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Home My WebLink About16106-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z17169 Date AUGUST 8~ 1988 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 3290 BRIDGE LANE CUTCHOGUE House No. Street Hamlet County Tax Map No. 1000 Section 85 Block 02 Lot 19 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 29, 1987 pursuant to which Building Permit No. 16106Z dated JUNE 19, 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~ DECK AND ATTACHED GARAGE. The certificate is issued to of the aforesaid building. ANTHONY MASCI (owner, SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 87-S0-62 OCT. 5, 1987 UNDERWRITERS CERTIFICATE NO. N825401 AUGUST 6~ 1987 PLUMBERS CERTIFICATION DATED HAVIN PLUMBING & HEATING OCT. 23~ 1987 ' / ~ldl~g InSPector Rev. 1/81 FORM 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*_ 16106 Z Permission is hereby granted to: ~ ~ / ~ .~..~...~...~....~....~...~! ~ .................................. .~.~....~~;.~. ~.~~. ........ .~_ .~...~ .................................... at premises located at ............ ~.. ........ ~...~.........~....~...~gT...~.~.....~/..~ ............. Count/ Tax Map No. 1000 Section .......... ..~,~.~... ..... Block .....~... ............... Lot NO../...?. ................ pursuant to application dated ....... ~.~....~. .................................. , 19.~...~.., and approved by the Building Inspector. Fee ,..~W...~.,..~ Rev. 6/30/80 FORM NO. 6 TOWN OF $OUTHOLD Building 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 II 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 Residedces and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. §.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~3perty 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 buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: Additions $25.00 1. Certificate of occupancy New Dwelling. S25.00, Accessory IS10-00 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 /~/3~~ 5.Updated C.O, $ 50.00 Date .... /0~.~:.%/.~. 7 NewConstruc%ion ...... Old or Pre-existing BuiJding ............ Vacant Land ............. Location of Property ............................................ House No. Street Ham/et Owner or Owners of Property ...................................................... County Tax Map No. 1000 Section ........... .... Block . . Lot........ .. Subdivision, l~.f:). ,~,.,, ./~.C~ .~, ,~:~ ..... Map No. ,5-$ 7Z .Lot No. /.~ Permit NO. /,( ,/,0,~. ,~_Z.. Date of Permit .... H edith Dept. Ap p royal ./.O/~-]Z?. ~2~° ~. ·~' . Labor Dept. Approval ..... 3 r¥o l Underwriters Approval ....................... Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate. ~..~.'.~.~, .¥.0/ ........... Fee Submitted $ .~,~,,~..0, ................ Construction on above describad building a/d i/er~it me~ts~appli,c~le codes and regulations. App,icant .:. ......... ~-~c. 3~'~s'/ ~ 365 Sunrise Highway Service Rd. N. $~-~ ~ z/?/~ Manorvilie, Hew York 11949 JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (5t6) 765-1801 OFFICE OF,THE TOWN CLERK TOWN OF SOUTHOLD APPLICATION FOR PUBLIC ACCESS TO RECORDS INSTRUCTIONS: Please complete Section I of ithis form and give to Town Clerk's Office (agency Freedom of Information Offic'er). One copy will be returned to you in response to your request, or as an interim response. SECTION I. (~par~ment or Officer, ~f know th has the information you are requesting,) RECORD YOU WISH TO INSPECT: (Describe the record sought. If aossible, supply date, file title, tax map number, and any other pertinent information. Signature of Applicant: Printed Name: Address: Mailing Address (if different .from above): Telephone Number: ~.~,c).~..~:~/j(f~ Date: .............................. ~ ........................... ..~L::_ ~-l~,,J~ = = ...... [~] APPROVED ~0V APPROVED WITH DELAY* Judith T. Terry Freedom of information Officer [ ] DENIED* '[own Clerk So~thold Date * if delayed or denied see reverse side for explanation. UNDATIO.U ~/'(lst) UNDATION (2nd) UGH FRAME & PLUMBING SULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: TOWN OF SOUTIIOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 To Whom This May Concern, TEL. 765-1802 We are unable to complete your Certificate of Occupancy because .of the following reasons. /~/ An application for Certificate of Occupancy/ is not on file. ~ /5/ No Underwriters Certificate on file. /5/ The check is(outdated/not on file.) ~ ~dd ~/ No Health Dept. Approval on file~ / /5/ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Building Permit # / _~ . ~ _~ ~__ g ~7~<~~ ***~/ No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) Occupancy or use is ~nlawful of Occupancy. so that legal Thank you without a Certificate Clear up this matter as soon as possible action does not have to be taken. for your prompt attention. IN 765-1802 BUILDING DEPT. FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION :~ND [ ] INSULATION [ ] FRAMING REMARKS: [ ] FINAL INSPECTOR ~/ ~:/~ 765 -1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ J. FOUNDATION 2ND [ [ ] FRAMING REMARKS, ] INSULATION [ ~'~NAL DATE 765-1802 BUILDING DEPT. INSPECTION [/~FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL REMARKS: DATE ~'/~z~//7 INSPECTO~ 765-1802 BUILDING DEPT. SPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [~]/~/0UNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: ~~/~ ~/ INSPECTOR 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1803 BOARD OF HEALTH -~.~-. 3 SETS 0~..-'-PLANS ....... SURVEY .., SEPTIC FORM ............. : NOTIFY CALL ................ INSTRUCTIONS a. This application must be completely filled in by Wpewriter or in ink and submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets Or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. c. The work covered by tkis application may not be commenced before issuance of Building Permit. i d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. . e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy 'shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of,,Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit m~thorized i,spectom on premises andJn building for necessary inspe, ctions QU/ I¥' CI FT[D.HOM '$ t.!. lue ............. ' [Signature .o,{ applicant,, or name~if a~orporation) 365 Sunr se mgnway erv ce aa. · ..~.~-on, l{le - New .York. 1.1.9~9 ............... (Mmhng address of applicant) State whether applicant is_owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ...... ................................................................................ Name of owner of premises ./~]q~:~..'f .... .~./~.~.£-~. ................................................... (as on the tax roll or latest deed) If app~ is a c~ff~ratio.~ignature of duly authorizeVfficer. .... .......... (Narn/fand title of dorporate officer) - ALL CONTRAC'rOR'S MUST BE SUFFOLK COUNTY LICElilSEB Builder's License No. i ........ ' ................ Plumber's License No ......................... Electrician's License No. ~ 3 ' ~' .... Other Trade's License No ...................... 1. Location of land on which proposed work will be don ................. House Number Street Hamlet County Tax MapNo. 1000 Section ...dY., .......... Block...g...:. ........ Lot../Z .............. Subdivision...n~t~.. ~. ....... '~.].{~.~.~ .... 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 ...~ ~.~ .... g~ .................................................. b. Intended use and occupancy ,~/N'OCU ~t~ 3. Nature of work (check which applicable): New Building .. .' ..... Addition .......... Alteration .......... . Repair .............. Removal .... .: ......... Demolition ............ ;. Other Work ............... ~ (Description) 4 Estimated Cost ,~ L0. .OI0~P . ' .............................. Fee ........... ~ .......................... · (to be p~id on filing this application) t ' 5. If dwelling, number of dwelling~nits ............... Number of dwelling units o_n_~zch floor ................. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ............... 7. Dimensions of existin_g~structures, if any: Front ...... ~ ....... Rear ........ i ..... Depth ............... Height ...~ ....'~... Number of Stories ...~... '..~ ........... ... Dimensions'of same structure with alterations or additions: Front .......... i Rear D pth Hight N tuber of Si6ries Dimensions of entire new construction: Front .. ,~.~ ..-~. ?. '.~J'~-~-~Rear 2.~ 7~g-f~ Depth ...~.t~. .......... 8. 9. Size of lot: Front .. JB-Y. ............... Rear ...... ].Z. 9 ............ i ~)epth ...-~'. ?..~. .............. 10. Date of Purchase :.U.zdJ & .............. Name of Former Owner . i .t'.~.O9.~..° ......... ....... I 1. Zone or use district in which premises are situated .......................... ~ .......................... 12. Does proposed construction violate any zoning law, ordinance or regulation: .... .~iq~ ......................... 13. Will lot be regraded .... ~.~.~ ........ ~i .......... Will excess fill be removed from premises: _, Yes X ~' No Name of Architect Address ' Phone No Name of Contractor ........ ' . . . .................. Address ................ ~.. Phone No. ~ .......... 15. Is yhis property located within 300 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 )roperty lines. Give street and block number or description according to deed, and show §treet names and indicate whether nterior or corner lot. ;TATE OF NEW. yORK, ~OUNTY OF..--?. q.~.E9 &l.&. ..... S.S ........ .~. ~).t3/~....~.....~.(.~..~ .................. being duly sworn, deposes and says that he is the ~pplic~nt. (Name of individual signing contract) bore named. te is the. I¢.~. · · ¢ ¢... ~.~(.~..~e.../~ ¢..~. ~...Z~C ................................. (Contractor, agent, corporate office.r, etc.): ,,, -, ,f said owner or owners, ~d is duly authorized to perform or have perfo~ed the said work and to m~e and file t~s pplication; that all statements contained ~ this application are true to the best of his knowledge and belief; and that the york will be perfomed in the mmner set for~ in the application filed therewith. '.worn to before ~this :2 19~.~ ........ ........ ............. ~ ~JAN~T V. ST~V¢AB1 · NOTARY p'~BLIC, Stat~ of Now Yor~ ............................... ~o. az - a;~18~ ...... ~ ature of applicant)