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Home My WebLink About12824-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. 332.~2 .~ .......... Date .~..e?Y.q~. rY..2. ] ................... 198.5., THIS CERTIFIES that the building .... O.n..e..f.a.m. ~_ ~y.. cl..w.e.~.~..~ .ng. ..................... Location of Property ... 7. .6.2..I].: .0 ...~ ... 9 ff...N .a.u.~ 1..e .s..q q: ................ ~ .a.~.~ i..~ .u.c.k... House Ho. Street Hamlet County Tax Map No. ]000 Section . .0.9. 9 ....... Block ..... 05 ........ Lot P./.g.g.l.~ ........ Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore fried in this office dated .... .D.e.q e..m.b.e.~...23 .... ,19 .8.3. pursuant to which Building Permit No. 1.2. 8..2.4.Z. .............. dated ..... .d.a.n.u..a rY. .4. ............19 .8.6., 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 ......... ....o.n.e.. ~ .<m.\~. y..dy.e. ],..~ 3.n.~ .. ..................................................... The certificate is issued to LILLIAN FALLETI ..................... ioU.'o;, i ................... of the aforesaid building. Suffolk County Department of Health Approval .... q. 3. .S .0.2. 2. ] .............................. UNDERWRITERS CERTIFICATE NO ............ #.~ .6.5.0.5. 8..6 ............................. Rev. 1/81 Building Inspector FORM NO. 2 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, No Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) ~9 1252~ Z Date ............ ~ .-/~,.] ..................................... , Permission is hereby granted to: ......... /,. ................ .................................... to .....l.~k/.~'../.~.. · .".. -. ?....~. · ~ ......... ~'.~-. · .~-~. .......... ~..'~ ...... '~ ............. ; .......... 7 ............. at ................................. premises located et~"~'"'"~""':.~:... ~-~..~...~...:....~..~/..:. ..................................... ...... .~.'~...d.~...~(~ ./..(~:~.....~.~'-~':' ....................... '/ .............................. ............. .......................................................................................................... County Tax Map No. lO00 Section ...~...C.~..c.~. ...... Block ....~...~-~.~.~ .... Lot No. pursuant to application dated .f~.~..t ....... ~f(/..~ ..................... , 19..~.f..~, and approved by the Building Inspector. Rev. 6/30/80 Southold, N.Y. 11971 (516) 765-1988 January 9 v 1985 Mr. and Mrs. Joseph Fallet£ RR1 Box 224A Mattituck, NY 11952 Re: Access road~ subdivision formerly of Fornuff Dear Mr. and Mrs. Falleti: The following action was taken by the Southold Town Planning Board, Monday, January 7, 1985. RESOLVED that the Southold Town Planning Board accept Inspector John W. ~avis' report No. 417 regarding the final inspection on the access road within the minor subdivision formerly of Ruth Fornuff located at Mattituck. Enclosed is a copy. of the report for your review. Very truly yours, Southold Town Planning Board By Diane M. Schultze, Secretary cc: Building Dept w/eric. Bennett Orlowski~ Jr.~ Chairman Sol,tho.Id Town Planning Board FROM: John W. Davis Date: December 10, 1984 RE: ACCESS ROAD - MINOR SI~DIVISION OF FOtSfEI~LY E. AND R. ~RMU~5~ AT I~%TTI~fUK COMMEN~$: ~hs .access road as constructed is centered in the 2~r ft. R. OoW.~ is 12 ft. in width and 365/ft. in l~ng?h. ~he firs% 133 ft. is stabilized with h" of coarse crushed stene and filler and is in satisfactory Condition. ~he remaining 232 f%o is 6" concrete with crushed stone on one side %o prevent erosion. ~he ~onorete section is in the area where the grade is /approxi~a%ely 10%o ~his road is superior ~ the recommendations, has access to all lots,and I reoom~end approval, of same. ?here is a new occupied house In Lot No° ~, '~e owners~ M~. and F~s. Joseph ~lleti~ have a temporary C.O. and would like to have the road ap~oval processed as soon as possible. [oooo6~ THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELE[CTRICITY ~g 85 JOHN STREET, NEW YORK, NEW YORK 10036 o.,e ~,.,:I~VS. ~.9~ ,~pplie,,.,,.Na,,,,,fil~ ~,m.8/~ N 6505:86 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant ~amed on the ttb°~e application number in the premises of Mr. J'o~ph Falletti, Nauglos D~w:~, Brea~vater Road, & Old Mill Road, ~atti~uck~ N.Y. in the followlng locution; ~ Basement was examined on J~ ~ '~9~ FIXTURE OUTLETS SWITCHES FLUORESCENT ~] 1st FI. [~ 2nd FI, Section Block Lot and found to be in compliance with the requirements of this Board. FIXTURES RANGES KING DECKS OVENS DISH WASHERS EXHAUST FANS SYSTENIS NO. OF FEET Motors: 1.--G. P. I. 1 ~r~ke Detector S E R C NO, Oi~ERCC~.COND.~ A,W,G NO, OF HI-LEG A.W G. NO, OF NEUTRALS A W.G. Gu~t; ~,t Bar, fa 227-E l~reakwater Road ~2ttitt~k, N.Y. 11952 Per ,' i' COPY, FOR BUILDING DEPARTMENT. THIS COP¥~OF CERTIFICATE MUST NOT B,E ~LTERED IN ANY MANNER. 76S-1802 BUILDING ,,DEPT. INSPECTIOiN [ ] FOUNDATION XST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAM~,k , ~FINAL DATE FIELD.,INSP~CTION COMMENTS FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION FERN. Y. STATE ENERGY ~ODE FINAL ADDITIONAL COMMENTS: 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 ~ocation of a~l 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 p~operty 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. Fees: 1. Certificate of occupancy $5.00 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 "'~'"Stre~tl ..~.?..~' .... House No, Hamlet Owner or Owners of Property ....~./.~. ~../.~./.~/ .................................... County Tax Map No. 1000 Section ....~.~. '~. ...... Block , ~)',~, ......... Lot..~./~..O'/c~ Subdivision .... ~ .Filed Map No...--;;; = .... Lot No; . .---'~.. .... Permit No. ~. ,~...~..~ate of Permit //~--/~. ,~.~..Applicant. l/..~.~//~/fz.. ~.~ ~( ..... Health Dept. Approval. ~/~ ~. ~2~Labor Dept. Approval .. ~/~ .............. Unde~riters Approval...4 ~ ~ ........ Planning Board Approval.. ~/~/~ ....... Request for Temporary Certificate ..................... Final Certificate . ~ ................. Fee Submitted $.. ~ ~ .................. Construction on above described building and permit meets all applicable codes and regulations. Applicanff~.., . ~ . .~. .~ : .................... Rev. 10-10-78 TOWN OF SOUTttOLD OFI~ICE OF BUILD]lNG INSP]~CTOiO. TOWN HALL SOUTHOLD, N. Y. 11971 T~L. August ~, 1980 Andrew Muller Const. Corp. Route 2~A Miller Place, New York Dear Sir: : This is to advise you that the job under Building Permit No. 10247Z issued to M. Burrows on June ~, 1979 for add. (li~ing rm., porch) appears to be completed as of our last inspection. Before you can legally use or occupy this structure a Certificate of Occupancy must be issued. Please fill the above office. of Occupancy out the enclosed form and return same to There is a fee of $5.00 for a Certificate Thank you for your prompt attention. Very truly yours, GEORGE H. FISHER Sr. Building Inspector encl. TOWN OF SOUTHOLD, NEW yOI~K ACTION OF THE ZONEN~ BO~D OF APPEPJ~S Appea~[ No. ~,~ Dated ~ 9~ ~9~ ACTION OF THE ZONING BOARD OF APPEALS OF THE TOWN OF SOUTHOLD To ~em~ 60 ~. Oakdale Street ~a~ho~; New DATE....J~.~e.-.~9, 1972 Appellant at a meeting of the Zoning Board of Appeals on was considered and the actio~ indicated below was taken on your ( ) Request for variance due to lack of access to property (~K) Bequest for a special exception under the Zoning Ordinance ( ) Request for a variance to the Zoning Ordinance ( ) the appeal 1. SPECIAL EXCEPTION. By resolution of the Board it was detemnined %hat a special exception ( ) be gralated ( ) be denied pursuant to Article .................... Section .................... Subsection .................... paragraph .................... of the Zoning Ordinance and the decision of the Building Bzspector ( ) be reversed ( ) be ~ aoe~anoe wX~h t~ ~ni~ ~d~, ~ieb VII, ~ot~ 700, ~oeot~on W-~, f~ ~Mso~on to ~ot a pooltM settee s~ation, ~atlon ~ ~o~r~ ,~th omo ~ Mtdd~ R~d a~ we~ b~ J. ~pokt a~ ~rs. 2. VARIANCE. By resolution of the Board it was determined that (a) Strict application of the Ordinance (would) (would not) produce practical hardship because difficulties or unnecessary (b) The hardship created (is) (is not) unique and (would) (would not) be shared by ail properties alike in the immediate vicinity of this property and in the same use disfrict because (c) The variance (does) (does not) observe the spirit of the Ordinance and (would) change the character of the district because (would not) an~tk~refore, it was further determined that the requested variance ( ) be granted ( that the previous decisions of the Building Inspector ( ) be confirmed ( ) be reversed. ) be denied and FORM ZR4 ZONING BOARD OF APPEALS ~,je~.e l~D~t, See~,eta~y ~ou~held ~ ~ o~ Ap~a~ :~l~on on ~O~F~l~a~ed On ~ l~h o~de of M~ddb' Road ~ho Boa~d linde that tho puBlto oonvenlenoe ~ J~ltioe wl~..b~ awed_and ~ bsa~ es~a~li~d ~ ~ted ~P,E :1~ WAa RF~,OLVED ;oW V~X~nif 60 ~, ~ale ~Xob VXX~ ~e~,.790 - a, Eut~noe a~ exit d;Xve~$ ~om a~ P~tF l~ a~ ~IX ~e so ~d ~t as to avotd ~ ~loit~ ~ a~ ~hie~ ~aok~n~ ~t aeneas ~ to ~I~ xeoa.~e.d vith. in 300 feat er a oha~oh; pub:Lie seheox, ½:LI~, bOOpllaX, e~P~ ~u~8?o or a rest homo, o~ within 300 feel of Ha:be, FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-180:3 , ./..~. ,.~.~. ~. ~ ~ Received. Examined : ....... , 19 ......... ,1 9 · · . Approved ~.g.c4-..~.' ...... , 19f'.~. Permit No..ff~:~..~J)': .~. :f Disapproved a/c ............................ )~j ....... .......... :T. ~--~- ~ (Building Inspector) APPLICATION FOR BUILDING PERMIT Date .~.~.' :....'.~.( .... 19.~Y.. INSTRUCTIONS a. This application must be completely filled in by Wpewriter 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 regulations, and to admit authorized inspectors on premises and in building for necessary inp~ctions. .... .............. (Signature of applicant, or name, if a corporation) zz¥ .g.. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ~,...,~.~..///..'.'.'~..~. .... . .~.~.Z~'~..I ......................................... (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. ~"--~...~:7.q..///.~.5.' Electrician's License No....~, .~2.~.7~.: ...... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. ............. ..... ................ House Number Street ~ Hamlet County Tax Map No. 1000 Section . .~.~ ......... Block ...~. .......... Lot .~..~.~ ..... ' 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 ......... ~ ...................... ........................... b. Inten'ded use and occupancy - ~1~--~ ~'1/ '~ ....... ~.'~... ~. ty.~ z;..7~~~ ..................... 10. 11. 12. 13. 14. property lines. Give street and block~ number interior or corner lot. Nature of work (check which applicable): New Buildin ......... Addition .......... Alteration .......... Repair .............. Removal .............. Demolition ............ Other Work ............... ' (Description) Estimated Cost ......... x' · ........................................... (to be paid on filing this application) If dwelling, number of dwelling! units ............... Number of dwelling units on each floor ................ If garage, number of cars .... ~ ................................................................... If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... Dimensions of existing structures, if any: Front .... Rear .............. Depth ............... Height ............... Number of Stories... ~)'~ ' "' . ............................. - Dimensions of same structure With alterations or additions: Front ................. Rear .................. Depth ................... ;.. Height ...................... Number of Stories ...................... Dimensions of entire new construction: Front ......... , ..... Rear ............... Depth ............... Height ............... Number of Stories ..................................... .. .................. Size of lot: Front ...................... Rear ...................... Depth ...................... Date of Purchase .......... .............. Name of Former, Owner/7 ............................ Zone or use district in which premises are situated Does proposed construction vi~late any zoning law, ordinance or regulation: Will lot be regraded ........ ! .................... Will excess fill be removed ............................ from premises: Yes .. ~N~o,~ Name of Owner of premises ..: .................. Address ................... Phone No..g~.~. ~.-..(.f~.~.. Name of Architect ......... i .................. Address ................... Phone No ................ Name of Contractor ........ ! .................. Address ................... Phone No ................ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from or description according to deed, and show street names and indicate whether STATE OF NF~W ~"~K,, ,, /~ ,,, ,, ^' · ·" .... x · . .%....,~.. ¥. t. a~...~'~ .... being duly sworn, deposes and says that ge is the applicant x (N£me of individual signing contract) , ove named. . e is the . .' ..... ~--~ .................. / j ~- "~Contractor, agent, corpora't; 'o'f~i~;;,'e'tc.') ....................... of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements cont!ained 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. Sworu to b~fore me this ............... : r/ ~ _~!~ ~ ' . (S~gnature of applican{)