The URL can be used to link to this page

Home My WebLink About9518-zTOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. Z9520 Date May' 9 ........................................ , THIS CERTIFIES that the building located at .~7..0...C..e.n.t?.a.Z...D.r.~.v.e. ...... Map No....1.67.~ ..... Block No ........... Lot No ......... ? ?.8 ...................... conforms substantially to the Applleation for Building Permit heretofore filed in this office dated Qq.~.o.b.e.~...2.7. .........., 19. ?.7. pursuant to which Building Permit No .... ?.5.~.8.Z dated .0c.~.o. ber.. 27. ......... , 19.7.7.., 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 ........... i~iva.~e. One .FataLly. Dwell/rig ............................. The certificate is issued to ........ .Joseph .&. Ltllim'l M..Falletl ................ ( owner, of the aforesaid building. Suffolk County Department of Health Approval ....7.-.S.Q.--.~8. ....................... UNDERWRITERS CERTIFICATE No. N~82800 HOUSE NUMBER .... .~.7.0. ...... Street ..... C..e.n.~.r.a.~.. p.r.i,v..e ...................... New York Mat.t.i. tuc.k., ......... Building Inspector County Tax Map Number 1000-106-3-13 BUILMflG DEPARTMENT TOWN CLERKS OFFICE SOUTHOLD, H~ Y. IUILDIN~ I~P~MIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 9518 Z Permigion is hereby granted to: .Jns~.p~..F~13.s~l. ............................................. ~Build new one famil~r dwetlin~ ~?.. Z....~.~...F....?Z ......... .~...~ ........................................... pursuant t~ a~plication dated Building Imi~ector. FOEM NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Town Clerk's Office $outhold, N. Y. Certificate Of Occupancy No. Z9.051 ...... Date ...Jl~n~.. 9. ................ , 19.7.8.. THIS CERTIFIES that the building located at .../*7.0..C..e.n.~.r .a~...D?.~.y.e. ..... Street Map No...1672 ..... Block No ........... Lot No .... .~.1.8. .......................... conforms substantially to the Application for Building Permit heretofore filed in this office dated . Oet;o. ber...27 ....... , 19..7.7. pursuant to which Building Permit No.. 9~.~..8~.. dated . .0¢~;o. ber...27 ........ , 19.7.7., 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 . .PRIIfATE. ONE. FAMILY. D~IN.G ...................................... The certificate is issued to ..... Jo~.eph. ~ .Lilllal~. F.~lleti ....................... (owner~ of the aforesaid building. Suffolk County Department of Health Approval 7-S0-'~/~8 UNDERWRITERS CERTIFICATE No ....... N3.8.2800. ..... .A.p..r;~.~....'[9.,. ?.97.8. ..... HOUSE NUMBER ....~f/0 ....... Street ......... .~.~.n.~.~l...D.V.~.v.e. ................. Mattituck, New York ~' : ~'~ /'/~"~'/ , Building Inspector FORM NO. ~ TOWN OF SOUTHOLD Building Department Town Clerks Office Southold, N. Y. 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 o'f 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 $5.00 3, Copy of certificate of occupancy $1.00 Date ................................................ New Building ..... ....... \//.... .... Old or Pre-existing Building ............................ Vacant Land ............................ Location Of Property .../~'..~'.~.?......~'~.~..~...Z~..~.../~..~.'...'.~...~...:..¢....~....~....~..Z.../...?.../~..~.,~.y..~...~. ................ Owner Or Owners Of Property .?~..~'.~...~.?.~....~......(,,~..:....~...~..~¢,~;...~..,.././/..f.t..¥:t...L~o~,.:...L'¢~.~l.~J ............. Subdivision ~b..C...~.~..~d..~../~.....~;'/~/'~-~-SLotN? ,,~'.,/,,°C~glockNo . .HouseNo Permit pat ,,af, Permit .................... Underwriters Ap~royal ............. Planning Board Approval ............... ~ ................ Request For Temporary Certificate .......... d~..~... ...................... Final Certificate Fee Submitted $ ..~.~....r .......................... Construction on above described building and permit meets all applicable codes and regulations. Applicant ... ~,,~__~.~.. ~ .'.... ~~.: ....................... Sworn to before me this ................ day of ............................................ Notary Public .................................... County (stamp or seal) Po 90 / FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. 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 with 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, build!rigs and unusua~ 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 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 New Building .... ~ ..... Old or Pre-exi~ing Building ............ Vacant Land ............. House No. Street Owner or Owners of Property ....... ~. .................................. County Tax Map No. 1000 Section., .~'~ ~.q; .... Block ............... Lot ................ Request for Temporary Certificate ..................... Final Certificate Fee Submitted $, ~ , ~. ..................... Construction on above described building and permit meets ali applicable codes and regulations. THE NEW YORK BOARD OF FIRE UNDERWRiTERS ']1~ BUREAU OF El I~CTR]CITY r--' 85,JOHNSTREET, NEW YORK. NEW YORK 10038 ~.A~r~l .~, 197~ ~p~t~No.o./,~ 9~7,86 N 382800 7os~h Pslletl~ Central ~., Nat~l~uok~ ~-o~-- Apr,! 1], 1978 and /ound to b~ in comldianc~ with the r~luiren~nts of thl$ ~rd. Lot RXTUI~S ~(HAUST FAN~ TIMI C~OCKS MULTI,OI,~g~r DIMMERS SYST&MS 1 1 :Smoke D~®etoe S E R V I C E Rtchar~ O. RelYea Delmar Dx., P.O. Bex 372 Laurel. N.Y. 119/~8 murn to t~ office COPy OF 11 December 15, 1977 Mr. & Mrs. Joseph Falleti 14 l~helps Avenue Bergenfleld, New Jersey 07621 Dear Mr. & Mrs. Falleti: ;Ref: New Home Drawing # 77-gg 10/24/77 This is to confirm that an alteration of the girder to provide a 14' clear span between the garage partition and chimney footing is aec eptable if a steel plate of full width and length andminimum thickness of 3/8" is installed with 1/4" lag screws, ,The hole pattern is Shown below. Also, there must be some form of lateral bracing at the mid-span of the girder (7' plus or minus a foot) to preven? t~v!st in the girder. SGT:dm yours truly, Steve G. Tsdfftakis · ,t~'~ MO. I ., , ~,, - ~.UUlNG DEPARTMENT ; / _ . ............................ Z ........ . ........................... Di~ppm~ a/c ....................................................................................... .............. ~ .................. ~ ..................................................... ~ ......... ~ ~ ~ . -. ~ ~ - ~PPLI~TI~ ~R BOILDIHG ~lT ~ ~ . 7 ................................................ , 19....Z ...... IN,RU=I~S o. ~is o~licotion mu~ ~ c~ple~ly fill~ in ~ ~writer or in ink o~ ~mi~ in triplicate to In~, wi~ 3 ~ of p~, ~u~ ~ pl~ ~ ~le. F~ ~i~ to ~ule. b. PIo~ ~lon ~ing I~otion of I~ and of buildi~s ~ premiss, relationship to ~jo n ng premiss or public streets o~eos, ~n~givi~ o detoll~ d~ripti~ of I~ of Pr~e~ must be drown on the diagram which is ~ of this oppllcotion. c. The wO~ c~r~ ~ ~is o~licoti~ m~ n~ ~ comme~ befo~ issuance of Buildi~ Permit. d. U~ appeal of ~is o~li~ion, ~e Buildi~ In--tar will i~ue o Buildi~ Pe~it to the o~licont. Such permit shall ~ ~ ~ ~ premi~ ~ileble ~r in~ti~ ~h~ t~ ~r~ e. No buildi~ ~11 ~ ~cupi~ Or u~ in ~ole or in ~ for any pu~e whoever until o Ce~ificote of ~cupancy~ shall h~e ~en gmnt~ ~ the Building Ink,tar. ~ ~?LI~TI~N .IS HERE~Y ~DE to the Buildi~ ~ment ~r ~e ~uonce of o eui~ina Permit pu~uont to the uim~ng i~e uminonce at the T~ of ~old, ~ffolk Count, New York, and ~er o~lic~le Laws O~in egulotions, for the cOnstr~l~ of buildi~s, oddities or o terot ~s, or for mmda or de~liti~, os h~mi~d~i~ ~e applicant ~s ~ comply with oll o~llcoble I~, o~inonc~, bulldi~ c~, h~si~ c~e, o~ ~uloti~s, edmit out~riz~ in~o~ ~ p~mises ~ In ~ildl~ ~ n~ i~tions.. ~ (S g~tum of a~ i~nt, or ~me, if a co~mti~) (A~m~ of applicant) State whether applicant is ~er, levee, agent, a~hit~t, engineer, general c~tmctor, electrician, plumber or builder. Name of owner of ~rem ses ~O.~ L~Ptat ~1~ I.-~-~'q- I If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ..................................................... Plumber's License No. Electrician's License No. Other Trode's License No ............................................... Str et ' n I~/~ ~ l~'~'~ ~.~'a..al~l~a~t~--. ................. e a d Number ............................. ~ ...... ~:! .... t,q ./~..'J~l~..)'t~,c-....~... Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction a. Exisiting use and occupancy ....... ............. .~.....~'% .~ ...... .~...~"7..-L:.~ ~"-' ce"' b. Intended use and occupancy ....... .~. ................................................................ 3. Nature of work (check which applicable): New Building.. ................. Addition .................. Alteration ................ Repair .................. Removal .................. Demolition ......... ~ .......... Other Work ................................................ . .... (Description) 4. Estimated Cost ............ .~...~....O..~...¢~...;....O...?. ................ :Fee '~-'~'-~" ~ . . (to be paid on filing this application) 5. If dwelling, number of dwelling units ........ i..~ .......... "...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 ........ ...~...1.~1~ ...... 7. Dimensions of existing structures, if any: Front ............................ Rear ................................Depth .................... Height ........................ Number of Stories ................................................................................................................. Dimensions of same structure with alterations or additions: Front .................................... Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front .......... ...~.~..,....'~., ......... Rear ...........4~....,~...~... Depth ..... ..'~....~......~...~'.... Height ....... .¢/..~.....,~Number of Stories ............................ ..~..~..~...G,.~,~.L~. .................... ~ ............................................... 9. Size of lot: Front .................~'~-~ ~- ~,~"~'?'"O'"'~ ........................ Rear ...............~....O.....?..~... ........ ~' ~,~-~ ,~,~-~!" Depth ...... ~.~.....~ ......... 10. Date of Purchase ....... .~..~.t:..~...,..!z,.]~...~.~.. ................ Name of Former Owner ..... ~..:.,..~....~..T.~,~..'~....~.!.~ ............ .. I ]. Zone or use district in which premises are situated ................. ~........~..~.~.~..~.~'...I .~.....t?~... ...................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ............... .../~...,.~... ............................... 13. Will lot be regraded .......,~...(=.."~. ........... Will excess fill be removed from premises: ( ) ~es (~)'~No 14. Name of Owner of premises ...~.......~..~..~. ........................ ~ ...... Address JJ~_ ~..~.l.~...~.... Phone N~] ..................ff.Z..~...~~/ Name of Architect ............ ..~..;...'~..~'..o.~..~...~...I..J. ................. Address ~,1~4~;..~--.,~ ...... Phone No.~-?.~..C.~-~..... Name of Contractor ~. ~"-'-'-'-'-'-'-'-'~ Address ~l~'r'ml--,~ Phone No. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from praperh/ 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,,,.~..I~,~ ~Z ~¢ ¢ COUNTY OF .~......¢"'"" ........... ..~:.~..~.........~.'..~....,~/~-..~..~...~.. ...................................... being duly sworn, depgses and says that he is the applicam (Name of individual signing contract0 above named· He is the (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and thor the work will be performed in the manner set forth in the application filed therewith. Sworn to be~i~ me this // ~ ...... of-- .......... ........ , ........ ......... ...... ............................. ~ ~' /'/ [~lgnorure or appl~con~ No. 52-03~14963 Suf;olk Coun~J..~,,,~ Commission Expires March 30, -/ 108 Lo ! 118 Areo= I0, GGG sq. ft. THE LOCATrON OF WEL~.S AND .CESSPOOLS SHOWN HEREON ARE FROM FIELD OBSERVATIONS AND OR FROM DATA OSTAINED FROM OTHERS THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THiS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE SUFFOLK COUNTY DEPARTMEN1 OF HEALTH SERVICES APPLICANT: __ ._~__. ADDRESS TEL ..... Lo? 10.9 Lot 117 NO TE: I = MONUMENT 0 = STAKE SUBDIVISION MAP FILED IN THE OFFICE OF THEC£ERK OF SUFFOLK COUNTY ON JAN. 19, 1949 AS FILENO 1672 WATER S£RVICE- PUBLIC MAIN C EN TH,4 L THERE I~RE NO DWELLINGS WITHIN I00' OF THI? PROPERTY OTHER THAN THOSES SHOWN HEREON F{EVI$1ONS A PR. ~0,1978 DHIVE YOUNG & YOUNG 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK ALDEN W, YOUNG HOWARD W. YOUNG SURVEY FOR: JOSEPH FALLETI LOT NO. 118, " CAPTAIN KIDD ESTATES" lot, 108 lot I1~ ~reo = 10,666 sq.H. THE LOCATION OF WELLS ~ND .~E~$POOL~' ~HOWN HEREON ~R£ FROM FIELD OBSERVATIONS AND Ol~ FROM DATA OBTAINED FROM OTHERS THE WATER SUPPLY 'AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO T~ STANDARDS OF THE SUFFOLK COUNTY DEPARTMENT OF HEALTH ~ERVICE ~ ~ ~K COUN~ DEPARTMENT OF HEALTH SERWC~ FOR APPROVAL OF CONSTRUCTION ONLY APPROVED Lot I 109 lot NO TE : ~ = MONUMENT 0 -' STAKE SUBDIKISION MAP F/LED IN THE OFF/CE OF THECI ERK OF SUFFOLK COUNTY ON JAN. 19, 1949 AS FILENO 1672 WATER SERVICE - PUBLIC MAIN THERE ARE NO DWELLINGS WITHIN I00' OF THIS PROPERTY' OTHER THAN THOSES SHOWN HEREON N86~00: C Tt? 1 l_ DF IV ,REVISIONS YOUNG & YOUNG 400 OSTRANDER AVENUe, RIVERHEAD, NEW YORK ALDEN W, YOUNG HOWARD W. YOUNG SURVEY FOR: JOSEPH FALLETI £OTNO. 118," CAPTAIN KIDD ESTATES" AT MA TTI TUCK GUARANTEED TO: TOWN OE ~SOUTHO£D -- ' / --,50 ........ t 0CT.~4~/~7_ 77-74J 0 o t I