The URL can be used to link to this page

Home My WebLink About11871-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate O[-Occupancy No. Z..1.1.8.2. ! .......... Date August 1 19.8.3. THIS CERTIFIES that the building ..: ............................................. Location of Property 955 Custer Avenue Southold House No. Street Hamlet County Tax Map No. 1000 Section 070 . .Block 09 ...... Lot 01 ? Subdivision .... X. .......................... Filed Map No. X .Lot No. X conforms substantially to the Application for Building Permit heretofore filed in this office dated · ./3. gg.u.s..~..1.3. ........ ,19 .8.2. pursuant to which Building Permit No. 11871 Z dated ...g .ut.u.s..~..2.4 ............... 19 .8.2., 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 ......... a private one-family dwelling. The certificate is issued to JOSEPH & ANNA MARINZULICH (owner, ~e~r repair) of the aforesaid building. Suffolk County Department of Health Approval . J.2.:s. 9r.8.1.,..6/.2.7./.8.3.,...~ 9.b.~. ....A....V.i.l.la P.E. UNDERWRITERS CERTIFICATE NO ......... .iq..5. 9..8.6.Q6. ............................... Rev. 1/81 Building Inspector FOI~:~ NO, ~ TOWN SOUTHOLD~ BUILDING DEPARTMENT TOV/N HALL SOUTHOLD~ N~ Y.~ r: BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON TI~E'PRE~I~ COMPLETION OF THE WORK AUTHORIZED) N°. 11871Z Dete~ ES UNTIL :ULL Permission is hereby granted to: .... .... ~~......~.. ~.~.~.~.....~.. ..:.~.:.~~:....~.i ................. · . ....... (~~.~:.,~,.~......~. ~o ;...~.~~...~ ...... ~...,~. ........ 2Z~,~.:...,~/~_..~~.~.~.~ ........... ,, ~,~,,,, ,~,,~ ~, ....~.~ ......... ~:~.~.,..~.~.~.. ................................... ~,,,~ ~x ~ ,.. ,~ ~,,.~ ..~.~.... ~,.~, ~'..~.~.....? ~, ,....~.: ...... Rev. 6130/80 ' FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall $outhold, 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 Buildin9 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 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 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 "pre-existing" land uses: 1. Accurate survey of peoperty showing all property Tines, 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 houslng code or safety inspection of buildings or premises~ or other pertinent informa- tion required to prepare a certificate. ,~ Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or ]and use 3. Copy of certificate of occupancy $1.00 $5.00 New Building .......... Old or Pre-existing Building(Z) ......... ~/Vacant Land ............ · ocat,on of Property... ........... House No, Strset Ham/et OwnerorOwnersofProperty~,~A-j~. ~~,..,. ~~' ' , - . ........ County Tax Map No, 1000 Se~ion , ,'~ ,~ .q ...... Block ...0.~~ .... Subd v s on .......... ~ ..................... F ed Map No, ,~,~ ....... Lot No, ,~', .......... ........ U.~=,~,~,~,,,o~a~ .~.,.~/t.~-- ~ .......... ~..~.~ ~o~ ~,,~o~ ~.'~ ........... ...,..~ -- Bequest for Temporar~ Certificate ..................... Final Certificate ..... lee Submitted $ . ~. ~ .~ .................... THE NEW YORK BOARD OF FI. RE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT only the electrical equipment os described below and introduced by the applicant named on the above application nutnber itt the premises of Joseph M~rir~ul~, Custe~~ Ave. N/S Rennet & Breidstadt was examined on ~3'.CJ.1 ~ , ~9~'~ and found to be in compliance with the requirements of this Board. FIXTURE OUTLETS FIXTURES SWITCHES 25 23 DRYERS MOTORS RANGES =OOKINGDECKS OVENS DISH WASHERS EXHAUST FANS SYSTEMS NO. OF FEET E E R V I C OF CC. COND OF HI-LE~ OF NEUTRAL 1 OTHER APPARATUS: 1-G~F. i. 1-~ Detect:or G & $ ~lecl~ic P. O. ]k~c 215 Southold, N.Y., 11971 Ltc.~578 11 This certificate must not be ~}tered Jn any manner; return to the office of the Board if incorrect. Inspectdrs may be identified by COPY FOR BUILDING DEPARTMENT, THIS COPY OF CERTIFICATE MUST~NQT BE ALTERED IN ANY MANNER ~ FI22~NSFECTION FOUNDATION (1st) FOUNDATION (2nd) 2. COMMENTS ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY C,ODE FINAL ADDITIONAL COMMENTS: FORIX3 NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 ~,/// ~ TEL.: 765-180:3 APPLICJ~,TION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in 'by typexvriter or in ink and submitted in triplicate to the Buildi Inspector, with 3 sets of plans, accurate plot plan to scale. Fcc according tc schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining pr~mises or public stre¢ or areas, and giving a detailed description of layout of property must be drawn oil the diagram which is part of this apg cation. c. Tile 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 Building Permit to the applicant. Such pern shall be kept on tile premises available for inspection throughout the work. e. No building shall be occnpied or used in whole or in part for any purpose whatever until a Certificate of Occupan sbali have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance cfa 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 alterations, 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 adndt authorized inspectors on premises and in buildings for necessal~ ~<..M~ _ (Signatt~e of appli.qant, or name, if a corporation) (M, 'ling a4~lress of applicanf) State whether~pl[cant is owA~%~essee, agent, architect, engineer, general contractor, electrician, plumber or build, ........... . . . :...--. ...................................................... (as ou the tax rolkdr latest deed) If applicant is a corporation, siguature of duly authorized officer. (Name and title of corporate officer) Builder's License No .... ~ ..~...~...' ............ l m er's icen ........ Electrician's License No...~....7...~...~. ......... Other Trade's License No ...................... Location of land on widch proposed work will be done ................................................ House Number Street Hamlet County Tax Map No. 1000 Section ....0..?..~. ........ Block ...~..~. .......... Lot...O..~..Z ........ Subdivision ..................................... Filed Map No ............... Lot .............. (Name) State existing use and occupancy of premises and intended use and occnpancy of proposed construction: b. Intended use and occupancy. · . .~.~ .0~ ~ .O~....q...~..~ ....... ~~ .~...~ ......... I. Nature of work (check which applicable): New Building .. ~5~ ...... Addition .......... Alteration .......... Repair .............. Removal ......... Demolition .............. Other Work ............... (to be paid on filing this application) ;. If d~velling, hobber of d~velling ~tnits / Nnmber of dwelling units on each floor If garage, number of cars ..... i ................ ; .................................................. i. Ir business commerciM or m xed occupancy, specify nature and extent of each type of use .... z ....... , ....... ~ Dimensions of existing stmcturei, if any: Front ~' Rear ~ Depth Height Number of Stories DJmensions of same structure with alterations or additions: Front ~ Re~ . . Depth ..... ~ ........ i.. Ilei~.t ..... ~ ......... Number of Stories ....... .... . .... . · ....... , ...... ~. Dimensions et entire new construction: Front ..... ~. ....... t Rear ... ~ ........ ~. Depth .~ ........ Height ~ ..... umb r of Stones ~ ....... '' ~. ~ ..... K ....... L Sizeoflot: Front .... .]. ~ ............ Rear ....... /.~..O..' ....... Depth ...[.~ .......... ~. D~to 6r pu~a~=~ ... ~ .lg=.l~ 79 .... :.. SCm, or Vo~,~r Ow~ .m.~.. ~ ..... I. Zone or use district m which pre,bises are sitn'ated..~ ................ ~. ............... 2. Does proposed construction violate any zoning law, ordinance or regulation: ...~ . ~. ..................... 3. Will lot be regraded ...~ ................ '.. Will exce~ fill be re~v~ from premises: Yes N~,n~ orX~a ~t. t ............. ~ ....... . ..... ada~. ~.~.. 7~g. Vho~ ~o ................ PLOT DIAGRAM Locate clearly and distinctly ~I, bmldmgs, whether existing or proposed, and. indicate ~1 set-back dimensions from roperty lines. Give street and block number or description according to deed, and show street names and indicate whether terior or corner lot. TATE OF NEW YORK, S S .... ~,/./~'$ l~ of in d r~i ~tk~ s&np}g~eontract) )eve nailed. : ~ e is the ' (Contractor, agent, corporate officer, etc.) f said owner or owners, and is duiy authorized to perform or have perforlned the said work and to make and file this )plication;, that all statements contained in this application are true to the best of his knowledge and belief; and that the 'ork will be performed in the manner set forth in the application filed ti~erewith. ~orn to before me this ..... . , ~ota, Public, ~~~~ ...... ~ ' i Qualified in Suffol~ 0ounty (Signature of applicaut) ~1 CommJssioq 2[x~lr.s ~a,~, ~0, J~ ~ ,' C U S T-~-F? now or formerly B. Ma/lief P inspected b~ thla de~rtmen~ ~d ffou~d Se~oes HEALTH DEPARTMENT-OATA FOR APPROVAL TO CONSTRUCT # NEAREST wATF~ CAIN__MI, -+ RSOURCE OF WATER: PRI'~M, TE __PUBLIC ADDRESS TEL NO?K ,' · : MONUM~NF # THE LO~TI(~! OF WE1. L(W),I~PTIC TAHK(ST)& CE$SPOOLS(CP) SHOWN HEREO# ARE FROM FIELD O~$ERVATION$ AND OR DATA OBTAINED FROM OTHERS suRVE~ FOR JOSEPH MA£1NZULICH & ANNA MAHINZULICH AT SOUTHOL~ ~ow. OF SOUrHOLO SUFFOLK COUNTy, NEW'YORK DATE: SCALE: NO. GUARANTEED TO: MAY 2, DEC. 19, 19Y9 /' -' - 79 - 733 YOUNG a YOUNG ALDEN W. YOUNG~ PI~OFE$SIONAL ENGINEER AND LAND SURVEYOR N.Y.S. LICENSE NO. 12845 HOWARD W, YOUNG, LAND SURVEYOR N.Y,~, LICENSE N0.4589:~ "' 400 OSTRANDER AVENUE RIVERHEAD,/NEW YORK ~ / /'~-~.~ '~ ~1 ,~ I ,i ,'W DATE~ .S RE? NO~/ SUFFO~ COUNTY, NEW =K THE ~R~ ~R WHOM THE SU~EY' IS PREPARED HEALTH DEPARTMENT-DATA FOR AP~OVAL TO C~STRUCT AND ~, HI~ ~HALF ~ THE T TLE C~P~Y, 6OV~N- OF H~LTH ~1~. ~ ~ / ~ YOUN YOUNG NOr~ : I = MONUM~ ALDEN W. YOUNG~PROFESSIONAL ENGINEER AND ~ND SURVEYOR N.Y.S. UCENSE NO. 12845 HOWARO W. YOUNG~ LAND SURVEYOR ~[ ~ v~[~ ~AT~S ~D OR O~TA Oa~N,;O FRO~ OTHER S N.~ S. LICENSE N0.45893 D ININ C~ ROOM. ~OTIFY ~'~ II1_D1~ b'E'PART~ FOR ~U~KD ~O~ETE 2. ROUGN - KRA~IN~ 8. INSUL AT~N 4. FINAL - C~NS?~UE?i~N ALL CON~U~TJON ~HALL THE REOI H~MENT~ ~ATE CON~TEU~TION ~ ~EA~V CO~ES. NOT DESIGN OR CON~T~¢TION E~O~, X' /~" , ;zxE~ F~- ,..~