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Home My WebLink About12523-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. UPDATED CERTIFICATE OF OCCUPANCY No Z-17515 Date NOVEMBER 15, 1988 THIS CERTIFIES that the buildin~ONE FAMILY DWELLING & ADDITIONS Location of Property 775 EUGENE ROAD CUTCHOGUE, NEW YORK House No. Street County Tax Map No. 1000 Section 97 Block 2 Lot 18 subdivision Filed Map No. Lot No. Hamlet conforms substantially to the Application for Building Permit heretofore filed in this office dated 2/8/61,5/6/74,7/28/83 pursuant to which 1300Z, Building Permit No.7237Z,12523Zdated 2/9/61~5/7/74 & 7/28/83 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued isONE FAMILY DWELLING WITH DORMERS~KITCHEN ADDITION & ACCESSORY BUILDING IN REAR YARD. The certificate is issued to PATRICIA CASTOLDI (owner, ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N178422-AUG 23, 1974 PLUMBERS CERTIFICATION DATED N/A NOTE: Inground Swimming Pool was put in prior to the Zoning Code requiring a permit for such an acqessory. ~ Building Inspector FOB~ NO. ~ TO~ OF $OUT~OLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 12523 Z Permission is hereby granted to: "~ . ~.~ ............ .~ .~....~....~-~ ~ ............... ,o....~.~~......~.~.~ ....... ~....~.....~ ................ .~ ................................................................................................................................................ ............ ............. County Tax Map No. 1000 Section ~......?J....-J. ........ Block ....... ~ ......... Lot No ......... ]...~ .......... pursuant ,o application doted ......... ~...~....~.~.. .................... , 19.~.....~.., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 FORM NO, 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted == ~ 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 p~operty 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: Additions $25.00 POOLS $25.00 ALTERATION $25.00 1. Certificate of occupancy New Dwelling $25.Q0, Accessory ,$10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ ]00.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $~0.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date Nov.. ],. 1988 NewC°nstructi°n Old P iti X UPDATED ...... or re-ex s ng Building ............ Vacant Land .......... Location of Property 855 EUGENES ROAD ' CUTCHOG. UE., NEW YORK House No. Street Nam/et Owner or Owners of Property .. . RONALD & MILDRED CASTOLDI County Tax Map No. 1000 Section 97 02 18 ............... Block ............... Lot ................ Subdivision ................................. Filed Map No ........... Lot No .............. Permit No. 1300 1300 GEORGE AHLERS .......... 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 Construction on above described building and permit meets all applicable codes and regulations. Applicant Barry M. Tuminello.: Atty Rev. 10-10-78 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy Date July 28 19 ~.~ THIS CERTIFIES that the building ': .- .a .c.c. e. .s .s p?.y....s.h.e.d. ............................. Location of Property ...8..5.5 .............. E.u..g.e.n.e. '.s...8;o.a..d ...... Cutchogue House No. Street Ham/et County Tax Map No. 1000 Section 0 9 7 .Block 02 .Lot 018 Subdivision X .Filed Map No. X .Lot No. X conforms substantially to the Application for Building Permit heretofore filed in this office dated .... .d.u.l.y....2.8. ........ ,19.8.3. pursuant to which Building Permit No..1.2.5..2.3..g. ............ dated ....... J.u..1 y..2.8. ............. 19 .8.3., 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 ......... .... ................................................. The certificate is issued to DOUGLAS & PATRICIA CASTOLDI (owner, I~ss~r terla~) of the aforesaid bnilding. Suffolk County Department of Health Approval N / A UNDERWRITERS CERTIFICATE NO ............. ~ ./? .................................. Building Inspector Rev, 1/81 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. 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 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 Residenqes 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 $5.00 / /.$/'5.00 2. Certificate of occupancy on pre-existing dwelling (~r land use 3. Copy of certificate of occupancy $1.00 ~ Date '7' New Building ...... .~ ..... Old or Pre-existing Building ............ Vacant Land ............. Location of Property .... .~..~.~.-:.....~2.~.~..~,~.~ :,~. .... ~_..., ~., :~.~..o..~--~_:.. ......... House No, Street Ham/et Owner or Owners of Property ...... .~ ..... ~. ??..~ ............... Oounty Tax Map No. I000 Section . .~..~. .......... Block ... ,~ .......... Lot... / '~' Subdivision .......... ~..-,~ ................... Filed Map No ........... Lot No .............. Permit No. ~...~. ~..~..~ate of Permit .......... Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate.. ............ ....... Final Certificate . .............. . . .. .. .: Fee Submitted $ ............................. Construction on above described build i~,g-arrd-~~~e c~d;s, a nd_ · . ragu lations. Applicant ,'~.,.,/:,-~,~. ~ 2-~, · '., ,'zd~, ~..~'~<~,,, .................... Rev. 10-10-78 Examined .. ~.~ Approved .. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 .~-..~..., 19.~3 · '.~.~..., 19~.. Permit No..l .~..~..~-.~...~. Disapproved a/c ..................................... Received .......... ,19... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date 7 - A ? 19 ¢'~ INSTRUCTIONS a. Tins application must be completely filled in by typewriter or in ink and submitted 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 or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. 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 issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shail 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 regulation_s, and to admit authorized inspectors on premises and in building for necessary in~specti9ns: , ,~ ~ (Signature of applica'n~, or name, if a corporation) ..... (Mailing address of applicant) State whetlier applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises..~p.? .o.~ !~.~...~. :~.~. ?..~../.~..~ .'...~....~.~...~. ~...~..-~...~..tT'?f '. .................. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No....'~..'~./'.~..~? ............... Plumber's LicenseNo ......................... Electrician's License No ....................... Other Trade's License No ...................... Location of land on which proposed work will be done .................................................. ... ....... ....... ................................... House Number Street Hamlet : County Tax Map No. 1000 Section .... ?.? ........... Block .... .~. ............ Lot I ~w · Subdivision. · -' · Filed Map No ............... Lot ............... (Name) ~ 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .... .)t?.~. ?..].....~?...C~.. t...¢?.¢....~.i..7~..~.~.,.~7. ............ - ............ :. b. Intended use and occupancy 10. II. 12. 13. 14. Nature of work (check which applicable): New Building ~ Addition ...... Alteration Repair .............. Rembval ........... Demolition .............. Other Work ............... ~' (Description) Estimated Cost I .................... Fee i (to be paid on filing this application) I f dwelling, number of dwellingiunits ............... Number of dwelling units on each floor ................ If garage number of cars ~ If business, commercial or mixe'd occupancy, specify nature and extent of each type of use ..................... Dimensions of existing structures, if any: Front ............... Rear .............. Depth ............... Iteight ............... Number of Stories ........................................................ Dimensions of same structure ~ith alterations or additions: Front ................. Rear .................. Depth ................... i.. Height ...................... Number of Stories ...................... Dimensions of entire new construction:_ Front . t .CC.. ,e:~./~ ... Rear t ~ ~ ..... Depth t o tr-~., .. Iteight .. ...... Number of Stories .... J. ................................................... Size of lot Front ..... .,'.~.~;>,-- · .~. ........ Rear ~ .c,..e?... ~ ......... Depth . ./..~. ?...~. .......... Date of Purchase ' Name of Former Owner Zone or use district in which pr~mises are situated ..................................................... Does proposed construction violate any zoning law, ordinance or regulation: ................................ Will lot be regraded .... ...... , ......... . .......... Will excess fill be removed from premises: Yes No Name of Owner of premises . .t/-~q4~.~.~t ........ Address ~ .,,f~-...~.o~--.O¢4.~..~.. Phone No..~.J..~..4".oI...~ ..... Name of Architect ........................... Address ................... Phone No ................ Name of Contractor .......................... Address ................... Phone No ................ PLOT DIAGRAM Locate .clearly and distinctly ali buildings, whether existing 'or proposed, and. indicate all set-back dimensions from property lines. Give street and blockinumber or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NE~'xS/ORK, . ~, ~, C OU NTY~ i ~' af~ez~°"~z~; thane ~ ............. being duly sworn, deposes and says is the applicant ....... v' ';.7' ~ ~.~.'7. :~7' .~'"t.3 .' ...... (Name of md~wdual s~gn~mg contract) above named. 5He is the (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dul:y 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; arid that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ........... ~ .... day o~....~~ ..... , 19~.~ Notary Public ......... ~ ...... ,,-~,~~ County t~o~l~¥ ~tl0g st~t~ 0! ~w Y~r~ ,/ (Signature of applicant)