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Home My WebLink About15740-zFORM NO. 4 TOWN OP SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. UPDATED CERTIFICATE OF OCCUPANCY NO: Z-26795 Date: 11/23/99 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property: 762 NAUGLES DRIVE MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 99 Block 5 Lot 12.2 Subdivision Filed Map No. -- Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 6, 1987 pursuant to which Building Permit No. 15740-Z dated MARCH 11, 1987 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 GARAGE AND ATTACHED DECK AS APPLIED FOR. THIS UPDATES C/O #Z-18734, ISSUED 1/23/90. The certificate is issued to JOSEPH CUSUMANO (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 87-20-26 ELECTRICAL CERTIFICATE NO. N 029659 PLUMBERS CERTIFICATION DATED 12/29/89 MASTER PLUMBER 09/28/ss 08/24/88 il~~ector Rev. 1/81 I~OB~ NO. ~ 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) N~ 15740 Z Permission is hereby grantec~ to.'~.~ ....~.,..~:....~~.~.....~.,..... .......... .....~.~ ............. :.~.....~. ....................... to.. ~¢' ~ 'Z. ' ' ............... ...... at premises I~ated at .~.~.~.....~:.~.~..;..~.~..;.~.~~.~.:.....~..~ .... .... ~....~......~.~ ...................................................................................... Co,,~ ~,~ Map No. ~000 Se~t~o, ...... ~.~.~ ...... ~,~k ....~.~ ........ Lot No ..... I..~.:..~. .... pursuant to application dat~ ..~.~...~ ........................ , 19~.~., and approv~ by the Building Inspector. Building I~tor Rev. 6/30/80 3 1999 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 'ION FOR CERTIFICATE OF OCCUPANCY pe filled in by typewriter OR ink and submitted to the building following: for new building or new use: Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). Approval of electrical installation from Board of Fire Underwriters. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. Commercial building, industrial building, multiple residences and similar buildir and installations, a certificate of Code Compliance from architect or engineer responsible for the building. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings an '!pre-existing" land uses: 1. Accurate survey of property showing ali property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Qccupancy on Pre-existing Buildinm - $100.00 3. Copy of Certificate of Occupancy - . 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date New Construction ........... Old Or Pre-existing Building .... ~ ...... Location of Property .................. ,~,~ ........................ ~ ..... House No. Street Ha~et -- --- County T~ Map No 1000, Section .... .;.g . .Block ..... Lot .... .... Subdivision........................- .......... . Filed Map ............ Lot ................... D Permit No.~.O.'.].~.~.~..~. .... Date Of Permit..~.:~...~ ..... Applicant ................ Health Dept. Approval..........................Underwriters Approval ..................... Planning Board Approval ................ Request for: Temporary Certificate .... · Su m, ed, ....... FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18734 Date JANUARY 23, 1990 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 764 ROW OFF NAUGLES DR. MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 089 Block 5 Lot 12.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 6, 1987 pursuant to which Building Permit No. 15740-Z dated MARCH 11~ 1987 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 ~ITH GARAGE & ATTACHED DECK AS APPLIED FOR The certificate is issued to IRENE CUSUMANO (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 87-SO-26-SEPT. 28~ UNDERWRITERS CERTIFICATE NO. N-029659-AUGUST 24~ 1988 PLUMBERS CERTIFICATION DATED DEC. 29~ 1989-MASTER PLUMBER - ' // ~uilding Inspector // 1988 Rev. 1/81 APPLICATION NEW CONSTRUCTION TOUN OF SOUTDOLD BUILDING DEPART}lENT TOWN BALL SOUTUOLD, NEW 765 - 1802 ....... OLD OR PRE-EXISTING BUILDING ...... VACANT LAND HOUSE NO. HAHLET O~ner o~ O~n~ of Prope=t7 i£&-~ '¢.~ ~: /~-.~ C6unt7 Tax Map No. I0O0 Section . Block .... Lot' ....~ .... Su~bdivis ion ....................... Filed Hap ........ Lot .......... R~. :.~- .. Planning Board Approval ...~./~ ...... Request for Temporary Certlfica~e ..... Final Certificate APPLICANT. rev. 10/14/88 FORH NO. 6 TONN OF SOUTIlOLD -- BUTLDING DEPARTHENT TOWH llALT.. 765- 1802 ICATION FOR 2ERTIFICATE OF OCCUPANCY INSTRUCTIONS This application must bt £11ed in typewriter OR ink and submitted to the Building Inspector with the fo119wzng; for new buildings or new use: Final survey of property with accurate location of all buildings, property lines, streets, and unusuallnatural or topographic features. 2. Final approval of HeAlth Dept. of water supply and snwerage-dlsposal(S-9 form). 3. Approval of eleotric~l iustallatlon from Board of Fire Uudervritcrs. 4. Sworn statement fromlplumber certifying that solder used in system contains less' than 2/10 of IZ lead~ 5. Commercial buildings~ industrial buildings, multiple residences and similar.' buildings and installations, a certificate of code compliance from the Archlten~ or Eugineer responsible for the buil'ding. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (Prior to April 9, 1957~ non-conforming uses, or buildings amd "pre-existing" laudiuses: I. Accurate survey of p~operty showing all property lines, streets, buildings and unusual natural or tbpographic features. 2. A properly completediapplication, a consent to inspect signed by the applicant and a certified abstkact of title issued by a title company which shall shsw single and separate ownership of the entire lot prior to April 9, 1957. · If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 3. Date of any housing ~ode or safety inspection of buildings or premises, or other pertinent informatiob required to prepare a certificate. For Vacant Land CertifiCate of Occupancy: I. An application for v~cant land Certificate of Occupancy shall-be submitted, and a certified abstract of title issued by a title company showing single and separate ownership o!f ,the entire lbt prior to April 9, 1957 shall also accompany the application. If. a Certificate of Occupancy ia denied, the Building Inspector shall state the reasons therefor in writing to the applicant. FEES: I. 3. 4. 5. 6. CERTIFICATE OF OiCCUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00, Alteration to Dwelling $25.00, Swimming Pool, $25.00. Accessory building $25.00 Addition to ACCel'ssory buildings, $25.00 - Businesses $50.00. Certificate of ~ecupancy on pre-existing dwelling - $100.00. Copy of Certifidate of Occupancy - $5.00 - over 5 years - $I0.00 Vacant Land Ceriifieate of Occupancy - $20.00 Updated Certificate of Occupancy - $50.00 Temporary Certi:icate of Occupancy -$15.00 Residential Commercial 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND ['] INSULATION FRAMING ~r~ DATE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION ZND [ ] INSULATION ~ ] FRAMING ~r,,~AL REMARKS: ~/~,/'/*c/~ ~ DATE 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST ~]ROUGH PLBG. FOUNDATION 2ND []INSULATION FRAMING []FINAL DATE FOUNDATION 1ST I- ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION 765-1802 BUILDING DEPT. INSPECTION~ [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [/.~NSU~TION [ ] FRAMING R£MAR~S: ~, FINAL INSPECTOR ..**.....____,.765-1802 UILDING DEPT. INSPECTION~ [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ J FOUNDATION 2ND [C~SULATION FRAMING [ ] FINAL REMARKS: INSPECTOR /'/ 76S..1802 /t~~LDING DEPT. ;~ INSPEi~TION FOUNDATION 1ST FOUNDATION 2ND [ FRAMING [ ROUGH PLBG. INSULATION FINAL 765J.802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [~J~OUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL / DATE ~ · 76S-~802 BUILDING DEPT. INSPECTION [ ] F/0UNDATION 1ST [ ] ROUGH PLBG. / FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL , REMARKS-' ~. ~4,~,~..~ ~'~ ~ ~ , / ,~/ ~/, 0/. DATE INSPECTION FOUNDATION 1ST [ ]~/ROUGH ~' 76S-1.802 , BUILDING DEPT. PLBG. FOUNDATION 2ND [ ] INSULATION ~F~MING [ ] FINAL /,.,~ ,... _/~. //. ~-' / '/,,? ~ , ~,~/ DATE ~ INSPECTOR DING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION FRAMING FINAL ,NSPECTO"~/~ 765-1802 BUILDING DEPT. INSPECTION [~FOUNDATION XST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ] FRAMING [ ] FINAL REMARKS: ~, ~ '~ ~/~//~?/~% ~ INSPECTOR OUNDATION ~( ls t ) OUNDATION OUGH FRAME & PLUMBING iNSULATION PER N. Y. STATE ENERGY CODE FI:IAL ADDITIONAL COMMENTS: TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL $OUTHOLD, N.Y. 11971 CERTIFICATION T]EL. 765-1802 Building Permit No. Owner 30 ~ ~ (p~ease print)~ (please print) I certify that the solder used contains less than 2/10 of 1% lead. in the water supply system ~ ~(~er,s si~gn~tu~e) Sworn to before~me this / /~ ~ day of ~~~ ~./~/ ~~ 19 ' . V Nota~ ic ~otar7 Public ~ County Jill 'dill- FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y, 11971 TEL.: 765-1802 Approved ..~....a¢~..../.[ .... 19~..]. Permit No..l.~..7.~.~ .~.. [5LDG. ,,DEPT TOW~'~ OF SO[JT~.~OLD .lic atio~l No .................. Disapproved a/c .......................... ~ /r): ......... Q~--}- 1 30 t./t~ (Building Inspector) APPLICATION FOR BUI LDING PERM IT --7 Date . !v!a.r: .c.h..6. ~ ....... , 19.8.7 INSTRUCTIONS a. This application must bl completely filled in by typewriter or in ink and submitted in triplicate 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 ~ving 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 issue 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 Occupahcy 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 buildings for necessary inspections. · .INI,,8~.. P..l..]O~..Si,.. ;I:~C;, ....................... (Signature of applicant, or name, if a corporation) , .Y.q ..... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. BUILDgR "$Hgbb ONLY" Name of owner of premises ................ ~[RlilXIl~..C.U.$U~.IXtQ ......................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. · . RD~BF, R~r..Eli L.TY- ~ . PRI~S~ZDlgNT ............... (Name and title of corporate officer) Builder's License No .......................... Plumber's License No ......................... Electrician's License No ....... -: ? 7. ............ Other Trade's License No ...................... 1. Location of land on which proposed work will be don3~.~gP..iii, g.h.'c..9.f..W, qy.. 77.0. '..+ ...................... ~/O LUTHERS tlC/kD, Ickq. TTI'tYJCI<, NgW YOlilil House Number Street Hamlet "C~hnty Tax Map No. 1000 Section .. ~5}9 ............ Block ...5 .............. Lo~. [12-.: ~ .... Subdivision ....... 77]'. .......................... 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 ..................................................................... b Intended use and occupancy One Family Dwellin9 3. Natur~,(~k which applicable): New Building ..: ..... Addition .......... Alteration ......... Repair". 7: .~. ..... ' ....Removal .............. Demolition ........... Other Wgrk .............. ~ .... (Description) 4 Estimated Cost xg.D, ~ Fee .~.. ,-%r..~'.: .~. ........................... (to be paid on filing this application) 5. ..... If dwelling, number~A_A~of .... dwelling2 car under'nits ....... ;house ....... Number of dwelling units on each floor ..... ........... l!t garage, nUll[O¢l ~l q~at~ ..... ? .............................................. 6. if business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing strncture~, if any: Front ............... Rear .............. Depth ............... Number of Stories ' Height ............... ~ ...................................................... Dimensions of same structure w'th~ alterations or additions: Front ................. Rear ................ Depth .................... !.. Height ....................... Number of Stories ................... ' . ........ ~.6 .... Depth .4.Q 8. Dimensions of entire new constrnct~on Front ~.6 .... Rear ................... Height ..... ~.8.' ....... Number of Stories .... 2~ ................................................. ' Depth 9. Size of lot: Front ....... ~ .......... Rear .......................................... 10. Date of Purchase ... ]. 9J~$.... .................. Name of Former Owner ............................ 11 Zone or use district in which pr6mises are situated .................................................... 12. Does proposed construction vio!ate any zoning law, ordinance or regulation: ..n.c. ............................ 13. Will lot be regraded ....n.q....................... Will excess fill be removed from premises: Yes No 14. Name of Owner of premises ~..R[£..I~...C~. :~..UI~I..A.N.O.... Address . .~g.t.t.f~$t39k.~..1~.. Phone No29B.~8Z2b. ...... Name of Architect . . [q~l>2 .HQigI3$ ........... Address . .Igg.t.t. tl¢~ggK,..bl¥.. Phone No29P~96P£a ...... fC ~NLdBxtDi LIQivlf3$ Address .iq~g.{:;J;uck. Ph .... Name o ontractor .............. ,..NY. · one No ............ 15. Is this property lo~ated within 100 feet of a tidal wetland? NO PLOT DIAGRAM Locate clearly and distinctly ail buildings, whether existing or proposed, and, indicate ail set-back dimensions from property lines. Give street and blockinumber or description according to deed, and show street names and indicate whether interior or corner lot. STA'rE OF NEW YORK, S.S COUNTY OF ................ Ro.b.o. rt lg. Hi.~tz being duly sworn, deposes and says that he is the applicant (Name of individual si ning contract) above named. He is the ........ Con:er. ac-l:o~:. .................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is d~.ly authorized to perform or have performed the said work and to make and ~e 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 manger set forth m the application filed therewith. Sworn to before me this Notary Public, . · · i · ge ..... County HELEN IL I)E ~E K~T,~Y PUBU& ~,te of New Yod~ ' ~. 47078?8, Suffolk Geunty~ ,,~ .......... Tern1 F. xpi~ Mirlm 30o )9-..~--/ I ti