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Home My WebLink About9292-zFORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. z 18763 Date JANUAR~ 26, 1990 THIS CERTIFIES that the building ..... O.l~..E..~?.1~. !.Ly' .l~..~?.L.L.I.~.G ..................... Location of Property .... .9.1.0..g..R.I.G.A.~ .~.~.N.[..D.R.I?.~. ............ .S.O.~.~a..O.L.B. :..N...Y.: ...... House No. Street Hamlet County Tax Map No. 1000 Section .... .7.9 ...... Block ...0.6. .......... Lot...3.2. ............ Subdivision..a?.R..~.O.R..L, .Ip??.S. .............. Filed Map No..5.1.6. 7....Lot No....6.9. ........ conforms substantially to the Application for Building Permit heretofore filed in this office dated J.u..N.~..7. .,..I.9.7. 7. ....... pursuant to which Building Permit No... 9. .2.9.2. z. ............. dated . J..[l.tq.E.. 7. :..!?. 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 ......... ONE FAMILY Di~ELLING WITH ATTACHED GARAGE. Tke certificate is issued to ROCCO & DOLORES LOCCISANO of the aforesaid building. Suffolk County Department of Health Approval 7-s0-76 ROBERT A. VILLA 8/10/78 UNDERWRITERS CERTIFICATE NO ..... .1959.2. 7. .5 .7..S.E, .PT.-.. 2. .! ,,,. !.9. .7 .8 ................... PLUMBERS CERTIFICATION BATED: N/A · ........ Building Inspector Rev. 1/81 FORM NO. 2 TOWN OF $OUTHOLD SOUTHOLD, N. Y. BUILDING PERMIT {THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°. 9292 Z Permission is hereby granted to: · -, ............. '~-'~.J ..... , ..... J~i~ .................. ~o .~.~:.~..~..~~, ............................... :, ........... ? .................................. at premise~ 1~ ~t ~ ~. ~ ~.~ ..;.;..~ .......................................... : ........................................................... pu~uant to a~hcat,on dat~ ........................... ~....~ ........... , 19.~.., and opproved by the FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy No .... ~.~.0.! 9.8 ..... Date ..... 09.~.O.~..er..'l.~., .............. 1980. THIS CERTIFIES that the building ................................................ Location of Property ....9.1.0...B?.]:g..~.rl.~.5:.n..e.prx.¥?., .............. s..o.u.~.h.o..~.a.,, y....~.,..... House No. Street Hamlet County Tax Map No. 1000 Section ... 7.9. ...... Block .... .~ .......... Lot ....~.?- ............ Subdivision..H..81e.l~.r.. ~,:[gl'~.t.8 ............ Filed Map No..5.t./47..Lot No .... /+.9 ........ conforms substantially to the Application for Building Permit heretofore filed in this office dated ·..J..uKl..e..7. ........... ,19.7..?pursuant to which Building Permit No ...... 9.2.9.2..Z. ......... dated ... sl. tlB¢..7. .............. 19.7.7., was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which tins certificate is issued is ......... Private One-F~mil~ Dwelling The certificate is issued to .... .~.e.q~. gg..a, rl..d..V:[.o..1.a..$I'.99.I1 ............................ of the aforesaid building. Suffolk County Department of Health Approval .... 8/lO/78.-7-.$O.-.7.6-.Ro. ber'.t. A,..V,t,:l,l~. Um>E~WmTERS CERTIFICATE ~O ..... ~.b0.275.7 ................................. Building Inspector Rev 4/79 TOWN OF $OUTHOLD BUILDING DEPARTMENT Town Clerk's Office $outhold, BT. Y. TEMPORARY Certificate Of Occupnncy No. Z9t.7.3 ...... Date ....... Auq. ust. X6, ....... , 19.7.8. THIS CERTIFIES that the building located at .910. Brigar~tine..Driv~e['.: ,~Street Map No.. ~147 ...... Block No .... ff~XX'. · Lot No, . .49 ............................. conforms substantially to the Application for Building Permit heretofore filed in this office dated ..... Jur~e..7.$ ..., 19.7.7. pursuant to which Building l~ei~i-nit No..929~Z · dated ...... June..7, ....... , 197-7.., was issued, and conforn~s to nil of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is .. i:.RIVATE. ONE. FAMILY. I]WELL!N~ ................................... The certificate is issued to . George .& .Viola. Br. een ............................. (owner, of the aforesaid building. Suffolk County Department of Health Approval .8/10/7S...7.-$.Q-~76 .............. UNDERWRITERS CERTIFICATE ATo ............................................. HOUSE NUMBER... 91.Q ...... Street .... ~rk~r~:ine. Dr.iv~,..s.c~:hQ],~L ...... ........................ New. York, ............................................. B'~t.l.d~ Inspector TOWN tALL SOUTUOLD, NEW YORK 765- 1802 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY REV CONSTRUCTION ....... OLD 01{ PRE-EXISTING BUILDING ...... VACANT LAND Locati of Property ' ' HOUSE NO. STREET HAMLET Owner or Owners of Froperty ............. Subdivision Filed Map Lot . Permit No ....... Date of Permit .......... AppLicant .............. Health Dept. Approval .......... ' Underwriters Approval .............. Planning Board Approval for Temporary Certificate ....... Final Certificate Fee Submitted: rev. I0/1~I88 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions 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 w~th 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. Bo 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 unusua~ 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 safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. Co 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..4~..~...'~....~'../../~..2~..m, .... New Build~ng . . ..~. ........ Old or Pre-existing Building ............ Vacant Land ............. Location of Property .~../?.../~...'~./. ~ .~..~..".--./.'."..~-.....~..'~' .' .......... .'~'..~.~.~.~..'~..~'~ .~. ..... ."~'.: ?' House No, Street Ham/et Owner or Owners of Property .%~..~.~..'~...~..z~....,~...,~..~....~../.~..~...,~.... ?~..,~...~..~..,~. ............ County Tax Map No. 1000 Section .... .~9 ........ Block ...... ~ ....... Lot... 3.2. .......... Subdivision .'~...'~..~. ~ ?..~....~.x..~..,~...~..J~. ...... Filed Map No .... 5.1./~.~...Lot No .... ~./...~.~ ..... Permit No..~?..~.'~.... Date of Permit4~'.~..~.'-.~. ?..Applicant. ~..~,~.'.' .'~...~:-..~..'~..'~., .~"...'~...~..~..~... Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval . . .[~./~02-~7 ............ Planning Board Approval . ./~..~..~. ............... Request for Temporary Certificate ..................... Final Certificate ..... ~ ................ Fee Submitted $..5,0.0. ...................... Construction on above described building and permit meets all applicable codes and regulations. Applicant.. ~ .................................. Rev. 10~10-78 I~OR~ NO. ~ TOWN OF SOUTHOLD Building Depa~tmen~ Town Clerks Office Southold, N. Y. 11971 APPLICATION FOR GERTIFICATE 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 Iocahon 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 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 as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspectmn of buildings or premises, or other pertinent in- formation required to prepare a certificate. C. Fees: 1. Certihcate of occupancy $5.00 2. Certihcate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1.00 $5.00 Date ..~..~.. ~.~. '/~//, New Building ........ ~ ........ Old or Pre-existing Building ............................ Vacant Land ............................ Location Of Property ..... .~../..~. ...... ~.~(..~.~.~./~..~..../...A~..'.~........~....'..~. ~: .......... .....~..~¢..~.~..~..~.~...T...~/~ Owner Or Owners Of Property .... ~.~,.~-.~...~.~...~.~ ..... ~..~.~.~.. ............................... ..~....~ / Subdivision ~-_~~.Z/..~.~../..~"j'.. ............. Lot No..~....~..... Block No ............. House No....c-~/~.. .... Permit No .,~,.~..~...~.....~Dat~ Of Pc;mit .,~/~.-,7.~,7..?..Applicant ..~~~~...~i...~ Health Dept. Approval~./.a/~.......~.~...~/.././.~.....Lobor Dept. Approval ....... .~.../~ ..................... Underwriters ApprovalS,.....". ....................................... Planning Board Approval ............ .~ ............... Request For Tempora~ry~j:tificate ...~:.'~. ..........................Final Certificate .......................................... Fee Submitted $ .......~ ......................... Construction on above described building and permit meets all applicable codes and regulations. p.cant ....... .............................. Sworn to before me this ................ day of ............................................ Notary Public .................................... County (stamp or seal) /47u¥ FORM NO. 6 TOWN OF SOUTHOLD Building Depar [i~ent Town Hall Southold, N.Y, 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 7zf-/ZT Instructions This application must be filled in Wpewriter OR ink, and submitted aa ~ 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 rote 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~operty showing all property lines, streets, buildings and unusual natural or topograph ic featu res. 2.Sworn statement of owner or previous owner as to use, occdpancy 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: Additions 825.00 POOLS $25.00 AT.T~.RATION $25.00 1. Certificate of occupancy New DweZllng $25.(~0, Accessory ,$ ]0.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $I0.00 4.Vacant Land C.O. $ 20.00 5 .Updated C.O. $ 50.00 Date .-~..~??.~-..~..-~ .~..~..~'..~. ....... New C on s % r u c t i on ...... Old or Pre-existing Building ............ Vacant rand ............. Location of Property ....~.~..~..'?..,~..-'.~..-?..~?,~-, .~..'¥. ~..~ .......... .~ f~ ~XT,~ ....... Hou~ No. Street Ham/et Owner or Owners of Prope~ ~ ~ ~ ~ CounW Tax Map No. 1000 Section .... ~ ~ Block ~ .......... Lot. .~. ~ S ..... /~ ~ ~/~ ~ uoe,v,s,on . / ............................... Filed Map No. ~..Lot No... ~.~ ....... Permit No. ~ ~ ~ ~ Date of Permit .Apphcant Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Cer~:ificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building and permit meets ail applicable codes and regulations. Rev. 10 10-78 m,.~', A.~G 10 1978 L Do m,. # ,~-_5o-_7 6 ~.p~ by th~s de~rt~ent ~d fo~d ,,U,,,.. co. o~,~r. ~ ,.,~,'T" ~,.~v,c~ I STATEMleNT OF~INFI~ APPROVAL OF CONS'I'~UCTION O74LY THE WATIF~ SUPPLY AN~ OiS~L SY~8 , ,, OEN:E WILL T- 50- ~F H~L~. SEEVI~. A~OV~: ............ ..... i~NT SEWAG- TO TH CO. DIr. P ~ THIS R£$1 TO . SUFF. CO, DEPT. OF' HIF..ALTH SF. EVIC-~S STATEMENT OF' INTll DATE: DI$~$AL. ~YSTEM$ FOR D£NC£ WiLL H. $, NO: JNAUTHOEIZED ALTERATION O~ ADDITION I'O THIS SU[VEY IS A VIOLATION OF SECTION 72C9 CF THE N£W YORK STATE EDUCATION LAW COPIES OF THIS ~U~V~¥ &'AP NOT BEARINc