HomeMy WebLinkAbout12085-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No..Z. 1.6.1.3.~ ......... Date ...... J.a.n..u.a?.y...6 ................ 19 .8.6.
THIS CERTIFIES that the building .Q m e..~.a ra ~2.Y.. d w.e.], 3. ~ r~/g .........................
Location of Property 822 Cedar Lane Southold
County Tax Map No. 1000 Section .. 9.7.~ ...... Block .. 9.7. .......... Lot .. 0.3.7. ...........
Subdivision ............................... Filed Map No ......... Lot No ..............
conforms substantially to the Application for Building Permit heretofore filed in this office dated
...... D.e.q,..1.0. ...... ,198¢. pursuant to which Building Permit No...1.2..0.8.5.Z. ............
dated ..... D e c.... 29 ............... 19~3 ~., 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 .........
...... .0.ne. farailT..d~cel.L~,mg ....................................................
The certificate is issued to . ¢~.[,2[~..qA$ g.O.l~g. ~..S.T. $.L.L.A.. 9&z.z. 0..L.~ .....................
(owner, ~t~oZ ~J~JX X
of the aforesaid building.
Suffolk County Department of Health Approval ........ .1.2.~ s. 9.-.1.3. 4. .......................
UNDERWRITERS CERTIFICATE NO ................ ~q.6,& ! 9,8.3. .........................
Rev. 1/81
Building Inspector
TOWN o~ ~oUV. O~D i!
BUILDING DJ:pARTM~NT
TOWN HALL
$OUTHOI~Dj N. ¥.i
BUILDING PERMIT :;
(THIS PERMIT MUST BE KEPT ON THE PREMIsEs UNTIL
COMPLETION OF THE WORK A. UTHGR. IZED)
~ULL
~spector
Building
Fee
Permission Is hereby granted to:
..~?~ z.~ ~ ....... ~ .........
...... ~...~.~..r...-. ...... ~....~...;~.. . .......... ~....~ ........... ~ .....
.................. , .................... ~...;~ ...... f,..~ ......... ..,~.C - .
/~:~.~: ~~. ~.~...~ ......... ~ ..............
~:..~ .Z ......
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
8outhold, N.Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted in dupltothe Building Inspec-
tor with the fotlowing; 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-iS-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 p~coperty 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 informa-
tion required to prepare a certificate.
F~es:
I. Certificate of occupancy $5.00
2. Certificate of occupancy on pre-existing dwelling .
3. Copy of certificate of occupancy $1.00
4.Vacant Land CoO. $5.00
$15.00
Date June 25, 1985
New Building ..... X;. ....... Old or Pre-existing Building ............ Vacant Land .............
825 Cedar Lane Southold
Location of Property ...................................................................
House No. Street Ham/et
Leslie Gazzola & Stella Gazzola
Owner or Owners of Property ............................................................
078 07 057
County Tax Map No. 1000 Section ............... Block ............... Lot ................
Subdivision ..... Bayview p N '
............................ Filed Ma o ........... Lot No.
Perm[tNo. 1208..5 Z Oate of Permit !2../.2,9./..8.~pplicant Steve Go Tsontaki.s
6/24/85
HeaJth Dept. Approval ........................ Labor Dept. Approval .........................
1/23/84
Underwriters Approval ........................ Planning Board Approval ......................
Request for Temporary Certificate ..................... Final Certificate .......................
Fee Submitted $.. 5,00
Construction on above described building and permit meets all applicable codes and regulations.
Applicant Glenn F. Heidtmann & Son, Inc.
loolo71 THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICIT~
85 JOHN STREET, NEW YORK, NEW YORK 1OO34
D. te January 23, :[984
nppl,c.t,o. No.o../,le 234460-83 N 631083
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant named on tlw abo~e application number in the premises of
Leslie Gazzola, Cedar Ave. 1000~ N/S from Bayview, Sour;hold, N,Y.
in the following locatlon; ii'Basement [~ lst rl. [~ ~.d rl. Section Block Lot
w.so~,~inedon January 16, 1984 and found to be in compliance with the r~quirement~ o/ this Board.
FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
23
DRYERS
SYSTEMS
NO. OF FEET
OTHER APPARATUS:
Mo~ors:l-F.
i-GFCt
Z-Smoke Detectors
Tracklighting:16'~0",
6-lites.
E R
NO O~ CC COMO A.W O,
OF CC, COMO
V I C
NO, OF HI-LEG
OF HFLEG
NO, OF NEUTRAt A, W G
O~ NEUTRAL
o.
This cert f cate '
.... must not be altered m any manner return to the office of the ~oard if incorrect nsDectors may be identifie
.... d b.t ...........
~.., .~uFy FoR ~UILDI~ DEPARTMENT. THIS COPy OF CERTIFICATE MUS~:N~T
JUniper 1.6076
PLUMBING & WELL DRILLING
31 Union Avenue Islip, N. Y. 11751
WELL CERTIFICATE
....... ~.... ............... ~... ............ ~.?.....'.7..~...~,~.0. ...................................
Well Depth .......... .~'~... ,~ ...................................................... : .......................
stoti~ ................... ~'.C~. ...................................................................................
-
Water in Well..~i'~,C~ ...........................y.,. Capacity ..... ~..
Well Located ......................... /....~'.'.~ .......................................... from Pool~
W. R. C. 586
F I P, LDYl N,%i~EETT ON COMMENTS
FOUNDATION (1st)
FOUNDATION (2nd)
ROUGH FRAME &
PLUMBING
3,
iNSULATION PER N.
STATE ENERGY
G,ODE
FINAL
COMMENTS:
TCWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, i~J.Y. 11971
TEL.: 765-1802
Examined'~..~..~. ~ ..... 19 .~
....... ~%%~ ........ ~ ...... .. /
Disapproved
................... : ............ . .....
(Bui[diffg Inspector/ ~
APPLICATION FOR BUILDING PERMIT
Application NO.
L
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted/rr-triFllzatc, to the Build
Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan ~ , ' ~
s~o.vmo location of lot and of buildings on premises, relationship to adjoining promises or public strr
or areas, and giving a derailed descriptim~ of layout of property must be drawn on the dia~am which is part oPthis ap
cation.
c. The work covered by this application may not be commenced before issuance of Building Pe~it.
d. Upon apprc':al of this application, the Building Inspector will issue a Building Pe~it to the applicant. Such pen
shall be kept on the premises available for inspection throughout the work.
e. No buikliag shall be occupied or used in whole or in pa~ for any purpose whatever unt~ a Certificate of Occupar
shall bare been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for th~ issuance of a Building Pe~it pursuant to
Building Zone Ordinance of the Town ~f Southold, Suffolk County, New York, and other applicable Laws, Ordina::~ces
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein descfi~
The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, ~d regulations~ ~d
admit authorized inspectors on prenfises and in buildings for necessa~ inspectlon~.
(Signature of appli~nt, or name, if a corporatior~)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber oz
Naneofownerofprcmiscs L~KCI~ ~ ~T~--~
(as on the tax roll or latest deed)
If applican~ is a corporation, sigoatum of duly authorized officer.
(Name and title of co.orate officer)
Humber's Licens~ No. ~~ ~ -
Elactrician's License No.' .... ~ .~ .a .........
Olher Tradc's License No ......................
1. Location of land on which proposed work will be done ....................... } ......... ~ ~ ...........
House Number ~ ~ ~ Street Hamlet
Co.utv T= M~ ~o. ~0o0 sootio~ .... ~.~ ......... moo~ .... 9? .......... ~ot.. ~.%~ .......
Subdivision ' Fitea Map No Lot
(Name)
2. State existiog use and occupancy of premises and intended us~ and occnpancy of proposed construction:
a. Existing use and occupancy f
-...- b Intended use ~d occupancy ... ~ ........................................................
3. Nature oFwork (chcck wbicN applicable): New Building .......... Addition .......... Alteration ........
Re'moval Demolkion Other Work
Rtl)air .............. , .........................................
4 Estinlated Cost ....... '..~..?~ ....... O~,C::~ :.t,~. ............. Fee ............. , .........
(to bt paid on filing this application)
$. If dv.'el~; z, number of dwellii~g units .. [ Number of dwelling units on each floor ....
If garage number of cars
~. If business, commercial or mitxed occupancy, specify fiature and extent of each type of use ...................
7. Dimensions ofexistingstmct6res, ifany: Front ..... '. Rear ... Depth
Height Ni. unber of Stories
Dimensions o£ same structure witli alterations or additions: Front Rear
Depth .................. ~ ....ltei~tt ...................... Number of Stories .....................
~. Dimensions of entire new con:struct~on: Front ...'../4 .br. ~r'- Rear .t'it' .br. Depth .~.
~0 Dat~ df Purchase t. Name of Fom~er Owner
ti. Zone or usa district in which premises are situated... 2...'.g~..z ./~...~7 f .r~...~-gL~..'T3r~..%..,~. ?. ...............
12 Do op d ' 'iolat ny ingla ordi gfiation
es pr ese construction v
· e a zen w, ,lance or re t : . i,,.-, o
~3. ~,x'~,,'ill 1o t be regrad e d ....... ,..'~ >.~.. >~: ....... :. · · Will excess fill be removed from premises: ' Yea
Nan e of Contractor ....... . ................... Address ................... Phone No ............
: PLOT DIAGRAM '"'
Locate c ear v ~d distinctly all ou'klings, whether existing or proposed, and. indicate all set-back- dunenstons' ' fro:
property lines. Gh'e street and blot~k number or description according to deed, and show street names and indicate whetN
'~^terior or corner lot.
~rATE OF NEW YORK,
COUNTY OF.. ~.,~ ~...~3..~-w...'...~
....... :'~'~7~ ~-~'~.~ ............... being duly sworn, deposes and say$ that he is the applicav~
(Nanie of indMdual signing contract)
above natured. ~
l{e is the .
i (Contractor, agent, corporate officer, etc.)
o.f said owner or own'e~, m~d is d{dy authorized to perform or have performed tho said work and to m~e and file ~k
~/>plication; that all statements con'rained in this application are true to the best of Ids knowledge and belief; and that th
W'ork wilI be performed in the mander set forth h~ the application filed ti~ercwith.
~worn to before me this [
...........
~otaw . ~~ ...... i ..... ~.~County
w: York '
/
/
JON ,0~ 4 ~5 ~, ~. ~. ~~y LESL/E GAZZOLA a STELLA GAZZOLA
DATE
~ /~,/~
The s~ alsp~,ll and ~ate~ supDl~ ~T ~VI~W DATE:. NOV, 12, 1.982
faoilttt~ for this locaL} on have been ~WN OF SOUrHOLD SCALE% /" = 40 '
inspected by this de~rtment ~ found ~UF~O~K COUNTY, NEW YORK ~0.
to be ~tisf~to~._~
Chief of 8 ngtneer~n~ s~w YORK STAT~ E~CAtI~ LAW
ffCOPJES ~ ~lS UVE~ NOT KAR~G THE LAND
Services suevE~a's tNKEO ~AL OR EMBOSSED SEAL SHALL
NO~B~ COd$lO~O TO ~ A VALID TRU~ COPY
HEAL~ DEPARTMENT-DATA FOR APPROVAL TO C~STRUCT ~E ~ FOR WHOM THE SU~EY IS PREPARED
~DISTANCE$ SHOWH HE~EON FROM PR~ERTY LINES
WILL C~FORM TO THE STAN~RDS OF THE SUFF~K COUNTY DEPARTMENT TO EXI~TIN~ $TRUC~RES ARE FOR A* SPECIFIC
A~LIC~T~ PURPOSE ANO ARE NOT TO BE USED TO ESTABLISH
P~PERTY LINES OR FOR THE ERECTION ~ FENCES
ADDRESS ,
B YOUNG 8 YOUNG
RIVER~AD, NEW YORK
NOTE: ~= STAKE 0 = PIPE ~=MOfluMgfl~ --,~ ~ ALDEN.W. YOUNG, PROFESSIONAL ENGINEER
AND ~NO SURVEYOR N.Y.S. UCENSE NO. 12845
~' HOWARD W. YOUNG, LANO SURVEYOR
~ ~ L~T~ ~ W~L(W), ~PTIC TANK(ST) ~ CE$~OL$(~) SH~N HERE~ N.~ S. LI CENSE NO. 45893
TELEDYNE POET N01779
r
~ I . .,_ ,,~ ~_~ ~.~,,~,~-~ ,
..,.
, , /
/
~, ~ ~ qo ~ , ' ~CAVATI~ I~ECTiON RE,fflED
S~R~Y FOR
~FFOLK C~UH~ ~EPkRT~E~T ~F HEALTH SER~I~E5
FOR APPROVAL OF CONSTRUCTION ONLY ~WN ~ SO~THOLO ~ALE~ / "= ~O'
~FFO~ COUHTY, NE~ YORK ~o.
NOT l~ con ~ IDE~D ~ ~ ~ VA~D tffu ~
~[AL~ 'DEPARTMENT-DATA F~ APPRO~L TO C~STRUC T AN~ ~ HIS K~LF ~ THE TITEE CWP~Y, GOV~N-
· ,,,,,,..~o~ ii I' YOUNG YOUNG
~ '" ~ ~'~ ~ : 8 RIVER~AO, NEW YORK
~NO LAND SURVEYOR N.Y.S, UCENSE NO. 12845
~OWARD W, YOUNG~ LAND SURVEYOR
~ ~ L~T~ ~ W~L(W), SE~IC TANK(ST)a CES~OLS(CP) ~N HERE~ . N,~ S. LICENSE N0.4589~
~ FIELD ~ATIONS ~D OR DATA O~T~NEO F~ OTHERS
NOTIFY BUILDING DEPARTMENT AT
765-1802 9 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & pLUMBING
3. INSULATION
4, FINAL - CONST~UCTION MUST
BE COMPLETE FOR C, O
ALL CONSTRUCTION SNALL MEET
THE REQUIREMENTS OF THE N.Y.
STATE CONSTRUCTION & ENERGY
OODES. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
addition to this documenJi is a
violation of section 720~ of
4283-1
C
r
!
i
ZO'-O"
LiF? Y,
Unautho~zed alteration o~ . . _
addition to this document is a
violation of section 7209 of
the blew York State Education
Copies of tills document not
bearng theengneers nked
seal or embossed seal shall not
addition to this document is a
violation of section 7209 of
the New York State Education
Copies of this document not
bearing fha engineer's inked
Seal or embossed seaJ s~aJl not
be considered valid copies.
CEILING - R-19
WALLS - R-Il
FLOOR - R-N
WID~]OWS - u = 0,69 (MAXIMUM)
DOORS - u = 0,4 (MAXIMUM)
DN 743
UP 720
TOTAL 1,463
GARAGE 2.40
DONN- 1QSSF
UP - 131 SF
(~% WALL~ 24% OK)
(14% FLOOR ~ lO%-OK)
(LR~ WALL ~- 24%-0D
(18% FLOOR > lO%-OK)
addition Mo ~h~s document is ·
vlola~ion of section 7209 of
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