The URL can be used to link to this page

Home My WebLink About9354-zTOWN OF SOUTHOI.D BUILDING DEPARTMENT Town Clerk's Office $outhold, N. Y. Certificate Of Occupancy No. ~9396 Date January 18 19. 79 THIS CERTIFIES that the building located at 3205. ~ldrich .Large ....... Map No ............ Block No ........... Lot No ............ ' ...................... confoms substantially to the Application for Building Permit heretofore filed in this office dated .. J~.~P . ~7 .... , 19 ?..7. pursuant to which Building Permit No. dated ....J..un..e...~.7 .......... , 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 .......... Pri.v. ate. One. F~m!l.y. ~ellLng .......................... .Minnick ............................ The certificate is issued to ...... Kenue~ (owner, of the aforesaid buildiug. Suffolk County Department of Health Approval December 22 ~..1~.7.~...7.-.$0.-.8.9 ......... ~bert A. Villa UNDERWRITERS CERTIFICATE No ..... .N?. q. .8 .0.8.1. ............................... HOUSE NUMBER .~.3..0,5 ..... Street ............ .A~.d.r.i. 9~..L..an..e. ............... .................................................. ¥.~..ur...e.~ ~...~..~...Y.o..r.~ ........... ........ g Inspector County Tax N~mber 1000-12/*-1-3.2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FOLL COMPLETION OF THE WORK AUTHORIZED) ' N? 935] Z Date 19..~.~~ Permission is hereby granted to: . :~ ~t~..,.!~!~. ........................................... : .~ .~; .......... tj~.....j~,~,..~j ................................. . :,~,.. ~ at premises located at ]JJlJ~, J~ J ..................................................................... ~ ._~pu~gUOnt to application doted ......................... ~...~. ............. , 19.~.., and approved Building Inspector \ ,.. ' TOWN OF $OUTHOLD Building Department Town Clerks Office Southold, N. ¥. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be fdled 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, I~roperty lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage dispos, al--(S-9 form or equal). 3. Approval of electrical installation from Board of F~re Underwriters. ' 4. Commercial buddings, 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 b~ildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, bui!dings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy qnd condition of buildings. 3. Date of any housing code or safety inspechon 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 certihcate of occupancy $1.00 $5.00, New Building ..........x~. ..... Old or Pre-existing Budding ............................ Va:ant Land ............................ Location Of Property ................................. ~/...~m. .................................................................... Owner Or Owners Of Property ...... Z'C.~,.~/~.¢:'.~.../..~.,'~.'~ ..................................................................... Subdmvms,on ./~/~,~.~m.. ..... ,~/2~//.~.,~'.r. ............ ~.~..~......Lot No ............. Black NO ............. House No..x;~..~'. Health E~pt. Approval .... . .~...'T..~...(~..~.. ........... Labor D~pt. Approval ................................................ Underwriters Approval ...... ~.......~Z~,../.....~......~.../. ........ Planning Board Approv ......................................... Request For Temporary Certificate ........................................ Final Certificah .,~ .................................... Fee Subm,tted $ .... ,~..*.,~...,.~.. ................. '7~ ~ ~ Construction on above described building and permit meets all applicable ,Jes and regulations. Applicant ...~...(:.....~,~/¢;~.~C....~.z'..~..c~..~r:...~C.¢. ........................................... Sworn to before me this ~ ................ day of ............................................ (sram or seal) / Notary Public .................................... County TOWN OF SOUTHOLD Building Inspector's Office Town Clerk Building Southold, N.Y. 765-2660 TOWN CLERK'S OFFICE ........................ .............. INSTRU~IONS a. This application must be completely filled in by typewriter o¢. in ink and submitted in triplicate to the Buildi[ Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjmning premises or public streets, areas, and giving a detailed description of layout ofproperty must be drawn on the diagram which is part of this applicatio c. The work covered by this application may not be commenced before issuance of Building Permit. d Upon approval of this application, the Building Inspector will issue a Budding Permit to the applicant Such perm shall be kept on the premises available for inspection throughout the work. e No build,ng shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupant 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 t? Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances, Regulations, for the construction of buildings, additions or aJterations, or for removal or demolition, as herein describe. The applicant agrees to comply with 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 apphcant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or buHde If apphcant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's bcense No ..................................................... Plumber's License No ................................................. Electrician's License No ..................~.* ......................... :::~-~7 ~ ~'~-~ Othe ' Trade's License No ....................................... -~~,~/r-~~ Location of land on which proposed work.will be ftope. Map No .............. I. ~ Lot No .....~.. Street and Number .......................... Municipality State existing use and occupancy of premises and intended use and occupanc a Exisiting use and occupancy ............. .,~.~.~.~....~. ................................. b Intended use and occupancy .............. ,.~.~....~..... i~.~l ....... of proposed construction· 7 ........................................ 3 Nature of work (check which apphcable) New Building ............ Addihon ' Alteration ........... Repair ............. Removal ................. Demoht~or ............ Other Work .................................... --'" ; (Description) 4 Estimated Cost ............................................... Fee ......................................................................... (to be pa~d or~ fihng this apphcahon) 5 If dwelling, number of dwelling units ....................... Number of dwelhng uh~ts on each floor ......................... If garage, number of cars ............................................................. ~ ............................................... 6 If business, commercial or m~xed occupancy, specify nature and extent of Ileach type of use ......................... 7 D~mens~ons of ex~stmg structures, ff any Front .................... Rear ............ ~ ................... Depth .................. Height ........................ Number of Stones ................................................................................................. D~mensions of same structure with alterations or addmons. Front .................................. Rear .......... Depth ............................ Height ................. Number of Stones .............................. 8 D,mens,ons of ent,re new construct,on' Front ............................... Rear ........................ Depth..~~ Height ............ Number of Stor~es ......................... ~ ................ 9 S~ze of lot Front ............................................... Rear ................................ Depth ............................. 10 Date of Purchase ................................................ Name of Former Owner ...................................................... 1 1 Zone or use d~stnct ~n which premises are situated ................................ ~ ................................................... 12 Does proposed construchon wolate any zoning law, ordinance or regulahon ....................................................... 13 Wdl lot be regraded ...................... Wdl excess fill be removed from premises: ( ) Yes ( ) No 14 Name of Owner of premises ............................................. Address ................................ Phone No ...................... Name of Architect ............................. Addre~ ............... ~ ................ Phone No ...................... Nome of Contractor .......................... Address ................................ Phone No ...................... PLOT DIAGRAM Locate clearly and d~stmctly all buddings, whether ex~shng or proposed, and nd~cate all set-back dimensions fron prope~y hnes Gwe street and block number or descnphon according to deed, and show street names and ind~cat= whether mter~or or corner lot STATE OF NEW YORK, tS S COUNTY OF .......... ................................................................... being duly sworn, deposes and says that he ~s the apphca. (Nome of ~nd~wdual s~gn~ng contract') above named He ~s the ......................................................................................................................................... (Contractor, agent, corporate officer, etc ) of sa~d owner or owners, and is duly authorized to perform or hove performed the sa~d work and to make and f~ th~s apphcat~on, that all statements contained ~n th~s opphcohon are true to the ,est of his knowledge and behef, ar that the work wdl be performed m the manner set forth ~n the apphcot~on filed therewith SworrLto b~fore me th~s .... .... day . ...... , Nota~ Pubh~ ................................................. Coun~ M~ E DA~SO~ NOTAEY P~LIC, State of New York No, 52,4643721, Suffo)k Countx Te~ ~re~ ~arch ~0, 19~ (Sigtlature of applicant) now THE ~,OCATION OF WELLS ANO CESSPOOLS SHOWN HEREON ARE FROM FIELD OBSE~RVATIONS AND/OR FROM DATA oB~rA)NED FROM OTHERS THE WATER SUPPLY AND SEWAGE DISPO~.L SYSTEMS FOR THIS RE$I['~NCE WILL CC~IFORM TO THE,S-L~.j'~[~RDS OF~T~L,~FF~ OOUN)~ DEPA~RTMEN F OF HEALTH now or formerly Thornda H~S. MoY, Jr. 91, . ~ 30M NO?E REFERENCE- PLOT NO 2- "MINOR SUBDIWSION FOR AGNES CAFALANO " I = MONUMEN? NEAREST WATER MAIN - $ M/LES -~ WATER SUPPL y-PR/VA rE WELL S I""~R E¥1SlON$ 'YOU, 400 OSTRANDER · ALDEN W. YOUNG Ne doszY ! ko formerly VFIIliOm or - vACAN1' Z ,,~ THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD OBSERVATIONS AND/OR FROM DATA OBTAINED FROM OTHERS APPLICANT -- ADDRESS TEL Chief of General Engine~rinW Services DOW or N.; l-hOmOS formerly Jr H. 5 HeY, NOTE REFERENCE- PLOT NO 2- "M/NOR SUBDIVISION FOil AGNES CATALANO " I= MONUMENT NEAREST WATEtY MAIN-$ M/LES-+ WATER SUPPI Y-PR/VA rE WEt tS 91 REVISIONS DFC 4,/978 AT LAUREL TOWN OF SOUTHOLD SUFFOLK CO, N Y GUARANTEED TO SAG HARBOR SAVINGS BANK THE TITLE GUARANTY CO JUNE 24,1977 NO 7~_42.~/ SCALE [,I = 50 ' I DATE nov/ or nov/ 'W formerlY or H w~lliOrn ~ Gerold/ne schutte ' now or formerlY N.; -[.homos H. $' MaY, Jr vACANT ' THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD OBSERVATIONS AND/OR FROM DATA OBTAINED FROM OTHI[RS THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE SUFFOLK COLrNTY D~PARTMENr O~ HEALTH AFf:LICANT SUFFOLK COUNTY DEPARTMENT OF-HEALTH SERVICES FOR APPROVAL OF CONSTRUCTION ONLY NO rE REFERENCE- PLOT NO. 2- "t~flNOR SUED/V/SION FOR AGNES CAT4LANO' I-- I~fONUMENT NEAREST tYATER MAIN-$ MILES WATER SUPPI Y-PRI VA T£ WEII S R£VISION$ YOUNG & YOUNG 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK ALDEN W YOUNG HOWARD W. YOUNG SURVEY FOR: KENNETH MINNICK AT LAUREL TOWN OF SOUTHOLD SUFFOLK C0, N.Y. SCALE I" = 40' I DATE -4, --J ' l: ^p,~vEo ^s DATE: ~ ~"~ '~ f, 7 7 F:~ fi[l~__--- ..,,: ~ ~. ALL CONSTRUCTION MUST ~,E!T ~Q~IREM~NTS OF N,Y. STAT[ COD[ AHD TOWN HOUSING COD~ & ZONJNG -I