HomeMy WebLinkAbout11589-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANC~ff
No Z-20995 Date SEPTEMBER 10~ 1992
THIS CERTIFIES that the building MEW DWELLING
Location of Property I950 YENNECOTT DRIVE SOUTHOLD~ N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 55 Block 4 Lot 30.1
Subdivision YENNECOTT PARK Filed Map No. 5187 Lot No. 44&45
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 11, 1982 pursuant to which
Building Permit No. i1589-Z dated MARCH 26r 1982
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 C~LRAGE.
The certificate is issued to ESTATE OF MARION MARTOCC~IA
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 12-80-20-0CT. 8¢ 1982
UNDERWRITERS CERTIFICATE NO. N-587433 - DECEMBER 21, 1982 .
PLUMBERS CERTIFICATION DATED N/A
Building Inspector
Rev. 1/81
1;,1589 l
Perr~ission is hereby granted to:
BUi LDING; PERMIT i
(THIS PERMIT MUST BE KEPT ON 'I~H,~ PP, E~IS~S UNTIL P~ULL
COMPLETION OF THE WORK AUTRdRIZED) ! ·
-,
Date ~. ...... ..... 19.
at pfemise~ located at.
Coun, ty Ta~, Map No. 1000 'Section, ~-.~. ........ Bloi~k . , ......
eursuont t~ adp cot on doted ..................... ,. ,
Butl~ng I~spector.
? ahd !pproved by the
Rev.
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This applic3tion 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.
B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pie-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 es 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.
Fees:
1. Certificate of occupancy $~ $ 2.5.00
2. Certificr~e of occupancy on pre-existing dwelling
3. Copy of certificate of occupancy $1.00
4.Vacant Land C.O. $5.00
$15.00
Pate . .A.u~u.s..t:..3,1,,..'].,~? ,2 .......
New Building ............. Old or Pre-existing Building ............ Vacant Land .............
Location of Property ~),5.0. ~.e. qg.e.e.o.t;1; ~.r.:~.v~ .........
............................. $o.u.tho ld ....
House No. Street Ham/et
He.len ,W.O~Lan.ski & Teles.p.h..or.e. Wp.lan. ski (Mar£on Martocchia
Owner or Owners of Property ................................ . .... ~ ~2.~) .....
County Tax Map No. 1000 Section .... .5..5. ........Block ...~. ........... I'ot .....3.0.o.1. .......
Subdivision ~/.O. ~f.~3Qe.c. Qt;t;. P.8,~k ........... Filed Map No.. ,5.1,8.,7 .... Lot No..
Underwriters ;.pproval.. ~J c~'~'.'7.~.-~5..'~. ....... Planning Board Approval ....A{ .~. ...............
Request for Temporary Certificate.....................FinaICertificate ......X ............... ..
Fee Submitted $..2~5., QD .....................
Construction on above described building and permit meets all applica__ble c]odes ~d regulations///
~/ ~(~e len Wolansk~_)
Rev, 10-10-78
1OO0121 THE NEW ,YORK BOARD OF FIRE UNDERWRITERS
EUREAU OF ELECTRICITY
STREET, .E V Y OR..E V
~-,~ N 587433
THIS CERTIFIES THAT
only ghe electrical equipment ~ described below and introduced by the applicant ~med on the abo~e application number ~n the premises of
was examined on ~ ~6 ~ ~9~2 and fouud to be in compliance with the ret uirements of this Board.
FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS SWITCHES FLUORESCENT
DRYERS
SYSTEMS
NO. OF FEET
OTHER APPAR TUS:
1-~mo~ degeogor
3-G.Fo£.
l-4.Skw. Hot Water Hea~er
1-15.0k-w Hea~
1-Po~ li~e
NO, OF CC COND, A W.G. ~ NO, OF H~-LEG
1 2/0
AWG.
OF HI-LEG
NO O~ NEUTRALS
1
A. WG
OF NEUTRAL
2/0
N.Y. 11971
Thls certificate must not be altered in any manner; return to the office of the Board if inco~'ect. Inspectors may
COPY FOR, BUILDING DEPARTMENT. THIS COPY OF
11
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N.Y,
NOTICE OF DISAPPROVAL
File No ................................
To .~--'f~/.c~...P".~../?.~.C7 ..... :..~?.~..
PLEASE TAKE NOTICE that your applic~ion dated. · ./~. · .c~../7.~. ~-J. ......... 1 .~.q~.
for permit to construct..t~...~. ~....~.~../?~.. g.~ . :t:~j~. ~..z/~/~/~ ...................... at
Location of Property ~3~s.~.~,~~.'.S,t/e;i.,,...,~ ...~.4~.~:~
County Tax Map No. I000 Section . ~.~ ...... Block . .~.~ ....... Lo~.~.~'O.
Subdi~isio~Kt~[~f~ Filed Map No.. ~f~ ........ Lot No..~ ~, .~ ......
is returned herewith and disapproved on the follow~g grounds ~.~f
~ ~ '. ¢ :, .~ .....
/ Building Inspector
FIELD INS ?,~,CT I% N COM?%EI!TS , ·
FOUNDATION (~st)
FOUNDATION (2nd
ROUGH FRAME &
PLUMBING
INSULATION PER N.
STATE ENERGY
C DE
FI~AL
IOHAL COMMENTS:
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
DATE j INSPECTO
c~. ~ F~2Q'T'. COOCc
E F,,T ER IOI:Z, · WA. LL (G,I:Z.osS) /"-/~' ~, ·
E,X, TEP-IOP.. 'WALL (OPAQUE) 1
Gb.A'Z. IN'c~., ~ %
C~t blNG~/~oop 1 3 ~ ~
~ b OOF'. i 3L
:i-IF bTP-ATION
ALL0WEP
'U
O,"L'L
0.08,
0,40
0,05
o.o&
.. DF.61Gt-I GI:Z.t"i'F..I:ZI.k,: ,
O.A, ,- lO~ F ,, 3:.A, = 70'~P
DT'U N '
9,.(' 3 ..
I 3 ")~?
~(/??~
'PATE
~. L. P'VTTF--~MAN
~IP-IP~ P_. I-bNvIFTo N
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
Application No..../.../',~,f~..,/f.. ...........
Disapproved a/c ................ : ......................................................... i' 'i .........
APPLIGATION FOR BUILDING PERMIT
Date M~rch 11, 1982 19 ............
INSTRUCTIONS
a. This application must be completely filled in by typewriter or, in ink and submitted in triplicate to the Building
Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule.
b Plot p an showing location of at and of buildings on premises, relationship to adjbining premises or public streets or
areas, and giving a detailed description of layout ofproperty must be drawn on the diagram which is part of th s adp cat on.
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval af this application, the Building inspector will issue <3 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 port for any purpose whatever until a Certificate of Occupancy
shall have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of o Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, os herein described.
The applicant agrees to comply with oil applicable laws, ordinances, building code, housing code, and regulations, and to
admit authorized inspectors on premises' and in buildings for necessary inspections.
(Signature of applicant, or name, if a corporation)
~0 Ro~-~inson ~,o~d~ Greenper%t N, T.
(Address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Builder
Name of owner of premises ~(~rie.n. )J~r%oechi~
If applicant is a corporate, signature of duly authorized officer.
(Name and title of corporate officer)
Builder's License No ........ .~..3.. ........................................
Plumber's License NO ...... .~...~9...~.~.~,~,q~.?.~ .........
Electrician's License No...~...~]~...):.~.~!~.~.~ .........
Other Trade's License No..,,.~,.,~...~.~,~,~,~.~.~ .........
Location of land on which proposed wore will be done.
Yenneco~,% Drive ~outhold, N. Y.
Street and Number ...............................................................................................................................
~/PO--O Municipali~
State existing use end occupanc? of premises and intended use an~ ~c~ncy of pr~osed construction:
o. 5xisitim~ use ond occuponcy ...... ~ ........ ; ......... ~ .......................................................................................................
Residen%i~l dwel!in~
b. Intended use and occupancy ................................ ~ ..................................................................
3. Nature of work (check whicH applica
Repgir .................. Removall ...........
.5. If dwelling, number of dwelling units
If garage, number of cars ....~t.e. .......
6. If business, commercial or !mixed c
7. Dimensions of existing structures, Jf ar
Height ........................ Number of S~
Dimensions of same structur? with al
Depth ................................ Height ..
8. Dimensions of entire new cohstructio~
Height ].8 * Number of Star
9. Size of lot: Front ...... ..2..5..g...t.I .............
11. Zone or use district m wh~chjprem~ses
12. Does proposed construction violate an
14. Name of Owner of premises ...~.~..z'.~..e.?...
la): New Building' ...~...~..~.. ........ Addition ..................Alteration ................
..... Demolitior ..................... Other Work .....................................................
(Description)
........................ ..............................................................
(to be paid on filing this application)
· ..®tt.e .................. Number of dwelling units on each floor ...e..~,..e. ...................
ccupancy, specify nature and extent of each type of use ............................
y: Front ............................ Rear ................................ Depth ....................
aries .................................................................................................................
:erations or additions: Front .................................... Rear ............................
......................... Number of Stories ................................
,: Front ...~..5.~ .......................... Rear .....6..5..*. .................. Depth ....3..?.~ ...............
es ......... p.~,.e. .....................................................................................................
250~ ,. ., ].?5!
......................... Rear .......................................... ueprn ................................
......................... Name of Former Owner ........................................................
are situated Resin] e~t%i ~
, zoning law, ordinance or regulation: ...... .~...o. .............................................
Will excess fill be removed from premises: (×) Yes ( ) No
~r~,eeehi~ AddressGree~por¢ Phone No. 4~'/'- 0B68
Name of Architect ,
Name of Contractor ............
Locate clearly and distinctly a!l buildir
property lines~ Give street and blpck hum
whether interior or corner lot.
STATE OF NEW.YORK,.. liss
COUNTY OF .,.~.'ff..~./.~. ............. ~ '
(Nome of ir{dividual sighing con
above named.
He is the i ...... ~uil.~ .................
this application; that ali statements contai
ti,aT the work will be performed in [he mannl
Sworn to before me this j
........... ........ .d y of ......
Address ................................ Phone No .......................
~¢ell Address C~T..~,.~}I~J.F.t: ........... Phone No..47.?...~9,9.5..
PLOT DIAGRAM
is, whether existing or proposed, and indicate all set-b~ck dimensions frorn
)er or description according to deed, and show street names and indicate
......................... being duly sworn, depo'ses end says that he is the applicam
rocf)
rector, agent, corporate officer, etc.)
L
,z~u ~u ~,~,,b'h:~d,~, I,.V,= i~'= [b ,ed It= said work and to make and file
ed in this application are true to the best of his knowledge and belief; end
set forth in the application filed therewith. I
(Signature of applicant)
I~0. 52'452477!
(~u~Jili0d ill ,%flolk Cour~ty
Commission F.X.~- I~arch 30~ 198,~
THE WATER SUPPL~: AN.I~ SEWAGE!~
SYSTEMS ,,~FOR:', THIS RESIDEN~
CON'FORM:?~T0 i!T~. ~!sTANDARD~I
SUFFOLK
DATE:
H. S, REF. NO.:
SUFFOLK CO, TAX
DIST. SECT. ,, BLOCK". ;~' PCL
OWNERS ADD RE, SS:
DEED: L.
TEST HOLE STAMP
TUTH iLL
~.83o
. ~EN N E COTTI.~t-~, DP.t VE
12.5,0 . :'125,0
250.C0
I SUF
'OLt~ CO_ HEAL'TH DEPT.
SEAL
k
o
r IJ
D~SIGN
','4
1/ -0 ..