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Home My WebLink About10794-zFORM NO. 4 TOWN OF SOUTHOLD ~ BUILDING DEPARTMENT Office of the Building Inspector Town Hail Southold, N.Y. Certificate Of Occupancy October 29 81 Date ................................. 19... THIS CERTIFIES that the building ................................................ Location of Pro"ert' 300 0akwood Drive S-tlthold, New York House No. Street Ham/et County Tax Map No. ]000 Section .. ?0 .Block 12 ..... Lot 2 0 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated · .J..u..~y..2.2. .... 19.8.0. pursuant to which Building Permit No. 1079~ Z dated ....J.u. 1. y..~.3. ................ 19.8.0., was issued, and conforms to all of the requirements of the apphcable provisions of the law. The occupantg ~r which this certificate is issued is .&~ ~ i3.~na 1 Habitable Area and Home Occupation ~The residings Proffesional'~ Office) ~t~.~.q$.~ate.bh~.9n~./3).~9V..~9~%.~99k.~.%~9~.. ..................... The certificate is issued to Kathleen Vaccariello of the aforesaid building. Suffolk County Department of Health Approval .......................................... UNDERWRITERS CERTIFICATE NO...~ 52. .1.3.6 2. ....................................... Building Inspector Rev. 1/81 FOKM NO. 2 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON TIdE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) ,JUL'(' ~,.~' 19...?_._.~7 l~I? 107gzJ Z Date....................................................... , Permission ~s hereby granted to: ~L,A"~..-~r, IC.t¢~. ~(~J£L.~ ~ I~A~L~k/ ~A~I~LO ......................................................... o~ ~ ...~.~...~.~.:~.~.~.~.~ ........ ~.~.~ .............. ............... ~L~Y.~..~ ......... ~..~( ........ ( ~ ~ ~r ,/ to ...~D.~. ........ ~.7~.~......~C(~.~.....~Z~ ....... ~.~.~q ........ ~......~N.~ ........ ~A.?L~.~.~i ..... ..~.~.c.c~.~.~z..~..... ~.~C...~z....~.~.~E/.~r~...5~.~....~.~...,~o....~ ~ .................. at premises located at ,,~ ....................................................................................................................... ~o O~ Ho ~ . pursuant to application dated .......................................................... v.....~., and approved by the Building Inspector. Fee ....... ~ BUT ~o ~ ~/, , ~-- . BuiJding Inspector FORM NO. 6 TOWN OF $OUTHOLD 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. Cornmercial 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 e~isting 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 or land use 3. Copy of certificate of occupancy $1.00 $5.00 Jate ....... New Building ............. Old or Pre-existing Building . .Z. ......... Vacant Land ............. Location of Property . ~0.0. ...... 0 .a~..~.e.e.~.. ])T.~.? ................... .~.e.~.~.~..o.],.~..,..~.,.~.,. ..... House No. Street Hamlet Owner or Owners of Property l~,'f, hl~."'~ ¥~cc~z"i.11e County Tax Map No. 1000 Section ............... Block ............... Lot ................ Subdivision ................................ Filed Map No ........... Lot No .............. Permit No. ~. ,0.7.9.4. .... Date of Permit ~.~2.? .-.8.0...Applicant...C.:. ~.,. ?. ?~?,].];...~.u.J:. ]...~.~. ...... ,~ ~ i;'ihnNDr ~itr: ~rr~`l ' ~-' ;;-~ .............. ~'~ri nDge; ~ a~dP ~rli~i v: ' .............. ~''i Fee Submitted $ .5....0.0 ........................ ~'~1~ /~'~) Construction on above described building and permit meets all applicable codes and regulations. Applicant .. C,..11'~. ]F.e.~.~=]~ 1. .................................... ,~. ,0.,o.,e ~ N ,, May 27, 1981 090435 - 80 ,,,,,,,i,~,,t,o,.,,,o. ,,,,,-,l~ '/ 5 21'3 6 2 Ch~oa:les Vaccariello, MD, 300 Oakwood Drive, Southold, N.Y. . thefollowlng loc~tlon; [~ Base,nent ~ l~t FI. ~ 2nd FI , , , Section Block ' ' Lot ' was examlned on ~v~qy21, 1981 and found to be i~t co~npliance wtth the reqtti~ements of thls Board. = : FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS OUTLETS SWITCHES 36 19 DRYERS OTHER APPARATUS Panelboard/s: 1-7 cir. 125 amps. 1-15.0 Kw. Elec. Furnace Paul Bllr~s, Town Harbor I~ne, Southold, N.Y. 11971 lic. 282-E [NO OF NEUTRALS A W 0 OF NEUTRAL i t3~ ~' This certlficatd must not be altered in any manner; return to the office of the Board if inco,rrect. Inspectors may be identified by their credenhaJs F'IEI~D"INSPECTION DATE COMMENTS 1o PL~BING INS~ATION P~ N.Y. STATE EN~GY CODE.~ ~DITIONAL CO~EN~S: FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Examined ............... , Approved ..... Cc/f~,'. ..... , 19 . 7. ?~rmit No ............ D,sapproved a/c .... '("~' : ' : : '" <x~ ........ f ....... ............................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Application No. d ~?..~.?..L.~. ...... Date .J~lY..22~..1.980.., 19... 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 or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- catzon. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this apphcation, 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 Depa~ment 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 in buildings for necessary inspections. ....... ............ (Signature of applicant, or name, if a corporation) ...... ?~.0..~..o?.i2 ~ .o.n..~.o. ¢~,..~.r 9.~.n.p.o.r.%. ~,. ¥. (Mailing address of applicant) State whether appl,cant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Builder ...... ............. '¢' ........................ ............... - ' ...... Name of owner of premises Dr,..Ch?,r.l.es .d,..V. aec.~.rtell.a ..................... ~n,~. '7t~-'~' '~' ......... (as on the tax roll or latest deed) x, ~ If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .... #..2.B. ................. To ]? ]icenseg Plumber's License No..: .................. Electrician's License No ....... '.' .............. Other Trade's License No ................... Location of land on which proposed work will be done ..... .,'3.0.0...%!,?.? ? ~.a, ?M:?.,..iT':? 57.°.z. 9 ............. House Number ~¢00 Street O%kwooc] Drive Hamlet Southold 7. P.... County Tax Map No. 1000 Section ......... Block ...... t.. · .~. ·. .... Lot...~ .......... Subdivision..0/'?..w.o.o.d. ......................... Filed Map No. ')'t~5'~.~..''~¢f Lot (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: ])we] I :tr~ ®. a. Ex~sting use and occupancy .R.e..si.d.e. qt. i.a.1 ....... : r~ ............................................ b. Intended use and occupancy I~es*dent~,~l Dwell:t~ & Medie,~,! Office 3. Nature 6fwork (check which applicable): New Building .......... Addition .......... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... ~' ....................... ,~ ./.~,..~..~. (Description) 4. Estimated Cost .... ~.__--'~,t~/.~0 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 ..... ~'g' ' ' i ' ' ' Rear ...6.~ ........ Depth ... ~.6~ ........ Height ............... NumSer of Stories ........... ~ ~/& ................................. .~: ........ Dimensions of s~me structure wiih alterations or additions: Front ...... ~,6 ........ Rear...,.. ~..~. ........ Depth ...... ~t( ............ i. · Height ...................... Number of Stories ..... ~ ~.0, ............. 8. -Dimensions of e' ntire new construction: Front ............... Rear ............... Depth ............... Height.. .............. Number of Stories ........................................................ 9. Sizeoflot: Front ....... /O ~.. .......... Rear ....... /.q .O. .......... Depth ..... ~.~..O. ........... 10. Date of Purchase ........... .................. Nar~e of Former Owner ............................. 11. Zone or use district in which premises are situated ...... /.~. l~'.b, l ~. g M .T,~'./~..t. ........................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ........ ~.~ ..... 13. Will lot be regraded ...... A/O ............. .. .....Will excess fill be removed from premises: ..... ~e~i ' ' i~; 14. Name of Owner of premises .C.~.~E... lJ~.q~qlt ~l~ddress ...,...So.O~a.~.O .... Phone No..~.~....././0..~. Name of Architect .......... ~ ................. Address ................... Phone No.. Name of Contractor .... ~r.. ~. · ~.~ ~w~Jt ...... Address ... ¢. ~.g~.P.o.~[ .'FT. Phone No. , PLOT DIAGRAM Locate clearly and distinctly all lbuildings whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block humber or description according to deed, and show street names and indicate whether interior or corner lot. ~o~r /o 0 ~00 ..... ................. being duty sworn, deposes and says that he is the app:icant : (Name of individual sig~ing 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 bb performed in the mann{r set forth in the application flied therewith. Sworn to before me this ~ t ') ELIZABETH ANN NEVILLE No. 52-8125850, Suffol,~ Count.._. ! lerm Expires March 30, 19..,~ (Signature of applicant) i ~-LF F'~L ~N l=~ov~ ~ LL~