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Home My WebLink About9636-zFORM NO i 4 TOWN OF SOUTNOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25550 Date: 02/23/98 THIS CERTIFIES that the building ACCESSORY Location of Property: 385 HOPE LANE SOUTHOLD (HOUSE NO.) (STREET) (HA~LET) County Tax Map NO. 473889 Section 59 Block 9 Lot 26.10 subdivision Filed Map NO. -- Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated ~L%RCH 21, 1978 pursuant to which Building Permit No. 9636-Z dated MARCH 21, 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 ACCESSORY STORAGE BUILDING AS APPLIED FOR. The certificate is issued to ANGELO & JOAN TRUGLIO (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/a N/A N/A ~ NO, ,i TOWN OF SOUTHOLD BUlLDIH~ I)~PARTMJNT TOWN CLLqK'S OFPK:E SOUTHOLD, iq, Y, BUILDIK PIERMI r (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N.o 9636 Z Permissian is hereby granted to: .A.~.i.~.~:~..,,o....,.~.....~.o.~.~...., .~Lu..~..! .p., ~ I-I0 *PE ~/:-- ......... ot p~m~ Ioca~ at ........................... ~..~. ..................................... .~.~ .................................... ........................................................................... ~.o.. ~...T..~. L0...~..~...., ................................................. ......... ~.~ ....... .Y.. ........... (:.~ .................... .~ .............. ~.~.. ........................... ~ ............................... pursuant to application dated ................................ ..~....~.J~.~..,.....~..L, 19~...~....., and approvecl by the Building Impector. F. $...L..O..~ ..... -- --~/~-~' ~ [~ [~[t TOWN OF SOUTHOLD ~ q~.,.x,3 APPLICATION FOR CERTIFICATE OF OCCUPANCY \ O,?II'~ . A. ~h.~' application must be filled in by typewriter OR ink and submitted to the building inspector with the follow±ng: for new building 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 from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Sabmit 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: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildinm - $100.00 3. Copy of Certificate of Occupancy - _ .25~. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction ..... .~.~.... Old Or Pre-existing Building ................. Location of Property ............................................. Lj. ..................... House No. Street Hamlet Onwer or Owners of Property ..... ~3~. ........ ~.. · ~..~ ........................ County Tax Map N6 i000, Section .............. Block ................ Lot ...................... Subdivision .................................... Filed Map ............ Lot ...................... Permit No ................ Date Of Permit ................ Applicant ............................. Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... TOWN OF SOUTHOLD Buitding inspector's Office Town Clerk Building Southold, N. ¥, 765-2660 765-11802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [[ ]]:ORAUNM iD~ION 2ND [[ ~ATION [ ] FIREPLACE &~CHIMNEY .__~REMARKS'. DATE ~/~~/~E~INsPECT~~ TOWN CLERK'S OFFICE ~UTHOLD, N. Y. ............. Disapproved a/c .............. ~ ....................................................................... .......................... ........ ' (Building Insp~ct6r) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter ac in ink and submitted in triplicate to the BuildingL~ Inspector, with 3 sets of plans, accurate plat 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 areas, and giving a detailed description of layout ofproperty must be drown 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 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 Bqilding 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 appIJcuble 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 oil applicable laws, ordinances, building code, housing ~ede, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. ...... (S'g ature of applicarl~, or hamer'if a corporatio~ An~-elo & '~oan Tru~'lio ~8.~ Hope L~ne ,~outhold, State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........................... ~wicl, e~,e ......................................................................................................................................................... Name of owner of premises ...... JJllr.~-Q..t..J~BJ:I..~li~ ......................................................................................... ..~ 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 ............................................... /00o 1. Location of land on which proposed work will be done. Map No.: ...... ,1~.~?,~ .....................Lot No....~, ................... Street and Number .............. 3~....R...O]~..~lfl~t[l....~..q~l.~.~l.~.~.~.m....~.~l..~...~....O~/...~. ......................................................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ..... .]J[IR!~l.~....hl~.~.c]. .................................................................................................. b. Intended use and occupancy ...... Jl~jeee..~t:e,l-1 ................................................................................................ 3. Nature of work (check Which applicable): New Building... ...... :..:~ ..... Addition .................. Alteration ............ , ~ Repair .................. Removal .................. Demoljtior. .................... Other Work ..................................................... 4. Estimated Cost ...... .~.0...0...~.g~ ......................... ~iFee / 0 (Description) (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 ....5~[ ................. Rear ...~/..'~..~ .............. Depth .2,8 .............. Height ......~!. ............ Number of Stories ...... ~.....J ................................................................................................... Dimensions of same structure with alterations or additions: Front ........... ~[/L ................... Rear ............................ Dept~h ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front ....:t2~/....~. ...................... Rear ....... ~./~...~z'.... ........... Depth ....j~r. ............... Height ....~. ......... Number of Stories ......... 3../. ..................................................................................................... 9. Size Of lot: Front ..~2DP~..~q..~.t; ............................Rear .......................................... Depth ................................ 10. Date of Purchase .....~/f~.;~//.~ ................................... Nome of Former Owner -..-F~I~I~J~. ................................... 1 1. Zone or use district in which premises are situated ..................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: .............. .n...o. ..................................... 13. Will lot be ~regraded ....y~ ....... Will excess fill be removed from premises: (~'-Yes (rtotl(ex~ No 14. Name of Owner of premises ....... ~'J~l~.~l.O. ............................ Address ...~_~..H~pe...:L~t~Phone 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. Jo,,,, :L:to · ,can, (Name of individual signing contrac0 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 tha~ the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this __ 2].St: day of l'~ch , Nota Pubmic, ..................... Coun~ .................~" '~[~A;~;~';~"~i~ ............................ / [U[AB~H ANN N~IL~ N~ARY ~LIC. State of New York No. 52-8125850, Suffolk Co~t~ T~rm [xoires March ~,