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Home My WebLink About5481-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. UPDATED Cedif ca e-C -O-c 'upancy No.. g.~.095~ ......... THIS CERTIFIES that the building a...(.~ ).. ........................................ Location of Property .. 1 1 2.0 .................... B..v.i.d.tte...L.a.n.e. ............ .C.u.~.c.h..o.g.u.~.. House No. Street Hamlet County Tax Map No. 1000 Section ...Q.8~ ...... Block .... 0..~ ......... Lot .... 0..0.6 .......... Subdivision ...... .X ....................... ~i~iled Map No..X. ...... Lot No. X conforms substantially to t~-A~tdieatitm-Rrr-l~tltlhlg-PelYlltt'llel~tOTOY~'fl~l'ffl'l~'6tTl~fflt~r . -..- r.-.-. -..- r.-.-. -..-.-.-.-..- .-;'1'9'.-.~ ~0 ~~~r ~?~T 7 ?~.~ 7 7 ?~.~ 7 ? 7~.~ 7 7 date~-.-.-.r.-.-.-.-.rr.'.'.'.r.'.'.'.'.rr.~vr~r.~~7~fl~g~ of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ...a ...... The certificate is issued to Kenneth & Barbara Il. Hancock of the aforesaid building. Suffolk County Department of Health Approval ...n..o.t..v. not required UNDERWRITERS CERTIFICATE NO .................................................. eThia is mn upd&t, ad C. of' O. of t, he folXowing ~,wo (2) permitg~ B.P. 5481Z, issuad August 26! 1971 for a new dwelling, C.O. Z4955 issued December 21, 1972 & B.P. 6436 Z, issued Hal'Cb 25, 1973 for & barn & storage bldg., C.O. Z5157 issued Hay 22, 1973, Building Inspector Rev. 1/81 FO~,~[ NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, No Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL. FULL COMPLETION OF THE WORK AUTHORIZED) N°. 5{151 Z Do, e .......................... .~....Z....~.~., ,~..7./.. Permission is hereby granted to: .............. ~.'..~..~ ......... ~.!.....C,~..~.¢.~' r ~c,'~1, D p~ ~N ~' .~.~ tjx.,, t~u ,-~,.,.,...,. ....... at premises located at ........................................... -~...~...!.-..i~.-..~...J; ......... ,~.t~.~../.;'. .......... ~..,~.....*..~......~..~U;'E ~.~) ...................................................................... ~.~..'Z...~.~..~...~..t.z.~-.-. ....................................... pursua:n~ to application dated ..................................... ~..~....~.~/./., 197..]...., and approved by the Building Inspector. r~ $...../..q. ............. Building Inspector 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 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 featu ms. 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 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 safeW 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 3. Copy of certificate of occupancy $1.00 $5.00 Date . .A.p.~.~.[.. !..3.,..~.9..8.2 ........ New Building ............. Old or Pre-existing Building .~ .......... Vacant Land ............. Location of Property .~.~..2.0..~..r.i¢_q.e...L.a.qe. ............................. C.~.'~.c.h.o. cj.u,e ........ House No. Street Ham/et Owner or Owners of Property Barbara M. Hancock County Tax Map No. 1000 Section ...Q.8.5 ......... Block ...... 2. ........ Lot ..... 6, .......... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........... Date of Permit .......... Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ... ~ .................. Fee Submitted $..5....0.0 ....................... Construction on above described building and perrp~ts all al;kC~:~ble/¥o~de.~ and regulations. Applicant... ~,:;~.T/~ ................ . ...... Richard F. Lar~, attorney for Barbara M. Hancock Rev. 10-10-78 FORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. C rtificate of Occupancy THIS CERTIFIES that the building located at 1.1.2.~..~.~.~.E....IJtr~ Street .... _ . ~/",,v~,re-,-~ e,-- ~,~ ~ce~9 Map No ............ ~locK wo ........... ~,ot No ................................ conforms substantially to the Application for Building Permit heretofore filed in this office dated ............ ~. I~./~ V~, 19.2'.I. pursuant to which Building Permit No..5"~/ ~] .7~_ dated ............. P..~..AO &, 19.'-/. 1., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is ~ E 2 D of the aforesaid building. Suffolk County Department of Health Approval ~..(~Y~..~..~(~.~ ~... ~ UNDERWRITERS CER~P~E No ........... ~..~]. ~ b .................... ....... Building Inspector S-9 SCHD SUFFOLK COUNTY DEPARTHENT OF HEALTH DEC 5 1972 Date Bldg. Permit No. ~/- 7 TO WHOM IT MAY CONCERN: The sewage disposal facilities for a structure located (~ive deed location) / have been inspected by this department and found to be satisfactory. Chief of General Engineering Services DEC 5 197'2 To Whom It Nay Con~ern: The water supply of the property located at the E/S Bridge Lane, 1081t N/O Rte. 25, Cutchogue, has been approved with the understanding that the water is not to be used for baby's formula since the nitrates are in excess of approved standards. Any future owner or occupant is to be informed of the high nitrate level of the well water and forewarned about its prohibition in the preparation of baby formula. Very truly yours, Robert A. Villa, P.E. Chief General Engineering Services BUILDING DEPARTMENT TO~'~N OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location 1120 Brid6e Lane (number & street} Subdivision X ,Map No. Cutchogue (Municipality) Lot(s) Name of Owner(s) Kenneth & Barbara M. Hancock Occupancy Admitted by: R-1 (type) Mrs. Hancock Key available owner (owner-tenant) Accompanied by: same Suffolk Co. Tax No. 085-02-006 Source of request DWELLING: Type of construction Richard F. wood Lark Date 4/13/82 Foundation poured cement Total rooms, let. Fi 5 Bathroom(s) 1 Porch, type open Deck, type. Breezeway Garage 2-car Type Heat electric War~ Air x Fireplace(s) 1 No. Exits 2 Domestic hotwater yes Other two wood burner #stories Cellar full Crawl space.. 2nd. F1 2 3rd. F1 Toilet room(s) 1 cement Patio, type Utility room 1 Hotwater Airconditioning Type heater solar heater stoves 6CCESSORY STRUCTUR$S: Garage, type const. Swimming pool Other wood fence ~ wooed Storage, type const, barn & Guest, type const. storage ~IOLATIONS: Housing Code, Chapter 52 Location Description Art. Sec. ~oilet rm. floor not waterproof III 52-32-D ~athroom~ fixtures not installed yet V ~2-51-A, ~nd floor This is an updated C.O.: B.P. 5481 Z~ issued August 26, 1971 for a new dwelling, C.O. Z4955 issued Dec 21, 1972 & B.F. 6436 Z~ issued March 25, 1973 for a barn & storage bldg., C.0. Z5157 issued Iay 22, 19 1 973. Remarks: Inspected by:C~ ~/f,,/. ~~Date. _ . of Insp. April 22 , 1982 Curtis W. Hort~n Time start 3:30 end 4:00 a. ·This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building Inspector. ':~'~,/'~'L.-- ~0. ,~:~'t ~ b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving o, detailed description of layout ofproperb/muSt be drawn on the diagram which is part. of this application. 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 progress of the work. '~ e. NO building shall be occupied or used in whole or Jn l~art for any purpose whatever until a Certificate of Occupanc~'~ shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of o 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 opplicanf agrees to comply with all applicable laws, ordinances, building Code, housing.code, and regulations. ......... ...... ~. ...... .~ ...... ~......x.~ ....... :.,.....~......l~ ....... .~ ........... ..S, ............. .*...., (Address of applicant) State whether*applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premiSes .......... ~..1~..~..e .............. ...~..~g,~.~ ....... [~...~....~.?..~..~.O..~'.!..C) ............................................... L.. If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. LocatiOn of land on which proposed ~work will be done. Map~o.: ...... , ................................. Lot No ......................... Street end Number ./../..~...~).KI...~...~.Pm ........~.~).,~)........~.~..~...Jc..~...~l..O...~?...~. ........................................................ / State existing use and occupancy of .premises c~nd intende~ bse and occupo, ncy of propqsed construction: a. Exisiting use and occupancy ............ ~.~.£.,.~,.,.[.'J..u..r.,~ .................................. b. ,nten d useand .......... ............................................................... ..................... 3. Nature of work (check which applicable): New Building ..~..... .......... A~ition .................. Alteration .................. Repair .................. Re~9~oval .................. Demolition .................. Other_Work (Describe) ........................................ 4. Estimated Cost ......... "----..~....~'...~...,+..O...o...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 structures, if any: Front ..... .'.J~g.~/..~.. .......... Rear ................................ Depth .................... Height ........................ Number of Stories ................................................................................................................. Dimensions of same structure with alterations or additions: Front .................................... Rear ............................ Depth Height ............................ Number of Stories 8. Dimensions of entire new cOnstruction: Front ....... ZZ ...................... Rear ...... 7..7. ............... Depth ...~...~. ......o Height ...L~.. ........... Number of Stories ........ ....................................................................................................... 9.Size of lot: Front ....~..~...7..-.....t......, Rear ..... s~..~'...7.~.~..~ ............. Depth .....~..../...~...:..6...~.....,n ~ , t 10. Date of Purchase .............. ~/~/..O.~.].~ .......................... Name of Former Owner ........ ..~.~...~...Sf..e......~.....~...~...~.~...l~..~/..~.[ 1 i. Zone or use district in which premises are situated ..................................................................................................... 12. Does proposed construct on/~/ ~f' ~1 ci-r-_V o ate any ~zon ng aw, ordnance or regu ~t on? . .~....~. .................. 13. Name of Owner of premises~.~/.~...~'~..!..~..~?..~.~.~..q....Addres~.Z..~...~.Z~...u~..r~..?.:.~.~ .Pl~one No...~...~d,."~..~...71 ~[ Name of Architect ..~.~...~..~.~....Y..?...~I..~ ................ Address .~.O...-~..~.../~..~...Z~...~.L~, ~h~ne No ..................... PLOT DIAGRAM Locote clearly and distinctly oil buildings, whether existing or proposed, and indicate oil set-back dimensions from property lines. Give street and block number or description according to deecl, ond show street names and indicate whether i~terior Or_~omer lot. (05' H STATE OF NEW YORK, 1 S S I ~ z / J COUNTY/~F .... C:~..r..~ ........... ........... · ~-;~.~./.S......~..-....~...I~.~.~.~.L.~...L ............................ being duly sworn, deposes and says that he is the applicant (Nome of individua(~gni]~ app~catio~) above named. He is the .............. ~...~.~[~...~. ........................................................................ ; ...................................... (Contractor, agent, corporate officer, etc.) 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 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 fj~ed therewith. Swam to before me this ...... · ~..~....: ...... day of ....... _-L . / · / /, ............. ....... ................... Notary_Pubh'c ?'~.~...("J~.. ..~~ ~ty (Signature of ~icant) - FRANK MAGLIULO ~/ - ~'~/ ' ~- .. NOTARY PUBLIC~ State of New York N~/2~-,._24..706,50, Suffolk ~C~unty r,~pirel ~tarch 30, 7LO~ ' ,r , , -,-,, -,.-,,.. -.~, ~.~...,. ~ h b ~ ~ ~ ~ - -- ~ ~ ~_~ ..~ . 1,~.. ~t_ il 'U~ST L'~ , ~ , . ~ =-. ~., - · ~ ~ I . ~,~ iI.., :~ ~< :;~ 21 ~-;~ . ,&~ . ~ ,, . ........ , , , .~ , ~ ~ ......... ~ro~. . , . - ~ , ,, _>_ [ .... , -- II ~-~.,,~-~,.~,~ ~ . .>~-~' ~ ~_~. , , .~ ~ :. , ~'~ ~]~ ' /~,,- ~, ,:~,, ~_~,, ':';:.:, . 't:'1: '~ :, ~ ' ~:,., ..~ ! ll~ T :~. ~, , -;~ ~ 0~ ~.,., ~BVISION~ 90- ~4 IGI /5TA JAMAICA a'-e,, 14~-2'' 7'-7" Illl 77L 0 ~( DATE: REVJ 510N5: ONE FAMILY RESIDE N'"' E NERMAN N. YORK ARCHITECT IGI MAtCA 3~"Z, NEW yO I~ 14. 8 REVi ~10N.~,: AN Fl. YORK ARCI-IITECT PLAN NO:,,.':~.,?,.,'~...,.~:,. '' i~ IGI NEW YORI~ DRAWING NO,.Y..~...'~.. C DATE I~E¥151 ONE. FAMILY ' RF..$1DENCE HEP,~AN II. YORK ARCHITECT ICl ST. ~IvfAICA NEW PLAN~O ............ :....; DRAWING NO;._~,~. ~"' REVJ $10N.~: ONE FAMILY RE~IDF-NCE H. YORK, ARCHITECT---: IGI MAICA NEW YOR~