Loading...
HomeMy WebLinkAbout12472-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y, Certificate Of Occupancy No. Z12325 March 7, 1984 Date ................................ , 19... THIS CERTIFIES that the building New Dwe.lling Location of Property ...3.6.0. .T..h.e..C..r.e.s.e,n, .t ....... East Ma. rion Hou*e No. Street Ham/et County Tax Map No, I000 Section .3,0. ......... Block 2 .Lot 32 . Subdivision .... PDI~.I~%¢..B.c..a.c.h..F..a.r.m.s. ..... Filed Map No. 62.66 .Lot No. 31 conforms substantially to the Application for Btdlding Permit heretofore filed in this office dated · Au.gu $ g..9. .......... ,198.3.. pursuant to which Building Permit No.t .2.4.7.2. Z. ............... -dated .... Augu,-~t. 9 ~ ............. 19.8..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 ......... ......... one. £.arail.y..re$iden¢.e. ............................................... The certificate isissued to ~ichael & Dolores Antonucci (O~vner, lo,see or tenant/ of the aforesaid building. Suffolk County Department of Health Approval 13-SO-128 7/27/83 632614 UNDERWRITERS CERTIFICATE NO .................................................. Building Inspector FO~ NO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL PULL COMPLETION OF THE WORK AUTHORIZED) N.° 1~47~ Z Permission is hereby granted to: ............~..~ ...... . ~,~ ......... .P~.....~ ............ ~, ......~,~...~..~, ........... ~.x.~. ........ .~.~: ~... ~-...~=... '~ ~-:,~ ~' ~ .... ~(~ , _ ,o~~ .................................... ~,'-~ ..~ ...... :~...,~.,....~.~.~~.....~ .................... .......... ~-~ ............... ~, ,-~ _ ,&P' ....~ .............. ~; ............ ~ .......... q .................. ~ .............. ot p,emi,s ~oco~e,~ ot ..... ~..~..~ ......... !....~....t~.~...~.. .......... ~':.~.~....~.~,.,~...~:~, County Tax Map No. 1000 Section ~_.~. .......... Block ....... ~ ..........Lot No....:.~..~ .......... Fee $ ........................ ~., .~. · .~.-......~.. ~ .......................... Building 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 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 featu res. 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 use 3. Copy of certificate of occupancv $1.00 --Pre-Existing C.O. $15.00 Vacant land C.C. $ 5.00 D ate .......................... New Building ...¢'.~..~. .... Old or Pre-existing Building ............ Vacant Land ............. Location of Property . .~..~..~, ..... ,'~J~, ,~, ,~,, , , ,r~, ?..~--'..~'~ ,~.~, ,~, ....... , ,~,, ,~. ,--~,, .(~, ,~,~, ¥?. ,t~. .... House No. Street Ham/et Owner or Owners of Property ...~t~...~..~..~.; .... .~..~.~ ~. ~.L.%....~..~..~.o.~..O.~. ~ (. .............. County Tax Map No. 1000 Section . .'.~..~. ......... Block ..... ~ ........ Lot....~...."~. ........ Subdivision..~..~..~..(-.~....~..~..(~..~....~..~.~..~...Filed Map No. ~.~'..~.' .~ .... Lot No...~..J. ........ Permit No. ~..~./'//,~.~. ~, Date of Permit ¢~.~,'~ ¢,~...Applicant ~ ..~.../~/... ,~..~.~,~,, ,~, t ..~?, Health Dept. Approval/.)';/', ,77,~.'~,,.. ,j, ?.-,S, .o, ,-~, ,~., .Labor Dept. Approval ........................ ~J ~ [..L~ ........ Planning Board Approval Underwriters Approval ............................ Request for Temporary Certificate ..................... Final Certificate ,., , ,k-'~.,, .............. Fee Submitted $. ,~. ~ Construction on above described building and permit meets all applicable codes and regulations. Applicant . . .z~. ,~, ~ .... , .~. ;'..'~-..~.~, .~, ./~??',~,, ,~,,~ Rev. 10-10-78 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10058 N 632614 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the ftbo~e application nu tuber in the premises of T~ C~r~. Corp. 360 The C~o~n~ E~t M~ri~, N.Y, in the folio~vlng locatlon~ [~ Bosement [~ /st FL [~ 2nd FL Section Block Lot was examined on J~IIL~ ,'~0 s Z[~4 and~found to be in compliance with the requirements of this Board. FIXTURE FIXTURES RANGES COOKINGDECKS u~/ENS DISH WASHERS EXHAUST FANS OUTLETS 13 3~ 19 13 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS IrlMECLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT S E R V I C OTHER APPARATUS~ 1.-G.F.C.~., ~Smoke De~ector I,~ture Appliance Fe~ders: NO. OF CC COND. PER ~' AWG. OF CC COND, 4 NO~ OF HI-LEG NO OF NEUTRALS NEUTRAL 4 E~tbridge Eleotric Lake Av~uu~ J'ame~ N.Y. 11780 This certificate most not be altered in any manner; return to the office of the Board if THIS COPY OF CERTIFI Lic. 138 GENERAL be ~dentified by their ' MANNER. F ~NSPECTION COMMENTS FOUNDATION (~st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY qODE FINAL ADDITIONAL COMMENTS: Memorandum from BUILDING INSPECTORS OFFICE TO.x1 OF SOU~I:IOLD TOWN HALL, ]~OX 728, SOUTHOLD, N.Y. 11971 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH pLBG. [ ] FOUNDATION 2ND [~INsuLATION [ ] FRAMING [~] FINAL REMARKS: 765-1802 DEPT. BUILDING INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. : [ ] FOUNDATION 2ND INSU I N [ ] FRAMING [ ]FINAL : REMARKS: (~' ' ./~.~' .~ ~ ' i: DATE / 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [] ROUGH PLBG. FOUNDATION 2ND l[~ INSULATION FRA~ING ~ //, [,] FINAL INSPECTOR FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TO?;N HALL SOUTHOLD, r,J.Y. 11971 TEL.: 765-1802 ,.-.~-... *,, Approved ~.~.m~..~.., 19~.~, Permit No. I.~.~J i~. '.&..~..'' Disapproved a/c .............................. ' 2: .... fO. (Building Inspector) APPLICATION FOR BUILDING PERMIT Application No. ] Date ........ , 19. INSTRUCTIONS a. This application must be completely filled iu by typewriter or in ink and subm'itted in triplicate to the Build~ Inspector, with 3 sets of plans, accurate plot plan to scale. Fee accordiug to schedule. b. Plot tflan showing location of lot and of buildings on premises, relationship to adjoining premises or public stre or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of 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 pen shall be kept on the premises available for inspection throughout the work. e. No building shalI be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupan shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance ora Building Permit pursuant to t Building Zone Ordinance of the Town ~f Soutbold, 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 describ, The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, ,'md admit authorized inspectors on premises and in buildings for necessary inspections. (Signature of applicant, or name, if a corporation) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build Name of owner ofprculiscs . ' ........................ (as on the tax roll or latest deed) Ir appli~nt~/.. --~--is~ corp~sti~n, signature of duly authorized officer. - Builders License tso .......................... . Plumber's LJcens~ N.~ ..... ~ .... ~ ......... Electrician's License No.' ~1~' L~ Other Trade's License No ...................... ~ ~g&~ ~t~ 1. Location of land on which proposed work will be done. ~ .~...~k~.. .~. .... ......... ....... c exc * House Number Street Hamlet County Tax Map No. i000 Section .~ - Block . .~ .............. Lot .~ .... ~ ..... Subdivision ~...~.~('~.. ~): ...... ~')e~ Ma, No ............. (~a~ Lot :~J.. ~ ..... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~0 ~. ~O,,'~.-~ T Repair .............. Removal .............. Demolition .......... Other Work .............. (Description) Es4~m ~ted Co~ ..... : ........................... F~e ................................. (to be paid on filing this application) If dwelling, number of dwellizig units .. 12~. ~ ....... Number of dwelling units on eact~ floor ........... If garage, number of cars . .~ffi~..~) ~t.'~ ...................................................... If business, commercial or mixed occupancy, specify fiature and extent of each type of use ................ L Dimensions of existing structures, if any: Front .......... , ..... Rear .............. Depth .......... Height ................ Number of Stories ................................................... Dimensions of same structure,with alterations or additions: Front ................. Rear ............. Depth ....................... Height .......... ,...,f ........ Number~of Stories ........... /..,,~#.. ~. Dimensions of entire ne~w construction: Front .. ~.y.'.~.Q ..... Rear . .:57Y...--aA~..r. .... D~pth i~...~..:4.... Height ..... ~ .7.: .---3P... fNfimber of Stories ...0.19..~'. ..... ~ ................ ' .... L Size oflot: Front . .I.~.eP...aC:...--..'.. .......... Rear .... ~.~...~. ........ Depth . :~4.~.. ....... ). Date df Purchase . ./.~.$~..O.i .................. Name of Former Owner .~ftS. fit,.~'..~.~c.~. I. Zone or us,e di~[rict in which premises are situated..O~19.~/..%>-~.~x..~¥.-I...~. 3.~.~. ,~?. ~..~..tr.~.~ ............ !. D,,o, es proposed construction violate any zoning law, ordinance or regulation: .ha.. ~ ......................... t. V, ill lot be regraded .L~.,9...,...,.. ....... ~ .......... Willex. cess fill be removedfrom premises: Yes. N~ ,t.Name of Owner otpremises ~...~.. ?.o..c.e~....' ..... Address .~.S'~.~,m~}ff~..~..~Phone No..~.2'..'~..~..°.~Y..~'... Name of Contractor?l~.~i?Q ~alD~.~'~,../;91v4~. ...... Address ~. l.o..t,Jtr~44o~. ,~..~..~2ffi.atahone No~--_-_~.T~.~./! PLOT DIAGRAM Locate clearly and distinctly ali buildings, whether existing or proposed, and. indicate all set-back dimensions iron p~operty lines. Give street and block number or description according to deed, and show street names and indicate whethe (~ terror or corner io t. 5rATE OF NEW~OI~.I~, ..z~, ' S S ' ' COUNTY OFFS.:...; · · .'e'~. · · · ~ .[ .~.~..4. ·~. .... .~. · .P~. ?.~..~.. ~ ......... being duly sworn, deposes and says that he is the applics, n (Nanie of indMdual signing contract) above named. ¢ e is the ................................................................ (Contractor, agent, corporate officer, etc.) of said owner or owners, m~d is d~dy authorized to perform or have performed the said work and to m~e and file fl~i application; that all statements contained in this application are true to the best of his knowledge and belief; and that th ~ork will be performed in the manner set forth h~ the application filed therewith. ~wom to before me th[~ ] . da f ~ ......... ~ ~'~' ..... ~~YO ......... ~ ......... 'ota eu ~~ ~ I~ ~ bileS..~ i:.~..~.. County ~ ' _ ~ - ~ JUDITH T. TERRY ~ ff~ ' , ~/~ -.ff////~ CF?~'SC6-111F .. .. . . , Z / / ~ k / Lot ~ ~ Are° = 24,5ee~. ..... ' ............ :_" -2.'7;.2: ~ ': ,x_q%~% , . ~>,~5.~~ formerly :' ~ O0~y BEA~B DEPAR~N~ SURVEY FOR · ~ ~/CH~EL J. JNFONUCCI ~ DOLORES H JNFONUCC/ ~ ~,~ ~~ 0 ~B)h. ~. ~. ~~~ LOT NO. ~/, "PEB~LEBE~ t~e ~ ~- , ~T EAST MARION D~TE, NOV. ~4, 19~ t&~ ~ ~ ~ '. ' ' ' ~ O~ SOU~NOLD sc~[~ ~" z~s:,cc,.,t~v r ' . '" SUFFOLK COUNTY~ NEW YORK NO. 8o-~e t.o~ b~ ~t::'~,u:o/,7~~ ~ ' ~ ~ ~ *U~UTHOalZE$ ALTE"ATION O" AODITION m mis GUARANTEED TO: ' ~ NEW YORK STATE EDUCATION LAW BO~EffY SAWNGS BANK ~1ef of General Engineer~n~ a COPIES ~ tH~s SURVEY ~Or eEAR~$ THE LAaO HEALTH DEPARTMENT-DATA FOR APPROVAL TO C~STRUCT AND ~ HIS BEHALF ~ THE TITLE C~PAaY ~OV~N- ~ D R AVENUE ~ct= ~,.~ I&~C~ ~EL ~a:~ ~t/ , YORK NOTE' ' -'MONUMENT ~1 ~ ' '"' suamws~ MAe R~EO ~N THEOFF~CEOF~E C~RK OF SU~O~ ALDEN W. YOUNG, PROFESSIONAL E~E ER Il i m HOWARD W. YOUNG, LAND SURVEYDR C/PESCE/v ~ ' ~ I x ~' .- ,~ ~,~ ~ ./~ ~ ~ Lo~~z ~ ~ I F or,erly or, ~o¢ ~, ~ ~ ~.o % ~ ~CAYATION ~INSPDTION SURVEY FOR LOT NO. 31, "P~BBLE BEA~ FARMS" ~u~ FOR APPROVAL OF CONSTRUCTION ONLY AT EAST MA~ION o~;[: NO~ Z¢,/9~ ~~_ ._ ~ ~ ~ ~WN OF SOUTHOLD o..... .~ .~,~ ~:s -~ ~,~o~~ ~o,,,~...,~ ~o,~ .o. SURV~R'$ ~KED SEAL OR EMBOSSED SEAL SHALL NOT BE gOH$1DERED TO BCA VALID TRUE COPY NGUARA~TE~ INDI~TEO HE~EON ~ALL RUN ~LY ~ HEALTH DEPAR~MENT-OATA FOR APPROVAL TO C~STRUCT THE ~RSON FOR WHOM TH~ SU~EY tS PREPARED , ~[ OF .~ ~ NEARESTWA~R IAINmMI.~ NSOURCE ~ WATER, ~I~TE~PUBLIC~ MENTAl'AGeNCY AND LEND}~G iNSTITUTION LISTEO ~ ~f CO. TAX,MAP ~STt~O SECTION ~ B~CK ~ LOT ~ HEREON,~ANQ'TO ~E ASSIGNEES OF THE LENDIN~ ' o.........,o...,o......o.. .....,., s.o......,...o...o........., t " l- ~ ~ ~ ~ ~ / WILL C~FORM TO THE STAN~RDS OF THE SUFF~K COUNTY DEPARTMEHT TO EXIStI, G STRUC~RES ARE FOR ~ SPECIFIC I [ ~ ,~ ~ - F.,~ ; PURPOSE AH0 ARE NOT.T~ BE USED TO ESTABLISH A~LIC~T ~ ~ ~ ~, ~ PROPERTY LINES OR FOR ~HE ERECTION ~ PENCES L '0'"'"~" ' ~ ~ " ' ~ YOUNG a YOUNG ~,~,~ ~~ ~ , ~ "AVENUE YORK SUBDIVIGI~ M~ ~GED IN THEOFVICEOF~E C~RK OF ~0~ ~~ ~: ALDEN W. YOUNG~ PROFESSIONAL ENGINEER COUN~ ONdUNE Il, lg~ AS FILE NO. e~as ~ AND ~AND SURVEYOR N.Y.S. UCENSE NO, 12845 ~L~T~W~L(W)~SEPTICTANK{ST)aCES~OLS(Cp)sH~NHERE~ ~ :~ N.~ S, LICENSE N0.45893 A~E FR~ FIELO OBVIATIONS ~0 OR OATA OaTaINED F~OM APPll BE C~I ALL COh'~- AM TO 4 PM FO[~ THE INSPECTIONS. ON - TWO REQUIRE~ CONCRETE FRAMING & PLUME[IN~ CONSTRUCTION MUST' FT~ FOR C O )N SHALL MEET NTS OF THT N Y. UCTION & ENERGY hJ'"T RESP~NSIBI E FOR CONSTRUCTION ERRORS. -~" PL,y'vVCDOD SHEA,.-FHII'-JG FRAME OUT FOR 4 PO ,C~T F R O~'-~T EL F: V/( If copper tubing's used :; for wate.r.d, istributing ~ system; p~ng shell be ~ ~f types K er L 'WD SU~ FLOOR .OCCUPANCY OR USE IS UNLAWFUL '¥vil~iJT CERTiflCAI[ OF Occ,UPANCY SIDE EL EVA%TI ON ~EC-r-I GENERAL NOTES' 1'---4" x 8" HEADERS OVERALL OP£N(NGS UNLESS OTHERWISE SPECIFIED, 2--At.L SfRUCFURAL LUMBER TO B~, MtN. 1200 OWNER IvbCHAEL ADO'~,ES$ -FHE BLK. I LOT :5 I ~ LOCATION EAST ~/~AP.~ON GENERAL NOTES: $" HEADERS O¥£RALL OPENINGS UNLESS OTHERWISE SPECIFIED STRUCTURAL LUMBER 10 BE ~,~*IN. 1200 P.S L D©UGi. AS FIR OR E0. FOOTI~iGS TO BEAR ON VIRGIN OR UNDI$ ~ORC_H r GOG~5 3L.GL. DR. cLo. ~E.D ROOiV~, DE OTILIT¥ 1 FL©O F~. F::~ L./:x- h--j OWNER MICHAEL AMTOWUCCl AOD~q ~$,q. THE CF~ESCENT LOCATION ~.~. .... I EAST ~-.~,R,o~ ~/, ~/~ M~RRICK DRAFTING SERVICE GENERAL NOTES: E, 4" x 8" HEADERS OVERALL OPENINGS UNLESS OTHERWISE SPECIFIED. STRUCTURAL LUMBER TO BE MIN. 1200 3---ALL FOOLINGS TO REAR ON VIRGIN OR UNDIS~ TURRED SOIL OF 'P~VO TONS PER SQ. FT. REARING 4---CONTRACTOR TO VERIFY ALL DIMENSIONS AND 5---ALL ELECTRIC WORK ACCORDING TO CODE. R--DOUBLE JOISTS UNDER ALL BEARING PARTI- 7--NOTED DIMENSIONS TO TAKE PRECEDENT OVE[ FOOTING UNDER ' : - . ovEP~ ,..~AND FILl_ =0 OWNER h4~:::14/kE'L ANTOkiuC..C.I ADDRESS q-HE MERRICK DRAFTING SERVICE 310 MERRICK AVENUE M[RRICK, NEW YORK 11566 TEL (51&) 868-7510