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Home My WebLink About9998-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPAIqCY No Z17862 Date M/LRCH 20, 1989 THIS CERTIFIES that the building Location of Property 250 House No. County Tax Map No. 1000 Section ADDITION BUDD'S POND ROAD Street H~ulet 56 Block 5 Lot 19 SOBTHOLD subdivision WILLOW POINT ASSOC.Filed Map No. 4652 Lot No. 17 conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 16, 1978 pursuant to which Building Permit No. 9998Z dated OCTOBER 25, 1978 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 GARAGE ADDITION TO F2~ISTING ONE-FAMILY DWELLING. The certificate is issued to ROBERT & At~NA GUARRIELLO (owner, ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HE/~LTH APPROVAL UNqDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED O~ Building Inspector Rev. 1/81 FOI~i~I NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N~ Y. N.o BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE P~,EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 9998 Z Date ........................................................ , 19 ........ Permission is hereby grante~:7~/z s'- f ',./ ~ ~' A ~' i~ I ~ L ~ (-3 ,~ D b ~c~ .... Z~......(L~E .......... F..A..(~Lt.L.~.~ ......... D.~.~,.£z.i ~,, c,- ................................................................... ~....~.~.~..:.~ ........... .~..o..~..: ....... C.o..~..~. ..... ct premises located at ........................................................ .~.~.L)...~../.~.d./~..~ ...................................... ,..~,.~..-z ........ L.7. ................. .~..L~.~.~..~J.. .......... .~..O.Z~LJ:.:L ........... ~a.~...~....~.~..~.~ ............ / I .................................................................................... D.c.r.......z.~ ............ Z~.., ................................... pursuant to application dated ........................................................ , ]9 ......... and approved by the Building Inspector FORM NO. 6 TOWN OF SOUTttOLI) BUILDING DEPARTMENT TOWN HALL 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS 'This application must be filed in typewriter OR ink and submitted to the Building Inspector 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 features. 2. Final approval of Bealth Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Under-writers. 4. Sworn statement from plumber certifying that solder used in system contains less than 2/10 of IZ lead. 5. 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. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (Prior to April 9, 1957] non-conforming uses, or buildings and "pre-existing" land uses: ~. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. A properly completed application, a consent to inspect signed by the applicant and a certified abstract of title issued by a title company which shall show single and separate ownership uf the entire lot prior to April 9, 1957. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent information required to prepare a certificate. For Vacant Land Certificate of Occupancy: I. An application for vacant land Certificate of Occupancy shall be submitted, and a certified abstract of title issued by a title company showing Single and separate ownership of the entire lot prior to April 9, 1957 shall also accompany the application. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. FEES: CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00, Alteration to Dwelling $25.00, Swimming Pool, $25.00. Accessory building $~0.00 Addition to Accessory buildings, $10.00. - Businesses $50.00. 2. Certificate of Occupancy on pre-existing dwelling - $100.00. 3. Copy of Certificate of Occupancy - $5.00 - Over 5 years - $10.00 4. Vacant Land Certificate of Occupancy - $20.00 5. Updated Certificate of Occupancy - $50.00 Temporary Certificate of Occupancy - $15.00 TOWN OF SOUTHOLD BUILDING DEPARTHENT TOWN HALL SOUTHOLD, NEW YORK 765 - 1802 11971 TOWN OF SOUTHOLD APPLICATION FOR CERTIFICATE OF OCCUPANCY NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........ Location of Property .... ~.. .... ~.. ~ ............ q ~ ...... HOUSE NO. STREET HAHLET Owner or Owners of Property... C ...... C~I~. .~ ........... ~ounty Tax Hap No. 1000 Section ~-~ Block f Lot Permit No-f)~.~....Date of Permit ~.~/~.Applicant .~...~..~.~,.~9 ' //O Health Dept. Approval .................. Underwriters Approval...~[~.~..~. ..... Planning Board Approval ................ Request for Temporary Certificate ....... Fee Submitted: $...C~.~.. ~ ....... APPLICANT. Final Certificate rev. 10/14/88 TOWN ElF -C~E)UTHOLD f-IFFIOE OF I:::IUILDING INS~PEOTOR TOWN C~LERK'S OFFICE ,~OUTHI3LD, N. Y. 119'71 TEL. '765-266n 765-1802 BUILDING DEPT. INSPECTIrON [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] I~SULATION [ ] FRAMING REMARKS: FINAL l~O~ NO. 1 TOWN OF SOO'tN.OLD BUILDING DEPARTM~ENT TOWN CLERK'S OFFICE , ,, /- SOUTHOLD, N. Y. ~..._.._.A. pplication No ................................. Approved ........................................ , 19 ........ Permit No ..................................... Disapproved a/c ............... ~.~'i~........~'~..:~,, .................... ,,. ¢:......"--"~.%.,~ ........................ ~//~ ~ ......................................................... .................. ........ 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 o~ areas, and giving a detailed description of layout ofproperty must be drawn on the diagram which Js 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 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 Department 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 code, and regulations, and to admit authorized inspectors on premises and ir~ buildings for necessary inspections. ' (Signature 9f~'applican~, or hame, if a corporation) ..... :.,.,...., .................... :::.i, ................ .................................. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Nome of owner of premises ........................ ,.~., ....................................................................................................................... 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 done. Map No.: .:.../.~.: ................. : ...... ~:.... Lot No ...... :....t~ ............ Street and Number ............................................................................... ; .................................................................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ................................................................................................................................. £ b. intended use and occupancy ................................................... ~.....,~.~ ............. :; ..................................................... 3. Nature of work (check which applicable): New Building.. ................. Addition .........,C~.... ..... Alteration ................. Repair .................. Removal .................. Demolition .................... Other Work ................................................ . .... o~ (Description) 4. Estimated Cost ..........~ ............................................ 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 ............................ Rear ................................ Depth .................... Height ........................ Number of Stories ................................................................................................................. Dimensions of same structure with alterations or additions: Front...........,........................"-~Z' ' Rear ....... .~...,.~m.t. ........... Depth...............................,~:~(~ ! Height ......./.~ ................ Number of Stories ........ ./ ..................... 8. Dimensions of entire new construction: Front ~_ I ' ' ' .................................... Rear ..... .?:....( ................ Depth ..... .~..~.. ........... Height ...../.4~....~--' ...... Number of Stories .................. ~.. ................................................................................................. 9. Size of lot: Front .~.i~30 ! Rear ........ ./.¢~..o.. ........................ Depth ...... ~....~...O..~ .............. 10. Date of Purchase ............/.,~,,~,.~,, ............................. Name of Former Owner ................................................. '-"-'- . .... . . 11. Zone or use district in which premises are situated ........ ~,~.~..w.~..~.~..'~....(..,~;.~.. ........................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ........... ./.~...0. .................................... 13. Will lot be regraded . ........................... Will excess fill be removed from premLses: ( ) Yes 14. Name of Owner of prem,ses .~.: ......... ~.R .............................. Add ss ..................... ,:~. .... o . No. Name of Architect ................... .~.~ ........................... Address ................................ Phone No ....................... Name of 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. STATE OF NEW,VaR_L<,_ [ c ¢ COU.~TY OF ..~..Q'../.~..X~....~./.~.;~j...~J'~ ....... L.G~....~.~,~.~r...'J~...........~. ....... ~.~ ..............~¢~ ~-~ .............. bang' duly sworn, deposes and says that he is the applicon (Name of individual signing contract) 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 fodh in the application filed therewith. Sworn~to b~re me this~~~ :'u :;' 71. ~ ~. ;~~. ...................... ................................................. ...... ........ ............... ~ ~ BABET~ C. CONvoy NOTARy PUBLJC, Slide al Ne~v York . Suflpll~ ~unty No. 52-579280~ -- L SCALE: I" -- 40' DEC ,~0, 19~9 JU/VE /8, 1970 SURVEY FOR ROBERT d. GUAtTRIEL I O ~ ANNA ~. GUA~RIEL~O ~0 T 17 "WI~O~ POINT' ~SH~MOMA~UE TO~ OF SOUTHOLD TH~ TIT~ GUA~AHT~ ~0. NOTE: .- MONUkIENT =STAKE SUBDIVISION MAP FIL~'O IN THE OFFICE OF THE CLERK OF ~UFFOLK COUNTY ON