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Home My WebLink About15662-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southoid, N.Y. Certificate Of Occupancy No...Z:.1.69.2.7... Date ....I~.ay...27.,. J9.88. ....... THIS CERTIFIES that the budding .O.NE. F.A.~.%L. ¥..D?.E..LL.t.N~ .................... Locatmn of Property . 4.3..7.0..~.o.r.~.h..B.a¥.v~.e.w..R. oa.d. ..... S. ?.u.t.h. 9.~.d ,...~.ew..Yg.r.k ...... ~ House No. Street Ham/et CountyTax Map No 1000 Section . . .07..9 .. .Block ..02 ........ Lot . . .~...3. ........ Subdlviszon .... r ................... Filed Map No ...... Lot No .......... conforms substantially to the Apphcanon for Budding Permit heretofore filed in this office dated January' 21, 1987 pursuant to wtuch BmldtngPermit No. 15662 z dated February 3, 1987 was lsstied, and conforms to all of the requirements of the apphcable provisions of the law. The occupancy for Much tins certificate is issued is ..... ONE FAMILY 'DWELLING WITH ATTACHED GARAGE f ATTACHED WOOD DECK The cernficate is ~ssued to ...... R.O. BE..RT. 6,..J.A.NE.T TROCCOL t /owner, l~i, ka l~X ............... of fire aforesaid braiding. Suffolk County Department of Health Approval .... 87.- .~.07.09 7..~.a.y.. 2?.. ! .9.8.8. ..... UNDERWRITERS CERTIFICATE NO .N. 83.58,20. -..O..c.tg.be.r' 5.,. 1987 PLUMBERS CERTIFICATION DATED: Aprzl I9, 1988 - Michael Dawson TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT CTHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 15662 Z Perm,ss~on is hereby grgDtee ...b..~.~ ...... ~~.....~-.o~ ........... ....... County Tax Map No I000 Section ....... CL~.~ ..... Block ....,.~.~ ....... Lot No..,?[..:.~'. ......... Building Inspector. Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 'PLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be fdled in typewriter OR ink, and submitted ~ to the Building Inspec- tor with the following; for new buildings or new use' 1. Final survey of property w~th accurate location of all buddings, property lines, streets, and unusual natural or topographic featu res. 2. Final approval of Hea~th Dept. of water supply and sewerage d~sposal--(S-9 form or equal). 3. Approval of electr[ca( installation from Board of Fire Underwriters. 4. Commercml buddings, Industrmt buddings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Subm it Planmng Board approval of completed site plan requ irements where applicable. B. For existing buddings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey qf property 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 buddings or premises, or other pertinent informa- tion required to prepare a cert~fmate. C. Fees: Additions $25.00 POOLS $25 . 00 ALTERATION $25.00 1, Cert~hcate of occupancy New Dwelling $25.Q0, Accessory ,$10.00 Business $50.00 2. Certificate of occupancy on pre-exist~ng dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 // 4. Vacant Land C.O. $ 20.00 .~'/.?/~.~ 5.Updated C.O. $ 50.00 Dste ........................ Newconsbruc%lon ...... Old or Pre-e×lsting BulJd~ng ........... Vacant Land ............. Location of ProperW ..... ?..0..../~.~../~.'F~....~..~/~. ~./.~.~. .~.. ~-~ ~'d House No. Street Harriet Owner or Owners of Property ...~.c~..~ .~..~....~.J.~. ...~.. ~0-~(~[ County Tax Map No. 1000 Sect,on ...... 2.~- ..... Block ..... ~. ....... Lot..../.'...~ ....... Subdlv,mon ....................... ]/../~..FdedMapNo ~.._ .... Lot No .............. Permit No. /~..~...~..~. 'Date of Permit .~l-.~.?//~2Applicant..~.~.'~z~' '- , .,~...~..~ ..... Health Dept. Approval ........................ Labor Dept Approval ....................... o Underwriters Approval ....................... Planmng Board Approval ...................... Request for Temporary Certificate ................... Final Certificate ....................... Fee Submitted $..')-~. ..................... '. Construction on above descmbed building andperm~t meets all applicable codes a.nd regulations. ..................... ReV 10-10 78 OUNDATION ( ls t) OUNDATION /~(2nd) OUGH FRAME & ?LUMBING NSULATION PER ~ STATE ENERGY CODE FINAL ,ITIONAL COMMENTS: ~~RD OF FIRE UNDERWRITERS ~000 BUREAU OF ELECTRICITY Motors: 1--lhp 4-G.F.C.I. 3-Smoka Detectors Paul Burns 275 Town Harbor L~ne $outhold, N.Y. 11871 Lic, 282E ~A~ Per~ rhls ¢eHiflcote m~t not be aJfered ,n any manner, return to the off,ce of the ~ard If Incorre~ Mspedors may be ~e~(fle~ ' the,r credentials COPY FOR BUILDING DEPARTMENT THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. i TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y 11971 TEL. 765-1802 CERTIFICATION Building Permit No. Owner ~ (please print) Plumber ~'~.~:.~.{?~ ~.~- (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plumber's szgnature) Sworn to before me this ,~¥ day of ~p~ /L , 19 ~ Notary Public,~tu~o ~ County Notary Publzc UNDA K OAWSON Nota~, Pubhc, State of New York No 4694688 T Quahfmd in Suffolk erin Expires Nlercn 30, ~9 765-~.802 BUILDING DEPT. INSPECTION FOUNDATION xST [ ~ ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ~INAL DATE 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ]ROUGH PLBG. FOUNDATION 2ND [ ]INSULATION FRAMING [ ]FINAL REMARKS: 765-1802 BUILDING DEPT. INSPECTION INSPECTION FOUNDATION 1ST fl ] ROUGH PLBG. FOUNDATION 2ND [,~INSULATION FRAMING FINAL REMARKS:, ~~.~^ 0,~_.~. ~-~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [,~MING [ ] FINAL 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST ROUGH PLBG. [~/]/FOUNDATION ZND [ ]INSULATION [ ] FRAMING [ ] FINAL DATE BOARD OF HEALTH 3 SETS OF PLANS TOWN OF SOUTHOLD CHECK BUILDING DEPARTMENI SEPTIC FORM TOWN HALL SOUTHOLD, N.Y 11971 TEL 765-1803 Approved~'~'~3~ 9~ ....... Disapproved a/c ......... (Building Inspector) APPLICATION FOR BUILDING PERMIT NOTIFY CALL v MAIL TO: INSTRUCTIONS a. This application must be completely filled m by typewriter or mmk and submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to ~cale Fee according to schedule b. Plot plan showing location iof lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detmled description of layout of property must be drawn on the diagram which is part of this apph cation. I c The work covered by this apphcatmn may not be commenced before msuance of Bmldmg Permit d. Upon approval of this application, the Building Inspector will ~ssued a Building Permit to the applicant Such permit shall be kept on the premises available for mspechon throughout the work. e. No bufldmg shall be occupied or used m 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 Bmldlng Permit pursuant to the Bmld~ng Zone Ordinance of the Town of Southold, Suffolk County, New York, and other apphcable Laws, Ordinances m Regulations, for the constructmn 9f buildings, additions or alterations, or for removal or demolition, as here~n described The applicant agrees to comply with all apphcable laws, ordinances, budding code, housing code, and regulations, and to admit authorized inspectors on prermses and in building for necessaryr.,mspechons (Signature of applicant, or name, if a corporation) (Mailing, address of applicant) 1 le~e~ State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder (as on the tax roil or latest deed) If appllaant is a corporatlan, signature of duly authorized officert. Builder s License No '4/ .... Plumber's License No Electrician's License No Other Trade's License No ...... 1 Location of land on which proposed work will be done House Number County Tax Map No 1000 Section Street Block Hamlet ...... Lot. ¢, 3 ....... 2 Subdivision .. . Filed Map No .... Lot .......... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed constructmn a. Existing use and occupancy ....... 't /c b, Intended use and occupancy .................... 3. Nature of work (check winch applicable) New Budding ..... Addition ..... Adteratlon Repmr . Removal ........ Demolltion .......... Other Work. . I (Description) (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'~.t~. O ........................................ 6 If business, commercmI or mixed occupancy, specify nature and extent of each type of use ............ 7. Dn-nens~ons of existing strustures, if any Front. . Rear ........... Depth Height .......... INumber of Stones ......................... Dm~ensions of same structu,re with alteratmns or additions Front ........... Rear ................ Depth .. . Height ...... Number of Stones ....... Duuenslons of entire new construction Front . m~' ....... t~ear ... w ........ Depth Height . .. ~l'~ff! ..... Num.ber of Stones . . . .~ 0~.. ............................... 9 S~ze of lot Front .~, tOO f .......... Rear ....~.O,~! ........ Depth ..... ~'-..~.4~./ ...... I1. Zone or use district in whlc~ premises are situated ................. 12 Does proposed constructmn violate any zomng law, ordinance or regulation ...................... 13. Will lot be regraded . ! ............... Will excess fill be removed from premises Yes ~_ Name of Architect . . . ! ............ Address . . .~o..~o~. .... Phone No ........... Name of Contractor ~.~ltg..~, ~.,d'~t j~,. Address ...... ~, Phone No. 15. ~s this property located w~.thin 300 feet of a tidal wetland.* Yes ..... No . ~If yes, Southold Town lTrustees Perraxt may be reauired. PLOT DIAGRAM -8. Locate clearly and distinctl;~ all buildings, whether existing or proposed, and indicate all set-back dimensions fro property hnes, G~ve street and block number or description according to deed, and show street names and indicate wheth interior or coruer lot STATE OF NEW YORK, S S COUNTY OF ...... (Name of individual signing contract) above named ...... being dui>' sworn, deposes and says that he ~s the apphca: He is the ................... (Contractor, agent, corporate ofhcer, etc ) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file t~ apphcation, that all statement.s contained m this apphcat~on are true to the best of bm knowledge and belief, and that ti work wall be performed in the manner set forth m the application filed therewith. Sworn to before me this ....... ~:~/ .... dayof -- .~"M'~.. ..... 19~..'~ m 0 TEST HOLE bJ -- o .~> °o o >. MAIN SOUTHOLD N¥S YORS 20 N Y 11971 MAP OF 'JAMES W FILE NO 7987 S 6 7°32 '30"E ( VACANT J DAWSON FILED OCT i6,1985 225 06' 85 o N 68° 50' O0"W ~ ~4~' 95 O' I 225 00' N/O/F CHERYL BARRY ANN MC CABE H HELIMAN LIC NO 49668 ENGINEERS, P C ELEVATIONS ARE REFERENCED TO AN ASSUMED DATUM o ~: o 0 SURVEY FOR ROBERT TR OCCOL! ,JANET TROCCOLI AT SOUTHOL D TOWN OF SOUTHOLD SUFFOLK COUNTY, lO00 079 02 - SCALE' I" = 40' OCT 21 , 1986 DEC 30,1986 APR. $, 1987 CERTIFIED TO FIRST AMERICAN TITLE INSURANCE COMPANY OF NEW YORK SOUTHOLD SAVINGS BANK ROBERT TROCCOLI JANET TROCCOLI Prepared II1 accordcnce standards for title surveys the LI.A,L$. and approvecl for ~uch use by The New York ~ ta~d T'dle Association. 86 -71,fi- C ROBERT TROOOOLI · , ,~ ~_,~.~ ~ ~ ~ ' JANET TROCCOLI T~STHOL~ ~ 0 ~ ~ ' ' ~ =' ~ ~ AT 80UTHOL D / '~'~ I~ ~ ~ ~'2 ""~,l ~r'l I ,o~.~ N 68° 50' O0"w [ 225.00' I N/O/F CHERYL AN~ MC CAB~ a BAR~Y H HELl MAN ~S,~~~~EC6~~'ORS & ENGINEERS P C Prepared in eec~-~ mca with the minimum P'O ~OX 90~ ~c~ ....... r ~ . .~v~/s as estabhshed by fie L.I ~ L S. a~d approved and adopted MAIN ROAD for such use by The New York State Land SOUTHOLD , N Y II ~ ~ %tie Assoaohon ELEVATIONS ARE REFERENCED TO AN ASSUMED DATUM TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. I000 - 079 - 02 4 ~ SCALE I" = 40' OCT 2l , 1986 OWEL~.,,.e_~" DEC 30, 1986 VACANT ) CERTIFIED TO FIRST AMERICAN TITLE INSURANCE COMPANY OF NEW YORK SOUTHOLD SAVINGS BANK ROBERT TROCCOLI JANET TROCCOLJ 86 - 714 A NORTH 8AYVI w RO. , TEST HOLE ( VACANT ) S 6 7° $2 '30"E , ' 225 06 N 68° 50' O0"W ~ /o/ E 95 O' ~' _ ~5 0' CHERYL ANN MC CABE 225 00' P 0 BOX 909 MAiN ROAD SOUTHOLD, N Y 11971 HELIMAN 0~ SURVEY FOR ROBERT TROCCOLI ~'? ~ ~ JANET TROCCOLI AT SOUTHOL D TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. lO00 079 02 4.3 IZl SCALE I": 40' ~ OCT 21 , 1986 ~..~ DEC 30,1986 OC) ( ;ACANT I APR 3 ~ 1987 z CER~FIED TO FIRST AMERICAN TITLE INSURANCE COMPANY OF NEW YORK SOUTHOLD SAVINGS BANK ROBERT TROCCOL~ JANET TROCCOLI 0 ELEVATIONS ARE TO AN ASSUMED REFERENCED DATUM Prepm~ in occo,~once with the minimum standards for title surveys as established by the LI.A. LS. and approved and adupte for such use by The New York State Lone T~tle Association 86 - 714 C TEST HOLE MAP OF dAlliES W DAWSON FILED OCT 16,198§ FILE NO ?*987 6 7°32 '$O"E ( VACANT I N 68° 50' O0"W 225 06' 95 O' 95 O' N /0/ F CHERYL ANN MC CABE 0 BARRY H HELIMAN NYS LIC NO 49668 (,.. RS a ENGINEERS , P C $OUTHOLD, N Y 11971 ELEVATIONS ARE REFERENCED TO AN ASSUMED DATUM 0 Z 2063 ~,,/I SURVEY FOR ,-s'_, ROBERT TROCCOLI C~ ,~* ~ JANET TROCCOLI AT SOUTHOL D TOWN OF SOUTHOLD SUFFOLK COUNTY, lO00 - 079 02 - SCALE I" = 4-0' OCT 21 , 1986 DWELI. I Ne I DEC:50,1986 IV^C,~.T I APR 3~ 1987 CERTIFIED TO FIRST AMERICAN TITLE INSURANCE COMPANY OF NEW YORK SOUTHOLD SAVINGS BANK ROBERT TRO CCOLI JANET TROCCOLI Prepared in accordance with the mimmurr standards for rifle surveys as established the LLA. L.S. and approved and adopte for such use by The New York State Lo Tsfle Association N.Y. 86 -714 C m ~| 85 o ' TEST HOLE m~ ~ m ~7'[ J ~ N 68° 50' oo"w N/O/F N ¥ S LIC NO. ~'~'-OR S (~ ENGINEERS, P C 51 61-,,'~ 0 a o P 0 BOX 909 MAIN ROAD 50UTHOLD, N Y 11971 MAP OF ,JAMES W DAWSON FILED OCT 16,/985 FiLE NO 7987 __. aa 95_0' 225 0 O' CHERYL ANN MC CABE BARRY H HELIMAN ELEVATIONS ARE TO AN ASSUMED 49668 (,,. > REFERENCED DATUM SURVEY FOR /*~ ROBERT TROCCOLI 'JANET TROCCOLI AT SOUTHOL D TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. I000 - 0?9 - 02 - 4 3 SCALE I": 4.0' OCT 21 , 1986 DWELLINe ) DEC 30,1986 ; W~T ; APR. ~, 1987 CERTIFIED TO FIRST AMERICAN TITLE INSURANCE COMPANY OF NEW YORK SOUTHOLD SAVINGS BANK ROBERT TROCCOL1 JANET TROCCOLI Prepared in accordance with I~e minimum standards for title surveys as estabhshed i3, the L.I.A. LS. and approved and adopteJ far such use by The New York State Land Title Association. 86 - 714 C TEST HOLE MAP OF ../AMES W FILE NO ?98? S 67°32'30"E 85 o N 68° 50' O0"W N /o/ F N Y S LIC NO ORS SOUTHOLD, N Y 11971 49668 ENGINEERS, P C DAWSON FILED OCT /6~/985 ( ¥ ACANT 95 O' 95 O' CHERYL BARRY t) ANN MC CABE H HELIMAN 225 00' ~on ELEVATIONS ARE TO AN ASSUMED REFERENCED DATUM SURVEY FOR ROBERT TR OCCOLI JANET TROCCOLI ( VACANT ) CERTIFIED AT SOUTHOL D TOWN OF SOUTHOLD SUFFOLK COUNTY, IOOO 079 02 - SCALE I" -- 4-0' OCT ~1 , /986 DEC $0,1986 APR 3, 1987 TO FIRST AMERICAN TITLE INSURANCE COMPANY OF NEW YORK SOUTHOLD SAVINGS BANK ROBERT TROCCOLI JANET TROCCOLI Prepared in accordance with the mimmum standards for title sur~ey$ as established b~ the LI.A. LS. and approved and adoptea let a.,ch use by The New York State Land 86 -?14 C SINGLE FAMILY DWELLING' ONCY ~AY 0 2 ~88HS REF NO ~ d~spe~al and w~er supply fa~h~ ~r ~ have ~en ms.ted by this ~pad~ ~/~ TEST HOLE reau of Wast~a' Mam~mmlt 0 0 o o o ?. SOUTHOLD~ N Y 11971 NYS MA OF JAMES W LE NO 7987 6 7° 32 VACANT IVO~TI.t eAYVlEw RD. DAWSON FILED OCT 16,1985 225 06' ' ~ 850 ' 95 O' ~ t . ,,,v.~ 95 N 68° 50' O0"W J ( DWEL LIN8 I 225 00' N /0/ F CHERYL ANN MC CABE 8~ BARRY H HEL~ M A N LIC NO 49668 ( ~ ENGINEERS , P C ELEVATIONS ARE TO AN ASSUMED C, REFERENCED DATUM 20 63 SURVEYS-FOR we, Il .--s~ ROBERT TROCCOLI JANET TROCCOLI AT SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. I000 079 02 - 4 3 SCALE I": 4-0' (.wE~,.a) OCT 21 , 1986 Iv^C~,,T ~ APR 3, 1987 SEPT 11~1987 final CERTIFIED TO FIRST AMERICAN TITLE INSURANCE COMPANY OF NEW YORK SOUTHOLD SAVINGS BANK ROBERT TROCCOLI JANET TROCCOLI /1~ / Prepared in acc~rdanc~ with the minlmu'~, standards for hfle ~urveyl as e~tabh.'hed b the L I A.L S. and approved end ad,;F~e for such use by The Hew York State Lano T~tle As~oclation. 86 - 714 C J ',! t & I '1 I I /2_