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Home My WebLink About13280-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall 5outhold, N.Y. Certificate Of Occupancy No..Z. 1. ¢ .3.3.7. ......... Date ...... ./1.p.~. ~..1..3.Q ................. 19 .8.5. THIS CERTIFIES that the building .... .0.n.e...f.a.m. 5. Z..y..d.w.. e..1.Z.J_.n.~. ..................... Location o f Prop erty ....... .2.1.0...B .~.i.d. 1..e..C. q u..p ? ..................... .C .u.t.q h..o .g.u.e. ..... House No. Street Ham/et County Tax Map No. J000 Section ....... ! .0.2..Block ....8 ........... Lot .... 1.9. ........... Subdivision ............................... Filed Map ;No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated .... J..u.ly..1..0 .......... 198. fi.. pursuant to which Building Permit No...3.3.2..8.0.2. ............ dated .... duly..1.6 ................ 198z~., 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 ......... ...... 9ne. f ara~,l¥..c[we ~-~.~.~g ................................................... The certificate is issued to ... J. qh..n..&..M..a.u.r.e.e..n..B.~$.s.o.t.t:$ ............................ (owner, ~t~:~ Xe2~)X of the aforesaid building. Suffolk County Department of Health Approval ..... 1.~ T .S.0.-~ 1. .2 .6 ..... .k.p.~. 5. ?_..1.0. ,~..1.9.8. 5. ..... UNDERWRITERS CERTIFICATE NO ............. Cf. ~..~ .8 9.4. 9. .~ ...... Fie.b. :..2.7. ,... J.9.8..5 ..... ?lumbers Certificate April 10~ 1985 Building Inspector Rev. 1/81 I~O~M NO. ~ TOWH O~ SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. ¥. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 13280 Z Permission is hereby granted to: .... .~.il.i~..~.~......!...~...~..!. ............................................ .&~....~....~. , ..............................., ~ ~'~. ot premises located at ..~.]..O....:~P-~ .................................. .............................................................................. Counl3/ Tax Map No. 1000 Section ....... l...~....~=. ...... Block ....... ...~ .......... Lot No ..... L.CJ.. .............. to appl,¢at,on dated .... ~..,~..J..~. ........................ , 19.~..~.., and approved by the pursuant N-- Building Inspector. Rev. 6/30/80 FORM NO. 6 TOWN OI= SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions 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 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. 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. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 $15.00 D ate .......................... New Building ............. Old or Pre-existing Building ............ Vacant Land ............. Location of Property "Z. ~ ~ ~"~-, ~ ~-~.~, . . ~o~ C,--I.., ~)~ 1'"~'~;~?. .~..-r/ House No. Street Ham/et Owner or Owners of Property '~'-o ~ ~ ~'¢~ $ ~ ~f 'f { County Tax Map No. 1000 Section [ O ~ Block ~" Lot . j f Subdivision ................................. Filed Map No..~."..~.~..~....Lot No. Permit No. [?. .~..~. ?. .~. . Date of Permit "~{I~l~f .Applicant .... ~.% Ce~. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building and permi~ mee~s all~plicable codes and regulations. Applicant ....//~'~... ..... ~ <~"'k..~.~... ........................ FIELD INSPECTION COMMENTS FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY QODE FINAL ADDITIONAL COMMENTS: THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY. STREE"I', NEW 'YORK, NEW YORK 10038 ~ :February 27, 198~* JOH~ ~.aeatlo,~o.o,~yile 300632/84 ', --,, N 680494 THIS CERTIFIES THAT o~ly the electrical equipment ~ described below and introduced bf~.tl~ applicant ~tned on the able application n~ber i~ the premises of J~n Brimtti, E/S ~i~e C~t, 2~' N/O Bri~e ~e, H~i~O E~es, ~tch~e, N.Y, ' · ~ ~ ' and fou~ m be ia comptiance with the r~qulre.tents of this Board. FIXTURE R~ FIXTURES OUTLETS RECEPTACLES SWITCHES NCANDESCENT FLUORESCENT 37 30 37 DRYERS RANGES OVENS DISH WASHERS FANS MULTI-OUTLET SYSTEMS NO. OF FEET OTHER APPARATUS: 1-G.F.C.I. 2-Smoiak Detectors. Motors: 1-1bp E R V I ' C NO, OF CC COND PER J~¢ 1 A, WG OF CC CONO. ~/o NO OF HI,LEG 1 A, WG OF NEUTRAL 2/O tiulal~d Electric Co. P. O. Box 143 Mattituck, N.YK 11952 Lic. 242 This certificate must not be altered in any manner; return to the office of the Board if nco~rect inspectors may be idenfi ,. COPY fOR B?LDIflG DEPARTMENT. THIS,COP' .~ their credentials. Phone: 516-298-8393 MATTITUCK PLUMBING & HEATING CORP· BOX 1429, MATTITUCK, N. Y. 11952 WE SELL · WE INSTALL · WE GUARANTEE April lO~ 198[ MAY CONCVP ?,7: 95/~ sol~]er wss ~sed on the pl~mbing fittings on tb~ John Brisotti job on Bridal Court~ C~tchogua, N.Y. Very truly yonrs MATTI~T~CF' t)LBG. ~ ~TTC]. COP~P. ~IOTARY PUBLIC, Sta~e ~f New No. 4732371 Qualit'ied in Suffolk County ~,emrni~=i~n E~pires March 30, ~9~ 765-1802 BUILDING DEPT. INSPECTION .~FOUNDATION XST I' ROUGH PLBG. OUNDATION 2ND [ ] INSULATION [ ] FRAMI~/Q~ [ ] FINAL REMARKS: INSPEOTORV , FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, H.Y. 11971 TEL.: 765-1803 Approved J. (o .... , 19 ~..f. Permit No./..~..O~." 7.0...-~. Disapproved a/c ....... : ............................. Application No ................ (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ."? [ ~, o 19~.,,4 INSTRUCTIONS a. This application must be completely filled iu by typewriter or in ink and submitted in triplicate to the Buildi 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 stre~ or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this apl: cation. c. The work covered by this application may not be commenced before issuance of Building Peri-nit. d. Upon apprc':al of this application, the Building Inspector will issue a Building Permit to the applicant. Such pern shall be kept on the premises available for inspection throughout the work. e. No building shall be occnpied or used in whole or in part for any purpose whatever until a Certificate of Occupan shall have been granted by the Building Inspector. APPLICATION IS IIEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to t Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the constrvction of buildings, additions or alterations, or for removal or demolition, as herein describe The applicant agrees to comply with all applicable laws, ordinances, building code, hour-eerie, and regulations, and admit auth°rized inspect°rs °n premises and in buildings f°r necessary inspi~ I .~..~,./...,_~ . . '" i~i'g~;iur~';~al~l~ti~aht, or name, 'i} ..%..?: ............... (Mailing address of applicant) State whether applicant is o~vner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build, Nmne of owner of premiscs .... · ~ ~ ~ (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 License No. .~Ot. C' Electrician's License No. Other Trade's License No ......... ~ ........... 1. Location of land on which proposed work will be done ................................................ House Number Street Hamlet County Tax Map No. 1000 Section ...... ]..P.~ ...... Block ..... ¢ Lot .../..~. 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 .................... .~, ............................................ b. Intended use and occupancy .., .I ...l~...,.~."1[ .... ~ .... : ................ ~,, e~c~,-~.~::~.X... :.. · teratlon ....~ ..... t. Nature of work (check which apphcable): New Building .......... Addition .......... Al Repair ....... Removal ...... Demolition .............. Other Work ............. (Description) ~ ~O,,~~' Estimated Cost ...................................... Fee .......................... ¢ ........... , (to be paid on filing this application) ;. If' dwelling, number of dwelling finits ...... { ........ Nmnber of dwelling units on each floor .... [ ........... If' garage number of cars ' L If' business, commercial or mixed occupancy, specify ~ture and extent of each type of use ..... .'7. .............. ' j Rear ."7. Depth Dimensions ofexistingstrncture~ if any: Front Height ~ Number of Stories Dimensions of same structure w/th alterations or additions: Front '- . Rear '~ , Depth '. ....... ..'.. ......... 1.. Height ......... ,'77...~ ........ Num,_ber of ~ories .... '~" ' '- ......4 ..... L Dimensions or' e,n, tire4?v constr?ction: Front ....~7.o.-. ~..~ .... Rear . ?~.~. ?P..'[ ..... Depth . ~ ?:.?..- ..... Height ....~...?...- .... Nuraber of Stories ...... ~ ................. ~ ............................. ). Size of lot. Front ..... .~.$.'.~? ......... Rear ..... .2.,.'~.~..-.o. ?.. ...... '. Depth ,~ .I..~..O.?..~ ........ Date o'fPurchase Name of Former Owner 1. Zone or use district in which premises are situated ,... ....................................... . ... 2. ' ..... '~' Does proposed construction vlol,,ate any zoning law, ordinance or regulation: ............................... 1. Will lot be regradea .... .~.i...~ .............. Will excess fill be removed from premises: Yes No _ 1.Name of Owner of premtses ...: ................. Address ................... .rhone No .............. Name of Architect .. . Name of Contractor .' .~-i.[..~.~ ................. Address ...... ' .... ~. ........ Phone No ................ i PLOT DIAGRAM Locate Clearly and distinctly alii buildings, whether existing or proposed, and, indicate all set-back dimensions from roperty lines. Give street and block number or description according to deed, and show street names and indicate whether terior or corner lot. rATE OF NEW/YOY,~, -- i S c (Name of individual sigi~ing contract) )ove named, i e is the ....................................................................... (Contractor, agent, corporate officer, etc.) f said owner or owners, and is drily authorized to perform or have pex~formed the said work and to make and file this )plication; that all statements contained in this application are true to tim best of his knowledge and belief; and that the 'ork will be performed in die manner set forth hi the application filed ti',erewith. worn to befor.ej~e this i ' Z ' ota~Pub' ,fi~~:.~~. Co nty . ~o, p~ a~ ~ ........ (Signature of applicant) y .,,G.¢ ,/ x.~; <'o... . .. __-. .~¢ / ";., 8INGLE FAMILT ~~ ~Y ~ ~Xv SURVEY FOR ~u~ro[~ cou~ C¢~A~rM~Nf O¢ ~. ~[~cF~ ~OTN022, "HIGHLAND ESTATE AT CUFCHOGUE" ~ A~'~OvA~ O~ ¢ONS~¢~ION ONlY AT CUTCHOGUE DATE . dUNE 7, TOWN OF SOu~HOLo SCAL~ 1%50' ~A~.,,,~'~'~?,y ~S ~EF, NO. )~-~T)~ ~ SUFFOLK COUNTY, NEW YORK NO. ~ 8~- 551 APPrOVeD ~~ * u~u~omz[~ ~ o~ o~ ~om~m~ ~o ~s ~GUA~A~E~8 INDIOATED ~E~EON SHALL RUN ONLYTO H~LTH DEPARTMENT- DATA FOR APPROVAL TO CONSTRUCT ANO ON HIS eEHALF TO THE TITLE CO~PANY, GOVERN. ; , ~,~/ .~.¢~ ~S~.CO, TA~MAP OI~SECTION~BLOCK Oa LOT~ ~ HEREON,AN~ TO THE ASSI~NEES OF T;HE LENDtNG ,.......,,,o..-,.,,.,.,...,oo ,.,, o, ... _.,,.. .o, ,..,,,,.... ~E WATER ~UPPLY ~D ~EWAGE D ~PO~AL SYSTEM FOR TH S RES DENCE OWNERS,' ~ ' ~DISTA~CES S~OWN HEREON FROM ~ROPERTY LINES WILL CONFORM TOTHESTAND~OFTHE SUFFOLK COUNTYDEP~TMENT TO EX!S~ING ~TRUCTURE~ARE FOR A SPECIFtC APPLIC~T' ~ ~ ~ ~ . PURPOSE A~D ARE NOT T0 BE USED ~O ESTABLISH '~E~AT~N~WELL~),~E~ICT~K(S~aC~Sp~LS(Cp)S~EREON ~ ~J N.~S. LICENSE~O. 4589~ , ARE PROM FIELO OB~RVATIONS AND OR OATA OBTAINED FROM OTHERS. ] dOHN B /SOTT/ a MAURE N A BB/SOTTI ~he sewa~ disposal ~md ~*~*e~ s.apply AT CUTCHOGUE DATE · dUNE 7, 198d tnspe~%ed b~ ~hl~ ~op~m~:~ ~ ~und SUFFOLK COUNTY, NEW YORK NO. : B4- 551 Ohie% og ~eaera[ ~g~n~ , ~, .[w YORK BTATE EO~CATI~ LAW · GUARhNTE[S INDICATED HtREON SHALL RUN ONLY TO H~LTH DEPARTMENT-DATAFORAPPROVALTOCONSTRUCT -- THE PERSON FOR WHOM THE SURVEY IS PREPAREO, ' AND ON HIS BEHALF TOTHE T)TgE COMPANY, GOVERN- ~NEAREST WATERMAIN~ML~ ~SOURSEOFWATER~ PRIVATE ~PUBLIC~ MENTAL AGENCYAND LENDING INSTITUTION LISTED OTHER THAN THOaE SHOWN HEREON. TO ADDITIONAL INStiTUTIONS OR SUBSEOUENT ~THE WATER ~UPPLYAND SEWAGE DISPOSAL SYSTEM FORTHIS RESIDENCE OWNERS. WILL CONFORM TOTHESTANDARDSOFTHE SUFFOLK COUNTY DEPARTMENT ~DISTANCES SHOWN HEREON FROM PROPERTY LINES ~ ' -- ' r RWERHEAD, NEW YORK O~/C~ON AP~ ~,19~ ASM~.~ ~LDEN W. YOUNG,PROFESSIONAL ENGINEER ~ = ST~KE~ AND LAND SURVEYOR N.~S. LICE~E N0.12845 ~OWARD W. YOUNG, LAND SURVEYOR '~THE LOCAT~N ~WELL(W),3E~IC TANK(ST)&C~S~LS (CP)SHO~ HEREON N.~. LICENSE NO. 45895 ARE FROM FIELD OB~RVATION9 ANO OR DATA OBTAINED FROM OTHERS. , i :i ,t ,', I t t' t ! '1 I 'i t t I t t ' t t,4 - Z, t !. ! L............J ;r . r 1 t I I I ~ I t t t t t I l t' i t t 1 I 1 I I I t t- t t .i._iL- -.-~ II ! t t I ! I t t t i t ! t 1 I ! I ! i t I I t t ! i I t t I t I I