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Home My WebLink About12640-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Sou~hold, N.Y. Certificnte Of Occupnncy No. Z, 12249 Date .... Fe, bruary 8 84 ........................................ 19... THIS CERTIFIES that the building '77.n.e.w. ........ : ....................... 85 Yennecott Drive Location of Property ... 3. .3 .3.0 ................. .B. qi..s.s.e.a.u...A.v.e.n..u.e .......... .S.o.u.t.h. old House No, Street Hamlet County Tax Map No. 1000 Section . 055 ..... Block 03 . .Lot .~ 0.10 Subdivisio~ .... Y.e..n.~.e.o.~.t.t..2. a.~.-.k ........... Filed Map bio. 5187 .Lot No. 54 conforms substantially to the Application for Building Permit heretofore f'ded in this offi?e dated ....... S.c.p.t.e.m.b. ¢.r..2. 2., 19 .8.3. pursuant to which Building Permit No...1. 2. .6.4.0.. Z. ........... .dated .... .S.ep.t.e. ,m.b.e.r...2 .6 .......... 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 ......... a private one-family dwelling. The certificate is issued to FRANK & SILVANA PLESICH (owner, te.~e'~" tetta~ of the aforesaid building. Suffolk County Department of Health Approval . .l.3.-:s. 9.-.L6.0. ,..1./.~. 7/.~.4. ,...R.o.b.t.... A-...v.i.x.z.a., 631741 UNDERWRITERS CERTIFICATE NO ........ .N ......................................... Building Inspector Rev. 1/81 FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 12640 Z Permission is hereby granted to: ......... .... ~d2..:. ...... ~.~....z~..x.. ............................... ...... .-~..~..~.7/z.~..c~.=....~:~: ...... z~2.7/ ,o ....... ~7~=~......a~ ....... ~m~......~.~ ...................... Ot premises I~ated at .~5.~ ...... ~ ..... : .... ..'~~.~ ................................................................................................ ~....~..:~ ................... ~.x..~.....~z~'=~~. . ~. Coun~ Tax Map No. 1000 Section ...~ ...... Bilk .g.~~ ............ Lot No....~ ......... pursuant ,0 application dated ~~..,~......, 19 .X~, and opprov~ by the Building Inspector, Fee $..Z~ ~ ~ ~ -- Bu[Idin~ I~tor Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Bu ildlng 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 featu res. 2. Final approva~ 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 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. C. Fees: 1. Certificate of occupancy $5.00 ¢ ! 2. Certificate of occupancy on pre-existing dwelling land use ~/5-/$5.00 3. Copy of certificate of occupancy $1.00 Date ,~', ~.,..-~, .I, ,~[ ,~,lJ¢,, ...... New Building ...~.. ....... Old or Pre-existing Building ............ Vacant Land ............. Location of Property ¢~;~K" .,~,,~,,J¥~?,-?~, .O,,~',., ,~), .,~.: ..... ¢~'~'/--/~-Z) /~J,, ,~., House No. Street Hamlet Owner or Owners of Property '.~. ~.itt,L. ~..~.. S '~, }~ re. ,i~. ~.,& h..¢.L~, s.,.~.'~.'.~. ................. County Tax Map No. 1000 Section ....~..~. ~. · ..... Block., .~.. .......... Lot./:.~) ............ Subdivision'.~J~.~/~./¥~,cc(/T~,...~)/~,.¢.J~ ......... Filed Map No.~, ./~.~, .... Lot No. ~.Z~/. ......... Permit No./~.~.~. ~.~, Date of Permit ~/~.~/4,¢~.Applicant E~.~, ~,,..~.~. ~J.~'~. ......... Health Dept. Approval..//~. 2/~..~. ............ Labor Dept. Approval ...-T~. ................... Underwriters Approval ........................ Planning Board Approval ."~. .................. Request for Temporary Certificate ..................... Final Certificate . .~..V~.. ................. Fee Submitted $ ...... ~'.~. .................. Construction on above described building and permit meets all applicable codes and regulation,~ , ~ lOOOO91 THE NEW YORK BOARD OF FIRE UNDERWRITERS Tt~3 BUREAU OF ELECTRICITY ~- Fm'tua.c7 27, 19~%JOHN STREET, NEW YORK, NEW YORK 10038 ..re ~pplic.tion~o.o.~.~ z47soo~83 N 631741 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the abo~ application number in the premises of Frank Plesi, ch, Yennecott Dr., Southold, N.Y. i~ the following location; ~ Basement [] 1st Fl, [] 2nd ICl. Section Block Lot was exatnined on Ja~uary 23, 1984 and~found to be in compliar~ce with the requirements of this Board. FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS FIXTURE SWITCHES 34 44 31 34 DRYERS FURNACE MOTORS TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT S E R V I C OTHER APPARATUS: I~GFCi 1-Smoke Detector 1-Post Lite° NO OF CC COND A.W.G. NO OF HILE~ PER ~ OF CC COND, I 2/0 ~ OF HI-LEG RA A.W G, HO. OF NEUT /S OF NEUTRAL 1 2/0 Peter Bogovic Main Road $outhold~ NoY., 11971 LIC.~137 This certificate must not be altered in any manner; return to the office of the Board if incocrect. Inspector, s may be CERTIFICATE MUST, NO~ BE ALTERED IN AN~ MANNER. FIELD INSPECTION FOUNDATION (ls6) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY q~DE FINAL ADDITIONAL COMMENTS: 765-t802 BUILDING DEPT. INSPECTION ~'t [ ] FOUNDATION 1ST ROUGH PLBG. .~-~-f_ [ ] FOUNDATION 2ND [ ] INSULATION DATE FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Examined ~.~.7'....~.q~...., 19OC>5 Approved ~?..~ ..... 1 ~..~. Permit No.../'.~..~. (~..~.. Received .......... ,19... Disapproved a/c ._.. · "(Bdilding Inspector) APPLICATION FOR BUILDING PERM IT Date ................... INSTRUCTIONS a. Tlfis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- 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 issued a 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 part 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 a 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, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regu~atio_n_s, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of pre,nises .............................. IJ'~ .......... ./.~../7/ .............. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly ahthorized officer. ........ Builder's License No. Plumber's License No..~ ....................... Electrician's License No."/ ...................... Other Trade's License No? ..................... 1. Location of land on which~(roposed work will be done ....... ........................................... / .... ......... .............. ltouse Num her / Street Hamlet County Tax Map No. 1000 Section ~ % ~' ~- I O Block Lot.. Subdivision. ~?.V).~.~Q~-~..~ ....... Filed Map No. 5t.~.~ ........ Lot. ~ .......... (Name) 2. State existing use and Occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ........................................... , .......................... b. Intended use and occupancy ........ : .......... ...................................... 3. Nature of work (check which applicable): New Building ~! //// Addition .......... Alteration P, epair .............. 'Remgval .............. Demolition .. ............. Other Work ............... 4. Estimated Cost ............................... Fee (to be paid on filing this application) 5. If dwelling, number of dwelling:units .. } Number of dwelling units on each floor.. 1 If garage number of cars 6. If business, commercial or mix{d occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structures, if any: Front... ~. ~.. Rear .............. Depth ............... tleight ............... Number of Stories ........................................................ Dimensions of same structure v~ith alterations or additions: Front ................. Rear .................. Depth. .................. i.. Height ........ ~" i' .......... Num,be~r pf Stories ........... ! .......... 8. Dimension~ 9,f, entire new construction Front . ~ ~ ' Rear , ,.&. ~ , . Denth ~ ,~ , t?ight ..~.'. ........ Nu~nberofStories. /i .iiiii,'i.. "' 'i ..... " ............ 9. Size oflot: Front ..~.~5..,.t..Z~.~ ....... Rear ~ ............ n'~;}~"l'(-'~"~'~L~'~' ....... 10. Date of Purchase .. '.~.-..A~.Q..~,/...../.q~.~.' .~ ... i i~a~; o~'o'r~e~'6~v~'e;' ~;.~../-~Ji '~'/'~."'i'i .... 11. Zone or use district in which pr~mises are situated . ~.~5. ' ,X'~. ' ....................... 12. I)o'bs proposed construction v~5,1ate any zonim, law ordi~'ance o'r'r;;t~ia;;',,'.,'.' ..... _~_' '~ ...................... 13. Will Io~ be regraded.../. ',.~,t~. ~ .... .~...: .... Will exc:s~il~;:;emoved from p'r'~mises: Yes 14. Name of Owner of prem~ses '~'., .... ~ ......... Address ."Y.~.'.'Z?.Z/..~.-a PhoneNo 4;';'~,~-i*,~ . Name of Architect ......... ; ................. Address ................... Phone No ................ ...... t ................ Address .................... Phone No ................ Name of Contractor .. . PLOT DIAGRAM Locate clearly and distinctly alI buildings, whether existing or proposed, and, indicate all set-back dimensions from property liges. Give street and blocklnumber or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEWARK, ~, COUNTY OF~- . o.a./.~ ,,~ . · 'i' · '(ff-~~ being duly sworn, deposes and says that he is the applicant (N~hne of individmil signing contract) above named. ile is the .r'~ ................. ~ ......................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and ~s duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before ~ne this - ............ ..dayoi .... // 8ilr.~;'~ ,~' i~t'wttll .......................... ;2." Z'~'' '..--' '.:' '"".' . t/ COUNty D~P~ · ]FOR APPROVAL OF DA~E LOT" SUFFOLK COUNTY DEPART5%ENT OF HEALTH SERVICES EXCAVAff8~ ;I~SPEC[;eN RE[ImRED D~ / v~ ~oN 7~o~ OF mi N~W YC II: copper tubing is used for Water distributing sys'~em; PiPing ,s~alt, be of types K or·ko01¥ t' NOTIFY BUILDING DEPA~E~ T AT 765- 802 9 AM TO 4 PM FOF FOLLOWING INSPECTIONS: FO~ POURE~ CbNCR~E ~. ROUGH - FRAMING & pLUMBING ~kk CONSI~UCTIO~ S~Ak[ JHE REQUIREMENTS O~ T~ ~N Y. ~ATE GONSTRUCTION & E ERGY CODES· DESIGN OR CONSTRUCTION ERRORS. _i_ -i II