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Home My WebLink About10519-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy No..Z. 99.0. .......... Date ...~..Sr.o.h...2.0 ..................... 19..~10 THIS CERTIFIES that the building ................................................ Location of Property ..... 6..~..Y..e!l.rl.e.o. 0.~.'l;. Dr~l..v.e. .................. SOtt~h01Cl,..N.Y~. House No. ' ' ' Street Hamlet County Tax Map No. 1000 Section ..... 0.~ .... Block ....0~. ......... Lot .... ~'~/4. ......... Subdivision....~'.e.n..rl.e.c.o.~..~..P.a.~ .R ........... Filed Map No... ~.l.~?.Lot No .... 51~ ........ conforms substantially to the Application for Building Permit heretofore filed in this office dated ·. ~lOat~llloel~. .1 ........ 19~.9. pursuant to which Building Permit No .... 'J.0.~..I~.Z. ........... dhted ....Dece~bel'..1.7. ........... 19'/..9., 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 Family. D~el.ltng The certificate is issued to C81;h~ aIgd[, .~.I'~.0.1~1.8.8 ltl..~.~..~.O .......... .............. (owner,~ ........ " of the aforesaid building. Suffolk County Department of Health Approval ..... 9.-. 80.-fl.0~ ....~ ./.'19J.~10...R.,...A.D..~. ~..1.~.~ UNDERWRITERS CERTIFICATE NO ............. }~[../47.0.6.~ ........................... ...... Building Inspector Rev 4/7g FORM NO. 2 T0~ 0~ $O~?HOLD BUILDING DEPARTMI:~T TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PER,~iT COMPLETION OF THE WORK AUTHORIZED) Ne 10519 Z Permission is hereby granted to: -'7--/-~'0/c4~9 c o ,,c... ...... .~.'./~.... ~. ~?...~?. r~..~ .. ...-~.a.~c~...r..~,~.o .................. ..... .............. ~o C,o.z~.~zr..~.c~.q.... .... .... .... .o.~-~.. ~,~.~..¢,~,.....~zs./..zz.~.,~.~? .......................... at premises located ot ..~'./...~.........~:Z/Z~.CC~/'~../r~"~'//~")'""~"~'~'d~'~'~"'"~"~'' pursuan~ to oppllcotion dated ................................................ , 19 ........ , and opproved by the Building Inspector. Fee ,....~...~...~... Building Inspector 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, F~nal 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 electrmal 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 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. C. Fees: 1. Certificate of occupancy $5,00 2, Certificate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1.00 $5.00 Date ~.Z~. New Building J Old or Pre-existing Building Vacant Land Location of Property.. ~.'/..'~.. ~ ?~..?...~,. (?.~. · ./"~. ........................ .~'.~.c'?..~..' ./..~. · House No. Street Hamlet Owner or Owners of Property ..... ,~. ~?../~/..~? ......... ~ ..... ! ......... ..................... County Tax Map No. 1000 Section ............... Block ............... Lot ................ Subdivision ...... ~ .~..~-~. ........../-/- J~)~'/.~.. ........ Filed Map No. ~./.~.? .... Lot No, ...'~'..-.~. ...... Permit No./I~. ~-./..~/.?=.. Date of Permit ,~. ?~'../~!..~.¢.AppJicant../~. ,~..~.~.~.'./.~.~7.~'..~f'.d??~.: ........... Health Dept. Approval c¢ - 50 --1~5~ . .Labor Dept. Approval Underwriters Approval..~.'..~.?..~..~. ?..~. ....... Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building and permit meets all applicable codes and regulations. Rev. 10-10-78 Applicant .................................................... THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICIT~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT { ~ ~,J only the electrical equipment as dezcrlbed below and introduced by the applicant named on the above application number i. the premises of [] 2nd FI. Sectton Block Lot and found to be in compliance with the requirements of thts Board. RANGES OVENS DISH WASHERS EXHAUST FANS SYSTEMS S OTHER APPARATUS: E R V I C A W 0 NO OF HbLEG A W G OF HI lEG NO OF NEUTRALS OF NEUTRAL ~Jeat: ialip, N~Y~ Th~s certificate m ot be altered in any return to the office 8oard if FOR THIS COPY FIELD INSPECTI~ COMMEN?S, m~ . ~ FOUNDATION FOUNDATION (2nd) e ROUGH FRAF[E & PLUMBING INSULATION PER N.Y. STATE EKrERGY FINAL ADDITIONAL COMMENTS: Examined ¢.'&,--.~ ./. ....... ~' Approved~ .¢~../. 7. ..... FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL,: 765-1803 ., 19 ,.:. Permit No.. Application No./'..~..~.--.d. f ....... Disapproved a/c ..................................... APPLICATION FOR BUILDING PERMIT Date .l~l.oy....1. ........... 19 .7.9. INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate 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 issue 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 regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. .... P. ~.R.A..B..u.~.l.d.~..rig..qr. 9.up .I. ~.C... ............. (Signature of applicant, or name, if a corporation) ...~. o..b.a.r.~...ag.a.d.,..S.o.u..~.hg.~.d.,..~..y., ........... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Builder ................................... Nameofownerofpremises ~r.and Mrs. Thomas Ritundo, Founders Path, Southold. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ........................ J.o.~.e.p.h..~.$.sg.b.e.~.~.~.,. Jr, Pres. (Name and title of corporate officer) Builder's License No .......................... Plumbers License No. Electrician's License No. ~../~.~. ~ . .~.~.C.7-/..~/.6.-.. / / Other Trade's License No ...................... 1. Location of land on which proposed work will be done....14°.~...~..5.8. ,. ?.a:.p..o.f..Y.e..n.n.e. qo. ~.1; ............... ............ r.i e. ......... .s.o.u. ........................ House Nmnber Street Hamlet County Tax Map No. 1000 Section ...~..oc.".~.-~. ......... Block .... .~...~. .......... Lot...(~../.~. ........... Subdivision Yenneeott Park Filed Map No. Lot (Nanxe) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ......... .~..~z: C..~¢...x~.~.~.../.~0Ad ~? ....................................... b. Intended use and occupancy .... D' .~..~.7.. 7A~.~/.-~.~I.Z y.. 4~....C~J~:.~././. .'. ........................... 3. Nature of work (check which applicable): New BuildingXX~XY~.. Addition .......... Alteration .......... Repair .............. Remoyai .............. Demolition .............. Other Work ............... 4. Estimated Cost ..... 30~ Fee (to be paid on filing this application) If dwelling number of dwelling ~nits Number of dwelling units on each floor If garage, number of cars . . . .N.o.A. ,. ............................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .................... 7. Dimensions of existing structure~, if any: Front ............... Rear .............. Depth .............. Height '. .............. Number of Stories ....................................................... Dimensions of same structure wiih alterations or additions: Front ................. Rear ................. Depth .................... i. · Height ...................... Number of Stories ..................... 8. Dimensions of entire new construction: Front ...51! .6.". ...... Rear .. ~J-.'.~.': ....... Depth . .1~5. [ .By ....... Height . .. 1~ .......... Number of Stones ..... .o.tt ................................ ~ ............... ' ' . 2 ' 110' 256 +- 9. S~zeoflot. Front ...... ..~..~.1 ........... Rear ...................... Depth ..... 1~1 ..... i~. ......... [2 II 7~' Donald T,tthi 10. Date of Purchase ...... /';' [' I .................. Name of Former Owner ............................. 1 ]. Zone or use district in which premises are situated ..................................................... 12. Does proposed con~struction violate any zoning law, ordinance or regulation: ...... no 13. Will lot be regraded ........ Y.O~ ................ Will excess fill be removed from premises: Yes 14. Name of Owner of premises .T.h.qm.g~..R.i..~.u.n.d.q... Address founders Path .. Phone No.7651947 Name of Architect . .H.e.n.r.y..Z.qq .k.e.r.m.a..n..A.s.s..o.. Address i 'I/I'~'~'~A~:l:'t~i ' ' ' . Phone No. ~'~:J-bb'6i ..... Name of Contractor .P.E.R.A...B.l.d.:..G.r.o.u..p ........ Address................. ' gGi,'ilifilla' .... . Phone No. ...............Y¢5a29'54 ..... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YO~k~K.,~ COUNTY OF ~ ~~ ......... ~~. ~... ~.~f ....... being duly sworn, deposes ~d says that he is the applicant ' (Name of iffdividuai sighting contract) above named. Builder ~res of PERA Building Group Inc, He is ~he ................... '. . . (Contractor, agent, corporate officer, etc.) of said owner or ownem, ~d ~s dul:y authorized to perfom or have perfomed the said work and to m~e ~d file this applicationl that all statements contained ~ this application are true to the best of his ~owledge and belief; and that the work will b~ perfomed in the m~n~r set forth in the application filed therewith. Sworn to b~fore me this ........ .......... YOLK COUF~¥ FOR APPR' DATE~ SUFFOLK CO, HEALTH DEPT. APPROVAL STATEMENT OF INTENT ~ C~L ' ~ SYSTEMS FOR THIS RESIDENCE WILL ~v~o~ff+~ ~O~~ CONFORM TO ~HE STANDARDS OF THE SUFFOLK CO. DEPT. OF HEALTH SERVICES. A~LICANT - I10.0 ~'~ ~~ ........ ~ tel - ~, SUFFOLK COUNTY DEPT. OF HEALTH ~ ~ .j ~ ,~ SERVICES FOR APPROVAL OF ' ~ APPROVED: , : ~J SUFFOLK CO. TAX MAP DESIGNATION: J ' ~ ~ ,~: DIST. SECT. BL~K ~L. ~ ~ ,,: OWNERS ADDRESS: '1- , ; TEST HOLE ...................... L,... _ .,' _~. ...... ~ ........ : : ............. SEAL ~ ' , - ,, R~EmC~ VAN ~k, P.~ ~'[e~ ~ ~e ~1~ C~ C~ ~ o~ ~,~?. GREEN~RT NEW YORK c,~o~ ) Q J '/8 RODER CI~ VAN TUyL LICENSED LAND SURV£YORS GREENPORT NEW YORK SUFFOLK CO. HEALTH DEPT. APPROVAL H.S. NO.. STATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE SUFFOLK CO. DEPT. OF HEALTH SERVICES. (si APPLICANT SUFFOLK COUNTY SERVICES FOR CONSTRUCTION ONLY DATE: H. S. REF. NO.: APPROVED: DEPT. OF HEALTH APPROVAL OF SUFFOLK CO. TAX MAP DESIGNATION: DIST. SI[CT. BLOCK PCL. tooo 05'~' ~ OWNERS ADDRESS: (wel, 'Tr~ ~ - DEED: TEST HOLE SEAL 765-18C'! 9 AN~ TO 4 PM [:OR THE d~L ~4 [3 ,/ l/I-iO'' TY~- . ,,f') J Z '1 '1 f 'Th'r T yF. 5LAB D:ETAiL CONST~.OCT ION NOTV ~ :- ALL CONS,FRO 5TION ~% ?0 CONt~O~'~,A 'r'o ~4 'T',. '~- AN~~ '~.OC AL ~L'D~. ~,'~ ~'~Y ,~flA N~E 'HIT~OU? NOT~O A~i ON, NO ATT'lO ' ---!.~. F,Lk¢I ~ = -3q': 5 ~ ......I I l.=' WAI_L. DETAIL