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Home My WebLink About16228-zFORM NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No..Z. ! .6 .8.5.7. ......... Date ....M a. y..l.q,..! .9.8.8. .............. THIS CERTIFIES that the building .... .O.n.e.. f..a.m.i.l.y...cl.w.e i i i rig. Southold Location of PropertyHouse'' .1 .5.0.No.. I~. ~ ....B.e.u..1.a.h...Ay.e.: ..... 's't/ebl ....................... h;kiel County Tax Map No. 1000 Section ...0.5.1 ....... Block . .9.3 ........... Lot..2. ...4 ............ Subdivision MT. Beulah Acres .Filed Map No. 6984 .Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated July I0, 1987 pursuant to wlfich Building Permit No. 16228Z dated ...J.u.~.y...1.4. ,.. ! .9.8.7. .......... 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~ permit amended to include first floor decks The certificate isissued to DENNIS BI TRAGLIA/ANTHON¥ MUSTO (owner, of the aforesaid building. Suffolk County Department of Health Approval ... 8..7 7.8.0.7 .7.5..1{..ay..0.5. ,..1.9.8..8 .............. UNDERWRITERS CERTIFICATE NO. N008732 April 5, 1988 PLUMBERS CERTIFICATION DATED: MATT. PLUMBING & HEATING CORP. 4/19/88 · ............. Rev. 1/81 TOWN OF $OUTHOLD 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~ 16228 Z Permission is hereby granted to: .U · ......~....o..~......t~C..-L ......................................... ..~..'~....~.....~.~..:..~.~...~.~ _.~ .................................. ......... ..... County Tax Mop No. 1000 Section ...... (~.:~..~ ........ Block ...... .~...~ ........ Lot No.....~L.~. ........... pursuanttoapplicationdated ........ ...~.~.~...~. ...................... ,19~..~...,andapprovedbythe Building Inspector. Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Buitding 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, propertv 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 electrice{ {nstailation from Board of F[re 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. S. 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 peoperty showing all propertv lines, streets, buildings and unusual natural or topographic featu res: 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 / land 3. Copy of certificate of occupancy $1.00 use -.Fre-Existing C.O. $15.00 Vacant land C.O. $ 5.00 Date Marc.h. 15,......1984. New Building............. Old or Pre-existing Building ............ Vacant Land ...... X. ...... /~6 Mount Beulah Avenue, Southold, NY Lo~ation of Property ................................................................... House No. Street Ham/et 0wneror0wnersofProperW Edward C. Booth and North Fork Bank & Trust Co. .4 County Tax Map No. 1000 Section .............. Block ...............3 Lot ................ Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........ Date of Permit ........ Applicant R.u..d.ol.p.h.N. Bruer Health Dept. Approval ...................... Labor Dept. Approval ........................ Underwriters Approval ...................... Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate .......... X. ............ Fee Submitted $ ............................. Construction on above described building and per, m~ meets all ~pp~)~ablqcodes and regulations, Applicant ..../Y~r'~.~. [~/; · ~ .C~.~ ~, 6~.h.6!~. ............ ~dolph ~. Bruer Rev. 10-10-78 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 ~ ama.e~m 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: I. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic .featu res. 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,$25.O0, Accessory,,,$lO.O0 Business $50.00 2. Certificate of occupancy on pre-existing dwell ng $ 50.00 3. Copy of certificate of occupancy $ 5 00, 4.Vacant Land C.O. $ 20.00 ' over 5 years $]0.00 5.Updated C.O. $ 50.00 Date ............ NewC°nstPucti°n ....... Old or Pre-existing Building ............ Vacant Land ............. Location of Property...t.50..~.~)~ .......................... .... . .. House No. ~ , t"i'A /f /~treet ~ * ~ Ham/et Owner or Owners of Property ...'~..~..~...~.....~.~..~...~.....~.. ...... County Tax Map No. 1000 Section ............... Block ....... ~),~5. .... Lot ............. Subdivision ........................... Filed M p N ~?~. ~ Lot N Permit No ....... Date of Permit .Applicant ................. HealthDept Approval ....~..~..,~..9 ~'.C . · · ........ Labor Dept. Approval ..................... :.. g 73 z.. · · · . ·Planning Board Approval ...................... Underwriters Approval ~ ?.? ............ Request for Tem~rj~ry ~C~r~:ificate Final Certificate - Fee Submitted $ .... .~. ....................... Construction on above described building and permit meets all applicable codes and regulations. Applicant..~..~ .~/ .............................. ,-.,o.,o.,s TOWN OF S@UT~OLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTttOLD, N.Y. 11971 CERTIFICATION TEL. 765-1802 Date Building Permit No. /~ ~ (~ease print) (please p~nt ) I certify that the solder used in the water supply system contains less than 2/10 of l%'lead. Sworn to before me this Notary Public, ~c> _County Notary Public FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [~' FINAL BUILDING DEPT. ~ ~'~ INSPECTIO N [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION AND [ ] INSULATION FRAMING [ ] FINAL BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION :~ND [ ] INSULATION [ ] FRAMING [ ] FINAL 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [/]/~NSULATION [ ] FRAMING FINAL DAT" // INSPECTOR ~.-~~~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION tST [ }.~OUGH PLBG. FOUNDATION 2ND [,/] INSULATION DATE ///~/~/ ,NSPECTOR~ 765-XSOZ BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ j FOUNDATION ZND [ ] i~ISULATION [ ]FRAMING ,r. ~FINAL DATE 765-1802 BUILDING DEPT. INSPECTION [ ] FRAMING ~r ]FINAL REMARKS: (~/~ ~/'~:,/<_ OAT'= /× 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING REMARKS: ~'~-~t', ROUGH PLBG. [ ] FINAL DATE ~/~-'~/~/~S 'NSPEcToR~/~~ 765-1802 BUILDING DEPT. INSPECTION ~~FOUNDATION 1ST []ROUGH PLBG. FOUNDATION 2ND []INSULATION FRAMING []FINAL DATE ~/~~ ~' INSPECTOR~ INSPECTION 76S-1802 FOUNDATION 1ST []ROUGH PLBG. FOUNDATION 2ND []INSULATION FRAMING []FINAL REMARKS: / ~ / ,/ UNDATION. t ) UNDATION~) ?LUMBING SULATION PER N. Y. STATE ENERGY CODE FINAL . ADDITIONAL COMMENTS: N 880 04' 50" £ LOT B LOT I ON MAP OF MOUNT BffULAH ACRES FILE NO- $984; FILED MAY29, SITUATED AT $OUTWOLO CERTIFIED TO: ANTHONY I~USTO DENNIS DiTRAGLIA TOWN OF SOUTHOLD SUFFOLK CO,, ~ _ [] seaJana . . ~u~a,~ ill] k . .~. $ Il rlverheod, new york "90' Il JJMorch 15, 1987 dob N~ 84-~A ELEVATIONS IN AN ASSU. EODATU' . ~.o ,ut.__.. ~,_.. Il lO00- 051-05-2~ Scole: ,"= 40' 128993 sUFFOLK ~O~UNT'( RI',IERHt~AO, ?LY, 11901 Th~ w~r supply and sewage dispos~ ~ systems for this resid~ will con r ~o ,h~ ~,~,~,u, of ,~ s.,a~ ~GLE FAMILY DWELLJN~ ,'~, .. ~.- ~. oJ ,~,, ~'E~PIRES TWO YEARS FROM DAT~ Cq , ~ , ), :,, , ,... ~/,~, ON MAP OF ~NTHONY MUSTO TOWN OF SOUTHOLD DENNIS DiTRAGLIA SUFFOLK CO, N .~-_-. L~ ~ engineering p.c. -~. -- -- west main street ~~~. riverhead, new york 11901 (516) 369-1717 March 15, 1987 dob N· 84-501A 1000-051-03-2.4 Scale: I"-- 40' NASSAU SUFFOLK BLUEPRINTING LOT 2 /V 88~ 04' 50"E ~92.64' $1Jtq:OLK COUNTY DEPhRTMENT OF HEALTH ~"RVIIJ~C~ SINGLE FAMILY OWELLING ~LY The ~w~e disposal and w~er sup~ty f~cili~s' ~r ~ I~atiofl ~ve ~en ins~cted by thi~ gepart~nt ~/~ ~ief ~'B~reau ~ Wa~ Ma~e~ : LOT I ON MAP OF MOUNT BEULAH ACRES FILE N°- 698'q; F/LED MAY29, /981 SITUATED AT TOWN OF SOUTHOLD SUFFOLK CO., Al. Y. ELEVATIOA/$ IN A/V ~S$UMED DATU/~ BANK DENNIS DiTRAGLIA ~ sealand . ~ engineering p.c. I10 west moin street riverheod, new york 11901 (516) 369-1717 March 175, 1987 Job N£ 84-501A I000- 051-05-2.4 $cole: I"= 40' NASSAU SUFFOLK BLUEPRINTING Examined · ·. :~ ~/. Approved .....~.'~ , ,,.:; 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 l.q.., 19 .]..~.., 19~..7. Permit No..}.~p.e~...~.~...'~.,. Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Received ........... ,19.. D 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 this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Pel~it 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, 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 co p rat'o ) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ~..~-.-.-.-.-.-.-.-~M~ ..... ~-~ .~. r:-:. :.'.-~ ..... - ............................. If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .......................... Plumber's License No..~.....~ .......... Electrician's License No. ~...~..~. ............... Other Trade's License No ....................... ~ [ ~O ~ 1. Location of land on wnicn proposed work will be done~~2~ ........................................ tfouse Nmnber Street Hamlet County Tax Map No. 1000 Section ....t?.D...~./. ........ Block ...... .t~..'~.. ........ Lot..~..'..~. ........... Subdivision ..................................... Filed ~ap No .............. Lot ............... (Name) 2. State exJstin~ use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy..~.__ :~ ..... , ................. ., .......................... b. hltended use and occupancy :~.~-~ ......................... 3. Nature of work (check which applicable): New Building ........ Addition.... ...... Alteration .......... Repair .............. Removal , Demolition ,. Other Work ...... : (Description) 4 Estimated Cost Fee 5. If dwelling, number of dwelling~units umber 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 typ~ of use 7. Dimensions of existing structures, if any: Front ............... Rear ........ i ...... Depth ............... Height ............... Number of Stories ............................. i ........................... Dnnenslons of same structure with alterations or additions: Front .............. .... Rear .................. Depth ...................... Height ...................... Number of ~tories ...................... 8. Dimensions of entire new construction: Front . ~,.O. ......... Rear ......... ' ...... Depth . .'?.~. .......... Height . .67~. .......... Nu ber of Stories.. ~ ...................... i .......................... 9. Sizeoflot: Front /~.'5~ Rear ~°~j'', . I'}~,nfh 10. Date of Purchase ............................. Name of Former Owner I/~. ~'. ...... 112.1' DoesZ°ne or use district in which premises are situated .............. ~.,~.Z,~I ......... ................. proposed constr~qtion violq~e an)' zoning law, ordinance or regulation: Will lot be regraded ....... ^ ........ r~ ~' ~' · '~' · · Will excess fill be removed from premises: Yes. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indtcate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, S.S ¢OUNTY OF ......... ........ ................................................. being duly sworn, deposes a.n :d,tsa e pplicant (Name of individual signing contract) above named. bte is the (Contractor, agent, corporate officer, etc.) ~f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this ~pplication; that all statements contained in this application are true to the best of his knowledge and belief; and that the ~ork will be performed in the manner set forth in the application filed therewith. 5worn to before me this qotaryPublic, . .----~.-....... County NOTARY HELEN IL DE ~V~kew Yodt PUBLIC, State of lerm Expires M~'ch 30, ~,~ ~ (Signature of applicant)