HomeMy WebLinkAbout12438-zFORM NO. 4
TOWN OF 5OUI'HOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. Z12152 December 20 83
................. Date ................................. 19 ...
NEW DWELLING
THIS CERTIFIES that the building ........................................ · ........
3905 OLE JULE LANE ~IATTITUCK
Location of Property/2/t~t~ ~ ~/'o .......................
s . 122 uo$'t(~?t 025 Hamlet
County Tax Map No. 1000 Section ............ Block ............... Lot .............
Subdivision ............................... Filed Map No ......... Lot No ..............
conforms substantially to the Application for Building Permit heretofore filed in this office dated
June 28 8.~ 12438Z
..................... , 19 . pt~rsuant to which Building Peratit No ......................
"dated July 21 83
............................ 19..., was issued, and conforms to all of thc requirements
of the applicable provisions of the law. Tile occupancy for which this certificate is issued is .........
Fo,r a n,ew one family dwelling
The certificate is issued to, .. ANGELO ACCARDO
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval 13-so-67
UNDERWRITERS CERTIFICATE NO N 6267 87
Building Inspector
Rev. 1181
I*OBM NO. ~
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N? 12~38 Z
Permission is hereby granted to:
.... ~. ~..,.L.,. .~... ,~
..................... ..c,;.C...q. ............ .~. .....
,~-'~ .................................... ..m.. ~-~ .¢..r~......~..,J.4.~.~ .......
..... ..............
o, ....... .c~J~..:z~.. L~,,o~ . m.~.~ ~. .
~t premises Iocoted ........................................................................... ..~.
County Tax Mop No. I000 Section .... L..'~.....'~... ...... Block ...... ..~..~., ..... Lot No ........~.....'~....~.~.. .....
pursuant to application dated ..... ...'~...]..0..../~,,.,,~,, ........ ~....~. ............... , 19..~..~, and approved by the
Building Inspector.
Bd/dd[ing Inspector
Rev. 6/30/80
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, 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 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 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.
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 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.
Fees:
1, Certificate of occupancy $5.00 /
2. Certificate of occupancy on pre-existing dwelling/ land
3. Copy of certificate of occupancy $1.00
use--Fre-Existing C.O, $15.00
Vacant land C.O. $ 5.00
New Building .. ~ .... Old or Pre~,existing Building ............ Vacant Land .............
Location of Property ........... ~:..J ..... ~. /. · ~ .... ' ............. ~
Owner or Owners of Property .~~ ...... ~~ ~ .................. .~ ....
Subdivision ................................. Filed Map No ........... Lot No ..............
Permit No ........... D~te of Permit .......... Applicant ..................................
Health Dept. Approval ...... · ................ Labor Dept. Approva[ .....................
Underwriters Approval ........................ Planning Board Approval ......................
Request for Temporary Certificate ...................... Final Certificate .......................
Fee Submitted $ .............................
Construction on above described building a~ mee~all ~,lic/le codes a~)d regulations.
Rev. 10-10-78 Applicant ,~'~ . .~
i NE~ YOF~ STATE DBPART~NT OF ENVI?.ONb~..NTAL CONSERVATION
Regulatory Affairs Unit
~ Bldg. 40, S~TNY--Room /19~
~ Stony ~ook,~ NY
....... (516)
A review has been made of your proposal
Locatio~:
New York State Department of Environmental Conservation has found the
~.' parcel_~'proJect to be:
Greater than 300' from inventoried tidal wetlands.
X~X' Landward of a substantial man-made structure C~:~M'l,~_,e,~.~. ~c)~g~ 01C. 7~Ui6 0-,~)
greater than 100' in length constructed prior to September 20, 19~7.
Landward of 10' contour elevation above mean sea level on a gradual, nat-
ural slope.
Landward of topographical crest of bluff, cliff or dune in excess of 10
feet in elevation above mean sea level.
Therefore~ no permit under Article 25 (Tidal Wetlanda of the Environmental
Conservation Law) is required at this time since the current proposal is beyond
State mandated ~risdiction pursuant to this act. However, any additional work
or modifications to the pro, eot may require a permit. It is your responsibility
to notify this office, in writing, if such additional work of modifications are
contemplated.
Very truly yours ,.
Daniel J. Larkin
Regional Supervisor of
Regulatory Affairs
DJL:RNT:cz~
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION XST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
DATE
INSPECTO ' a. }'i/~,~_. o~
765-1802
BUILDING DEPT.
INSPECTION
~'~[~/] FOUNDATION 1ST [ ] ROUGH
[ ] FRAMING
REMARKS:
PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FINAL
DATE
i NSPECTOR~/i
76S-1802
BUILDING DEPT'
INSPECTION
FOUNDATION 1ST I*] ROUGH PLBG.
FOUNDATION 2ND [ ] INSU~LATiON
['] FRAMING
[ ] FINAL
765-1802
BUILDING DEPT, :
INSPECTI'O'N
FOUNDATION 15T [ ] ROUGH P~BG.
"~] FOUNDATION ZND [ ] INSULATION
[,] FRAMING [ ] FINAL
REMARKS:
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N.Y. 11971
TEL.: 765-1802
Application No ...............
Disapproved a/c '
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
Date ~ -~.
..... /
a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Build
Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Pict plan showing location of lot and of buildings on premises, relationship to adjoining promises or public strc
or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part c~this ap
cation.
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 Building Permit to the applicant. Such per:
shall be kept on the premises available for inspection throughout the work.
e. No building shall be occupied or used in whole or in part for any purpose whatever until 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 Permit pursuant to
Building Zone Ordinance of thc Town 'of Southold, Suffolk County, New York, and other applicable Laws, Ordinance.,
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein descrilz
The applicant agrees to comply with all applicable laws, ordinanc
admit authorized inspectors on premises and in buildings for n~,
building code, housing code, and regulations, and
Signature of. applicant, or name, if a corporation)
............. ./: .............. /¢"
(Mailing address of applicant)
Sta. t~Wljether applicant is owner, Iess.qe, agent, architect, engineer, general contractor, electrician, plumber or bulk
N,'une of owner of premises .......................................... .............................
(as on the tax roll or latest deed)
If applicant is g-eO~oration, sio~aWOre of duly attthorized officer.
Builder's License No ..........................
Plumber's Licens~- No .........................
Electrician's License No.' ......................
Other Trade's License No ......................
1. Location of land 9w'~fich proposed work will be done ..................../~.:" .......................
........... .....
House Number (.~ Sfreet Hamlet
County Tax Map No, 1000 Section / '~ ~-~ Block Lot
Subdivision .................. i .................. Filed Map No ............ Lot ~: .......
(Name)
2.State existiug use and occupancy of premises and intended u~.~nd occupancy of proposed construction:
a. Existing use and occupancy ..........................................................
'-- b. Intended use and occupancy ............
' ?, ' =' ~" 5 ?:', ,--;.- ..
3. Nature of work (check which applicable): New Building .......... Add[fion .......... A~teratfon ........
RepMr .............. Remo','ai .............. D~molition ............ Oilier Work .............
'~ Esgjma:cd CosZ ......... Fee ........
: (to be paid on filing this application)
5. If dwelling, number ofdwelli~g unRs ............... Number of dwelling units on each fleer.
lfg~r- e number of cnrs
~. if business, commercial or m/xed occupancy, spec~i ~ature and extent of each type ofuse~ ................
7. Dm~ensions ofexistingstmc?res, if any: Front ..... ~ ......... Rear ............. ~ De ~th
Height ............... Number of Stories ................................. ~ ~.. ~ ...............
Dimensions ef same st~ctur~ with alterations or additions: Front ~Rear~
Depth ................. ~ .... Height ...................... Number of Stories.. ~ ..............
~. Dimens ohs of ent re now constrt orion' Front ~ / ~.~. ~ ~ D~nth ~ ~
Height.. ~ ~ (~/~Nr~nb¥ of Stories ... .......... ......................................... '
9. S~z~ of lot: Front ............ . ........ Rear. ~ ~ ........... Depth .:~.~.( .............
~0. Date otPt rc ~ase ~;.~. · ~.~ ........ ~... Name of Fom~er Owner
H. Zone or usa district in which premises are situated ...... 1.' ..................... . ..... ?. ..............
.
12. Does proposed constrnction ~iolate any zoning law, ordinknce or regulation: .... ~ ...................
rt. )¥iU lot be regraded ...... ~ .~.'. · · ~.~ .... ~ ...... Will excess fil~ be removed from vremises: Yes
Na f '1 ' - ' A '~ Phone N
~am~'~' o~° ' Co~=~o"'~ u~= ~"'Z~i' ' ' ', ........ ~n ........... ~ "' Aa~=~ ~ ................. . ·. ....... ,.. ~'. P~o~ No°'..' ~. j.. ~. .. ..... .......
PLOT DIAGRAM
Locate clearly ~d digtinctly :~I buikHngs, whether existing or proposed, and. indicate ~I set-back d~nsions fro
p~operty ~nes. Gfve street and block number or description accordh~g to deed, and show street name~ and lndfcate whath
katedor or corner lot.
~TATE OF NEW(~RK,,~ //,X" '
con,',r(,'o~/(...., s.s '
(Nanm"6f indMdual signing contract)
ca boy..- named.
being duly sworn, deposes and says that he is the applica~
[re is the ................ ~ ........................................ : ...............
(Contractor, agent, corporate officer, etc.)
of said owner or owners,
application; that all statements cohmined in this application are true to the bcst of his knowledge and belief; and that
work will be performed in the man,er set forth ~ the application flied d,erewith.
~worn to before me this
.......... ....
.,~4 Y~" : ' .. - ~.~125~uffotk Co~/. .
~ ............... I-.~.- ~ I ANGELO ACCARDO
T~:~/t- /~ ...... f SUFFOLK COUNTY, NEW ~NK
HEAL~ DEPARTMENT-DATA F~ APPRO~ TO~~ AND ~ H S BEHALF m THE T TLE C~P~Y GOV~N
II i I J HOWARD W. YOUNG, LANO SURVEYOR
Title No. 8308- 01809
~ O~' ~(~
~0f~x ~ , '
SURLY FOR
~P~/2, /~g~
OATE DEC 2 9 1985 ~. ~,~ ~w.
AT
M~ TTI TUCK
~PR
22,
~0 be S~)U~[~.01~.~ N~UTH~IZEO ALTeraTION OR~DOITION ~ ~lS GUARANTEED TO :
~C~ ,, ~ SURVEY ~ A Vt~ATION ~ SECTION 7209 ~ THE
~COPIES ~ ~lS S~VEY NOT ~ARm~ THE LAHD ~IVE~HEAD ~AVINGSBANK
Services HGUARANTEES INDICTED HEREON ~ALL eua ~LY ~
HEALTH DEPARTMENT-DATA F~ APPRO~L TO C~STRUC/ ~E ~R~ FO~ WHOM THE SU~EY IS
AND ~ HIS ~[HALF ~ THE ~IYLE C~P~Y, GOV~N-
'" YOUNG a YOUNG
RIVE~ NEW YORK
NOTE: ~ = MONUMEN~ ~ = STAK~
~LD~ ~,YOU~, ~O~IO~L ~IM~
._ AND LAND SURVEYOR N.Y-S. UCENSE NO, 1~845
HOWARD W. YOUNG~ LAND SURVEYOR
~ ~ L~T~ ~ ~L(W}, ~PTmC TANK(IT)B CES~OLS(~) ~N ~R[~ N.~ S, LICENSE NO. 45893
~ ~ FI[~ ~TI~S ~ OR DATA OIT~O F~ OTHERS
L000491 THE NEW YORK BOARD OF FIRE UNDERWRITERS
Tt~ BUREAU OF ELECTRICITY
~ 85 JOHN STREET, NEW YORK, NEW YORK 10038
THIS CERTII=IEB THAT
only the electrical equipment as described below and introduced by the applicant named on the ab~v~e application number in the premises of
Angelo Aecardo, 3905 Ole Jule La., Matt±tuck, N.Y.
in the following location; ~ Basement ~ 1st FI. [] 2nd Fl. Section Block Lot
wasexaminedon December 8 ~ 19~3 and found to be in compliance with the require.~e.ts of thls Board.
FIXTURE RXTURES RANGES COOKING DECKS OVENS EXHAUST FANS
22 42 2~ 22
DRYERS ~URNACE ~OTORB ~UTUR~ APPLIA~ICE FEEDERS
TIME CLOCKS LINIT HEATERS MULTI-OUTLET DIMMERS
SYSTEMS
NO. OF FEET
SERVICE DISCONNECT ' S E R V I
OTHER APPARATUS:
2-G.F.i..
1-Smoke Detector
NO. OF CC. COND.
PER ,ff
1
OF CC. COHD.
4
NO, OF HI-LEG
C
AWG
OF HI-LEG
NO. OF NEUTRALS
1
OF NEUTRAL
4
Fred Go Korte
56 Abinet Ct.
Selden,
11784 LIC.#3169
This certificate must not be altered in any manner; return to the office of the Board if inco~?ect. Inspector~ may be
cgPY FOR UILD G DEPARTMENT TH SCa MANNER·
FIELD INSFECTION
FOUNDATION (1st)
COMMENTS
FOUNDATION
2.
(2nd)
ROUGH FRAME &
PLUMBING
INSULATION PER N,
STATE ENERGY
Q,ODE
FINAL
ADDITIONAL COMMENTS:
I
T/tle No. 8308-01809
, ;'I ,~', I
S~I~ O0~TY HEALTI~ DEPART~N~ SURLY FOR
flO~ 30, 1983
~WGELO
2CC~DO
SFPr /~, /983
.......... _----~--- M~Y 6, 1983
AT MATT/TUCK DATE= ApF 22, 1983
~a~t~ ~ ,~ ' ' ' . v.~c~ ~WN ~ ~OUTHO&D SCALE: / ~ ~0'
tnsp,.,' '. -". .'.. . "d /.'uun&. SUFFOLK COUNTY, NEW ~RK NO. ~P3- 258
%O be ~a~%0 ,'~, ~ s ~ ~ ~UTH~IZED ALTERATION O~ ADDITION m mis GUARANTEED TO :
SURVE~R'S IRKED SEAL OR EMBOSSED SEAL SHALL
HEALTH DEPARTMENT-DATA F~ APPRO~L TO C~STRUCT m~ ~.~ FO. W.O.r.[ SU~[~ ,S
YOUNG YOUNG
NOTE: ~ : MONU~ENI ~ ~ ST4NE ALDEN W. YOUNG, PROFESSlONAL ENGINEER
AND LAND SURVEYOR N.Y.S. UCENSE NO. 12845
HOWARD W. YOUNG, LAND SURVEYOR
~ ~ L~T~ ~ ~L(W).~PTIC TAHK(ST)a CE~OLS{~) ~ ~mE~ N.Y.S. LI CENS E NO. 45893
BRANDIS & GONS, INC, [618
_?
FRONT ELECTION
'l
i E.a, iT,,;
ELE¥/ T'ION
AJ.L SmU~C~-UmL.LUM[R
3PANS TO COHF~L¥ ',,V~TI-(
N, Y, 5, I~,C, COPE
PERMIT INCLUDES APPROVAL
TO REMOVE E)~CESS FILL
FROM ABOVE PREMISES BY
REGRADtNG LOT
DRIVEWAY CONSTRUCTION
CESSPOOL CONSTRUCTION
CELLAR CONSTRUCTION
OTHER
'l
AlSPRovEI) A.~' NOTED
NOT~FY BUILDING DiEPARTMENT AT
FOLLOWING INSPECTIONS:
1, FOUNDATION - ~O REQUI~ED
FOR POURED CONCRETE
Z ~OU~H - FRAMING & PLUMBING
BE COMP~E FOR C. O.
Al L CONSTRUCTION SHALL MEET
~ 'E RE~LHREMENTS OF THE N Y.
, DESIGN OR CONSTRUCTION ERRORS.
'ff copper tubing is used
system; piping sholl b~
o1: types K or L on
51DE 'ELEiVA'I'IO
:iDE "' ELEVATION