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Home My WebLink About16275-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z16903 D~te May 24, 1988 THIS CERTIFIES that the building one-family dwelling Location of Property 345 Budd' s Pond Road Southold v'd ........................................................ Street Ham/et 56 5 6 County Tax Map No. 1000 Section ............ Block ............... Lot ................. Subdivision Willow Point 4652 4 ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ...... J.u. 1. y... 2~4.: . ! 9.8.7. · pursuant to which Building Pemfit No. 16275Z dated ...... .J .ul. y. 2. 7.,. ! 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 with decks. The certificate is issued to MARISSA & IVAN TOIC of the aforesaid building. Suffolk County Department of Health Approval 87-S0-128 Mar. 18, 1988 UNBERWRITERS CERTIFICATE NO. N524059 PLUMBERS CERTIFICATION DATED: Henry J. smith & Son, Inc. May 10, 1988 Building Inspector Rev. 1/81 FOR~ NO. O TOWN OF $OUTHOLD B~ILDING DEPARTA4S:NT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No 1627.5 Z Date // Permission is hereby granted to: .....Y. .../..~.~..o......~...~...~.~., ........... at pre~ise~ ,ocated o, ....~...~..4;.~..~., ...... ~~L ................... County Tax Map No. 1000 Section ........ ~....~. ......... Block ....... ~.. .......... Lot No ......~2. ............... pursuant to application dated ........ 4'~' ...... '~"~' .............. , 19..~...'7.., and approved by the Building Inspector, Rev. 6/30/80 FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall .... HAY 13 1988 Southold, N.Y. 11971 BLDG. DF.~. 765 - 1802 . '~I~WNOFSOUTHOLD APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled 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 featu res. 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 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 inf0rma- - tion required to prepare a certificate. C. Fees: Additions $25.00 POOLS $25.00 ALTERATION $25.00 1. Certificate of occupancy New Dwelling, $25.00, Accessory-,$10.O0 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 5 0-. 0 0 3. Copy of certificate of occupancy $ 5.00, over 5 years $]0.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O.~ $ 50.00 Date ...~...~../.~.y ........ New C on s % r u c t i o n ...... Old or Pre-ex isting Building .. Vacant hand ............. Location of Property .......... .~. ............. ~ ......................... House No. Street Ham/et Owner or Owners of Property . .~.~J~.~..~...~.d~[L/~.... ]....I.P~-~L.~. ...................... County Tax Map No. 1000 Section ............ Block .......... Lot ............. Subdivision.. ~/.~O.,~J.~.. .......... Filed Map No. /~.~..o~..~...Lot No .... ~ ....... Permit No ........... Date of Permit .......... Applicant ................................ · · Health Dept Approval ~ Labor Dept Approval Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate Final Certificate Fee Submitted $ .............~.~"-.(/0 y¢..~.. .......... Construction on above described building and permit meets all applicable codes a?d regulations. .~_4~.._.~O, 3~ ~.~ Applicant .L~. C/LO(cc...~,J.:../.~¢'..-~....~¢~J....~-~...,...L~.../.; ............ Rev. 10-10-78 HENRY J. SMITH & SON, PLUMBING. HEATING & FUEL OIL MAiN ROAD SOUTHOLD, N.Y. 11971 (516) 765-3696 Inc. CERTIFICATION D a t e ~_10~_118~ Building Permit Ne. 16275Z_ Owner Ivan Toic Plumber Henr~y. J. Smith & Sonz_In_c-. I certify that the splder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this 10th day of __M_a2~_. 19 88 Notary Public, Suffolk County B[RNa, D£T?E t. I'~O'~AR'f ~UBLIC, S[a~e o~ New UND~TION (1st) UNDATION (~d~' UGH FRAME & FLUMBING SULATION PER N. Y. STATE ENERGY CODE Z FINAL ADDITIONAL COMMENTS: 765.'~802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION 2ND FRAMING [ ] ROUGH PLBG. [ ] I~SULATION [~FINAL 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION ZND £RAMING REMARKS: ROUGH PLBG. [~'NSULATION FINAL ~ ?GS-1802 BUILDING DEPT. INSPECTION ILDING DEPT. ~~~ Ii~ISPECTION FOUNDATION 1ST [ ] ROUGH PLBG. / FOUNDATION 2ND [~/INSULATION FRAMING FINAL 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. J/FOUNDATION ZND [ ] INSULATION / [~ FRAMING [ ] FINAL DATE 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [,~ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING ~r] FINAL DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [~/FOUNDATION 2ND [ ] INSULATION [ ] FRAMING REMARKS: FINAL ,INSPECTO~/~,~? ~ ~/~ ~76S-1802 ~// BUILDING DEPT. INSPECTION [~FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL DATE /~/ INSPECTOR~ ' -PECTION [ ]~FOUNDATION 1ST [ ] ROUGH PLBG. [ j FOUNDATION 2ND [ ]INSULATION [ ~ F.AM,NO~ ~ ~,N~C REMARKS: ~ ~ DATE ,, INSPECTOR ~_~~/-~/ Examined . .~.~. Approved .... 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N.Y. 11971 TEL.: 765-1802 .~..-/.., 19 g.? .c~ .~.., 19~.~. Permit No..~..~..~. 7..~..~ Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT uuc_~ ..... I~L¢~ BLDG. DEPT. ~' UT~OLD . , 1 9 · · · INSTRUCTIONS a. This application must be completely tilled 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 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. .~n~-~ ~..:4...~...~o.. ~...~. ~.~ !¢.~.c. ~ ....... (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder. ............................. /0 ~..~.l.~: ..................................... Name of owner of premises ... ,~.~C(~..c~..'e9. . .~.~.~..0:..~....'~. ~ i.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) Builder's License No.../..~..7.?.~. M ~ ........ Plumber's License No.../.[ ~..~Tl,,9..~.. ........ 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 .... .~ .......... Block .... .~..~.. ......... Lot....~..~. ............ Subdivision. ,,..[,t.O/,t)...ID/] ~.0 ................. FiledMapNo .... (.,/& ... Lot ............ (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ........ /...'.~.'..O3. j" .... i.~ 'd'' (-9".~ [[! .................................. :,.. .......................... b. Intended use and occupancy ...... ./..: :Z~..f0. 2. ~7~... ~ 3. Nature of work (check.whlchi, apphcable): New Building ...... Addition .......... Alteration Repair ~Removal Demolition Other Work o (D scriptio ) 4. Estimated ~ "' (to be paid on filing this application) 5. If dwelling, number of dwelling un, its ............... 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 st ct res, ifany: Front ............... Rear ............ ............. Height ............... Number of Stories ............................................. Dimensions of same structure! with alterations or additions: Front ................. Rear .................. Depth ...; ...... ! ....Height ......... Number of Stories ......... 8. Dimensiohs'df entire new cortstruction: Front .4{.~I Rear -~'~' ~ . Denth ' ~.'~ )' i i ' Height ..... -~ ~. · · · Ng_mber of Stories ~..~/?.~- ............. 10. _Date ofPurch..as, e ..... .".' 'i .................... Name of Former Owner ............................. 11. Lone or use alsrrict in wnicn premises are situated ..................................................... !2. Does proposed construction violate any zoning law, ordinance or regulation: ..... ~'q.O ....................... 13. Will lot be regraded ..... ,~'..a .................... Will excess fill be removed from premises: Yes )~ No PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and b o~k number or description according to deed, and show street names and indicate whether (Signature of applicant) STATE OF NEW YORK, COUNTY .... . S.S ......... ~?ff'..~...t~.(,g.~.~././. (..i ..................... being duly sworn, deposes ~d says that he is the applicant (Name of individual sig~ing contract) above named. He is the .. ~O~...~ ............................................................... ~ (Contractor, agent, corporate officer, etc.) of said owner or owners, ~d is dOly authorized to perform or have perfomed the said work and to m~e and file this application; that all statements con' ained ~ this application are true to the best of his knowledge and belief; and that the work will be perfo~ed in the m~n ~r set forth in the application filed therewith. Sworn to before me this ............. ~ ....... dayo . .... ~ ........ ,19~7 Nota~ Public, . .... ~..~ ~..~, ....... ~R~County ~ '~ ~ .. ~L~H~NNN~ ..... , ~?~:~1~? State ~ New YO~ , . j No. 52-8125850, Suffolk ~ Term Expires O~to~r 3~, ~9~ ' ~ Z (V,'4C~I/v?.) Prepared n accordance with the minimum o~gndord~ fo~' title surveys as established by fhe L, I, A. L.S. and approved and adopted N $8 ° ~$' O0 /a.~ ' I1~l . .5 3 ' LOTS 'fhe ,~atm supply & .~e~age disposal W~* terns for this residence will conform to the ~tondards of the Suffolk County Depart- ment of Health Services, LOT 5 50' ~, /~e ~o (VACANT) e ,BUDD'S POND RD. ~. SURVEY OF LOT 4 klAP OF ~UBO'IVI$ON 'WI L L 0 W POINT FI L ED dUN. 16~19~6 AT ARS, HAMOMIiIQUE TOWN O,F $OU,THbLD SUFFOLK COUNTY N.Y. I000- 56-,05- O~ SCALE I"= 50' MA)" 14~ 1987 LOT 17 ..c ~ELLING ONLY PiRE$ TWO YEARS FROM DATE OF APPRO~f~L VICTOR CAVALLI SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES FOE APPROVAL OF CONSTRUCTION ONLY HO~ APPROVED_-- Y. S,L PECONIC 'VE'YORS ~ ENgINEERs RC. (516) ~65- ~05.0 R O. BOX 909 54655 MAIN ROAD SOUTHOLD~ N.Y. 11~71 87- 364 IAI N $8 ° ~$' O0 LOTS LOT 2~2 ' I S §0°4 ~ (PUBL I C R=519.26 MATER IN STREET) POND e~,.~, 8U DD'S LOT 5 {VACANT) SURVEY OF LOT4 MAP OF SUBJ)IVlSOItl nWILLOW POINT" A T A~SHAMOM~QUE ~owN OF ~OUTHOLD SUFFOLK COUNTy'N.X · ~ooo- 56=05- o6 SCALE I'~ 30' MAY 14~ ~1987 OCT, 13 ~ 1987 LOT 17 (VA CA NT) LOT IG (VACANT) Prepared in accordance with the minimum standards for title surveys as established by the L.I. A, L..S. and approved and adopte,~ h~r ~uch use by The New York State Land i LOTS ~.~o' MA IN 6158o ~$, 00'~ CONC (V4CANi-) RO~D MAY I 3 1988 £ S 50°~ ~ (PUBL ! ¢ LOT 4 WATER IN STR£ET) BLDG. DEPT. 4tO,V LOT 5 (VACANT) SURVEY OF LOT4 MAP OFEUflDIViSON "WILLOW POINT"' F/LEO JUN. 16~19~6 AT AI~$HAMOMI4QUE ~'OWN OF' $OUTNOLD SUFFOLK COUNTY N.Y. I000- 56-.05- 06 SCALE I'= 30' MAY 14, 1987 OCT. 13 , 1987 Feb. 26, 1988 · , BUDD'S POND RD. B.O.H # 87 SO 128 LOT 17 (VA C A IV T) LOT 16 Prepared in accordance w~tn Standards for title surveys as estoblishc,~ the L.I.A.L.S. and approved and adopted for such use by The New York State Land Title Association. ' P~CON/C ~~~Ne/NEERS p.c .... '5/6] 766- 54655 MAIN ROAD $OUTHOLD, N.Y. IIg?l CERTIFIED TO: $OUTHOLD SAVIHGS BAHK I VAN TOIC MARISSA TOI C CHICAGO TITLE INSURANCE CO. ~ SINGLE FAI~ILY DAT~A~ ~ 8 ~98~ U S REF ~. The sewage disposal and wa~r supply location have been inspected by this ot~r ~ci~nd feuod ~'~ ~s~ 87- $ 64