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ttt 7/17/2018 pf Town of Southold �` � P.O.Box 1179 4 53095 Main Rd Southold,New York 11971 T "P`ilt.4"G CERTIFICATE F OCCUPANCY No: 15762 Date: 5/19/1987 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 475 Richmond Road, Southold SCTM#: 473889 Sec/Block/Lot: 51.-6-22 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 3/14/1975 pursuant to which Building Permit No. 7757 dated 3/14/1975 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: add iiot d mm o ilic t anal � lc c isti«g one f°a rxily'dwc i1111g a r kurve dat d py in -ound swimmin), Dool. fence„ shed: , 1987 by William R. Simmons Jr.r Amended 7117/2-018 for shed addition and part ofthe deck addition. The certificate is issued to Carrig,Marie of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. N408351 10/31/1978 PLUMBERS CERTIFICATION DATED utlr rig ignatare TOWN OF ! SUFFOLK COUNTY N.Y. = Y CO. CLK. NO. FILED zz- o / _ a r, # t r ' 1 1 it A/07�: Woor� ��l.4ncli l�-4G[�S /ram. ` cep SURVEYED . 19 - IY 8 1 WILLIAM R. SIMMONS JR. P/O BOX 377 ME I N Y JA SPORT L 1947 FILE N0. �� AG GRID G FORM NO.4 ' TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy Z- 1 May 19 , 1987 No. . . . . . . . . . .5762. . . . . . . Date . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . THIS CERTIFIES that the building INGROUND SWIMMING POOL , FENCE & DECK ADDITION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Location of Property . . .475 . .Richmond Road Southold, New York House No.. . . . . . . . . . . . . . Street . . . . . . . . . . . .4emlet County Tax Map No. 1000 Section . 5.1. . . . . . . . .Block . . 6. . . . . . . . . . . .Lot . . 2? . . . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . .Lot No. . . . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated March 14 , 1975 7757 Z . . . . . . . . . . . . . . . . . . . . . . pursuant to which Building Permit No. . . . . . . . . . . . . . . . . . . . . . dated .March 14 , 1975 . . . . . . . . . . . . . . . . . . . . . . . . . . . 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 . . . . . . . . . INGROUND SWIMMING POOL, FENCE & DECK ADDITION TO EXISTING ONE FAMILY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . bVgt LING . The certificate is issued to . • PATRICK & MARIE CARRIG (owner%IfiF161{dF3fa16i1lB7C of the aforesaid building. Suffolk County Department of Health Approval N/A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . N408351 UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PLUMBERS CERTIFICATION DATED: N/A Building Inspector Rw.1/at FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. . . .Z- 15763. . . . . . Date . . . May 19 , 1987. . . . . . . . . . . . . . THIS CERTIFIES that the building . . .Accessary Garage. . . Location of Property • • 475 Richmond Road Southold , New York House No. Street . . . . . . . . . .Hamht County Tax Map No. 1000 Section . . . S.I. . . . . . .Block . .6. . . . . . . . . . . .Lot . .??. . . . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . .Lot No. . . . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore Filed in this office dated March 14 , 1975 pursuant to which Building Permit No. . . �. .5 7 Z dated • March 14 , 1975 • • • • • • • • • • • • • • • • • . . . . . . . . . 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 . . . . . . . . . ACCESSORY GARAGE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to PATRICK & MARIE CARRIG (owner,/eAIW6XB>1ii81DX of the aforesaid building. Suffolk County Department of Health Approval . . . . . . . . N/A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . . . . N/A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PLUMBERS CERTIFICATION DATED: N/A Building Inspector Rwr.1/a1 BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 7757 Z Permission is hereby granted to: Pa ~.-~ ~c..&..~a~.~e ..~e~'l ~ ............................. ....... i~ea%-he1~ ...................................................... ........................................................... l~'""- to. ~Uil~ ,.n. ew p. rivat.q ......... ,~.¢~.¢t~O.e....~ ~,~.;1.xt ~...6.!...+_...~.g.~ ........................................................................................ at premises located at .~../..~....,~...~.g~.O...~..~.....~..O...~..~.. ......................... ~ ......................................................... ............................................. E.o..u..e..~.o. ~t.....~ .,.~. :. ................................................................................. pursuant to application dated ................... ~'.~.~ ....... .~.~. ............ , 19~.~. .... and approved by the Building inspector. 1~.00 fene ~u~ Fee ~,~Z~.~,,~.~ FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCOUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted ~ ~ to the Building Inspec- tor with the following; for new buildings or new use: I. 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 "pm-existing" land uses: 1. Accurate survey of pzbperty 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 $25. O0 -- BUSINESS $50.00 ACCESSORY $10.00 2. Certificate of occupancy on pre-existing dwelling $ 50. O0 3. Copy of certificate of occupancy $ 5 00, over 5 years · $ i0.00 __ 4.Vacant Land C.C. $ 20.00 /(.~..~.--/. - I-Z 5.Updated C.O. $ 50.00 Date .. NewCOns t~uction....~/.. Old or Pre-existing Building ............ Vacant Land ............. Location of Property . .~.~..~) .~ .... ~(~.~. -~. · 4).~/..:-~).. ~"~.~ .................... -.-~'O Owner or Owners of Property .... ~ · -.'. ~.~i,v~./~-~. · · . ................ County Tax Map No. 1000 Section .?./. Block ¢ Lot...~...'~. Subdivision ................................. Filed Map No ........... Lot No .............. Permit No..7.'~¢~.'~.. Date of Permit .Applicant ..... ~/~./ /f...~.¢f.z¢../.~/! ....... Health Dept. Approval Labor Oept Approval Underwriters Approval .... .~..-~.~'~/. .......... Planning Board Approval ...................... Request for Temporary Certificate ..................... F inaJ Certificate ....................... Fee Submitted $ .... .~..~.~'/ .................... Construction on above described building and..p, erm~ _m~_eets ~.ll applicable codes and regulations. TO~N OF $OUTHOLD Building Department Town C:lerks Office Southold, H. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPAHC:Y Instructions A. This application must be filled in typewriter OR ink, and submitted in triplicate to the Building inspector 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 electricOl installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installations, 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 property showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner os to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent in- formation 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 .................................. New Building ...... ....~.... ...... Old or P.x~.%existing Building ............................ Vacant Land .............. .~.. ........... Lo a,,on of Pr erty ....... ...... ..... Owner Or ~ners Of ,rope,y .~<~..~...~:..~"'~ .............................................. Subdivision ........Z: ........ '..' .......................................... Lot No.~ ..... Block No.= ........ House Permit No.Z.Z~:ZZ. Dote Of Permit ~.~Z~ZApplicon, ..~Z~.~:..~ ................. Health Dept. Approval ....... ~/~ ..................... Labor Dept. Approval ..... ~:....~. ................. , ...................................... ..... ..................... Request For Temporary Certificate ........................................ Final Certificate .......................................... Fee Submitted $ .................................... Construction on above described building an~ me~ets~ll~appI.icable/~/..' ~ /~ ---' codes and regulations. Ap pi ica nt'i~......, t....~...~....~.q .~C ..~t~ .~...C~:~ ..................................................... Sworn to before me this ................ day of ............................................ (stamp or seal) Notary Public .................................... County OUNDATIO.U ( 1 s t) OUNDATION { 2nd) OUGH FRAME & PLUMBING i:~SULATION PER N. Y. STATE ENERGY CODE U FI,,AL ADDITIONAL COMME~TS: S.3Z"e, 4 0©" :2, ~ 'n' . wont ma i c4d '0 ✓, � (4ria mot( ,,i, ' ► '� /s�9 Z� TOWW of SOUTI OLD tv/1'^ J11 BUILDING DE►ARTMENT . TOWN CLARC'S OFFICE J . 4NUTHOLD, N. Y. , N Examined .......... ...... &. ...... ...1, 19..! Application No. .:.... �..1... :. -7�� �j 7 Approved ....................................:1.uu 19..(.�. Permit No. .f./�1 Z. Disapproved a/c ....... . ........... .... i txlie .. ..... . .. ....... .......................... ��. (Building Inspector y� p APPLICATION FOR BUILD G PERMIT Date ......... 1..7.............:............. 19..7 �_ 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 application. c. The work covered by this application may not be commenced before issuance of Building Permit. Q d. Upon approval of this application, the Building inspector will issue a Building Permit to the opplicant. Such permito 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 an purpose whatever until a Certificate of Occu pancy 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 theQ 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 a liaant, o me if-a rnrporotion) D.... Dr ... � r �. ...................... (Addr�ss of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .wt1l ................... ..................................... . ................... . ..D................................................................................ Name of owner of premises .....ff;T/�t!Gh(.. ......................................................................... If applicant is a corporate, signature of duly 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 land on which proposed work will be don . Map No.: .... ...... o.: .... ...... Lot No. . Street and Number ...�Zf .7.......[XLfl/111AN2.... L�.�.......................... ..�QIiT.Ii4L...... . Municipality....... 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy .....,(....F.I W(il ...14aA..,..,,,:,.................................................................... b. Intended use and occupancy .....S.rI jQI . ..........�...l�.f �cC,n,n ,,,l t V� 3. Nature of work (check which applicable): New Building .................. Addition .................. Alteration ............... Repair ........ .... Removal .................. Demolition...... ......... Other Work ................... . . ...................... .... . (Description) lP6 - a Sd Apo 4. Estimated Cost ...,312QP,,, ....................................Fee ..f�...........-... :..........Z.m, ..�?... ....................... to be paid on appli(;otion) 5. If dwelling, number"of dwelling units ............................Number of dwelling units on each floor ...1.......I............... Ifgarage, number of cars .......3.................................................................................................................................. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ...... ..................... 7. Dimensions of existing structures, if any: Front .......7Q. ............. Rear .......70................. Depth ...30.......... Height ........................ Number of Stories ......../..A ...................,.......................................................................... Dimensions of some structure with alterations or additions: Front .................................... Rear ............................ Depth ................................ Height ........................ ...Number of Stories ................................ 8. Dimensions of entire new construction: Front .......�0....................... Rear .......*0.�............ Depth .... 30.............. Height .................... Number of Stories ....../......................................................................................QD............... 9. ,Size of lot: Front .........fOQ.................................. ... Rear .,../D ...Q ........................ADepth .....:�...................:... 10. Date of Purchase .............1.1a..............................Name of Former Owner s+ ............. 11. - Zone or .use district in which premises are situated ....................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ......Pq....................l.................... 13. Will lot be regraded ......p............... Will excess fill be removed from premises:: ) Yes (00f No 14. Name of Owner of premises Address Phww No. .X.r-afV Nameof Architect .............................................................. Address ................................ Phone No. ...................... Nameof Contractor ............................................................ 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 block number or description according to deed, and show street names and indicate whether interior or corner lot. 0 � , 14 yc n n it to c STATE OF NEW RK, (4S r COUNTY�f` ............. .., .. ... .....................being duly sworn, deposes and says that he is the applicam (Narne of individual signing c cf) 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 thoi the work will be performed in the manner set forth in the application filed therewith. Sworn tob f*re me this 7 j��j .- ....../!,l......... day o .......... .../zeJ —..., 19,7.. Notary/ Public, ..... ,�.c S� . ....... County .............. .P..� ... ..... ......... .` ................... n� (Signature of applicant) Notary Public, state of New York Residing in Suffolk County No. 52-6041000 Commission Expires March 30, 197 0 THE NEW YORK R'© OF .FIRE UNDERWRITERS BUREAU OF ELECTRICITY 55 JOHN STREET. NEW YORK. NEW YORK 10038 Date October�31, 1978 ApplicationNo.onfde 393159 N408351 T1466 CERTIFIES THAT only the electrical equipment a described below and introduced by the applicant nammad en the above application number in thopmmises of Patrick Carrice,fiich pond Rd„3outh'bld,L,1, C& ,I in the following location; El ewow t ❑ iet Ft. ❑ 4nd Fl. Section Block Lot was esamtned on October 2 b, 1978 and found to be in compliance with the requirements of this Board. RKTURE �EECEIPTACAS SWITCHES XTURB COOKNO tECIs OVBK DBN W EXXAUST FANS 04TUITS 1NCAhff*SCEmj NUntEKCEM I mw AMT. I K.W. I AMT. I K.W. I AMT: I K.W. I AMT: I X.W. AMT. M.P. 1 7In1 RitNACE MOTORSMINE AFNUAMM MOMOM SN[CIAL RRC'NT iWfCJOCKS t�i UNIT eEkmm SYfAgI S ET D1hVAOIL M.P. GAS M.P. AMT. NO. AW.O. AMT. AAV. AMT. PAYS: Tests. AMT. M.P. ND Q, „p AMT. WATT$ 1 20 SERVICE DISCONNECT NO.OF S E It v 1 c E "T. AMP. TYPE 1 p 3W 1 d 3w 3/TV 3 X.W NO.OF �coNO. Cc&O. No:of NFIEO a w.a No.OP NEOTRAI3 a NEUTRAL onlU ANNARATUS: (:3wrimming Pool) Th15 certificate covers compliance at the date of insimation only, 3ecause of unusual environments it is advisable to have frequent test and/or repairs made by a qualified person. & S Contracting Sox ?.lh Southold,%.Y . 11971 Lic,'578B; Pf. 1 Nut eeTlifiwfa.AN1# not be alterod in o �manr�p return to fFw office of tM hoard if ncorreeL 1 m ba.i�Mi(ied 'Gk. Cf�Mtf E1P