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Home My WebLink About12707-zFoRM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. UPDATED CERTIFICATE OF OCCUPANCY No Z--24865 Date JANUARY 28, 1997 OWE FAMILY DWELLING THIS CERTIFIES that the buildin~ Location of property 80 ~RDEN CT. & 1375 ELLS AH. SO%P~ROLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 63 Block 7 Lot 17.5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 14, 1983 pursuant to which Building Permit No. 12707-Z dated OCTOBER 28, 1983 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 OWE FAMILY DWELLING WITH ATTA~D OA~AOE & WOOD DECK * The certificate is issued to JOHN O. & MILDRED C. CROSS (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 13-80-183-JUNE 1, 1984 UNDERWRITERS CERTIFICATE NO. N-647550 - 31~NE 12, 1984 PLUMBERS CERTIFICATION DATED *THIS UPDATES CO Z-12525 DATED Rev. 1/81 H/A FOlt~ NO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is hereby granted to: .... l.~.~ .................................... : ............ .'. ..... . ...~....~~.~,..~..,~,.....I..~...~.~..t. ~ -~ ............................. .......... · '~"'" .......................... 'z ............................. '-' ................. ~ ~ :~':"'," or,fern',es ,o~ote~ at .../.:~.~.~......~...4~.......)q~..t....~ ...... ~.~......~...,......~~.. co,,.~ TO~Ma~ No. ~ooo S~ct~on .... 9..b,...~ ........ B,,,=k .......~.q. .......... ~ot ~o..~.!..'1.,..~ ...... pursuant to application dated ....~...~.....~...~ .................. . 19.~..~, and approved by the Building Inspector. Building Inspector Rev. 6/30/80 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No .... g.i. 2. .5.2.5 ........ Date ........ q .u.n.o.. 8. .................. 1 98.4. . THIS CERTIFIES that the building .. n~w .on~=famil~. ~l.w.~ $ 3-i~xg .................. Location of Property 1375 Wells Ave. & 80 Garden Cour? Southold House No. Street Hamlet County Tax Map No. 1000 Section 063 ..... Block 07 .Lot 017.5 Subdivision .... S.o..u.~.h.o..1.d..G.a..r.ct.e.n.s. ........ Filed Map No. 6812 .Lot No. 5 conforms substantially to the Application for Building Permit heretofore Fried in this office dated ...... QG~39~.e.r.. ~[.4 ....,19 .8.3. pursuant to which Building Permit No.. 12707 g dated .... 9.c.t;Qb~:r..~ $ ............ 19..8.3, was issued, and conforms to ail of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... ...... a. px.i~al:e..c~.er.~r~-3~...dw.e.l. 1. $.n~... ...................................... The certificate is issued to ..... JD. SZPtt..& .~II~4D. Ig~.D..C.R. 9.8.8. ........................... (owner, of the aforesaid building. Suffolk County Department of Health Approval . 2.3 v SQ.-.]. 13 UNDERWRITERS CERTIFICATE NO ........... P. e..n.d.~.r3.~ ............................... Rev. 1/81 FORM NO, 6 TOWN OF SOUTHOLD Building Departr~ent Town Hall ~;outhold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter. OR ink, and submitted ir~ 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" land uses: 1. Accurate survey of peoperty 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 $5.00 / 2. Certificate, of occupancy on pre-existing dwelling/ land 3. Copy of certificate of occupancy $1.00 use --Fre-gxisting C.O. $15.00 Vacant land C.O. $ 5.00 New Building .., ~ ..... Old o~,Pr;-e/isting Building ............ Vacant Land ............ LocationofPro art ... /~.?.~. ~..~.~,,~.~, q' ~ ~/'. Blouse No. /~ St~et Owner or Owners of Property ... ~.. ~. ~.~ ~ ........................ County Tax Map . 1000 Sectlon .... ~.~ ...... Block ....... ~ ...... Lot.,. ~.~ ....... Subdivision .... ~. ~ ............ Filed Map No ........... Lot No. ~ ......... Permit No../~ ~ ~ ~. Date of Permit. ~*t~.Applicant,. ~'~'J~-- ~4~..~ .... Health Dept. Approval ........................ Labor Dept, Approval ...................... Underwriters Approval ........................ Planning Board Approval ............. Request for Temporary Certificate ..................... Final Certificate ............... Fee Submitted $ ............................. 'z- 5 Construction on above described building and p,~e..rmf~eets all applicable codes,a/nd regulations. A cant pp ...................... .... Rev, 10-10-78 FORM NO. 6 TOWN OF SOUTHOLD · Building Department " Town Hall $outhold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY · Instructions A. This application must be filled in typewriter OR ink, and submitted i ~ to the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildin§% 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 bul dings, 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.Subm t P~annin0 Board approve o1 comp eted s te plan requirements where applicable. B..For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pro-existing" land uses: 1. Accurate survey of p~operty showing all property lines, ~treets, bu[ldlngs and unu~m 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. Cer~ificateofoccupanc¥ $25:00 -- BUSINESS $50.00 2. Certificate of occupancy on pre-existing dwelling $ 5 O .. O0 3. Capv of cartif[cate of occupancy $ 5.'00, over 5 years $10.00 4.Vacant Land C.O. $.'20.00 5. Updated C.O. $" 50.00 Date . .3.a.n.u.a.ry..2~.,..1.9.9.7 ......... X:JUPDATED CERTIFICATE OF OCCUPANCY NewCon~t~uction Old orPre existing Bulldin[j ' Vacant Land 80 Garden Co'Irt', Southold Location of Frope~y ................................................................... House No. Str~#t Hamlet Owner or Owners of Property ..Qq~eDh G. Cross and Mildred C. Cross ,., County Tax Map No. 1000 Section .6.3. ........ Block 7 17.5 Subdivision ............................. ,...Filed Map No ........... Lot No ...... . ....... Permit No Date of Permit Applicant Health Dept, Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted ~: $50.00. for updated Cd Construction on above described building and permit meets all applicable codes ahd re~ulatlons. Applicant ' G^RY FL~NNE~ OLSEN, E~. P.O. BOX 706 CUTCHOGUE, LI., N.Y. 11925 ~oc~o771 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY la. Jo.. STREET,"EW ~.,~ ~.,,~..~- ~. ~-s.~ N 647550 ·HIS CERTIFIES THAT only the electrical equipment ~ described below and introduced by the applicant named on the able application number in the premises of in the following Iocaffon; ~ Basement ~ I st FI. ~ ~nd ~L Section Block Lot was examined on ,~ ~ ~ and found to be in compliance with the r&quirements of this Board. FIXTURES RANGES 26 35 ~1 26 OVENS DISH WASHERS EXHAUST FANS DRYERS MOTORS FUTURE APPLIANCE FEEDERS TIME CLOCKS LINIT HEATERS IULTI-OUTLET SYSTEMS NO. OF FEET DIMMERS SERVICE DISCONNECT OTHER APPARATUS: Motors; 1--3/4bp. 1.-lOkw, Heat Pt~np. S E R V I C E NO, OF CC. COND, A W~ G, NO OF HI-LEG A, W.G. A, W G, 1 4/0 2/0 auloald Electric Co. Mattltuctq N.Y. 11982 L~.C242 This certificate mu~t not be altered in any manner; return to the office of the Board if jgcoi~rect. Inspectors may be identified by th~i'~ credentials DEPARTMENT, THIS COPY: OF CERT F C~,TE M ~U~T!NQ~ BT ALTERI~D N ANY MANNER GARY FLANNER OLSEN COUNSELLOR AT RO BOX 706 MAIN ROAD CUTCHOGUE, LONG ISLAND, NE~/ YORK 11935 · PHONE 516-734-7666 ?AX 516-734-7712 January 24, 1997 Re: Cross to Gallo Our File # 6165 Dear Georgia: Pursuant to your suggestion, I am enclosing herewith an Application for an updated Certificate of Occupancy to include the deck. I am enclosing herewith the original Certificate of Occupancy No. Z12525 pursuant to building permit # 12707Z which was issued June 8, 1984 showing the deck. The deck was always part of the original structure and was in existance when the June 8, 1984 CO was issued. Very truly yours, GFO:lmk Enclosures Southold Town Building Dept. }{ain Rd. - Town Hall Southold, NY 11971 Attn: Georgia GARY FLANNER OLSEN COUNSELLOR AT LAW RO. BOX 706 MAIN ROAD CUTCHOGUE, LONG ISLAND, NE%V YORK 11935 . PHONE 516~734-7666 FAX 516-734-7712 January 16, 1997 Re: Cross to Gallo Our File # 6165 Dear Georgia: Enclosed please find my request and fee of 25 cents copy of Building Permit Number 12707Z. Very truly yours, for a GFO:lmk Enclosure Southold Town Building Dept. Main Road - Town Hall Southold, NY 11971 Attn: Georgia INSPECTION COMMENTS FOUNDATION { 1st) FOUNDATION ( 2nd ) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY -- qODE FINAL ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING REMARKS: lrO~M NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined Approved ...~.~......~.....~......, 19.~.,~.. Permit No...L.~.~.~...~ ..... Disapproved a/c ............................................................................................ Application No ................................. APPLICATION FOR BUILDING PERMIT Oo,e ................................. ,X..X.... INSTRUCTIONS a. This application must be completely filled in by typewriter o~. 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 ~ayout ofproperty must be drawn on the diagram which is port 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 port for any purpose whatever until o Certificate of Occupancy shall hove been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Deportment 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, odditlons 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 op'l~'t~c~nt, or name, if a corp~f~c;~ion) .... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .................................................. ........................................................................................................................ Name of owner of premises ..,~....~....~.,.~...~. ..~:.(~..9. ~ ~ ~ ~, ~O~ ~a4.~ If applicant ~corpo~ate, signatqre~duly authorized officer. ......... / gf o orL g' ffi:;;f ......... Builder's Lic~se No ..................................................... Other Trade's License No. ............................. .. ................. · ~.c~ e n (~'~',,L ~S / 1. Location of land on which prop~rk wdl be done. Map No ....... ~...I ...................... Lot No ......................... Street and Number ~,::~: r.~...~$..~R..~Q..~.a~.~:~...~.~e.~ ..................................................... Municipali~ 2. State existing use and occupancy of pr~ises and ~nten~? use and occupancy of proposed construct on: a. Exisiting use a~ ~cuponcy ......... '.~..~.~.~..~) ................................................................................................ b. Intended use and ~cupancy .......................................... _/ ................................................................................. ,~. Nature of work (check which applicable): New Building.. ...... ........... Addition .................. Alteration ................ Repair .................. Removal. ................. Demolition ..........(Description) ' .,..: ..... Other Work ................................................. .... 4. Estimated Cost ..................... ? .................................... hoe , . ........................................................................... . (to be paid on filing this application) 5. If dwelling, number of dwelling units ...... .0..~....~.-~.. ............ Number of dwelling units on each floor ............................ If garage, number of cars ,2- 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ............................ 7. ~meps~ons of existing structures, if any: Front ............................ Rear ...... ~ ......................... Depth .................... D HeigHt ........................ Number of Stories ..................................................................... Dimensions of same structure iwith alterations or additions: Front .................................... Rear ............................ Depth ................................ H~ight ............................ Number of Stories ................................ 8. Dimensions of entire new cons'truction: Front ........... ~.....~., ................ Rear,..,~...~. ................. Height ..... l.~. ........... Number of Stories ......... ~.~.L-~'~ ........ 10. Date Of Purchase ........................................................ Name of Former Owner ........................................................ 11. Zone Or use district in which p,remises ore situated ..................................................................................................... 12. Does ~)roposed construction viol'ate any zoning law, ordina0ce or regulation: .... .... 13. Will lot be regraded ........~..~,..~ ........... Will excess fill be removed from premises: ( ) Yes Name of Arch tact ,, .................. ' .................... ] ....................... ~adress ................................ Phon~ No ....................... PLOT DIAGRAM Locate qlearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property line~. Give street and block number or description according to deed, and show street names and indicate whether interior or corner 1at. ]I'AT-E OF NE~Wk-~K' z / /~ I S S ~'OUN'FY aF ~...~' .. ~ . u'~ame of nd v duo signing contract) ibove no'med, i i 9e is the ............................................. i '~n t ~'~'~g'~ ~"~'o rpo r dt~ o ~ fi~'~"~';~'.')' ......................................................... f. sa.d ?~n~r Or ?wners, and is du~y ~z~ to~erform or have performed the sa d work and to make and file q~s appucahon; that all statement~contain~is application are true to the best of his know edge and belief and ~aT the work will be performed in th~anner set'f~h in the application filed~erewith. ' worn to before me this ~TARY PIJB~ta, State of New Yo~ DATE APPROVED 6 COUNTY DEFART~ENT OF HEALTH ~OR APPR0~AL OF CONSTRUOTION ONLY HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT ~OTF: I = MONUMFN~ SUBDIVI~ON MAP FI~D IN ~H~ OFFIC~ OF ?H~ C~ERK OF ~UFFO~K COUNTY ON MAY ~, 1~9 A~ FI~E NO, ~1~, SURVEY FOR JOSEPH G CROSS E~ MILD,~ED C LOT NO. 5, " $OUTHOLD GARDENS " AT SOUTHOLD TOWN OF SOUTHOID SUFFOLK COUNTY, NEW YORK CPOSS DATE: OC~ 7,1983 SCALE: I"= 40' NO. 83-866 M I,WAUTH~IZ[O ALT[RATION ON AOOITION TO THIS SURVEY I~ A VIOLATION OF IECTION 7209 OF THE AMEHICAN r/r££ INSUF~ANCE CO YOUNG a YOUNG R,, ALDEN W. YOUNG, PROFESSIONAL ENGINEER AND LAND SURVEYOR N.Y.S. LICENSE NO. 12845 HOWARD W. YOUNG, LAND SURVEYOR N.Y.S; LICENSE N0.4569'5 AVENUE ~iEW YORK L.ot 6 HEALTH OEPARTMENT-OATA FOR APPROVAL TO CONSTRUCT NOTE: · = MONUMENT SUBDIVI~ON MAP FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY ON MAY ?,1979 AS SURVEY FOR JOSEPH ~ Ct?OSS ~ MIIDt~ED C LOT NO. 5, " SOUTHOI D GARDENS " AT SOUTHOI D TOVIN OF SOUTHOID SUFFOLK COUNTy, NEW YORK Ct~OSS DATE: SCALE NO. MAY 2/, 0C7~ ?, I"= 40' 85 - GUABANTEED TO: AM£BICAN 7 YOUNG s YOUNG ALDEN W. YOUNG~ PROFESSIONAL ENGINEER AND LAND SURVEYOR NY.S. UCENSE NO, 12845 HOW~ARO W. YOUNG~ LANO SURVEYOR N,Y.S, LICENSE N0.4589~ 400 OSTRANOER AVENUE RIVERHEAO, NEW YORK