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HomeMy WebLinkAbout13837-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No...Z.1.4.1..6.1 ......... Date ... Ja, nuary , 16 1986 THIS CERTIFIES that the building ..... N..e.w..D.w..e.l.l.i.n..g ............................. Rocky Point Rd. East Marion Location of Property ..4.7. 4. .5 ................... t-touse No. ' ..... 'S't/e~i ....................... h[~d,/el County Tax Map No. 1000 Section . .0. 2. .1 ....... Block . .0.1. ........... Lot 017 Subdivision. ~.t.r..a.t.m. qr..s..E.s.t..a.t.e.s. ......... Filed Map No..3.7..2.3...Lot No...1.0. ......... conforms substantially to the Application for Building Permit heretofore filed in this office dated .... .Alqr..i.1 .... .3 ....... 19 .8.5. pursuant to which Building Permit No .... .1.3.8.3. .7.Z ........... dated .... .Ap.r.i..1...3. .............. 19 .8.5., 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 ......... .... .-.-:r .-.-.:-. 7..~.e.w., ?.r.~v..a.~.e..Q.n.e..~a..m.i.~.7., p.w.e.% ].. ~.n.q. ....... . ............... The certificate is issued to ..... MELIS, GABRIEL & STELLA ................ ?o¥/e;,',Ye~a'~.t~ ....... , .............. of the aforesaid building. Suffolk County Department of Health Approval 85- 80-88 UNDERWRITERS CERTIFICATE NO. N714696 Building Inspector Rev. 1/81 FOlt~ NO, 9 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y, BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 13837' Permission is hereby granted to: ....... ....~,...~.~.~.~ ...... ___~.-.~..v.o.~. ................. ......... ~.T....~,s~.~t~.,...~...~.....LI.9,39 o, premises located of ....,~..7...~.....~........[.~. C., .~...~....41-'...~.J.J~.~.-...~...~ ............................... .......................................................................................... .... County Tax Map NO. ]000 Section .... fi%,( ........ Block .....,~....[ .......... Lot No. ,..O..J...~,. .......... pursuant ,o application dated .... i~.~...j~.J.~ .......3 .................. , ,9.Z/~"-and approve~ by the Building inspector. Fee $. · · ..~., -~., .~... · ..~.~.. Building Inspector 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 in duplicate tor with the following; for new buildings or new use: J ~J BID(J, DEPT, · ro%%~J OF SOUTHOLD Jtne IduHalng Inspe --/J%''~ 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusuaL~_, natural or topographic featu res. 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 p37operty 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 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 $15.00 New Building ...X/. ......... Old or Pre-existing Building ............ Vacant Land ............. Location of Property ....................... House No. Street -/ Hahn~et Owner or Owners of Property .~.~...O~...~,'! .~.!, .~..~.'.~,~__. :[!.O~...,, .~...~.! i.~. ..................... County Tax Map No. 1000 Section ....~.~.~..~ ....... Block..C), 1 .......... Lot..~,-).~..~, ........ Subdivision..~.'.'~, .~..~.~..~. ?..~. c..~...g.~..~j-7.~?..~.. ~..Filed Map No. ~'.~.*-f..~..OO....Lot No... I~. ........ Permit No. J."~.°~ ~C~7.~-Date of Permit .~../3.1~_~...Applicant C,~)~.c"~J. ~.('~. Health Dept. Approval ,~,~..~,~, .~:-.~..~.... !/.9/. / .~,~ , . . Labor Dept. Approval-- ........................ Underwriters ^pprova .. . ........ Planning Board ^pprova ...................... Request for Temporary Certificate ..................... Final Certificate .,. ~ ................. Fee Submitted $..~..'.'..O..C~. .................... Construction on above described building and permit meets all applicable codes and regulations. ~ O~l ~ ~o¢)~)1 Applicant . ~. ' .0.~.. ................. Rev. 10~10-78 FIELD INSPECTION COMMENTS FOm~ro~o~ (~s~) ROUGH FRAME & PLUMBING INSULATION PER N.Y. STATE ENERGY CODE % FINAL ADDITIONAL COMMENTS: #0 ~ KD.,:S DE~ 31- 3 4~# 0 34- 9 42- 0 bO ~ ~Do~S O~# 33-~0 41* 0 38- 9 41-0 3 I Welo Requirert~n~ 3KDIS-~P 4~' 0 41- 0 41' 0 4~- 0 2KDIS'&~ 41' 0 41' 0 4~- 0 41' 0 · TO'HF ~Z' 0 41~ 0 ¢1~ 0 41' 0 2x& 2~ots-aP 41- 0 41- 0 41- 0 41- 0 MO20#F 4~ O tie 0 &~o 0 4t~ 0 C 6a * 46,0~ d )s D~,&IG#r.D Z~ A~'~AiCG ~l~H TpIoT8 AND 112 X ~ PT 1/2 X 4 P'T 4 ~ 1/4 X 4 PT 3 I 9/8 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Building Permit No. ~ Owner (.-~e~ +~ I~ (please print) Plumber CO~Th~'TI ~ 0% (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plumber' s signature) Sworn to before me this /~ day of ~(~/~n~,~ , 19~ · Notary Public, ~/.~ County Not~y Pub lfic Term IExpirell Merl~h 30. $ 9...~ '- THE NEW YORK BOARD OF FIRE UNDERWRITERS 1003.071 BUREAU OF ELECTRICITY ~['l~ '(~Coq~O}3'~'' ~'~' ~9~5~ JOHN STREET, NEW YORK, NEW YORK 10038 THIS C~RTIFI~S THAT only the e~c trlcal equipment ~ described below and int~duced by the applicant ~med on t~ able application number in t~ premises of in ~be followi~g location; was examined on ~,~ ~ ~ ~) and found to be ia compliance with the r~q~irements of this Board. OUTLETS 42 ~ECEPTACLES 45 SWITCHES FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS DRYERS OTHER APPARATUS: T:<acJk E R I C E OF CC. COND. A.W G NO.OF Hi-LEG A.W.G A,W.G. pER ,f/ OF CC. COND. O~ HI-£EG OF N£UTEAL 4 This c~di{ic~*~ musl no~ b~ ~h*r~d in ony m~nn~r~ r~urn 10 ~ho offlc~ o~ th~ Board Jf incorred. Insp~ctoes moy b~ ~n~*helr cr~d~nfiols. COPy FOR ~UILDING DEPARTMENT. THIS COpY OF cERTI~IQ~TE[M~T ~OT,~E gtTE~EO~N ANY MANNER. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765~1802 Examined. ./'. ....... ^pplication No. ....... 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 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 Occupancy shall have been granted by the Building Inspector. ~.. APPLICATION IS HEREBY MADE to the Building Deparffnent 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 codcr~fld regulations, and to admit authorized inspectors on premises and in buildings for necessaE~'fi~ ............... ............ ~,,(Signature of applicant, pi' name,4f a corporation) ~ (Mailing address of applicant) //?7 l State whether applicant is owner, lessee, age~h~rchitect, engineer, ge~neral contmctoL electrician, plumber or builder. Name of owner of premises .. . ~g (as on the tax roll or latest deed) If applicant is a corporation, signature of dEly authorized officer. (Name and title of corporate officer) Builder's License No .......................... Plumber's License No.. ~ .~.,.~ ~ Electrician's License No ....................... Other Trade's License No ...................... 1. Location of 1,,and on which propp,sed work will be done ................................. , ................. · ..~. 7.~.~ .............. .~... ~..~r.?¢7 ........................ '.'.. ~ ............................... House Number U Street Hamlet County Tax Map No. 1000 Section .....~..~..~ ......... Block ....~)../. ........... Lot... ~..~..~. ......... SubdivisioZ~.~.~...~./?/.~<~.~.a~ .~..r?.?~. ......... 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 ....... ~..~---.,. .......................... ..... ............ ~ 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... (Description) 4. Estimated Cost . . .0.o.O. ........................ . 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 extent of each type of use ..................... 7. Dimensions of existing structuies, if any: Front ............... Rear .............. Depth ..... ... Height ............... Number of Stories ........................................................ Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth I Height Number of Stories 8. Dimensions of entire new cons~ruct:on: Front ............... Rear ............... Depth ............... Height .......... Number of S{ories ' 9. Size of, lot: Front .......... ............ Rear ...................... Depth ...................... 10. Date of Purchase .......... i ................... Name of Former Owner ............................. 11. Zone or use district in which p~emises are situated ............. ,. ....................................... 12. Does proposed construction viqlate any zoning law, ordinan~e0rregulation: ./:'~t,~o .......................... 13. Will lot be regraded .~, .... ~ ....... 4. ~ .... ,0 .' ..... Will ~xcesslill be removed frq~lligll[0~.lie~t~/ Yes No 14. Name of Owner of p~'~nises...~r~..~ ~.. Addres[f ~/.~..~..~ ~..~ .': ~1~'~/1~o ................ .Name of Architect ~.~. ~. '~' ~... A~ldress ...... ~..; .......... Phone NoT.~,~....~'~ Name' of Contractor ........ i .................. Address ................... Phone No ................ PLOT DIAGRAM Locate clearly and distinctly all buildings,' whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and bloc~ ~umber or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NE~YOI}I~t./p~ ~ c _ COUNTy,.,O~~, .... : o.~) , . ,,,, ..... ' ,...i. ...... berg duly sworn, d~poses ~d says that he is the applicant (Name of individ~ai sigging contract)i` ' . above named. '. He is the ' :~ i . (Contractor, agent, corporate officer, etc.) of said owner or owners, ~d ~s drily autho~efl to perform or have perfumed the sa~d work and to m~e ~d file t application; that ~ statements contained ~ this application are true to the best of his knowledge and belief;and that .the/ work will be performed in the m~ner set for~ ~ the application filed therewith. " ' ~ [ Sworn to before me this ~ ~O~RY pUBLIC State of New poINT ROCKY 0 '[he watbr supply & sewa~fe disposal sys- tems for this residepce v:ill cmfform to the standards of tho Suffol[~ merit of H~alth Services. SUFFOLK COU~¢TY DEPAR'2;~ENT OF H~.,[t ~[~[ SERVI~ APPROVED SUFFOLK ~OU~TY T4X M~P NO: SE. CT. 21/BLK. I /LOT~ IX SU~¥E¥ FOR GABRIEL MELIS ATEAST ,MARIO~N TOWN OF souTHoLD SUFFOLK COUNTY~ N.Y. SCALEb I": 30' DEC,~ -g · ' a violation of Unc~uthorlzOd alter, ahon or adchhon to th,s su~y secl~on 7209 of mo New Yo ~ State Education Law. ~opms cf ~'~s ~¢"rveY mop not b~arin9 th~ kind surveyor s in~ed see or, ernkc,~s~d se~l sh~ll n~t bo cc, ns,c?~.~,~ ~o b~, c' ~ ~ c~ ~RoAD ~\ , I 5.7o0 o~ q/' w3tor supply & sewage d;:ppsal sys* tenls for this residence will conform to standards of the Depart- ment o~ ti ': - ,,.' - ~ROV~: SUFFOLK C~UNTY r~ SURVEY FOR G~BR/EL MELI S T~N 0F SOUTH~D SUFFOLK COUNTY~ N. standards o~ tho Suf~cik CoUntY ~ FP LK COU;~Y au o ............ --, FOR .~.~'PZ)TA!, CF ~PPROVED SUFFOLK COUNTY TAX MAP NO. SECT. 21/~LK.I /LOT I? f SURVEY FOR GABRIEL MELIS ATEAST MARION ~OW~ OF SOUrHOLO / cOU~ , Y, F SCALE ~ = 30 ' ~ DEC 2Q 979 ' ~ ~ ~ Unauthorized alteration or addition to this su~y is o violalion of seclion 7209 of Ih? N~w York Stcte Education Lr~w. . Copras cf ~kls sur*ey map not bearing t~e land surveyor% inked subsequent ow?ers. REFERENCE ' M/O STR4TMORS ESTATES, FI LED FE~. 20,1962 LAND ~IUR¥£YOR RIVE~HEAD~ N.Y. GUARANTEED TO' ~o~ o tO7' ~o sTR21TMORS ~ STR~TMOR$ ~ ~ FfLE R~ 3~S~ F, LE FEB. ZO, ~ tOT 9 ~ ' ~ GITUAT~ A~ 175.~ EASt MARION ~ ~ VACANT ~ ~ ~UFFOLK CO., N. ~SENBE~ ~oc. e FMCS: ocr/~, lee5 ~est mein street riverhead, new ~ tl901 (5t6)369-1717 Apr. 27~ 1985 dob N°-,,85-,843 1000-021-01-17 Scale: 1 = :50 ~ ,,,; .,~.,~._,,~ ,,,,,,,~-~..~,~ , , ,,, ,~.. , ~:. . · ~A~ ~ N T _ ~:.~J._NO ' ' :~~,. .... .................................................. , ~_~_~ ~._ .... ~. ~.~. ....... ~. ~.~..~ ~::~tt:::L:~:~ ..................... , ...................................... - ~A~ ~ ~ ~: ~-::::::: ........................................ ,._~_~ "~:.~:: .......................................................................................... ~.. ~ ~ ~~ ....... ~...~ .................................................................................................................................. ·~l.~t,:_~..... .... ~:~~.~.~z..:~:zz~3 ........................................................................................ ~ ~ ~,,'~.~ ' ~o: W~=~' ~~ ' OIL ,. - .~:L~.~._~.~m~:-~z'_ ~ ~.~ ~~ ...................................... :: ============================= .... .._.:: ~ ~_~.[~:~::Z~OttTt:~..~_M_,F,~:~:::::: .................................................................................... .,. ~..~_~...~. ~~~: ................................................................................................................. ~ ~ .... · ~~.~ ......... I.~..~ M.LA .,. ~ ~".' ~?.:.r:: ....................................................................... : -. _.. ...... ...... ;.'_' ...., -.~. ~ ~' ~~ ...,' ~' '..'~'~.', .. ,, . ..... P'~' ~' ~x",'~, ~/ ..x/'~z;', .. " . ~~~, ~:~o~ ALBERT A. SACCO AN~ GORDON K. AHLER5 A l'qAC~i~ ISL. O 1~oo~ ~0'- 0" ..... lOt O' tO' INON-SK~D D~=c~. Ok PATf © ,J CA-TEI~A L C~FL{NG i ~ Ooo~ "Aiterafion of this Document except by an Architect or Licensed Profes- ' sional Engineer, is illegal". Secben 7209, Subdivision 2, N.Y. State Education Law, 43 LDO D_ P LA N ; , =¢-~--/-~¥ ,/' cA~.6 , ~4'" /"0" ~rcliit~'[ a~d 'blgieaer'a Seal and $l&matdre only ~oo~ for i~iti81 use of drawing. Change, alteratiens or re- visi~s'to or re-use of 8rewin~ with, o~ Architect or Eqgineer's Approval ,vqi~ Seal ~ Si~aNre on same, LOT CERTIFICATE W~ND 2- Ltiq~ l .L ON'8'*, ~ ' t lO 0 ALL ~,L~GT~LPC. P~.Lf:LCO,N~-C t~L~ I,D:gNCL~,* GA!SE'iLLt IM.~ L 1 q * I0, EOCKY .POi NT P~OAD NON'~,ID D~CK Fl A~ P<,!' ON,. N'E-W 'FOR 1% ALiERT A. SAc¢o A.0 G~N K, AHLER$ ~,.c.!~~ · FEE: /c~ ~ BY: NOTIFY BUILDING 1' AT FOP. TH~ I RED pLUMBING MUSE SHALL MEET OF THE i~.Y. & ENERGY RESPONSIBLE FOR IBESIGN OR CONSTRUCTION ERRORS. NOTI 765-1802 '9 AM 'TO 4 PM :FOR FOLLOWING INS~.ECTIONS:: " 1. FOUi~IDATION - TWO 'REQUI~ FOR POU,RED CON6RETE r. , 2; ROUG,H - FRA~IN~ & pL~BI BE COMPEETE' FO~,C, O~ ALL CONSTRUC~IO~ S~A~[r ~ THE "REQUIRemEnTS ,0F ',T~' N STATE C0H~RUCTION, &[: ENEF r_ LgVATION '1 AND Jr-ROI f ° ~-A ~ &-_Lt--VA II l O N o ,/'C4 z.* .. ~', / '- o' "Alteration of this Document except bY an Architect or Licei~sed Profes. ,~tfln:,d Engineer, Is illegaF'. Sectior~ 72091 Subdivision 2,'~' N.Y. State Educaiion Law¢ ~rchttact and EnCneer's Seat aM '~igoaturo on~'/good for ioitial uae of 0¢ Architect 0f E~imeer's ~proval ~aids Seal a~d Signature on same. ~ P_OIqT LOT ~-' los J~OC K Y 'P'C) I N T [~ O.A, D r ' :'L- A'ST .M'A,I~ I C),N,,~ S.ID L-LLVS. NC=W Yo ,K A~:BERT A, SACCO,~. ~;m) GORDON' K., AHLERS ARCHITECTS &' ENGINEERIS S,,~65S MAtii ROAD SOUTHOLD, II.Y, 11'97! AT~LI~ ,I PLAN ,tl- ~zcAu TA I~ ~ _S_.~LCTION_A A 4 f-.A,V, M N. g ASOV~- · ;OUNDAT~ON TO B£,D,I4 AP@'D, S,DWAG.~ D~P0~AL THRU ~ OOr-- HO ,f'c4/_ ~, . 'WTP,F B~L. OW,q;~A DE- TYP. '/¥9' "Alteration of this Document except by an Architect or Licensed Profes- sbnal Engineer, isille~al", ~ Sectbn 7209, Subdivision N, ¥, State Education Law~ &idect and Enpeer's Seal an~ Slgaatnre oaiy ~aed For initial use of ~sions l0 or re-use 0t dr;w~n~s with- out Archi/ec~ or Engineer's ~proval ~oids Seat a~d Signature on salae. No/AT&LI[-P- g'DCTI.ONg AA, "BB, ~ CC · 'PLUMBikl'G DIAGI:~AM I~;~ 1 D~NC~ £o,- GABEIDL LOT*,IO~I~OCiLY POINT !~O'AD LAqT ,I'iAI~ION YOR~ ' D~UE;L~. UP¢--LOOP, E~'~M~ (.:}:ND-~.P,~ALL:'' - I~.D:AI~ING,I~ PAg, AL, L~L ,I~A'P.T IlO'NC5 ~ ,,,., ARZLIND AL[ oP.r=NINGS ALL ~EOOR',S 6'p.c W~,L L .'.,'..BERT A. SACCO, AND GORDON K. AHLERS 54655 MAIN gOAD SOUTHOLD, NY. 11971 LOT#LO,°