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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 ..