HomeMy WebLinkAbout13896-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. Z1394~ Date October ~7 ., 19.8.?
THIS CERTIFIES that thc bulldog alteration & deck addition.
~O~tinnn~l~n..~t~ 8~45 Nassau ~. Rd. Cutchogue
Hou~ No. S~t Hamlet
County T~ Map Ho. ] 000 ~cUon ~ ~ ~ .B~ock ~ ~
Subdtviston.. ~a~a~ ~ · ' .F~ed Map Ho. ~ ~ ~.
.................................... ~t No ............
confo~s substant~ly to ~e App]J~tton lot B~d~g Pe~Jt hetetofoze ~dcd ~ ~s offi~ dated
· ~il ~ ]9 ~ puts~nt to w~ch B~ld~g Pe~it No. ~ ~
dat~ .... ~..~ .............. 19 ~, w~ J~ued, ~d confo~s to aU o~thc t~ements
of the appUcab~e pmvJsJons of the law. ~c occupancy for w~ch t~s c*e~Jficate Js J~ued ~ .........
~e ce~Jficate ts issued to ~ ~ ~Y~ ~
..................... .....................
of the afot~d b~d~g.
Suffolk County Depa~mcnt of ~ealth Appmv~ ................. ~/~ ....................
P~D~G
~ERWR[TERS CERTiFiCATE NO ..................................................
Building Inspector
Rw. 1/81
I~OZ~z~r NO. ~
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)
13896 Z
Date ........ (..~ ..................... , 19.
Permission is hereby granted to: -- .~
......... ~~......'~.~../.~' ............................ ~
........ ~..~..~.~ ....... ~.r~. -~.~ .....
....... .~ .r.~.~.~..~....~..z(zZ~
,o .,z¢~'. ~. . ~. . . Z/.w. . z,'. ;~ . . . ~ ,~. .~. ,~= ,. . Tz. ~ ~. ~. . . . .~. . . ,4. ~. . . ~. ~ ~. ~ ~. 'h ......
....~.~z'..z~.~..~. ...... ~zc ;....:.......,~.~...£_ ~.... £z:~.,~,,e....~..~./oz,~ .................
at premises located at ...~.d..,~,.,, .~,,......Z~/,~,~,,(~.....d~.(.i~,..,.~ ................................
.............................................. ~ ......................................... ~.~.~..~..~ ...............................
..... AY~..?.~.~.../.?~,~.~.7.. ..................... ~./..~C .................................... ~..~..~ ............
County Tax Map No. 1000 Section .,,,./'Z.~.'.. ......... Block .... . .~...~... ........ Lot No....~.~..~.. ............
pursuant to application dated .... ..~./~.~/.~..../W~. .................... , ! ,9~..~..~.~and opproved by the
Building Inspector.
F, ,...~.~..~
Building Inspector
Rev. 6/30/80
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
$outhold, N.Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted i~ IIIIII~ 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 si;ia 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 p~Coperty 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 bu ildings.
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 $15. O0
3. Copy of certificate of occupancy $1.00
4.Vacant Land C.O. $5.00
Date .... (O: ,[ .'1.", ~.~. ...........
/
New Building ............. Old or Pre-existing Building ............ Vacant Land .............
Location of Property ................................... ~ ...............................
House No, Street Ham/et
Owner or Owners of Property . .~j.~. [4~.` .~..~.~.V.~..!~.`.. '~.~1 ~.. ...........................
County Tax Map No. 1000 Section ... J[~;) ........ Block ...~;)..~ ........ Lot..~;~. ...........
Subdivision ................................. Filed Map No ........... Lot No
Permit No. I.~l~ .~ Date of Permit .~t'.~1~.'.~..Applicant...~.~lJ~)~..~.. ~
Health Dept. Approval ........................ Labor Dept. Approval ........................
Underwriters Approval . .~.~.~ .............. Planning Board Approval ......................
Request for Temporary Certificate ..................... Final Certificate .......................
Fee Submitted $ .... ~0, ~,0~ .°LQ~. .....
Construction on above described building and~~le codes and regulations. '
,, ...............
Rev, 10-10-78
TOWN OF $OUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL. 765-1802
CERTIFICATION
Date April 16~ 1985
Building Permit No. \%%%~
Owner John F. & Elvira T. Aloia
(please print)
Plumber Heating & Piping Specialties Corp.
(please print)
115 West llth St., Huntington Station 11746
(Tel: 673-7153)
I certify that the solder used in the water supply system
contains less than 2/10 of 1% lead.
Sworn to before me this
16th day of ~April
19 85
Notary Public, Nassau
Eugene Altman
CouIlty NOtary Public. State of New York
N'o, 30-4795272 .,
Qualified in Nassau CoUO~
('d~'Jnlasion Expires March 3~
/
PIEL~ INSTECTION II)ATE COMMENTS
FOUNDATION ( I st)
FOUNDATION ( 2nd )
ROUGH FRAME & _
PLUMBING
STATE ENERGY
~,ODE
FINAL ......
I
I
ADDITIONAL COMMENTS:
FORM NO, 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
qeOUTHOLD, N.Y. 11971
TEL.: 765-1803
pproved a/c ,~f. ............... ~)" 'fi /
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
BLDG. DEPT.
TOWN OF SOUTHOLD
Date April 16, 19 85
INSTRUCTIONS
a, TbJs application must be completely filled in by Wpewriter or in ink and submitted to thc Building Inspector, with 3
: 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
giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
c. The work covered by tkis 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
[1 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
[1 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
Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
for the construction of buildings, additions or alterations, or for removal or demolition, as herein described.
applicant to comply with all applicable laws, ordinances, building c~u~and regulations, and to
)ectors on premises and in building for necessary
(Mailing address of applicant)
te whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Architect
ne of owner of premises John F. and Elvira T. Aloia
(as on the tax roll or latest deed)
~licant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
Builder's License No ..... 1.07.9.1.1..H.I. ............
Plumber's License No .... 5.5.6. TP. ................
Electrician's License No. 302E
Other Trade's License No ......................
Location of land on which proposed work will be done ..................................................
oG*/'-/~"~ Nassau Point Road, Cutchogue, N.Y.
House Number Street Hamlet
' Tax Map No. 1000 Section ..... 1.1.8. .......... Block .... 0.4. ............ Lot .... .09. .............
Subdivision ....... N. qs. qa.u..P.q~.n.t. .................. Filed Map No. . .1.5.6. ......... Lot ...63 ..........
(Name)
ting use and occupancy of premises and intended use and occupancy of proposed construction:
Existing use and occupancy .... V.a.c.a.t.l.o.n..r.e.s.i.d.e.n.c.e. ................................................
Intended use and occupancy ........ s.a.m.e. ........................................................
9.
10.
11.
12.
14.
Nature of ~W?.rk (check whic.h hpplicable): New Building .......... Addition .......... Alteration ...X.X ......
Repair . t~,~ ~ 8 ~. R~moval .......... Demolition ........ Other Work
__ .ion)
Fee. ..........
" (to be paid on filingTl~"6~lication)
5. If dwelling, number of dwelling units. . 1 Number of dwelling units on each floor.. 7 ..........
If garage number of cars v ............
6. If business, commercml or m~x~d o. ccupancy, specify na[ure and extent of each t},pe of use .. r ........ , ..........
7. Dimensions of existing structu~es ffany Front..~.1~.5 iovqr, a.l. 1 Rear .5.1:.5..o.¥~r.a. ll` Depth 6.1..overall...
.Height .2Q,35'. .... Number of Stories .... .1.~.. i ...........................
Danenmons of same structure w~th alteratmns or additkops: Front .. 51~5 ........... Rear ..
Depth ..... ~*: ........... ,!... Height ..... .2.0:.3.3 ............ NumberofStories...1~ ......... '
Dimensions of entire new construction Front - R~ar - n~,,*h -
I-Ie~ght ..... v ......... Number of Stones · · · 7 ...............................
Size of lot: Front ... ~02,8'6 .~ Rear ' 99.0 ' r~*~ 405,46
Date of Purchase ,..5/~l~*.' ...... i i .... Name of Former Owner . H?n.rie.t:t.a. Shute. .
Zone or use district in which pl' mines are mtuated..A .gqa~,4qqq l, ql,/.Ag~a, qql,~.u.~l, ......................
Does proposed construction violate any zoning law, ordinance or regulation: .... .np .....................
Will lot be regraded po i . . . Will exc~ ~-' ~ .......
, . ...... ......... . ....... ~ m~ o~ re.t'rlov~a tram premises: Yes
NameofOwnerofpremises Johla F. Aloha Arlrl~ ;t9 I~ass~tu 1~¥~1
iwame ox Architect ...ap.~ p .~:. p.o.~.e.e ...... Address 120 Adam~ gr. Phnna Nm 421,4084
Name of Contractor..Jg.s.ep. 9pns.true.tipp,' kn~i.' Ada. ess g}~Ye?p}?'~' 'lkY2'l''' ;,7--- [;-'' "'"'6' '1'"5'"'
?.0. B~x' ~2~; ~ard~h' ~.~:y ~t530 ............. mono mo...~.o..-.
,,,i PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate ail 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.
- TUTHIL~-~ ROAD
33255'
STATE OF NEW YORK,
COUNTY OF...lqaaat~u ........
LOT G~t
S.S
donack ' associates
313 west main street
'iverhead, new ~)rk II901
(516) ~69-1717
............. ,a_la.tpta...R..... J)p.l.e.e. ............ ,. ... · · .... being duly sworn, deposes and says that he is the applicant
. (Name ofind~wdual mgrun contract)
above named.
Archit:ecl
He is the ..................... !...
,. ~.ontractor , agent , corporate officer , crc . )
of said owner or owners, and is dt~ly authorized to perform or have performed the said work and to make and file this
application; that all statements contained, 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
~16th da- o'f ... ~pril . 19 .8.5.
Notary PubHa, Stat~ ~f ~ York ,
No 30-4795272 · .
· Qualified in Nassau County ~-w '' ' ''
'Ool~mlsslo~ Explre~ March 30 19.,I~! (Signature of applicant)
?-U TH II I
ROAD
LOT 64
AME?/DED MAP ~
'/VASSAL/ POI/VT'
F~LED ~UG.I~/~Z~>F/LE ,Vj 156
[, '
CEt~ T/F/ED TO .'"
L A~YE, PS TITLE INSU~PAACE COR?
TIF£E N9 BA 53PI
JOHN F ALOIA
ELIVIH-A T ALO/A
donack 'associates
315 west main
riverhead, new
(516) 569-1717
May 3, 1984
F300- 118
street
york 11901
Job No. 84.-52~
Scole. ~" = 50'
tubing is us,
,r water dlstrlbutln
system; piping sbol~ I
o[ types K or L onli
NOTI~ BUILDING DEPAR~T AT
755-1802 9 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
1, FOUNDATION - ~O REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N, Y.
STATE CONSTRUCTION & ENERGy
CODES. NOT RESPONSIBLE FOR
hi: flnnlip N
.
SIT;: PLAN & SECTIONS.
80UTHOLD. N. Y.
FIRST FLOOR PLAN 2
ALTERATION TO ALOIA RESIDENGE 80U .T~401~O.,#~. Y.
SECOND
FLOOR PLAN.',, ~° ~ 3
!'
EXISTING .FRONT
ELEV.
AL'rERATION TO &LOIA REIIDENC~ $OUTHOt. O, N. Y.
WEST (FRONT) ELEVATION' 5
SOUTH ELEVATION'
ALTERATION TO ALOIA RERIDENOE 8OUTHOLD, N, Y,
EAST ELEVATION