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Home My WebLink About16274-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. zi6437 Date November 25, 1987 THIS CERTIFIES that the building ........... P. o. 9.1..q n..d..f.e.n..c.e ..................... Location of Property 12 10 Cox Neck Road Mattituck House No. Street Hamlet County Tax Map No. 1000 Section ... ! ! .3 ...... Block . 14 . .Lot 5 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ..... J.u. 1. 7..2.3..,..1.9.8. 7.. · pnrsuant to which Building Permit No.. I. 6. .2.7.4.Z. ............. dated .Z..u.1 y.. 2. 7. ~.. I. 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 ......... %r, tground pool and fence as applied for. The certificate is issued to lrlENRY J. & CLAIRE A. PESCE ..................... ..................... of the aforesaid building. N/A Suffolk County Department of Health Approval .......................................... UNDERWRITERS CERTIFICATE NO. Iq 830810 9 / 8 / 87 PLUMBERS CERTIFICATION DATED: N/A Rev. 1/81 Building Inspector FOn. M NO. 0 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) Ne 16274 Z Permission is hereby granted to: ............... ............. ~..~..... o~ ...... ~' ............ ~~'~ ................. ~?/' ................................ ~.... ~. ~o ...................................... ..j ........................................................ ~ ......... ~... at premises located at ..~...~.../...~......~ ...... ~ .......... ..~.~...~ .......... County Tax Map No. 1000 Section ...... !.l...~. ......... Block ...... ~...~. .......... Lot No......~....~.-~.. .......... pursuant to application dated ...... ..~..d~.....~:~..~ ................... , 19.~...'].., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be fiUed in typewriter OR ink, and submitted 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 insta)lation 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~z~perty showing all property lines, streets, buildings and unusual natural or topographic featuros. 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 1. Certificate of OCCupancy New Dwelling $25.00, Accessory ,$ ]0.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5.Update~ .C.O. $ 50.00 Date .......................... NewC°:~s tructi°n ...... O~d or Pre-existing Building ............ Vacant Land ............. ,oc t,on of roperty ...... ........... House No, ~ Street ~'~ Ham/et Owner or Owners of Property ........................ ~ ....... .~...~.. ......... County Tax Map No. 1000 Section ............................ Lot..,~ ............ Subdivision ..................... ~ ....... Filed Map No .......... .i~/~No .............. ,erm,t of Perm,t /? p,,cant ..... Health Dept. Approval ..... - ................... Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificato ' Final Certificate dS ,~ ~. ~- Fee Submitte Construction on above described building and permit meets all~pplicable codes and regulations. App,icant ~.. Z~...~ .............................. 1000863 THE ~September 8 1.987 Date THIS CERTIFIES THAT NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 'Henry J Pesce,i210 Cox Neck Road Ma~ttituck New York Outs J. de the followiog Iocati~fCl~ll~ ~d~*e .ff~f/ [~ Ist Fl. [] 2nd FI. Section Block Lot DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO. O~ FEET S E R I C NO, O~E~COND OF ~C. COND OF HI-LEG OF NEUTRAL (Swim~inR pool)This certificate covers compliance at the date of inspection only Because of unusual environments~it is advisable to have frequent test/and or repairs made by a qualified person. Gary T Surdi Electrical Cont 41 LOWell Avenue Roltsvflle New York 11742 GENERAL MANAGER This certificate must not be, altered in any manner; return to the office of the Board if incorrect. Inspectors ma), be identified by their credentials. COPY ,IT. ' IFI ALTERED IN ANY MANNER. ]65-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ J FOUNDATION 2ND [ ] INSULATION FRAMING REMARKS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION :~ND ! ]~ION FRAMING '~-~"FI NAL DATE .~ INSPECTOR UNDATION ( ~ s t) UNDATION ( 2nd ) UGH FRAME & PLUMBING SULATION PER N. Y. STATE ENERGY CODE . ADDITIONAL COMMENTS: i BOARD OF HEALTH . ~.. 3 SETS O~ PLANS ....... FORM NO. I SURVEY TOWN OF SOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC FORE ............. : TOWN HALL SOUTHOLD, N.Y. 11971 NOT~FY ' TEL.: 765-1803 CALL9,¢ U; ~~j~c..,.,.'~,.: .... Examined . ~ ~. ~.., 19'~. Approved ~ .*.~.., 19'~. me~it No.~ ~ &~ [~'~~ Disapproved a/c ........................... ~:~:~: .................................. ~ .......... ~. ~ ~oumom (Building Inspector) APPLICATION FOB BUILDING PERMIT , Date :4ff~ ........ 19~ 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 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 whatever until ~t Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance ora Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances o~ 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, at,el to admit authorized inspectors on premises and in building for necessary insp~c, tions. ~/} ,, /~ / J ....,¢.,c7. .o.: (Signature of O/p~icant, or name, if a corporation) · W../.o....Co. (Mailing address of applicant) A7~' /[~rtT,~l. State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .............. ~.C9...~.e.~ .... ~. ................................................................... Name of owner of premises ...Ng.~.~..~,...'.'~.....~.~.~.C..~....~....~...-~).t.~.' .~...~.,..~.-~t...C_..~. ...................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer· (Name and title of corporate officer) - ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No .......... ~.../.$.~.O. 0 ...... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. ·/.47.0. ....... C'..o. ~.../~..e.c../::....,~,~....z?'H/~.zf:.~.:y:v.c..~. .... ./'4..~... ltf~.:~. ..................... House Number Street Hamlet County Tax Map No. 1000 Section ..1.1.%. ........... Block . .I.¥ .............. Lot .~5 ................ 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 ...... .~4- ....... .-.....-.-,, [ ."~ . ali?./..d/.~....O.~..&.P..,tlt.;.~..~' ......................... b. Intended use and occupancy ....~..C~...Z-. .... .~.....~...ec.4.-g~CZT~,~2~ ~ZtSxo, ............... 3. Natureofwork(checkwhicha~plicable): New Building ..... ' ..... Addition .......... Alteratiol~ .......... Repair .............. Removal .............. Demolition .............. Other Work.../..0.~.~ ........ .~. ~..~.b--O' (Description) 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 ! /k([/ff . . . ' .... 6. If business, c'0mm~rcial or mixed occupancy, specify nature and extent of'e'a~ t3;~'dfi~s'e' i.. i i .,~.'J~ ..... 7. Dimensions of existing structures, if any Front ~. . Rear O¥ ! Depth ~ . Height ........ tlli~ ~lq]i~er of Stories ...... ,~, ...... · .......................................... Dimensions'ofsam~,T'Fa~e'~l'th alterations or additions: Front .... ,~,/,~, ......... Rear .................. Depth ............ A]/~ .... i.. Height ........ /,/t~... Number of Stories .,./V~.. Dimensions of entire new construction: Front .......... . ..... Rear ............... Depth ............... Height ............... Number of Stories ........................................................ Size of lot: Front ...... /.79. i't. ........... Rear . /.$.? / ....... Depth .... .~: .~'/. ......... 10. Date of Purchase ........ I)i.~17~.tc... ~.? . Name of Former Owner ............................ 11 Zone or use district in which premises are situated ...... ~ 12. Does proposed construction vioiate any zoning law, ordinance or regulation: ...... AJ,~, ................. ~. . ,. . 13. Will lot be regraded ........ .;~/f~ .... .~ .~ ....,... Will excess fiil be re,moved from premises: Yes ~ ,,No 14. Name of Owner of premises .. [f.~.~.~..-1,,.~.~.~.~.~.~. Address .. ~.~3r/.°., ~'~(?--~,,- .a----~. fPhone No..d~ Name of Architect : ...... '.: .... Address . .t.?.~..~.~..~-.~...~... Phone No ...... Name of Contractor...g.' T?. ~ .~.~...~ .~.q.~.'( .~.~.. Address .... : .......... iiii Phone Nol.. 15. Is this property located iwithin 300 feet of a tidal wetland? *Yes ..... No ...~. *If yes, Southold Town TrUstees Permit maybe required. PLOT DIAGRAM Locate clearly and distinctly aR buildings, whether existing or proposed, and. indicate all s~t-back dimensions from property lines. Give street and blocklnumber or description according to deed, and show street names and indicate whether interior or corner lot. , STATE OF NEW YORK, S.S COUNT~ OF.. ;~ ..... ~ .... /9. ..... ''' l'' ....... ................. being duly sworn, deposes and says that he is the applicant (Name of individual sigr~ing contract above named. He is the ..................... : ......... i (Contractor, agent, corporate officer, etc.) of said owner or owners, m~d is duiy 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 ............ :. d ....... day o ~ HB.;N-K.~VOE i ~ PUOLIC, ~ 0! ~w.¥~k (Signature of applicant) No. 4707878, Suffelk ~lnty~, ~_ ' t~'~ ... ~ ~0 J-: FOUNDATIOt~ 1~40 ~EQI~RED [;t ~,LL CO~S-t'~UCTION SHALL ~E~ [F~iGN OR CONSTRUCTION ERRORS{~