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Home My WebLink About9368-zFORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. ~.1.1.139 .......... Date ....... fi~tg.tla..b. 3.9. ............... 19.8..2 THIS CERTIFIES that the building ................................................ Location of Property ....q.7,.0. ............. '~. $S.~i~.n. @..h.a.n..e ...............G..~.e.e.n.p. 9.~'.t;' ... House ~vo. Street Hamlet County Tax Map No. 1000 Section ...035 ...... Block ...Qt~ .......... Lot ...Q.2.3 ........... Subdivision..F..q~?~lb.~. ~.c.z,.e~O ,..~.q~.t;.,..2...Filed Map No..4.6..05...Lot No, . .2.1 ...... ' .... conforms substantially to the Application for Building Permit heretofore filed in this office dated · ...g.u.~. g..1.9. ........., t9.7.?, pursuant to which Building Permit No D.3.6.8...g ............ dated .... .g~.y..1.9. ............... 19 .7.7., 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 ......... ..... a.. p r.~.v.a..~.e..o.n..e .~.~.a.m..~.~y.. a. ¥.ek~. ~..n~... ....................................... The certificate is issued to SaJ. vai:ot'e J. Ar'io~t:o & wife, t~,ene T. ..................... /o;i,n'e;,'l',,si~'~f~bh~ .................... of the aforesaid building· Suffolk County Department of Health Approval 7.-.S.o..-3.o. 0. ~..8./.~../7.~.~: .~..o.b.e. :..~....V../.X.X.a.... UNDERWRITERS CERTIFICATE NO ......... .N..6. 0.3.7.0.6. ............................... Building Inspector Rev. 1/81 TOWN ff'~lS PERMIT MUST BE KEPT ON iTHE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTH~ORIZ'ED) N? 9368 Z Permission is hereby granted to: ....... ~..~2~. ....... ~t,...irI-L.~. .............. _, :La ~I ~Fo~ha~ Ae See ~. . ............................ at premises located u, ..., ........................................................... pursuant ~'o application dated ..................... ~1~. .......19 ............. , 19..~.~../ and approved by the Building Inspector. ..... 1~'0~ NO. 4 TOWN OF $OUTHOLD BUH.IIING DEPARTMENT Town Clerk's Office Southold, N. Y. TF~PO~ARY Certificate Of Occupancy No..$91.5.6 ..... Date ........... ~ugust..8, ...... , 1918. THIS CERTIFIES that the building located at ...470..Wiggins. Lane ...... ~1~ Map No.. 4.60.5 ...... Block No .... X-]~XX, .Lot No...21 ............................. conforms substantially to the Application for Building Permit heretofore filed in this office dated ..... J uL~. 19., ........ , 19.7 B. pursuant to which Building Permit No..93689 · dated ..... Jul.y..19., ......... , 1978.., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is . ...ONE. FAMILY..PRI.VATE. DWELLING .................................... The certificate is issued to .Sal.v. ator~ .J o..&. Irene. T.. · A~.isto .................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .. 8/2/.78..-.. 7.--S.a~00 .............. UNDERWRITERS CERTIFICATE No .... N/A HOUSE NUMBER ...470 ........ Street .. w£ggir~s .Lan~, · Cr~e~p~r.C, ~. N~w. ¥o~k Building Inspector TOWN OF SOUTHOLD Building Department Town Clerks Office $outhold, N. Yo 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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 oil buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposal--(5-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and 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 df property 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 formation required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy an pre-existing dwelHng or land use 3. Copy of certificate of occupancy $1.00 $5.00 New Building .................... Old or Pre-existing Building ............................ Vacant Land ............................ Location Of Property ;~:'~.q~. ~4~../...~./.6(~. ...... '~'"~.~f/~'v .... ~(-~ ............................. ~ o~ ~,~ o~ ~o~,~ ~.~r~..~.~..~c...~..~rr~...~~.....zo ~vi~,o~Z~-~,.~.~....~...z.....~ ....... ~o,~o.~,o~ ' ~x ~ ' ~' ~' -.~Z... No ............. House ~.,m,, ,o.~:.~.~..... ~,~ O, ~e,m,, .~.~/Z.Z..~',c~., .~...~Z~'~..~.'~.... ..~,,h ~,. ~,o~,Z4/Z.Z: ...... ~*...~a~o~ ~e~,. ~,o~, ....... ~X~ ........................... U.~.,wr,,.,s ~ow' ........................... ~ ....... ~,...,., ,o.r~ ~,o~,, ..~/~: ....................... Request For Temporary C~ificate ........................................ Final Certificate .......................................... r.. S,bm~,,ed s,.JZ:.d2/. .................... ~,~a.~ ..... ~-.<~.C~.....~~ ........................ Sworn to before me this ................ day of ............................................ Notary Public .................................... County (stamp or seal) FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be fil~ed in Wpewriter 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 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. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" lend uses: 1. Accurate survey of peoperty showing a~l 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 dwel)ing or land use $5.00 3. Copy of certificate of occupancy $1.00 //~ . , ~' Date.~ ,)" 7, / ?~'2'.. New Building v Old or Pre-existing Building,(3:) = ZVacant Land . .~...~. Hou~ No. ~ / ~ Street ~ Ham/et ............ :. . Owner or Owners of Property ~n~ ~.../~¢.. County Tax Map No. ,000 Section .¢~ .... Block -- Lot...~/ Subdivision~¢~¢~. ~¢¢~ ........ Filed Map No ........... Lot ,o... ~./. ...... Permit No.¢¢~ ~. Date of Permit Z//~/~Z.Applicant ~..~~.. HealthDe t A roval ~;~ Z¢~~-'7'-~0-/¢0 -- ' ..... p · pp ¢.~z.,. ..... ' .....: ...... Labor Dept. Approval Unde~riter, Approval .~/~r ~_ ¢¢TMplanning Board ApprovaI'" ' -- Fee Submitted $..~ ....... ~..'...~'. ~¢.... ~'o_~_ ~ .¢. /¢O , O Construction on above describedr building an~;?~Z;%bl~F;?%n,.. Applicant ;~~~X"~~ ......... · ' THE NEW YORK BOARD OF FIRE UNDERWRITERS ~ BUREAU OF ELECTRICITY ~-- 85 JOHN STREET, NEW YORK, NEW YORK 10038 ,.,. 27, N403706 THIS CERTIFIES THAT only the el~ctd~ e~.~t ~ ~escrlhe~ ~ an~ i~t~eed h¥ t. ~he ~u~c~t ~ o~ the q~ve~pp[~o~ Sa/ Ariosto, Wigf;lns ,Ja. off ~.aih }td. (South), G~eenport, in the following location; ~ Bo3ement [] 1st Fl. ~e~..~i.~do. September 25, 1978 ~ 2nd FI. Section Block and found to be in compliance with the requirements of this Board. ~NOES SF~aAL RECPT, R V I OVENS IDISH WASHERS 1 h2 ¢ E SERVICE mSCONNECT I NO. OF S 1 200 CB, x 1 OTH A T -~ ?-Smoke Detecto~es Elec. EXHAUST FANS DIMMERS A. W.G. biO. OF HI-LEG A. W* G. NO. OF NEUTRAIJ A, W. G. Of CC. COt'dO. OFH~-LEG OF NEUTRAL 2/0 1 2/0 Room I{eate~/s:6-1.5,5-1.O,l-,75,1-.~gkw Sal Pra~o Wiggins La. Greenport, L.I. llq~ll L£c. IO~9-E 11 ~is ce~ifica~ mu~ not ~ al~r~ in any man~r;, return to the office of the ~ard if incurred. Inspectors may be i~i~ ~ COPY FOR BUILDING ~1~ ,~. THIS COPY OF CERTIFICATE MUST NOT Bi ALTERED IN ANY MANNER. · ow. oF so.z.- BUI~ING DEPARTMENT~ ~ ~,~-- /., Exam ned . .. t / / / ~' ~ ~ .............. L, ~9 ........ ~ A · /~ ' ~r ......................................... 1.,~ lY ........ ~lT HO, ~..,~ ........................ [...,~ I / . D~pproved a/c . . ~ .. ~ ~ - . ~-- ........... ~ .......................... ~ ....................... ~:... I ~ _ '~ ......................................................................................................................... ,~/z~7 ~ / ............................... ........ , ...................... -, _ APPLI~TI~ FOR BUILDING PE~IT~ q ~ / D ~e ~...L~ ..................... , ~ ~ o ~ ~crip~i~ or ~o~ orpr~ mu*t ~ amwn on th~ dio~r~m which c. lh~ work covered by ~hi~ ~licotion m*y not b* comm~nc~ b,fore issuonce of Buildin~ Permit. d. Upon ~ppr~ol o{ thl~ opplic~tlon, ~ 8uildin~ Inspector wil~ i*~uo ~ Buildin~ ~rmit ~o lh~ opplic~nt. Such permit ~h~ll be kept on th~ pr~mi~ ~oil~bl~ {or in~p~ti~ ~rou~h~t th~ work. e. ~o buildin~ ~hall b~ ~cupi~ or u~ in ~hol~ or in p~ {or ony pu~o*~ whoever until ~ sh~ll h~ve b~en Omnted by th~ Bu~ldin~ In~p~tor. APPklCATIO~ IS HfiR~BY ~[ to th~ ~uildin~ D~po~ment for th~ issuanc~ of o Buildinfl ~it pumu~nt to the ~uildino Zone Ordin~nc, o~ th~ T~ o{ ~uthold, Suffo k Coun~, New York, ~nd other ~pplic~bl~ R~ul~tion~, {or th~ con~tru~ion o{ bu~ldinO,, odd t ~ or ~ t~mt one, or {or ~mov~l or d~molition, ~e opplicont ~or~es to comp¥ with ~1~ ~pplicobl~ la~, ordinance,, buildino c~, h~ c~e, . ~ n~ture o~~{~r applicont, or ~me, /~ Stot~ wh~th~r a~plica~t is owmer, lessee,..agen~, amhit~t, engineer, general contractor, ~lectrkion, plumber or ~ilder. Name of owner of premises .~..~.//~zZ~dL~.;.......~....'.'~..L~..~./.'~..~ ........................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's Lic~a~ No ..................................................... f,~oO- ~ fi- ~ ~ ~ Electrician's Lcense No. ~...~.~.....~.~.Zl.e~.. $~ d~ne" ,, Other Trade's License No ............................................... "~~ ~ ~ffi Location of land on wh ch ~osed work w be done Map No ~ ~ ~.~ Lot No ~/ Street and Numar .......... ~.~.~ ~.~ ~ ~ .~.~.~ ....................................... Municipali~ State existing use and ~cu~ncy of premises and intended use and ~cupancy of pr~osed construction: a. ~isitin~ use a~ ~cupancy ..................... .~ ......... ~ ............................................................................ b. Intended us~ ~nd ~cu~ncy ........... v ................................................... ~.~ ....................................................... f '' ~ork (check applicable): New Building- / Addition Alteration~ ' ' '~ , . 3. Nature of which Repair .................. Removal .................. Demolition ....... ':M.'.'..:.... Other Work ................................................ . Fet 0 ~_ ~ (Description) 4. Estimated Cost e (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 ............................ Rear ................................ Depth .................... Height ........................ Number of Stories ................................................................................................................. Dimensions of same structure with alterations or additions: Front ....................................Rear ............................ Depth ................................ Height ............................ Number of Stories ............... ., ............... 8. Dimensions of e/ntire new construction: Front ......'~..,-~ ........................ Rear ....~,ff~.......q'. ........... Depth .....~....-~...." ........ H~ight C~.~. Number of Stories 9. Size of lot' Front //..,~x ..... Rear ...../..~..~.. Depth /..,~.~,T~ 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated ..................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ........................................................ 13. Will lot be regraded . .........~/.....~.. ........... Will excess fill be removed from premises: ( ) Yes ( 14. Name of Owner of premises ..'~...~./.~.~.~.~z:C.....~..C~.~.~..~. .............. Address Z~,~/~..~;,.~..~.;.. Phone No...~.~...~..T...~..~..'~ Name or~ Architect ~..E.'?..~../..~.......~..'....~...¢..?...~'.. ..................... Address ..~.~.4/~..~..~..~..~,.. Phone No. of .... Address ~'.f~P..~?..~..~.:~..~.~-'~.?/Phone No...'~.~.~....-,..~.~.~.-~' PLOT DIAGRAM ~h ~ ?~' Locate dearly 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. STATE OF NEW YORI/~ COUNTY OF ...... ~.~.~...O..]..~ ......... ~'~'~ ~ileen Riehar¢]~ ................................................................................................. being duly sworn, deposes and says thru he is the opplicam (Name of individual signing contracf) above name. SHe is the agent for contrac~r (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to ~ke and file this application; that all statements contained in this application are true to Che best of his knowledge and belief; ond ~ha~ the work will be performed in the manner set fo~h in the application filed therewith. Sworn to before me this ........ ........ ~.~ ....... day of ................ {~.~Y. .................. (Signature of applicant) ~o. 52-8]2585~, Suffolk Term Expires March 3~, ADDITIONAL INSlIIUilONS ' ~ ~U~.CO, DE~,OF EALT ,~ , ,,, , , , Fo. ~PP.ov~ o~ ~~o~ ~ ~J WA?~ SUPPLY AND SEWAGE DIS~L SY~EMS FOR THIS DATE; ~ ~ NOT ' ~ : ~ WILL C~FORM TO THE ;, ~A~D~ OF ~UFFOLK GO, D~PT. H.S.R~F. NO,~ , , ~, ,,, , ~ . . ~. , APPROV~ ' ' OWNr~S. / ~lE W&'~ ~UPPI.Y AND SEWAGE ~ (~) APPROVED AS NOTED HOT[~Y BUI~D~HG DEPARTMENT AT y~5-2660 9/M te 4PM FOE ~EQUlR- 1, gEFO~ BACKFIllING ~0~JHDA' OR C~ISTRUCI~N ~RORS ~ ~WH HO~l~ ~Ea ZQ~,iNO t- ~ .4 I-