Off SUFFOL~ CO. DEP"F,
dNAUTHORIZEO ALTERATION
'~ '~HIS SURVEY
TOWN OF SOUTHOLD
BUILDING DEPARTMENT ~/~?
TOWN CLERK'S OFFICE
~UTHOLD, N.Y. ~i
Ex, mined ~ ~ '~ ~9.~. ~pphcahon No..~.~....~ ...............
........................................ , 19 ........ Permit No. ,..~...~ .........................
Disapproved a/c ...................... ~:..:..~:~ .......................... -~w;L~ ..............
......................................................................................................... ~:~_
Dote .....................................
INSTRUCTIONS
a. This application must be completely filled in by typewriter o~ in ink and submitted in triplicate to ~he DuJlding~
Inspector, with 3 set~ of plans, accurate plot plan to ~ale, Fee according to schedule.
b. Plot plan showing locution of lot and of buildings on premises relationship to adjoining premises
areas, and giving a detailed description of ayout ofproperty must be drawn on the diagram which is pa~ of this application.
c. The work covered ~y ~his application may no~ be aommenced before issuance of Building Permit.
d. Upon approval o~ this application, the Building Inspector will issue a Building Permit to the applicant. Such permit
shall be kept on the premises available for inspection throughout the work.
e. No building shall be occupied or used in whole or in part for any purpose whatever until a Ce~ificate of Occupancy
shall have been granted by the Building InspectoF.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the~x,
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other app cable Laws, Ordinances or
Regulations, for the construction of buildings, additions or alterations or for removal or demo ition, os herein descr bed.
The applicant agrees to comply with all applicable laws, ordinances, building code, hous,~g code, and regulations, and
admit authorized inspectors on premises and in buildings for necessary ~specCi_ons. // ]
....
(Address o~ applicant)
Stme wheme~ applican~ Js owne~, bssee, agent, arc~itech engi.e~~ electrician, plumber or ~uJMer.
If appllcan~ )s a ~omte~ signmute of~uly authorized officer.
.......... ~':(Nom~o:~? ...................................
Builder's License No .....................................................
Plumber's License No. ~...:...j~..~/~. ........
Electrician's License No..~..:,...~/~../~.~.~..~ .....
, -¢~7 ^
Other Trade s License No ...............................................
1. Location of land on which j~roposed, ~work will be done. Map No.: .~'¢~¢/~_.~.._~,..E../~.~~ Lot No...?.....~.. ..............
Street and Number j~t.~..~. (,~-.~,~.~. 4~.~. ~, ~ .q.~..t....~./42. ~..¢.(~. ~..../~.¢.. ,/~r. ,V~,..~ ~, ....
Municipality
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Exisiting use and occuponcy
b. Intended use and occupancy ...~:'.~.(J~..~:f~l~...l.t~..(.~¢.. ............................
/
3. Nature of work (check which applicable): New Building, ....V.-.-.. ..... Addition .................. Alteration ................
Repair .................. Removal .................. Demolition: .................... Other Work ...................................................
4. Estimated Cost~......~O~.J~. .................................. Fee ~'~Z'~'?'~ (Description)
(lo be paid on filing this application)
5. If dwelling, number of dwelling units ........................... Number of dwelling units on each floor ............................
If garage, number of cars ........ ~.~... ....................................................................................................................
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ............................
7. Dimensions of existing structures, if any: Front ............................ Rear ................................ Depth ....................
Height ........................ Number of Stories .............................................................................................................
Dimensions of same structure with alterations or udditions: Front ....................................Rear ............................
Depth ................................ Height .................... .~,....~ucnher of Stories ......... ~,..../. ............... f
Dimensioas pl, entire new construction: Front .....~.~ ..................... Rear ..... ~..~.. ................. Depth ..?...~.
8.
Height ~/ck,~'/'~ Number of Stories . , /, .f ...........................
10. Date of Purchase ........................................................ Name of Former Owner ........................................................
11. Zone or use district in which premises are situated .....................................................................................................
]2. Does proposed construction violate any zoning law, ordinance or regulation: ....... ~...?. .......................................
13. Will lot be regraded ......~/~.~ ............... Will excess fill be removed from premises: ( ) Yes (~)O No
14. Name of Owner of premises J~/~C~/~.~.~..¢,~l.Cfl~/~.l~...L~..~.~/,Rddress ................................ Phone No .......................
Name ay Architect ...,.~ ......................................................... Address .z,~.~?.~./~0..Z~.,~..~Pho e No .......................
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from
property lines. Give street and block number or description according to deed, and show street names and indicate
whether interior or corner lot. ~
STATE OF NEW 3/O~',,~
COUNTY OF .~ ......
........ ...~..~...,.;~.~:~ ............................ beins) duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
above named.
He is the .......................................... ~.~.,....,.",...,.~ ...........................................................................................................
( (Contmc~ent, corporate officer, otc.)
of said owner or owners~ and is duly~fh~ to perforra or hove performed the said work and to make and file
this application; that ali statements contained in this application ore true to the best of his knowledge and belief; and
they the work will be performed in the manner set forth in the application filed t~ewith,
Sworn ~efore me this
.... ........ .........
Noto~ Cublic, ~.~..~~oun~ ...... ~. ~ ....... ~-~:¢~ ...................................
~ ~ (Si~ture~ opplic~nt)
JUDITH T. TERRY
Notan, t PIIbilc~ ? 7(0 of I'leW York
IkIO, ~03'140,53 C'.',o:k Co'antAf~
Comll~i..,ion E::Pires r,,"2rci~ 30, 19z/q
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COb~
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