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Home My WebLink About13070-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z14174 Date January 21, 198,6,, THIS CERTIFIES that the building ............. .N.e.w., .D.w.e,l..1 .i.n.g. .................... Location of Property .5.5. .0 ....... .M.o.u..n.t. Beulah Ave. Southold House No. ' ........... 'S'~/e~i ....................... ~t~r~l'~ County Tax Map No. I000 Section 051 .Block 03 .... Lot 002,5 Subdivision..~.~. '...B.e.u. 1..a.h. ?.c..r.e.~. .......... Filed Map No..6.9..8.4...Lot No. 3 conforms substantially to the Application for Building Permit heretofore filed in this office dated .... .~.p.~. ~.l..1.7. ........ 19 .8.4. pursuant to which Building Permit No .... .x.3.q 7 g.z ........... dated ....~p.r.J: 1. ..... 3. .0 ............ 19 .8.4,, 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 ......... ...... New Private One Family Dwelling ......... The certificate is issued to TIRELLI t VINCENT & LOUISE ..................... ....... , .............. of the aforesaid building. Suffolk County Department of Health Approval 14-SO-60 UNDERWRITERS CERTIFICATE NO ................ N. 7..3,0.6.5. 5. .......................... Building Inspector Rev. 1/81 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 13070 Z Permission is hereby granted to: . ~ ......... - ...../z.~a~: ..... ......... .... ,~.~.c~.7.~./..~..~..~,..~,...~..~. ................. to ...... .q.~. ~,,.,.nT.~.r.:,n'c_~L .....0.,6,~.. ~...... z~.--.~lz.r..~........./~..~ ~,~ ~:.,,,:/.,,'~ ......................... at premises located at ....~.:~..(~.z- ...... ~...~.~Z.~...~..!./......A.~,. /: ......................................... ................................................................................................................. ~..~.~...-...~. ~ County Tax Map No. 1000 Section ..~...~..~. ....... Block .,..~...~... ....... Lot No. ~...~.~:.x,,~'~.. ~u.ua,, ,o opp,ca,o, date~ ...~r.C. .......... ./..Z ............... , Building Inspector. Fee $.../...c~....7~.......'~.. approved by the Rev. 6/30/80 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 i ~ 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. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate s~rvey of p~operty 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 $§.00 2. Certificate of occupancy on pre-existing dwelling 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 $15.00 Date . . . /./. New Building ............. Old or Pre-existing Building ............ Vacant Land ............. Location of Property ~5~z) J~/'F, (~/~-J~ 4v¢ House No. Street Hamlet Owner or Owners of Property ............................................................ County Tax Map No. 1000 Section .... - ........... Block ............... Lot.. '3 Subdivision ,~',)T ~"~[,~/~ ,/1~-~"~,4 Filed Map No. 4'¢Fz/ .LotNo. -~ Permit No./.3..~.7.0.'.~.. Date of Permit ~/.f.~ ...... Applicant . .~l .~.~.~..~..~..J.~.~.J.J.Ii ............. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval .~...Q .'..~. · .............. Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building and permit meets all applicable co¢l,e.s and regulations. FORM NO. 6 TOWN OF $OUTHOLD 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 fo[iow[rig; 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. 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. 1. Certificate of occupancy $5.00 / 2. Certificate of occupancy on pre-existing dwelling/ land use 3. Copy of certificate of occupancy $1.00 --Pre-Existing C.O. $15.00 Vacant land C.O. $ 5.00 New Building ............. Old or Pre-existing Building ............ Vacant Land ..... ~ ...... Location of Property . ~) Mount Beulah Avenue, Southold, House No. Street Ham/et Edward C. Booth Owner or Owners of Property ............................................................ County Tax Map No. 1000 Section . 51 Block 3 Lot. 2.6 Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........... Date of Permit ...... Applicant . Rudolph I-i. Bruer Health Dept, Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ... X Fee Submitted$. 5.00 Rev. 10-10-78 F I E ~D I~%PECTION DATE COMMENTS FOUNDATION ~ FOUND^TION ( 2nd 3. STATE ENERGY C~O~E FINAL ADDITIONAL COMMENTS: THE NEW YORK BOARD OF FIRE UNDERWRITERS 1{30].071 BUREAU OF ELECTRICITY ~'~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT in the followlng location; ~ Basement ~ Ist 37. ~ 2nd FI. Section Block Lot ~s J~)~ andfoundtobeincompliancewithther~quirementsofthisBoard. OUTLETSFIXTURE SWITCHES FIXTURES RANGES OVENS DISH WASHERS EXHAUST FLUORESCENT VAPOR DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS TIME CLOCK! UNIT HEATERS MULTI.OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT OTHER APPARATUS: S E R V NO. OF CC. COND ~ A W.G. C NO, O~ HI-LEG AW, G OF HI-LEG OF NEUTRAL 2/0 11971 This cerfificat~ must not be altered in any manner; return to the office of the Board if incorrect GENEI~A~ MANAGER ~ Per , ' may be .identified by their credentials. HENRY J. SMITH & SON, Inc. PLUMBING, HEATING & FUEL OIL MAIN ROAD SOUTHOLD, N.Y. 11971 (516) 765--3690 CERTIFICATION Date Sanuarz_!_~._!9_~_6 Building Permit No.__lj~iQ~ ...... Owner Vincent Tirellit_~ ....... Plumber__~BEZ J. Smith & Sonz_~BS± I certify that system contains less than the solder used in the water supply Sworn to before me this _l~&hday of ~n~ .... , 19 86 Notary Public Notary Public, Suffolk County State of New York, Commission Expires March 30, 1987 DEPARTMENT OF HEALTH SERVICES July 6, 1984 COUNTY OF SUFFOLK PETER F. COHALAN SUffOlK county ExecuTIVE COPY DAVID HARRIS, M.D., M.P.H, COMMISSIONER Mr. & Mrs. Vincent Tirelli 1625 Yennecott Road Southold, New York 11971 Re: 14S0-60, Map of Mount Beulah Acres, Lot 3, Southold Dear Mr. & Mrs. Tirelli: Your request to appear before the Board of Review of the Suffolk County Department of Health Services, for approval to in.stall a five-pool system, has been received. The review of this case has been scheduled for July 27, 1984, at 11:30 a.m., in the Suffolk County Department of Health Services Conference Room, 2nd floor, North Wing, County Center, Riverhead. You and interested parties are requested to appear, with or without counsel, and you may produce any information or evidence concerning the above referenced property. Very truly yours, Robert A. Villa, P.E. Chairman Board of Review RAV:cah cc: Mr. James L. Corbin Mr. James C. Maloney, P.E. Mr. Royal R. Reynolds, P.E. Town of Southold Building Department (516) 548-3317 COUNTY OF SUFFOLK PETER F. COHALAN SUFFOLK COUNTY EXECUTIVE DAVID HARRtS, M.D., M.P.H. COMMISSIONER August 13, I984 Mr. & Mrs. Vincent Tirelli 1625 ~ennecott Road Southold, New ~ork 11971 Dear Mr. & Mrs. Tirelli: SUBJECT: BOARD OF REVIEW HEARING 14S0-60, MAP OF MOUNT BEULAH ACRES, LOT $, SOUTHOLD At the hearing held on July 2?, 1984 you had an opportunity to present your appeal of the department's ruling on the subject application. In accordance with the provisions of Article 2, Section 220, of the Suffolk County Sanitary Code, the determination of the Board of Review is as follows: Based on the information submitted, that the application be approved. Very truly yours, Robert A. villa, P.E. Chairman Board of Review RAV/lst cc Royal R. Reynolds, P.E. Town of Southold Building DEPARTMENT OF HEALTH SERVICES COUNTY OF SUFFOLK PETER F. COHALAN SUFFOLK COUNTY EXECUTIVE COPy DAVID HARRIS, M,D., M.P.H. CO~IMIS$IONER June 21, 1984 Mr. Vincent Tirelli 1625 Yennecott Road Southold, New York 11971 Re: 14S0-60, Map of Mount Beulah Acres, Lot 2, Southold Dear Mr. Tirelli: It has been brought to my attention that the above referenced application submittBd to this Department does not conform wi'th the standards of this Department. The approval for construction is hereby withdrawn. The sewage disposal system cannot be constructed in accordance with the approval. You have verbally requested an approval for a five-pool system. In order to obtain such an approval, you must appear before the Board of Review. Enclosed please find an Application for Variance o~ Waiver from Regulations or Specifications. Very truly yours, Stephen A. Costa, P.E., Chief Associate Public Health Engineer Wastewater Management Unit SAC:cah Enclosure cc: Mr. Royal R. Reynolds, P.E. Town of Southold Building Department~' COUNTYCENTER (5!6) 548-3312 7GS-~,802 BUILDING DEPT. INSPECTION [] FOUNDATION 1ST !/~ ROUGH PLBG. [ ] FOUNDATION 2ND[ ]~INSULATION /~ FRAMING [ ]FINAL REMARKS: 70S-1802 BUILDING DEpT~ INSPECTION FOUNDATION xST [ ] ROUGH PLBG. FOUNDATION 2ND ' [~INSULATION [ ] FRAMING REMARKS: [ ] FINAL DATE .... F/~° INSPECTOR FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y. 11971 TEL.: 765-1803 Approved ............... ,1 ' 'Permit No. Disapproved a/c .......................... ' ........... (Building Inspector) APPLICATION FOR BUILDING PERMIT Application No..../.~.c.,/~ ....... 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 g~ving 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 Occupahcy 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. ~,~ . . ........ (Signature of~ applicant, or name, if a gorporation) .... y... .. (Maihng address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .... .............................................................................. Nameofownerofpremises ~.[,4.)g-~.~.T .... ..................................... It' .......... (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. ~ ~''l' '~' Plumber's License No ......................... Electrician s L~cense No ....................... 1. Location of land on which proposed work will be done .... ~. · .,.,.: · · · House Number Street Hamlet ' ~ 3 .;. .... .... Lot...~,.~ .... ' ..... C~hnty Tax Map No. 1000 Section . .~ ............... Block ........ Subdivision ................ tki=~' Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and °ccupancy °f pr°p°sed c°nstmcti°n: a. Existing use and occupancy .... ~.~ ~ ~ .~.. ~ ~. ~. ~ .................................. b. Intended use and occupancy . o 9. 10. 11. 12. 13.1 14. Nature of work (check which applicable): New Building . ~ ...... Addition ......... Alteration .......... Repair .............. Removal .............. Demolition .......... . Other Work ............. ' ~.~. Z., .~. ~ --- (Description) 000 ' ....'. Estimated Cost ~ .~.' .......... Fee .- ........................ ' ' .......... : ............... (to be paid on filing this application) If dwelling, number of dwelling finits .... .~.~..~ ..... Number o f dwelling units on each floor ................ If garage number of cars .~.I~) ~. ..................... If business, commercial or mixed occupancy, specify nature and extent of each type of use .................... Dimensions of existing structure~, if any: Front ............... Rear .............. Depth .............. Height ............... Number of Stories '. ...................................................... Dimensions of same structure wffh alterations or additions: Front ................. Rear ................. Depth ............... Height . ~, Number of Stones ................ ~, · Dimensions qf ~ntire new constrUction: Front... ~.1. ?.~'~ ..... Rear..~.~ ,,..~. ..... Depth ....~ .~ .,. ~. .... Height ... I..~. ,,(~J.l.2~ Number of Stories... I.~.~ .............................................. Size of lot: Front ........ ~.~.~.[:.~ .~.. .... Rear ...... ~,,, ~..[,..~..~. .... De~th . .~..~. I ~_. ~.~.__~.,...__. .... Date of Purchase ....~ .?. ~.~,~,. · .~..~ .......... .,~Name of FormeraOwner . .!,,~ ~l ~.'~..~'$7--,~.T7. ~. · Zone or use district in which promises are situated... ~[,~, $. ~I 1),.. ,~'1~. ~' t[. c;., ........................ Does proposed constructiqn,violat~ any zoning law, ordinance or regulation.' ...~. · gl} ..... . ............... Will lot be regraded .~ .1~. ~ .... Will excess, fill be removed frgm premises: Yes Name of Owner or pri~i}is~ '~ i[~;~,~ ~." .~ ~'~.~i~'~ddress..~ *.~.. I~.i*~ ~..e~Phone No .'~.~ Name of Architect ....~.¥.~'J[. }. ~ [ ...... Address .................. Phone No ....... ' T7. t ! Add rhone No Name of Contractor .................. tess ................................... PLOT DIAGRAM Locate clearly and distinctly alli~ buildings, whether existing or proposed, and, indicate all set-back din~..ansions from property lines. Give street and block ;number or description according to deed, and show street names and in&cate whether interior or corner lot. STATE OF NEW~ORJ~/ /;/ o o ..... . .'~.~~. ,~, ..~ ............... being duly sworn, deposes and says that he is the applicant ~ (Name of individual sigging contract) above named. He is the ..................... [ ................................................................... ' (Contractor , agent , corporate officer, etc . ) of said owner or owners, ~d ~s d~ly authorized to perform or have perfomed the said work and to m~e and ~e application; that ~1 statements contained ~ this application are true to the best of his ~owledge and belief; and that the work will be perfo~ed in the m~nor set forth ~ the application filed therewith. No. 62~3 8~ ~u~ Commission Expires MSroh 30, 1~ WOOD --0