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Home My WebLink About12823-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall 8outhold, N.Y. CERTIFICATE OF OCCUPANCY No Zt7614 Date DEC. 19, 1988 THIS CERTIFIES that the buildin~ONE FAMILY DWELLING Location of Property 45 BUDDS POND ROAD House No. Hamlet County Tax Map No. 1000 Section 056 05 Lot 03 Subdivision WILLOW POINT Lot No. 01 Street Block Filed Map No. 4652 SOUTHOLD conforms substantially to the Application for Building Permit heretofore filed in this office dated DEC. 16, 1983 pursuant to which Building Permit No. 12823Z dated JAN. 4, 1984 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 ONE FAMILY DWELLING, ATTACHED 2 CAR GARAGE, DECK & PATIO. The certificate is issued to of the aforesaid building. OLGA & ALDO BACCHIA (owner, SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL i3-SO-168 NOV. 25, 1988 UNDERWRITERS CERTIFICATE NO. N031635 SEPT. 6, 1988 PLUMBERS CERTIFICATION DATED HENRY J. SMITH 8/15/88 ~ B~ilding Inspector Rev. 1/81 FOI~M NO. 2 TO~N OF $O~THOLD 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? 12S23 Z Permission is hereby granted ~ / ...... ........................... ...... ..~...c2.~?~Z~.(.~.(.~/ ..~...~.....,~/.,.:.~..: ................ ~o ............ .(~:~.2~(~.~ ....... ~...~::~-z~.....~;~z~ .............. ..... ~.~.~..::: ........ ~~ ........ g~.~.e./~ .......................... : ............................... at premises I~ated at ...~2......~-Z~2.~.~~.~2 ........................................... ......................................... ~.~ ........ /~.~z~.~....~.~....~ ........................................... ..................................................................................................................... CounW Tax ~ap No. 1000 Section ....~.~ ....... Bl~k ...~.~ ....... Lot No...~..~ ......... pursuant to application dated ...~(~'~~.....~....., 19. and approv~ by the Building Inspector. Fee $...~, · .~...~..,..~,~.~.~ ~ Building Inspector Rev. 6/30/80 HENRY J. SMITH & SON, PLUMBING, HEATING & FUEL OIL MAIN ROAD SOUTHOLD, N.Y. 11971 (516) 765-,3690 Inc. CERTIFICATION Date August 15~ 1988 Building Permit No. 12823Z Owner Aldo Bacchia 45 Budds Pond Lane~ Southold Plumber Henry J. Smith & Son~ Inc. I certify that the solder used i~ the water supply system contains less that 2/10 of 1% lead. Sworn to before me this 15th day of August , 1988. Notary Public Notary Public, Suffolk County BERNADETTE L, TAM.IN NOTARY PUBLIC ~844~93 $'~te ot New Residing in Suffe4k County~ · ~nrn~.,sLon'° Expires Sept. 30, ~,i\\i, ~ 0EC i 41988 BLDG, DEPT. TOWN OF SOUTHOLD 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [~INAL REMARKS: DATE FIELD INSPECTIO~ ~ COMMENTS FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY ?DE ADDITIONAL COMMENTS: FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall /~.C~ Southold, N.Y. 11971 765- [802 APPLICATION FOR CERTIFICATE OF OCCUPANI Instructions A. This application must be filled in typewriter OF{ ink, and submitted ,-Ilammmma to the Building indic.' ' tor with the following; for new buildings or new use: 1. Final survey of property with accurate location of ell buildings, property lines, streets, and unu~al natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposal-(S.9 form or equal). 3. ApprovBI of electrical installation from Board of Fire Unde~vriters. 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: 1. Certi~[cate of occupanCy New Dwe).lJ. na,$25.00, 'Acce.~sory ,.$10.00 Bu~[nea.~ $50.00 2. Certificate of occupancy on pre-existing dwelling $ 5~0.0 0 3. Copy of certiflcate of occupancy $ 5.'00, over 5 yeare $10.00 4.Vacant Land C.O. $ 20.00 ,.~..~..~.C. 5.Uodated C..O. $ 50.00 Date //" .~. 6. hlteratzon $25.00 NewtOns t, ruc~,ion Old or Pre-ex,sting Building Vacant Lend . Location of Property ......................................... ; House No, Sfreet Hamlet Owner or Owners of Property../~.~ ,~J~,./..~,/~;',/~, .... ~'~, ~'~ .................... 1000 Section - '; Block Lot County Tax Map No ...... ~ ...... ~-~ ............................... Lo,.o ,Subdivision ~Ftled Map P rmlt No of Permit Appli · · · e ' ' . ........ t',,' cant ....... IthD pt Approval--- --/.~.r.~...~?J /..~.~. Labo Appro al ' Hea e .......... r Dept. v ........................ '.~.?~..~.~,'~. Planning Board Approval Underwriters Approval .................................. Request for Temporary Certificate .... , ................. Final Certificate . ~ ..................... Fee Subm~tto ............................ Construction on above descr bed building, end permit ~,~~,~2~.f.~.~.~/~/ ica le codes and regulations. Apphcant ............. · ................................. 10.10.78 do z/7~15r 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] .ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING ,r. ~FINAL RrMARKS: , ~ ', DATE: ('t//,~- ~/~,~ INSPECTOR.' / ?' 765-1802 BUILDING DEPT, INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND~INSULATION FRAMING [ ] FINAL REMARKS: INSPECTOR 765-].80Z BUILDING DEPT, INSPECTION FOUNDATION 1ST \,[~' ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION ~,~ FRAMING [ ] FINAL REMARKS: TOWN OF SOUTHOLD OFFICH OF BUILDING INS?ECTOR P,O, BOX 728 TOWN IIALL sourlIO!.D, N.Y. 11971 TEL. 765-1802 TO Whom This May Concern, We are unable to complete your Certificate of Occupancy because .of the following reasons. /_--//An application for Certificate of Occupancy is not on filo~. _//. Under;.;riters Certificate on file. /~/'l'he check is(outdated/not on file.) /~_~ b'o Health Dept. Approval on file. /.--_/ Uo final inspection has becn madc. P]ea:;e contact our office on this matter. Than'~ you for your cooperation. Building Permit It I .~ ~ ?.~' ~ Z Buitdin~ Dept. '~**/~No Plumber Solder C "'-' ' - eru~flcate on file. ( all permits .tnvo!vlnq plumb!n~3 being issued after April !,1984 ) FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 /~; -.~ TEL.: 765-1803 Approved~./~5/) .~2.-.. (. ....... 15~/.. Permit No...' .... ::...' Disapproved a/c ......... : .~........'----7. ......... <.~ ...... ...................................... ................ ?z '~I~u'iiciing Inspector) APPLICATION FOR BUILDING PERMIT Date ...~.~. · ../.~ ..... 19 INSTRUCTIONS a. 'This application must be completely filled in by typewriter or in ink and submiited io 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 shall be occupied or used in whole or in part for any purpose whatsver 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 constructio¢ 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 building for necessary inspections. .... (Signature of applicant, or name, if a corporation) (Mailing add[tess of applicant) State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder. .......... Name of owner of premises ..... ~a,~. .... /~. ~.~>.... ,~...~.~. ........................................ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. .... i.. ............ (Name and title of corporate officer) Builder's License No ....... {.~..'/ ............... Plumber's License No ....... Electrician's License No... z. r.... ,.~ ...... !,. ...... Other Trade's License No ...................... 1. Location of land on which proposed work will be done ..... ~..,~.y,.'~../~..~...,~..~.,~.,. ,'fi-.../.~. ~.,OZ2,~. ,J.~.~.x-,,C} .,~.~, .......................................................... 5_'. u. .7/,,. . . .up. . ..................... House Number Street Hamlet County Tax Map No. 1000 Section ...... ~..~.(~. ..... Block .... ~.~7. ........... Lot .... .~. ............. Subdivision... ~...[1,~.1.(,~. tjX.. ?d~t .~t..~".. ........ Filed Map No...~..~o.~..~ .... LoL,... ! .......... (Name) -.3 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . . .~J/IC_4~ kJ .~". ............................ · ........................... b. Intended use and occupancy . . ...."[' " ........ .'. 2~ i~ ,'~ '/~i~ '~i~ ;~' ~}~ 4; ~;~.'d ~ ............. 1 3. Nature of work (check which applicable): New Building ...... Addition .......... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... 5~ (Description) 4. Estimated Cost...~.~1.17'0'0 ........................... Fee..~....t/.~.~fl.... ........................ (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 I .... ' ........... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structur&s, ifany: Front ............... Rear .............. Depth ............... Height ............... Number of Stories ........................................................ Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth ................... '... Height ....................... Number of Stories ...................... 8. Dimensions of entire new construction Front . ~.4~ ~ Rear . .~ . Denth .. ~.~ .. Height ...... Z. ~. ...... Nu~mber of Stories ......... c~°. .............................. 9. Size of lot: Front ........ IOiCl ( ......... Rear .... '.6~.dc. .......... ,... Depth . ~.7.~ ................ 10. Date of Purchase .......... i .................. Name of Former Owner ............................. 11. Zone or use district in which premises are situated ..................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded ........ ~.O .... : ........... Will execs fill be remqved from premises: ? r~ Yes -t~ No 14. Name of Owner of premises .~tL. JCld, o .[~At,~.tq .... Address .l.~ 7.~. I.l. ~..6.5.'~-..g,9. ¢.. Phone No.-grUk .".~.&l .% .5'$~. ~ Name of Architect . .~0 .... /. .................. Address ...~2/eP.c.htt,,~a ....... Phone No ................ Name of Contractor ~{4e~V.. ~,:t~a~'r't~O.t..~. Address .{~1~ t~&../~ ..... Phone No. ;r/,07??~c-~.~. ..... '} ~ ~ i 'PLOT DIAGRAM Locate clearly and distinctly ali buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and blockI number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, COUNTY OF~...'~ .......... ~. ~ .~.....~..~."/--~..~..~ ................ being duly'sworn, deposes and says that he is the applie ' (Name of individual sig~ing contract) above named. He is the .... ~ .-LT~... i I .................................. i (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 be performed in the manner set forth in the application filed therewith. Sworn to before me this ......... :....'~,~.... ~,..~.day of .... m c~,~.~. otary Publi .~.~~ County JUDITH T. TERRY (~/ Notary Publlo, StateI of N~a~ York .. ~ ............. No. $2-0~$ Suffolk CouP/~ )' (Signature of applicant)