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HomeMy WebLinkAbout11045-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No..Z.1.1.0..8.1 .......... Date ............ ,IUlF..15 ............. 19 THIS CERTIFIES that the building ................................................ Location of Property 1540- liorth Bayvi. el.~.. Road $outh.o.l.d I:t~e Ho: .................................................. Street Hamlet County Tax Map No. lO00 Section . .q~9 ....... Block . p.e. ........... Lot ...qo. g..P.q! ...... Subdivision .... X. .......................... Filed Map No...X. ..... Lot No....X .......... conforms substantially to the Application for Building Permit heretofore t'ded in this office dated December 10 19 80 pursuant to which Building Permit No..110.~5 Z dated . .~..ar.c.~.. ! .0 ................. 19.8.1., 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 The certificate is issued to Frank Tarull:t (owner, of the afotesaJd bugding. Suffolk County Department of Health Approval .1.1. .- .S.0.-. 0. ? ~../t./..27/.8.2' ~..R.o.b..t:..A. :..~.i.l.l..a~. P.R. UNDERWRITERS CERTIFICATE NO .............................................. Il 56616..0.. Building Inspector Rev. 1/81 TOWN O~ sO~'mOL~ BUILDING DEPARTME~ TOWN HALL SOUTHOLD, N~ Y. No. BUILDING FEP.~IT (THtS PERMIT MUST BE KEPT ON TIlE P~'EMIS~S UNTIL I~gLL COMPLETION OF THE WORK AUTHORIZED) 110 4 5 Z Date ..... Z~..~zc.c~....:ZO. .................... , ! Permission is hereby granted to: ........ ~,~..~......~..,~.~.~.~./ .............. ...... ........ : ........ ~o ..... (-,,'.~: · .~.. · ~ /. ./.'. .. .~. · ~-.~. ..... at p~emises located at ..../.~....~...~. ..... ~'"'~ .......................... County Tax Mop No. 1000 Section ..(.)...~...~...:.,.L Block :...~..(~ ........... ~Lot No. ~.Z,..Z ...... ; : '19. pursuant ~o application dated ~,~ .;..~.O.-...;....., ,Ond approved by the Building Inspector. Rey. 6/30(80 Building Inspector TOWN OF SOUTHOLD Building Department Town Hall Southotd, 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 nature{ 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 instella- 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 topograph ic 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 or land use $5,00 3. Copy of certificate of occupancy $1.00 D / / .z. New Building .... ~ ..... Old or Pre-existing Building(X) ......... = ZVacant Land -i ........... Location of Property / .¢ ¢. .: House No. Street Hem/et Owner or Owners of Property .~'~.. ~.¢. #,x . . J.',~._.~..c(. //, ./ ................................ County Tax Map No. 1000 Section ..... ~..~. ..... Block ...... .~'. ....... Lot...-~. ~.¢..o../.... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........... Date of Permit ..................................... Health Dept. Approval . ..Z'~ ............. Labor Dept. ro al ...................... ,.. Underwriters Approval. ~/..-~. .... ~ ....... Planning Board Approval .................. ~.., Request for Temporary Certificate Final Certificat~ ~ - Fee Submitted $ .... . .'~.~..~..'~. ................. Construction on above described building antp~mt~--~, eets all__odes and regulations, Applicant ~~'' 'z~.:, ,~-~, .' ........... . ..... 1000375 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~]' 85 ,.JOHN STREET, NEW YORK, NEW YOR~K~ IOO38 Oate June 18,1982 ~pplicatio. No. on/ile 123647 81 #11o45 N 566160 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the aPPlicant named on the above application nuInber irt the premises of Frank Tarulli, 1540 No,Bayview Rd. Southold,N.Y. in the following location; ~ Basement ~ /st Fl. ~ 2nd FI. Section Block Lot was examined on June 14 ~ 1982 and found to be it~ compliance with the requirements o/ this Board. FIXTURES RANGES .'OOKING DECKS OVENS DISH WASHERS EXHAUST FANS FIXTURE OUTLETS SWITCHES FLUORESCENT Panels: 1-21, 200amps, E R V NO OF CC CONO. A.W G. PER ~' OF CC, COND 3/0 2 GFI, 1 smoke detecto:, NO OF HI.LEG~ NO. OF NEUTRALS 1 pos~ lights 9 W. Lyoms St. Melville,~.Y. lic. 2519 G~NERAL/~NAGER This certificete must not be oltere~ in ony menner~ return to the office o~ the Boord i{ incorrect, ~nspecto~s mo7 be {dent fled b~ the r cre~ent COPY FOg BUILDING DEPARTMENT. THIS copy OF CERTIFICATE-M~sT~NOI ~ ~ED IN ANY MANNE~ - FI?~LD ~INSPECT I0N FOUNDATION (1st) COMMENTS FOUNDATION (2nd) e ROUGH FRAME & PLUMBING INSULATION PER N.Y. STATE E~N~RGY CODE FINAL ADDITIONAL COMMENTS: FORM NO. 1 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined..~..~./..(.~.../.~.., 19 .~../ Approved ~4~. ff~., 19~. Pc~it No./Z ~ ~ ~ Application No.././~..~.,~. ....... Disapproved a/c ...... -.z ............................. ... (Building Inspector) APPLICATION FOR BUILDING PERMIT 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 dia~am 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.~n_spections. ............ (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 premises ....~.~.~. ! .~.....~?~...1~...O.~.~. ? ............................................. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. Plumber's License No..~.~L...~.. .............. Electrician's License No. /d.. /~.c~.~.. Other Trade's License No ...................... z], ~/5:~ I"~'-6ZO ,-7_. r-~ ~ 1. Location of land on whic~ proposed work will be done. ?/.>...~..t3~..~..~gr..c)777... t: .~..°.~.· House Number Street Hamlet County Tax Map No. 1000 Section .... 7.~ ........... Block .... .~. ............ Lot.. I .47.^:~.(~ .& ...... Subdivision../ ................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...... .~. ,/I. ~.~...k~. Z ................................................. b. Intended use and occupancy . .[...~.~..M. ?.L?..~. .... i .~.~..~. ! .r~...~..~..~..~. ................................ ~ 3. Nature of work (check which applicable): New Building . ~ ....... Addition .......... Alteration .......... Repair .............. Remoyal ............ Demolition .............. Other Work ............... 4. Estimated Cost ..... ~ .~.O..~ ........................... Fe ......................... (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 ioccupancy, specify nature and extent of each type of use ..................... . 7. Dimensions of existing stmcturesi if any: Front ............... Rear .............. Depth ............... Height ............... Number of Stories ........................................................ Dimansions of same structure with alterations or additions: Front ................. Rear .................. Depth. ..................... Heimht ...................... Number of Stories ...................... 8. D~menslons of entire new construction Front ...~..[,..~. ...... Rear .. ?:~. l .'7...6a... Depth ~..~...~. Height ....~..~..I ....... Number of Stories ...].l./.~. ................................... ? ............. 9. Size of lot: Front ..... ./../.,.~-~..~'. ( ........ Rear ...... ]..~..~. '.~ .......... ~Depth ..~ .~. ]..(-~... ~4~.,,~. , 10. Date of Purchase . ./..~/..°~../.7. i .g .................. Name of Former Owner .~A'~/E.K 11. Zone or use district in which premises are situated .~! .~..'~,t~.t.~?.~,_. ~q..~. ................................. 12. D~es proposed construction, violate any zoning law, ordinance or regulation: .... ~ .......................... 13. Will lot be regraded .... x2*~', i .................. Will excess fill be removed from premises: )<.Yes ,.No 14. Name of Owner of p,remises ~'g.A~..~g.o. gg( .... Address ~.~..~A..~'.~.q .0.~. ,.t.,[: Phone No..-t ~.-..Z...2~.-.~P. N~une of Architect ~A~d-O... ,~/.'.. ?~...lgq?.Ltq .~.... Address :/...' .... Phone No. '.~. ~J.~. :', .~: .~. ,~,~ Nmne of Contractor . .~I~,A .~.~.~O6..j~.~//a:°~' .7'.~..~4'..t.z.~7.t~. ......... Address t~,P4,~ ./~O.0./~.~.t. :, t .. Phone No. 7.'~ Ig. :..~..'~...~.. ,r 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 YORK~ cou~qrY OF ..~..c;/5~..o..~./..%.. S.S '~. ~.l-Jl~- "~,a, i2_.O~t.., J being duly sworn, deposes and says that he is the applicant (Name of individual sign!ng contract) above named. He is the' O k~d'b'lL~"/~ (Contractor, agent, corporate officer, etc.) .cf :~ct owncr ar cwn:rz-, and is dul~ authorized to perform or have performed the said work and to make and file this application; that all statements contgined 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 me this : Notary Publlc,~....~....~ ~ \ ...... County No. 30.B912740 (Signature of applicant) I t~ b~ ~,. : ~ds ~rt,-,~.., .-~e boe~ SUFF~K COUNTY, NEW YORK ~0. ~,~ MCOPIES ~ ~lS SURVEY NOT ~AR~G THE LAND N~UA~ANYEE~ IHDI~TED HE~EON ~L RUN ~LY ~ H[AL~ DEPARTMENT.-OATA F~ APPRO~L ~O C~STRUCT THE ~N FOR WHOH THE SU~EY IS PREPARED ~F CO. T~MAP ~T I000 SECTION 079 B~CK ~ LOT ~.I, H~E~, AHO TO ~E ASSlaHEES OF THE LENDING ~E~ ARE ~ ~ELLI~ WITHIN lOG FEET OF T~ ffROPE~T~ INSTI~UTI~. GUARANTEES ARE ~T T~SFERA~LE TO AD~iTJ~AL INSTITUTt~$ OR SUBSEQUENT OTHER THAN THOSE SHOWN HEREON. OWNERS ~ THE WATER SU~Y A~ SE~OE Old. AL SYST~ ~ ~15 R~IOE~ M DISTANCES SHOWN HEREON FROM PROPERTY WILL C~FORN TO THE STAN~ OF THE SU~K COUNTY DEP~RTMENT TO EX ST H~ ~TRUC~RE$ ~E FOR A SPEC F C OF H~LTH ~I~E$. PURPOSE ~ND ARE NOT'TO B~ USED TO ESTABLISH ~LICbT~ P~P~TY LINE~ OR FOR ~NE EHECTION ~ ' ' ~L ~1~ ~ ~ OS~NDER AVE~E ~Ot~, ~. ~r ~J. S~ '~~.~ ALDEN W. YOUNG, PROFESSIONAL ENGINEER ANO LAND SURVEYOR NY.S. UCENSE NO. HOWARO W. YOUNG~ LAND SURVEYOR ~ ~ L~T~ ~ W~L(W)~ SE~IC TANK(ST) · CES~OLS(~) SH~N HE~[~ ,, N.Y.S. LICENSE NO. 4~89 ~ ~E ~ FIELD ~TI~S ~ OR DATA OBTmNEO F~ OTHERS / SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES FOR APPROVAL OF CONSTRUCTION ONLY HEALTH DEP.~, RTMENT-DATA FOR APPROVAL TO CONSTRUCT N NEAREST WA~ iAIN~MI, *" N ~OURCE ~ WATER, ~I~TE ~PUBLIC OTHE~ THAN ~HO~E SHOWN HEREON, ~ ~HE~TER ~UP~Y ~ ~E~E DIS~AL SYSTEM F~ THI~ R~IDE~ WI~ ~FORM TO TH~ STAN~O~ OF THE SUFF~K COUNTY /I II hrJJ I r~ h ~ X APO, do .. fOrmerly now M. Ill SURVEY FOR FRANK TARULL! AT ~A YVIEW TOWN OF $OUT/-/OLD SUFFOLK COUNTY, NEW YORK N UN~UTHON~ZEO ~LTERATION OR ADDITION TO ~'llS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW YOUNG YOUNG W. YOUNG, PROFESSIONAL ENGINEER SURVEYOR N.~S. UCENSE N0.12845 ,W. YOUNG~ LAND SURVEYOR DATE: JJN. ~0,/9~/ SCALE: / NO. BO - 4000STRANDER AVENUE RIVERHEAD, NEW YORK ,i' )i' ,,. NOTIFY BU[LbJNG DEPARTMENT AT 7654802 9 AM TO 4 PM FOR, THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR P.U,qzD CONCRETE · 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COA,'iPLETE FOR C. O. ALL CONSTRUCTION SHALE MEET THE REQUIREMENTS OF THE N. ¥. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. PLAN N~..~- I OF .~ "THESE PLANS ARE FOR THE CONSTRUCTION OF A SINGLE STRUCTURE ONLY. USE OF THESE PLANS FOR ANY AODI- CODE, ~S FOLLY: ~AL~ES OF THE EN?ELOPE S~ SYS~ SHOWN THE (SECTIO~ E402. ~ a~,~t WATER NEATING? ...... ~ ~ ~ETS TABLE 4 13 ANB AR~X ~ D~ITV CR[TEREA FOR ' . ~ ' ' - ' ', ' E~U ~ ,' , ~' "''. ,-.", ' ~-' - -~ , - '-. w PLAN NO. SCALE: DATE l~- j-~ "THESE PLANS ARE FOR THE CONSTRUCTION OF A SINGLE STRUCTURE ONLy, U~E ~ THESE PLANS FOR ANY TIONALr STRU'ETURIr ~ITHOUT THI~' ~R TTEN A~ROVAL THE ARCHITECT WILL TI,/~REBY TRANSFER ALL IBILIT¥ FOR THEIR USE TO THE USER AND THE AUTH ACCEPTING THE~." ORITY - Il. , I ~'~r'~TIF¥ ~ IILT)IklG DEP~ARTMENT AT '7~.1~r~? 9 AhA T© 4 PM FOR THB '9' t I ..,, ~I',I'R,Ov~D' As:'~IOt~ ~ 765-7802 9 AM' TO' 4~ P'A~ FOR~ 1HE' FOLLOWING IN?PECTION~. ~, FOUNDATIOH - TWO LsEQ~IIRBL~ ~ FOR POURED C~CR~I~ 2, ROUGH - FRA~]NG & ~U~[~ ~. INSULATION 4. FINAL - CONSTRU~ON ~ BE COMPLETE FOR C ~ ~EL CONSTRU~ION Sff~L[ ~l~ THE REQUIREME~ ~ ~ ~ ~. ~ATE CON~ & ~ CODES. N~ ~ ~ D~IGN OR ~ll ~ "THESE PLANS ARE FOR THE CONSTRUCTION OF A SINGLE STRUCTURE ONLY USE OF THESE PLANS FOR ANY AODI- TION~L ~I'RUCTURE WITHOUT THE W~ITTEN APPROVAL OF THE ARCHITECT, WILL THEREBY TRANSFER ALL RESPONS- IBILITY FOR THEIR USE TO THE USER AND THE AUTHORITY ACCEPTING THEM." ~t~II~S AND DETAILS OF THE PLAN AND DO ~T ..... ~ .......... ' '~ ~ l THE ~E~AL T~ITIANCE VALUES OF TABLES 4-1 , ~k~u ~u ~ONT& ~ THE W YORK STAT , / I THE ARCHITECT. WILL T~.~Y T.ANSFER ALL ~ NSm / I IBILITY EOR ~HEI,~ ~E TO THE U~R AND TH[ AUTHORITY .+ '1 :¢ OF ACCEPTING 'To