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Home My WebLink About10646-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy No. Z10128 September, 4, ... Date ................. ~. .............. 19 80 THIS CERTIFIES that the building .................. ;'. ............................ 645 Watersed~e..W.ay.,. Southold Location of Property h36sb ~'o: ................ 's't/e3i ....................... County Tax Map No. 1000 Sectton .... .081~1 .... Block ....... 5 ....... Lot . · Subdivision ............................... F~led Map No ......... Lot No .............. conforms substantially to the Application for Budding Permit heretofore filed in this office dated April 21, 19 .8?pursuant to which Building Permit No. 10646 Z dated ...... .M.Sy...1 ~ ............. 19.8.0, was issued, and conforms to all of the requirements of the applicable prowsions of the law. The occupancy for which this certificate is issued is ......... Prive. te One-Femily Dwelling The certificate is issued to ....~.~d. r~.~d, gngela. LaoucLl,~ ............................ of the aforesaid building. Suffolk County Department of Health Approval ........ ~t...s.q.? 99 ..... UNDERWRITERS CERTIFICATE NO ................ N..48.85 .12 ......................... Bmlding Inspector Villa Rev 4/79 F011~ NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 10646 Z Permission is hereby granted to: ......... ~r..-:~ ....... ~..-...~.z..z...o.... ~.~.... ....... ~z.7........~.~ ~...X.,~...,~-.... ~rc. ...... ....... . to ........... ~ .................................................. ~ 1''' / l .......... ~. .......... T~.~a~...~..~.~.~.../~.~.~z~ .................... premises located at~.~....~~~ ........ ~ ................................ ....................................................................................................................... ~~.~.~ pursuant to application dated ~/~.....~.~ ................... , 1~., and approved by the Building Inspector. /qz~z~ // /.~. . Building Inspector 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 tocation 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. C, Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 Date ..... .~/~'~./..~. ............ ~ew Budding ............. Old or Pre-existing Building ............ Vacant Land ............. Location of Property,, ,~, ./~,, .~, ....,~..~ ~ ~,~, .~ ............ ~~. · House No. ~treet Hamlet or ....................... County Tax Map No. lO00Section ...~ ...... BIock.~ ........... Lot...~.6.~ ........ Subdivision ................................. Filed Map No ........... Lot No .............. Permit No. 1.~.~..~¢i., Date of Permit .~.~..J.~.~...Applicant. g~A .'~.."~..~.(~: Health Dept. Approval ....~..~0../0.(~ ........... Labor Dept. Approval ........................ Underwriters Approval..~.~. ?.?.~.-~..~'t ........... Planning Board Approval ': ..................... Request for Temporary Certificate ..................... Final Certificate ....~.. ................. Fee Submitted $..~.~ .................... Construction on above described building and permit m~ts all applicable codes and regulations. Applicant. LI~... FOUNDATION (Is~) FODt~ATION 2. (2nd) ROUGH FRAMIE & PLUMBING INSULATION PER N.Y. STATE ENERGY CODE 4. FINAL ADDITIONAL COMMENTS: THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~_ '~i[ 85 JOHN STREET, 1'4EW YORK NEW YORK 10038 THIS CERTIFIES THAT only the electrical equiptnent as described below and introduced by the applicant ~amed on the able appltcatlon number in the prernises of ~.. ~...,~ o. J'u~y 31~ 1980 FIXTURE OUTLETS 39 ~ECEPTACLES SWITCHES 34 FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS 39 DRYERS FURNACE MOTORS MULTI-OUTLET SYSTEMS NO OF FEET E R I OTHER APPARATUS C E A WG NO O.~NEUTRALS A WG OF H~-LEG OF NEUTRAL ~ledfor,~, No¥~ 11763 ~.2677 E 11 must not be aJtered in ~ny monner, return to the off,ce of the Board ff ,~correct, Inspectors may be idenhfied by their COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERirlHcATEI NOT BE~ALTERED IN ANY MANNER. STEVE G. TSONTAK1S, P.E. Englneerbg Consulfanf P. O. Box 791 Maffifuck, N. Y. 11952 (516) 298--¢533 May 5, 1980 }{andazzo Building Company, Inc. Patchogue, N. Y. 11772 RE: 4606. Dear Vito: The floor as desigr~earwill carry-the l~ad with ~double joist under the partitions. With respect to flexture, this can be reduced by doubling every other floor joist on the main level {front) in the area under the second ktory. I have marked upa copy of the referenced plan' showing this option. Yours truly, Steve Tsontakis ST/d FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 76§-1803 ' ........ ( ui ing Inspector) Date .... I. ........ ,19 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 applicahon, 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 cpde, hp~ing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary in? .~ /~~,~,~ (Mailing address of applicant) applicant is owner, lessee, agent, architect, engineer,~ntractorSelectrician, plumber or builder. State whether Name of owner of premises ."T. ~,,4~ .... t!3(,/4.~..~1~51[ ~..,~'.~. .... ~ ~. ~ ./~ ........................... (as on the tax roll or latest deed) If ~p¥1~i~_.~is a~pom~ion, signaturef duly authorized officer. ... .... ....... (Name and titlt~' o~ corporate officer) Builder's License No ......................... Plumber's License No.Cr'. ,. ~J~-(~. l Electrician's License No.~'-: Other Trade's License No .... ~. ................. 1. Location oflandlon which proposed workwillbedone..~./.~...(4J~.~T"~...~.{~.~.~_,7, ..... .~/.~..c/ ............ .... ............ '.. ........... House Number ' Street Hamlet County Tax Map No. lO00 Section... 0'~..0.~ .... Block ................ Lot....Q .~. (:.1. ........ Sub&vision .... 6~t~.. ~.~Na~) ................ Filed Map No ............... Lot .~..~. .......... 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...... [J.~l~4'.. ~ ............... b. Intended use and occupancy ...I.~..~J~.t.0~.~.'~.l..~..~'.. .......................................... / 3. Nature of work (check which applicable): New Building . ~.... .... Addition .......... Alteration .......... Repair .............. Rem6val .............. Demolition .............. Other Work ............... , (Description) 4. Estimated Cost. ~ .... i ......................... Fee ...................................... ~ (to be paid on filing this application) ' 5. If dwelling, number of dwelling Units ............... Number of dwelling units on each floor ................ If garage, number of cars ..... . ~.~ .................. '. · .' ..................................... 6. If business, commercial or mixed occupancy, specify:nature and ex, tent of each type of use ............ ?, ........ 7. Dimensions of existing structures, if any: Front .............. '. Rear .............. Depth~ ............... Height ............... Number of Stories ............................ :.: .'. :..'J .' .................. Dimensions of same structure w~th alterations or additions: Front ................. Rear .................. Depth .................... i' ' Height ..... ~..! ............. Number offStories ........ ,..~ .......... Dimension. s of entire new construction: Front . .~.~ ........ Rear ...~.~.. ....... Dept.h ./~..0 ............ I-[eight . .~O.~ ........ f. Number of Stories ][)ate of Purchase ........... ! .................. Name of Former Owner ............................. Zone or use district in which pr~ mises are situated ..................................................... D °e s pr°p °rSee~0g Jtructi°' r] ~'late any z°ning law' °rdinance °r regulati°n: ' ' ~' ' ................ Will lot be g ded .... .~ . ) ................... Will excess fill be removed from premises: Name of Owner of pre~ises .. ~../t;t7[,. ~O,~.~.~'~Address .; .~;,. '~x' 'u a~.~a-~-,P.h,.°? No ................ Name of Architect . ~.'l'~J..~,~. ~ [{'['~. ~.~> .... Address }/.0/?..~ .~.: .~...~'J.-I t.I. ~h~qe No ............... Name of Contractor ~PbO~& ~-~. &/-C~,...~.. Address ~r,~..~ld~-~4~,~hone No. ~/~..~ ~.1. (~... PLOT DIAGRAM Locate cleariy and distinctly all: buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and blocklnumber or description according to deed, and show street names and indicate whether interior or corner lot. o 9. 10. 11. 13. 14. STATE OF NEW. kYORK, S.s ,, ...... · .~. 4..'~..... [ .~..~'.( 0~ .~ .............. being duly sworn, deposes and says that he is the applicant ' (Name of individual S~g ting contract) above named., ~ of said owner or owners, ~d is dOly author~rform or have perfo~ed the said work ~d to m~e and file this applicatioh; that all statements con~ained ~ this application are true t0 the best of his ~owledge and belief; ~d that the work will be perfo~ed in the manfier set forth'in the application filed therewith. Sworn to before me this ' Quallhed in Suffolk C~mmlss~on E~prres mXC~ 30,. 19~ RODERIC~ VAN TUYJ., P.C. LICENSED LAND SURVEYORS GREENPORT NEW YORK ~'H~ALI r~ DEP¥ APPROVAL STATEMENT OF INTENT iHE ~NA1ER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE SUFFOLK CO. DEPT. Of HEALTH SERVICES. APPLICANT SUFFOLK COUNTY DEPT. OF HEALTH SERVICES FOR APPROVAL OF CONSTRUETION ONLY DATE ....... h' S ' R E F I NO : I 9° ~'iOO ,i APPROVED: SUFFOLK CO. TAX MAP DE$4GNATION: DIST SECT BLOCK PCL. OWNERS ADDRESS: TEST HOLE STAMP SEAL G.G(:,* 2 F;" tO"ER - iC)C).(J Y RODEm VAN LICENSED LAND SURVEYORS 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. IS) i , i APPLICANT SUFFOLK COUNTY SERVICES FOR CONSTRUCTION ONLY DATE DEPT OF HEALTH APPROVAL Of H.S. REF. NO APPROVED: SUFFOLK CO. TAX MAP DESIGNATION, DIST. ~CT. BLOCK PCL. OWNERS ADDRESS. DEED. TEST HOLE STAMP SEAL SUF'FOLK CO HEALTH DEPT, APPROVAL THE WATER ~PPLY AND SEWAGE DIS~SAL ,, SYSTEMS FOR THIS RESIDENCE WILL /, ~FFOLK C~. ~PT. ~ HEELTH SERVICES. ~ APPLICANT SUFFOLK COUNTY DEPT, OF HEALTH ~ ~ CONSTRUCTION ONLy /; SUFFOLK CO. TAXI MApIDESIGN~TION: TEST HOLE STAMP LICENSED LAND SURVEYORS GREENPORT NEW YORK 7/ .57? ;'2%' q'cb%&LC_. ~..T, u. k~,. 4. OCCUPAHCY OR USE: iS UHLAWFUL VaI'i~8~T CERT[~'iCATE (IF OCCI,q?ANC¥ ~,PPEOVED AS NOTED ~ ~EC.-/~-g,~, Bv~ x.¢, . 7~5-1802 9 AM TO 4 PM FOR THB FOLLOW1N6 .INSPECTIONS: 1. FOUNPATIOM - ~O REQUIRED FOR POURED CONCRETE 2. ROUCH - FRAMING & PLUMBIN~ 3. INSUEATION 4. FINAL - CONSTRUCTION MUST BE CqMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REOUIREMEFfTS OF THE N.Y. STATE CONSTRUCTION & ENER~ CODES. NOT RESPONSIBLE FO~ DESICN OR CONSTRUCTION ERRORS. k/ ,A ~ 4 Ii Il "-",-:'' ~:" _'£~t: .... J-- % ' 000,. ' ¢¢, :0 4 'Unauthorized alferati addition to this docum violation of section 72 the blew York State E& C~ple~ o1' tt~L'~ documer or nt is a nkec/