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Home My WebLink About15801-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z16044 Date August 13, 1987 THIS CERTIFIES that the building ...a.l.t.e.r./..r.e.n. gy.a.t.e., e..x.i.s.t..i.n.g..d.w..e.l.l.i..n.g.. ....... Location of Property 1380 Wiggins Lane East Marion House No. Street Hamlet County Tax Map No. 1000 Section ...... .3 .5 .... Block ....... .5 .......Lot ...... 2. .3 ......... Subdivision...C.l.e.a.y.e.s..P..o.i.n.t. ............. Filed Map No...4.6.5.0...Lot No. 6 4 conforms substantially to the Application for Building Permit heretofore filed in this office dated .... lg&r.c.h. 2.0.,.. 3 9.8.7. . pnrsuant to which Building Permit No ...... .1.5.8.0..1 .Z ......... dated ...... Max;ch. ,2.8,. ~..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 ......... Alteration and renovation of existing one-family dwelling. The certificate is issued to .................. }?~AN25. ~..S. I .L.VAN. A., .CAD. E..D.D.U. ............. (owner, ~.~'"z~[~ ~,~ of the aforesaid building. Suffolk County Department of Health Approval .................. N.[k .................... UNDERWRITERS CERTIFICATE NO ....................... .hi8 2~1.6.5. Q - PLUMBERS CERTIFICATION DATED: N/A " Building Inspector Rev. 1/81 ~OU'~ NO. ~B 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) NB 15801' Z Permission is hereby granted to: ........ l..~..to.......~..~.~.: ............... · ..~ ......... ~ ......... ..~.~..~ ......... at premises located at ...L.~.~.D. .......~.~t~.o~,~..,...~.,~ ......... ..~,.'.~,.~.,....~~. County Tax Map No. 1000 Section ..... ..~....~.~"]. ...... Block ...... ..~...~.. ........ Lot No.....~..~ ............ Building Inspector. Fee $..~---~..:..~ and approved by the ~ud ng Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF $OUTHOLD Bu ilding 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 ml~mm~a 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: 1. Accurate survey of p:~operty showing all property lines, streets, buildings and unusual natural or topogrephic 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: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling $1 5.0 0 3. Copy of certificate of occupancy $1.00 4.Vacan~ Land C.O. $5,00 5.Updated C.O./ $15.00 .Dat. e .'.~,~.~.~./.~..~. ..... NewConstruction. .~./... Old or Pre-existing Building .......... Vacant Land ............. Location of Property ~o'u~'~? .... ~. ~,~}/~.....~..D.~. ~r~{ .~., ff~.~..t ~31~. ........... Hamlet Owner or OwnersofPrope y ... km . . . . . l o. n . . . ........... County Tax Map No. 1000 Section .......... Block ........... Lot ................ Subdivision ................................. Filed Map No ........... Lot No .............. Health Dapt. Approval ........................ Labor Dept. Approval ........................ Underwritars Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ..................... Fee Submitted $...~o~. .......... Construction on above described building and pe£mit meets all applicable codes and regulations. v~ ' App'a t .L~.(.~,~/ ....... , ......... ................... · ........ Rev. 10-10-78 HENRY J. SMITH & SON, PLUMBING, HEATING & FUEL OIL MAIN ROAD SOUTHOLD, N.Y. 11971 (516) 765'-3690 CERTIFICATION Building Permit No. 15801Z Owner Frank Cadeddu Plumber Henr. y J. Smith & Son_k_In_c-. I certify that the solder used in the water supply system contains less than 2/10 of 12 lead. Sworn to before me this Z~t~_day of _~l~ ...... , 19 87 Notary Public, Suffolk County ~oo.toT~ TIlE July 23 ~ THIS CERTIFIES THAT NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF EL. ECTRIClTY 1~87 BS JOHN STREET, NEW YORK, OTHER APPARATUS: $ E R I ¢ A. WG OF NEUTRAL G & S elect. ,, · BOX 215 '~ , Southold, N,Y ,11971 Lio%678E GENERAL MANAGER Per_ This certificate must not be altered in any manner; return to the office of the Board if incorrect, inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT,, THIS COPY ~F CERTIFICATE MUST NOT ISE/~LTERED IN ANY NtAHHER. OUNDATION (1st) OUNDATION (2nd) PLUMBING :NSULATION FERN. Y. STATE ENERGY ,, CODE FINAL ADDITIONA'L COMME~TS: :~ ~ ~ COMI~oN ~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] I~U~LATION FRAMING ~FINAL 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [c*-]'I~SULATION [ ] FRAMING REMARKS: FINAL 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL £OUTHOLD, N.Y. 11971 TEL.: 765-1803 Examined .~r~...~.*.., 19 .8.2. .%~..,,~..q..., 19~.~.. Permit No./..~'7..~.~..I..'~. Approved Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Received ........... ,19... Date ................... 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 untied 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 corporation) ./. ~.~..o ..... .O..9..~..w. qp.O....~.z2 t~ ........... State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ·.. ~..~.~ .~..t>.~..~ ................................................................................. Name of owner of premises .. ]'J.~it ..tM..~.$... ~ ..... ~/40 ~.63./~. kd ................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ~/ (Name and title of corporate officer) Builder's License No .... (.~. ~ ?. ~. ~. 2'.l."/.~ ·~. ...... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. · .}.3.g.O .................. k)~ 4x~....-h~t.~ ................ Er.. ~.~ ................... House Number ~ ~ Street Hamlet County Tax Map No. I000 Section ...... ~.$ ......... Block .... .o~. ............ Lot..aT.~ .............. Subdivision...~..~.~..~.k/.~.'~....~.O.t .~9..~. ............ 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 .... (~.~....q..~'! .~...~..~gh.b.b. ~. ~ .~ .................................... b. Intended use and occupancy ........... .~.' .~..o,% i~ ................................................. 3. Nature ofwork (check which applicable): New Building .......... Addition...~. ..... Alteration . .~'... .... Repair .............. Removal .............. Demolition ............ !.. Other Work ............... 4 Estimated Cost .......... Fee ........... ........... (to be paid on filing this application) 5. If dwelling, number of dwelling units ............... Number.of dwelling unit~ on each floor ........ ~ ...... ; If garage number of cars ~ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structures, if any: Front ............... Rear ........ : ...... Depth ............... Height Number of Stories ' Dimensions of same structure with alterations or additions: Front ........ , Rear .................. Depth ...................... Height ...................... Number of Stories ...................... 8. Dimensions of entire new construction: Front ............... Rear ......... ! ...... Depth ............... Height Number of Stories .' Size of lot: Front .5~...176o../~../? (-~!..~:'~.... Rear ...................... Depth ...................... Date of Purchase ............................. Name of Former Owner . .i ........................... Zone or use district in which premises are situated ...................... : ...................... Does proposed construction violate any zoning law, ordinance or regulation: ................. Will lot be regraded ..... ~..o ..................... Will excess fill be removedl from premises Yes ~<.No Name of Owner ofpremises~.~A4,{g.~.'..C'~t/f_.,~dq Address : Phone No Name of Architect .. Address : .. Phone No. 15. Is this property located withint.00 feet of a tidal wetland? * yes ..... No .~.. · If yes, Southold Town Trustees Permit may be required. ~ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and showi street names and indicate whether interior or corner lot. 10. 11. -12. 13. 14. STATE OF NEW )~ORK, COUNTY OF ...~.. V..~.?.&~< .... S.S ...... .~.*.~. ~...~. r:~4-T'tq~.! ........................ being duly sworn, de (Name of individual signing contract) above named. He is the..<g, oe.n~.o~..~.7"~..~..~.*.~..~g ............................................................. (Contractor, agent, corporate officer, etc, of said owner or owners, and is duly 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 ~vork will be performed in the manner set forth in the application filed therewith. ~worn to before me this ~oses and says that he is the applicant .day of...~A.~t~c~ ........... ,19~ qotary Public ................ ~.~Y.~..~.~'[.< ........ County LINDA(/J. COOPER' ' ..... Notary Public, State of New Yorkt::~. No. 4822563, Suffolk Coun.ty(::) Term Expires December 31, 19 ..... (Signature of applicant)