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Home My WebLink About13200-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No.. Z14068 Date December 10 8..5 THIS CERTIFIES that the building ...O.n.e...f.~.m. $ .~y..d. ¥.e.l.~.~..n g ....................... Location of Property .... .5 5.0...S .a.~ ~. a..i ?..~. a. y ................. .?i.a.g. 6. } .~.u.c.k. ............. House No. Street Ham/et County Tax Map No. 1000 Section ... 1. .0.0 ...... Block .... ! .......... Lot ...5..6 ............ Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated May 3 19.8~ pursuant to which Building Permit No. 1 3 2 0 0 g dated .J.u..n.e.. ~. 0. ................... 19.8.~., 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 ......... .9~.e..~. ~rn;-.ly...d.~.e. ~, .z.~.n.g ~ ....................................................... The certificate is issued to RICHARD POSSELT, & DOMINICK TAOKMINA (owner, I~sXo~ ~!t~t~ X X X of the aforesaid building. Suffolk County Department of Health Approval 1 4 - S 0- 9 4 UNDERWRITERS CERTIFICATE NO. N 7 1 6 6 0 6 PLUMBERS CERTIFICATE 11/14/85 Building Inspector Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y, BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? ~3~00 Z Permission is hereby granted to: .....~~ -~......~.~'. ...................... ..~...~.~... , .~ ot premises Iocoted at .............................................. County Tax Mop No. 1000 Section ..... ~.....~... ......... Block......................I Lot No.....~..~ ............. ~umuant to oppflcation dot~:l ...... ' .............................. , 19.~....~.., and approw~t by the Building Inspector. "~'~ '~ Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Bu~ldlng 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 ia ~1~ 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. 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 Date ....... /,..2~..~.~..~.).~. · .... New Building ........... Old or Pre-existing Building ............ Vacant Land ............. Location of Property ........ ~.~.~.0 ..... ~ ....................... House No, ~,~ - ~ Street(/ ~ / I ~ ~ j Ham/et Owner or Owners of Property ........ ~.~....~.'.~.. County Tax Map No, 1000 Section ../~. ,(5, ....... Block ... (~./ ........ Lot...,~,..(~ ........ Subdivision ................................. Filed Map No ........... Lot No .............. Permit No. /~5-~. ~-~q~.~. Date of Permit .~.~..O./e.(l~pplicant../.,..C~..~..~... ~.~.~.~.~../~.'~... Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building a/~permit ~llplicable codes and regulations. Applicant ........................ TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Building Permit No. /~'~ Owner ~ ~ ff'~ ~.~' ~L.~.~-'" ~'''''~ -(please print) (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this /~ Ray of /~c~_ Notary Public, County (plumber's signature) Notary Public THE NEW YORK BOARD OF FIRE UNDERWRITERS 1000174 BUREAU OF ELECTRICITY ~-k~, 8s JOHN STREET, NEW YORK, NEW YORK 10038 ~.t~ ~ov~n'~er '' ~" ~ 343039/85 THiS CERTIFIES THAT only the electrical equipment ~ described be~w and int~duced by t~ applicant named on the above application number in the premises of Richard Po~se].t~ it~/s ~at, ta,%~c Way~ Soundview Ave., & Wavecre~-t Lane~ locetion; ~ 1st FI. ~ 2nd FL Section Block Lot Basement - Novon b~r ~ ~19~ was exam~nea on ' ' amd found to be in compliance with the r~quire,nents of this Board. DRYERS SYSTEMS OTHER APPARATUS: Smoke Dete .to.~ ! E R V I C OF CC, COND PER OF CC CONO AWG, OF HI-LEG FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & ?LUMBING INSULATION PER N. STATE ENERGY QODE FINAL ADDITIONAL COMMENTS: 'FORM NO. 1 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL ,qOUTHOLD, N.Y. 11971 TEL.: 765-180:3 Examined...;..t9%~.. 19~. Approved ...b..c:M~. 0.., Permit No..Cz.. Disapproved a/c ..................................... Received ........... ,19... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ......... , INSTRUCTIONS a. This 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 tiffs 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 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 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, build'.m.g~ hous~g c/O~le, and,~regulations, and to admit authorized inspectors on premises and in building for necessary inspec,,tio~. ~ [j /~t---~'' ~ ~ ....... ~DX.,~C~...~t~... :.V.C~ ..... (Signature of applicant, or name, if a corporation) Y4~..~.-...q.4..T.~./.'.~....d~.....2~.~ .... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder. Name of owner of premises . · · ~. .......................................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) License No ........................ Builder's, Plumber s License No ........................ Electrician's License No ...................... Other Trade's License No ................... 1. Location of land on which proposed work will be done .................................................. ~. .~. .?. S~z. ~ ~}.~. . . . .~.~7 .................... ~.~. ,.7:. ~. ,.~ . ./.x-: ............. House Number Street Hamlet County Tax Map No. 1000 Section ... /.~?..~. ......... Block . .0. ! ............. Lot...'~...~3. ~ ..... 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 ...~. ~Q~/4-O .~. /~j~ td ~ ........... .... ....................... b. Intended use and occupancy 3. Nature of work (check which ap cable): New Building ........ Addition .......... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... 4. Estimated Cost '. · ., ......................... Fee ...................................... ,~ ~' (to be paid on filing this application) 5. If dwelling, number of dwelling ~nits ........... 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 stmcture~, if any: Front ............... Rear .............. Depth ............... H eight ............... Num!ber o f Stories ........................................................ Dimensions of same structure wilth alterations or additions: Front ................. Rear .................. DD;mP teh .................... · · iHo~i:g~r~ ........ ..~.'~ ........... Number oco~f Stoties ............. ¢ ........ 8. nsions of entire new construct nt ............ Rear ...~' .o ........ Depth . .~..~' ......... ~...5~. t Num'ber of Stor' Height .......... . les ........................................................ 9. S~ze of lot Front /O q. 10. DateofPurchase .... ~./~'.~ .................. ~ame of Former Owner ...~.' ...... ii~./~. .......... 11. Zone or use d~stnct ~n which premases are situated ~.. ~. :%. ............................................. 12. Does proposed'¢on~[ru, ction viol~te any zoning law, ordinance or regulation: . , . .~. .?. ....................... 13. Willlot beregraded ...~..o~..~.. ~-~';'.~" .,..~ .... Will excess fill berem~,ved from premises: ~ No Name of Architect ~..I ............. Address ................... Phone No ....... Name of Contractor .O.~ ~otf~r~,~¢B ./~ Address , . 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 ~tumber or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YOR I.S COUNTY OF ................. ............................ ~ .................... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the (Contractor, agent, corporate officer, etc:) · of said owner or owners, and is dul~ 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 be performed in the manner set forth in the application filed therewith. Sworn to before me this '- HELEN t(. DE V01~ , · NOTARY PIJBLI~, St~le ol New Yodl ......... No, 470787~8, 8ulfolk Courtly ,.- (Signature of applicant) Term £xp~res ~larch . SINGLE FAMILY DWELLING ONL~f . . $1~FOLK COUF.;TY DZPA~TMENT OF HEALTH SERVICES FOR APPROVAL OF CONST~UCT'ON Or-,-.i,'~ HEAL~ DEPARTMENT-DATA F~ APPRO~ TO C~STRUC T NEAREST ~ ~&iN ~1. ~ ~ SOURCE ~ ~&~E, ~I~TE ~P~IC ~ ~F CO. T~ ~AP ~O00SECTION I00 '~K ~I LOT ~6 OTHER THAN TNOSE SHO~N HE~ON. THE WATER SU~Y ~ SE~ge DI~AL SYST~ ~ ~!$ R~IDE~ ~ILL C~FORM ~ THE STAN~O~/~ ~~Y DEPARTMENT ~=STAKEI: MONUMENT SUBDIVISION MAP FIEED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY ON AU6.3, 1966AS FILE NO. 4682: ~ ~ LOC4Tm. OF wa'*L(WL S[~lC TA~(S*T)a CgSm, OOCS(~)S~K~, AI~E.-FI~)~ FI_FI_I~ ~RM&T.i~ ~ OR DATA OBTAII~.Q FROM OTHERS BRANDtS' & SONS INC. 1046. . SURVEY FOR RICHARD S. POSSELT I~ DOMfNICK TAORMINA LOT NO. :53," SALTAIRE ESTATES" AT MATTITUCK DATE:- APRIL 27,1984 TOWN OF SOUTHOLD SCALE: i-" : 5O' SUFFOLK COUNTY, NEW YORK NO. 84-336 .UNAUTHORIZED ALTERATION OR ADDITION TO THIS ! _ SU-RVEY I~ ANEW YORK STATEVIO~ATIO~EDUCATION OF SECTIONLAW 7209 OF THE ! SURV/~R'$ INKED ~AL OR EMBOSSED SEAL SHALL N~ARANTEE$ INDICTED H[~ON ~L RUN ~LY ~ ' ~ ~.~ FOR .HOM THE SU~EY IS PREPARED AND ~ HIS ~HALF ~ THE ~TLE C~P~Y, GOV~N- MENTAL AGENCY AND LENDING INSTITUTION LIS~D INSTITUTI~. GUARANTEES ARE ~T ~SFERABLE I TO A~ITi~AL INSTIT~I~S OR SUBSEQUENT I OWN E R S ' 'g:~ '%,-~;~%'i~x ?''/' TOEXlSTING STRUC~R[$ ~E~OR A SPECIFIC PURPLE AND ARE NOT TO BE USED TO ESTABLISH a YO II ~ ~ OS~N~R AVE~E YOUNG N . U ~ ~ ~VE~~,NEW YORK ALDEN W.Y~NG, PROFESSI~AL ENGINEER AND ~ND SURVEYOR N.Y.S. UCENSE NO. 12845 'HOWARD W. YOUNG, ~ND SURVEYOR N.Y.S. LICENSE N0'.45~3 :AMILY DWELLING T OF H[ALTH SERVtCF$ "Ii' should be no'~ed that sh~ce property is located in aa ~rea, -~he p(~s~ibiJity exists that ~t~r st~pgiy ma~ contab ~r~c~ amounts of pesticides ar~/or SURVEY FOR RICHARD S, POSSELT ~ OOMINiC~ TAORNIiNA LOT NO. $3)" SALTAIRE ESTATES" AT MATTITUCK TOWN ~ $OUTHOLD SCALE: I" ~ 50' SUFFO~ COUNTY, NEW ~RK NO. '. '- ~ TITLE NO. IllS -7740 This lot subject to covenants for treatment of water supply for the following contaminants: ~FFO~ COUNTY-~3TM DEP~N~ ' SU~Y FOR WILLIAM YOUNG ~ PATRICIA YOUNG AT MATTITUCK DATE: OC~ 3, ~985 faoi~lt~ie~ for thJ. S l~,uat[om ~mve been ~WN ~ SOUTHOLD lns~ee[~ed by ~him depma't~nt ~ ~o~d ~ SUFFO~ COUNTY, NE~ ~RK NO. 85- to be sati~fa~to~.~,- ~. ~ ~ ' ~UTH~IZED ~LTERATIO~ OR ~OO~T~O. ~ ~S G~RANTEED ~: . - _ FIRST ~ERI ~ ~N Y Chief of Gene~l Enginee~n~ HEALTH DEPARTMENT =DATA F~ 4PPRO~ TO C~STRUCT ,4~ ~. HI$ ~[~LF ~ THE TITLE C~P~Y, WILLC~FORM ~ T~ITAN~OFTH[SU~K CO~TYD[PARTM[NT TO~XISTNG STRUC~RE~ AREFOR ASPECIFC OF H~LTH I~l~l, PURPOSE ANO ARE NOT TO ~E USED TO ESTABLISH ~u~ =c. ~ ~ I V~l Ikl~ ~ V~l IKI~ ~OS~NDERAVE~E I! / /~UI~O g /UUI~O RIVER~AD, NEWYORK NOTE= ~= ~AKEI=MONUMENT SUBDIVISION ~ FILED IN THE OFFICE OF THE CLERK OF SUFFOLK C~NTY ON ~e. 3, 1966A8 FILE NO. 468~ ~ ~/ AND ~ND SURVEYOR N.Y.S. UCENSE N0.12845 ' & ~/ HOWARD W. YOUNG, LAND SURVEYOR ~L~1~L(W),~ICTANK(IT}BCE~OL$(~)~N~[~ ~ ) N.~S. LICENSE N0.45893 BRANDIS & SONS INC, 1046 ¢~ er is used for water distributing system; piping shall be of types K or L onJy SOLDER USED IN WATER S UPPL Y S YS TEM CA NNOT EXCEED 2/10 of 1% LEAD. ON LEAD CONTENT BEFORE CERTIFICATE OF OCCUPANCY /~ FEE:/~,,. / ~ BY- L). C,',. ~.' ...... NOTIFY B!JI~ 'm~wG r',cD^ Dm*'"'~,-~ AT 765-1802 9 AM TO : PM FOR T'H.E FOLLOWING INSPECTIONS: 1 FOUNDATION TWO D~m, ~?,ED FOR POURED CONCRETE 2. ROUGH - FRAM!NG & PLUMBING 3. It' ':"'!' 4. FIN ,~' ........................ · '' i" · BE C''-' ~ ~'' ALL COIN THE REOLI!R.-.'TMENTS OF -F,.., .... ,. STATE CONSTRUCTION & r," ..... CODES. NOT RESPONSIBLE FOP, DESIGN OR CONSTRUCTION ERRORS· Phrase 4 7 ,-0400 Main Road G~.~L~'::NPOR'F. N Y. 1 t044 DWG. ~ 5. ?-_i .'., ""': ~-, d ?'% ,.r; ?. PLAN NO. Lj ,' -? , ,i ;. Y Z i ,0 ~ .. L t! \ I "% Phone 4.7,7-0400 Main Road C,P~ ~'"~?@R f, ~ Y. 11944 },:,-: -T-'", ~-, ~ ,.-~, .~.... , . -- i " - --:- ....... ._v , ,~'~-r', ~' ~ ~, . b, .... ~LAN NO. ~ ~" ~ ~' .... '" o. ;. - ','- c -" ..% ," _~,-:,,'. :.W ,". .,.-" ~."_ Z :..::.. ". ........ ' / -- ; .... :-: ....... .---c'-; _ "$"""'.' · - ~. .- ..~ j ~-' .,~ ......~~~}. ~i ................. ........ ,. -, . . - -. . - ' ~~~:: ..- ~.~._ .......... ~ ..... . . ........................... ~_-~ _.. _. ~,' ,.,~ '.; ~ c-- '-" ~. . ; ~ ~- ................. ' ~="~ ~'~ ~'~- L ~,~.~,_ ~;j ~ ~-~-'"~ .- ~ ~ .~ S~. C~,~ o~..' ~ '-- ~ "x ..... .. .._.. ......... .. t: Phone 477-0400 ~ Main GREENPOR T. N Y. I t O~ ' ~'" 1 SCA ...... i