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FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z15658 Date April 20, ]987 THIS CERTIFIES that the building P o o 1 Location of Property 500 Wavecrest Lane Mattituck House No. Street Hamlet County Tax Map No. 1000 Section ...l.0.0. ...... Block . 3 .Lot 5 Subdivision .S.a.l.t.a.i.r.e..E.s.t.a.t.e.s. .............. Filed Map No..4 .6.8.2....Lot No .... .4.1 ........ conforms substantially to the Application for Building Permit heretofore filed in this office dated S e p t. 2 3, 19 8 6 pursuant to which Building Permit No. 15 3 29 Z dated ...S.e. p .t.... 2. .5 ~.. 1. 9. .8.6 ......... 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 ......... ..... .~.n.~ r..o.u.nA, p.o.o)...a.n.d...f .e.n.e.e.: .............................................. The certificate isissued to ALAN 5. CROCE--PATRICIA L. ACAMPORA (owner, t~ liffta~NdX X X of the aforesaid building. Suffolk County Department of Health Approval ....... .N/.A. ............................... UNDERWRITERS CERTIFICATE NO ............... ~q 213.5 4 3 D, .ri e c ....2 3 o.. 1. 9. g § .......... PLUMBERS CERTIFICATION DATED: N/A ........ Building Inspector Rev. 1/81 FO~a' NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDiHG P EP.~.iT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLIZFION OF THE WORK AUTHORIZED) N? 15329 Z County Tax Map No. lO00 Section .... /...,,0~_ .......... Block ....,,~,,.,~,. ......... Lot No....,,~),.,~,~,. ........... pursuant to application dated ...~~,..,~'~.~ .......... , 19,~.~, and opprov~ by the Building Inspector. Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- [802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted ! t~===a~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 bugdings, 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 "pm-existing" land uses: 1. Accurate survey of 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 bu ildings. 3. Date of anv 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 $25.00 -- BUSINESS $$0.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 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 .......................... NewC°nstruction ...... Old or Pre-exlsting Building ............ Vacant Land ............. ............... House No. Street Ham/et Owner or Owners of Property . .~.~.~..%~ .~.~.~.~.. County Tax Map No. 1000 Section ...~..c?'~....,.r~... Block ...~)..~.~. ¢P~ .... Lot..~.¢~. ~, .(..~.... ..... Permit No ........... Date of Permit ..... Applicant -~.'~.~. C~- .C?.~.O?t'..~. · Health Dept. Approval ........................ Labor Dept. Approval ............ ~,,~ ,~'~,'v~ '~-~V~,~ ~,~,~'¢~ ~,,~ ............. U nderwriters Approval .....~ ................. Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ~ ................... Fee Submitted $ ..... .~.,.u~ ................ Construction on above described building and permit meets all a~olicable codes and regulations. Applicant ................ .~.. ~.~...~.~ Rev. 10-10-78 ' THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITy ... ~ ~' 85 JOHN STREET. NEW YORK, NEW YORK 10038 ~o~ D~rll~r ~3~ 1986 ~44~/86 785 30 THI~ CERTIFIE~ THAT U ~ce, S/S ~ Waverer L~, ~/O R~e A~e, ~ttituok~ N.Y. ~n the followi,,g /oc~i~,; ~ B.se~ent_ _~ l~t Fl. FIXTURE FIXTORES OUTLETS SWITCHES FLUORESCENT 1 ) 2 1 ~ 2nd /'7. outside DRYERS OR FUTURE APPLIANCE FEEDERS TIME CLOCKS SYSTEMS NO. OF FEET E DIMMERS SERVICE DISCONNECT S E R V I C NO. OF HI-LE Heury r~olm 121S~p Pssture Set.let, N.Y. 11733 Lie. 2675E GENERAL MANAGER certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their COPY FOR BUILDING DEPARTMENT. THIS COP' OF CERT E MUST ALTERED IN ANY/v FIELD I~SL~E~TION ? 0 U__N D ~_.T I.O_N .-- (1st) COMMENTS FOUNDATION 2. (2nd} ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT, INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [~FINAL P~ , REMARKS: , ~.~ ALAN J. CROCE UNDER SHERIFF SUFFOLK COUNTY SHERIFF'S OFFICE RIVERHEAD, N.Y. 548-3207 29-398:$/86 OFFICE OF BUILDING INSPEI P.O. BOX 728 TOWN HALL SOUTIIOLD, N.Y. 11971 TEL. 765-1802 TOWN OF SOIJTttOI~ Mr. Alan Croce 500 Wave Crest Lane Mattituck, N.Y. 11952 April 13 To Whom This May Concern, We are unable to complete your Certl~¢a~ of Occupancy because.of the following reasons. /--//An application for Certificate of Occupancy is not on file. /_--//The check is not on file $25.00 /5/ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Building Dept. STATE OF NEW YORK, COUNTY OF SU~'FO[ v. $$: On the 2c/ day before me perso2~lly came MARY R. CRC)CE, SUSAN PROCF and ~LAN ~. CROC~ to mc known to be the individual s described in and who executed the forego:nD inslrument, and acknowledged that they executed the same / Notar~ ~ublic -- NOYXJW PUBLtC Sh~te o~ N~ ~ No. 4789541 ' Suffo!k ~ ~ STATE OF NEW YORK, COUNTY OF SS: On the day of 19 , before me personally came to me known, who, being by me duly sworn, did depose and say that he resides at No. that he is the of , the corporation described in and which executed the foregoing instrument; that he knows the seal of said corporation; that the seal affixed to said instrument is such corporate seal; that it was so affixed by order of the board of directors' of said corpora- lion, and that he signed h name thereto by like order. STATI OF NK~ff YOLK, COUNTY OF SUin~'OLK: ~' $S:TM personal)y came PATRICIA L. ACA~O~ to me known to be the individual described in and who exec:uted the foregoing instrument, and acknowledged that she executed the same. ! &~'"~ otary]Publlc STATE OF NEW YORK, COUNTY OF On the day of 19 , before me personally came the subscribing witness to the foregoing instrument, with whom I am personally acquainted, who, being by me duly sworn, did depose and say that he resides at No. that he'knows to be the individual described in and who executed the foregoing instrument; that he, said subscribing witness, was present and saw execute the same; and that he, said witness, at the same time subscribed h name as witness thereto. Bargain ale D,ee Wtw~ COV~XNT AO^tNST G~xN'roa s Ac~s FITLy. NO. MARY R. CROCE,, SUSAN CROCE and ALAN J. CROCE TO PATRICIA L. ACAMPORA and ALAN CROCE STANDARD FOR~4 DF NEW YORK BOARD OF TITLE UNDERWRITERS Distributed by SECTION BLOCK LOT COUNTY OB. TOWN CHICAGO TITLE INSUP. ANCR COMPANY Return by Mail to SMITH, FINKELSTEIN, LUNDBERG, CRIMMINS and YAKABOSKI, ESQS. 456 Griffing Avenue P. O. Box 389 Riverhead, New York 11901 DIST, SEC 00, O0 BLK O~.oo LOT ~0~..000 CONSULT YOUR ~V~yEIR ~EFOI~! SIGNING THIS IN~;'~Uk~ENT .THIS INSTRUMENT SHOULD IE USED IY LAV~£I~S ONLY BEIAVEEN ~n? R. CROCE, residing at 9201 Montillia, Laurel, Maryland 20708, SUSAN CROCE, residing at (no ~) Wavecrest Lane, Mattituck, New York 11952, and ALAN J. CROCE, residing at (no ~) Wavecrest Lane, Mattituck, New York 11952, ~rty 0f the first part, and PATRICIA L. ACAMPORA and ALAN J. CROCE, as tenants by the entirety, both residing at (no #) Wavecrest Lane, Mattituck, New York 11952, party of the second part, WITH'ES.SETH, that the party of the first part, in consideration of ten dollars and other valuable consideration paid by the party of the second part, does hereby grant and release unto the party of the second part, the heirs or successors and assigns of the party of the second part forever, ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, {yingandbeingJ~.qfm: at Mattituck, Tow~ of Southold, County of Suffolk and State of New York, known and designated as Lot %41 on e certain map entitled, "Map of Subdivision Saltaire Estates", and filed in the Suffolk County Clerk's Office on August 3, 1966, as Map Number 4682, which said lot according to said map is bounded and described as follows: BEGINNING at a point on the southerly side of Wavecrest Lane, distant 445.69 feet easterly from a point at the intersection of the southerly side of Wavecrest Lane and the easterly side of Reeve Road, said beginning point being the inter- section of the southerly side of Wavecrest Lane and the division line between Lots 41 and 42 on the abovementioned map; running thence along the southerly side of Wavecrest Lane the following 2 courses and distances: (1) northeasterly along the arc of a curve bearing to the left having a radius of 1342.69 feet, a distance of 43 feet; (2) North 73° 00' 30" East, 63 feet; thence South 16° 59' 30" East, 249.21 feet; thence South 75° 01' 50" West, 106.04 feet; thence North 16° 59' 30" West, 246.41 feet to the southerly side of Wavecrest Lane, the point or place of BEG INN iNG. ~ TOGETHER with the use of the "Right-of-Way" as shown on said map for access to Long Island Sound and Lot No. 32 for recreation purposes. ~ SUBJECT to covenants and restrictions of record effecting said premises. SUBJECT to a mortgage held by the Southold Savings Bank dated 2/9/73 in the amount of $31,900.00 and recorded in the Suffolk County Clerk's Off~ce on 2/26/73 in Liber 6643 of mortgages at page 567, which said mortgage the purchasers agree to assume and pay. BEING AND INTENDED to be the same premises conveyed to the seller by deed dated 5/21/84 and recorded in the Office of the Clerk of Suffolk County on 5/24/84 in Liber 9568 at page 201. TOGETHER with all right, title and interest, if any, of the party of the first part in and to any streets and roads abutting the above described premises to the center lines thereof; TOGETHER with thc appurtenances and all the estate and rights of the party of the first part in and to said premises; TO HAVE AND TO HOLD thc premises herein granted unto the party of the second part, the heirs or successors and assigns of thc party of the second part forever. AND the party of the first part covenants that the party of the first part has not done or suffered anything whereby the said premises have been encumbered in any way whatever, except as aforesaid. AND-the party of the first part, in compliance with Section 13 of the Lien Law, covenants that the part), of the first part will receive the consideration for this conveyance and will hold the right to receix:e such consid- eration as a trust fund to be applied first for the purpose of paying the cost of the improvement and will apply thc same first to the payment of the cost of the improvement before using any part of the total of the same for any other purpose. The word "party" shall be constrned as if it read "parties" whenever the sense of this indenture ~o requires. IN WITNESS WHEREOF, the party of the first part has dui)' executed this deed the day and year first above written. ~.. ~ / ~ /7 I~' ~ss~c~ o~ /-~ ~ ~" I ~ ~aO~/~ ~y R CROC= __ ,, .,, . , ,, ....... !, - . FATRZCIA L. ACA~L~0RA ~ -~--9 L~. ~USAN CR0~E -- , , " COUNTy ~ '* ':~' II II A A 5 COURSES CONCRETE BLOCK CONTRACTOR,.. f, C';, L, .. e., 4 P~.FOR THE . .FOU.~DA=rlU~, ":~:," .' , 2 ROUGH ~ , ,.~. Nsu~TION - -~ "" '~ FINAL. CONSTR~ICTION MUST ~ ., ,, INFRED M, TURNER ~ ,,'..~ .. . M~P OF $,4LT,~IRE E'~TATE$ ..',,'.*h, FOR M. TURNER 'COUNTY, N. Y. '1#~ 40' 1973 Examined~.~.~ .AC., 19~ 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL,: 765-1802 Approved .~.1,3~. ~t~., 19F.[e. Permit No..l .~:~.~ .~ Disapproved a/c ..................................... SEP 2 31986 ~LDG, DEPT. TOWN OF $OOTHOLD Received ........... ,19... (Building Inspector) APPLICATION FOR BUILDING PERMIT 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 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 cofistruction 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 i.u~pections. Ch (Signature of apphc'~'nt5 ~r name, if a corporation) ,G~x,~ C,G_oe b~ . .--. 07.©. . . .~ G.. . ~. ~ C.~. .~. .r:. . . .k.~. .. . . . .~. O ~ n/. .7-d ¢ ~ ..... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises . ./~.z.~.-.A/.....~..,.,.,~.r4d~: ........................................................ (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 .... G../ ................... Plumber's License No ......................... Electrician's License No. · ~'~ ~ .7.~7. Other Trade's License No ...................... House Number Street Hamlet County Tax Map No. 1000 Section ..... /..O.G. ........ Block ...... ~ .......... Lot ..... -6.'7. ........... Subdivision... :?.~.~.77..~./.~. w~. .....~-.~.'C.~..7..~...~. ...... Filed Map No..G/.~..~. ~ ...... Lot..k?./ ........... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: 3. Nature of work (check which app!icable): New Building . · Addition Alteration Repair ......... ~. ~..~ R~mov ..... al .............. Demohtmn ......... Other Work'. [.~.~¢ ~ ........ , .~_~.~.. I (Description) 4. Estimated Cost ........ ? ....................... Fee ...................................... ~ " (to be paid on filing this application) 5. If dwelhng, number of dwelling units ............... Number of dwelling units on each floor ................ If garage number of cars ' 6. If business, commercial or mixed 9ccupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structures, any: Front ........ : ...... Rear .............. Depth ............... Height ............... Number of Stories ........................................................ Dimensions'of same structure with alterations or additions: Front ................. Rear ...... ............ Depth i Height Number of Stories .8. Dimensions of entire new construction: ~t .... .'?.~../(..~ ....Rear ............... Depth ............... Height ............... Number of Stories ........................................................ 9. Size of lot: Front ......... .4e-3i .......... Rear .... ./~.(e. · Depth .~.~. ~ AC.. 10 Date of Purchase . Name of Former Owner 11. Zone or use district in which premises are situated ..................... 12. Does proposed construction violate any zoning law, ordinance or regulation ....... ~ . 13. Will lot be regraded ...j~.., .,..._..~... ......... Will excess fill be removed from premises: ((Yes") No 14. Nmne of Owner of premises ..4z.Z~. r/J....(_~..d.~ ...... Address .~. dge~/~..r-.d, fPhone No..c~. ~d~.-..~f7~-572¢'~... Nmne of Architect ........... ; ............... Address ........ ,oP~l~o~n e No Nan e of Contractor .~./~d./..qT. i .~../~.~7....TJX../..-.-.-.-~. .... Address..Z/~./.. ~:-:. 15. Is this property located wSthin 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 property lines. Give street and block mlmber or description according to deed, and show street names and indicate whether interior or corner lot. ;TATE OF NEW YORK,_ ;ou Y s.s ....... ~.d...~..~..Z~.V.~j~ff....~..o... i .................. being duly sworn, deposes and says that he is the applicant (Name of individual signing' contract) .bore named. te is the .¢~_~...dJ...T- .~'~ .~j~..~. f~...C.~ (Contractor, agent, corporate officer, etc.) ,f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this pplication; that all statements contained in this application are true to the best of his knowledge and belief; and that the ~ork will be performed in the manner s~t forth in the application filed therewith. worn to before me this ~ .............. o~ ..... day of..~t:? .... 19 ~otary Public .... : ...... .x~/J./~70/.~..I .......... County ~ '~1~ ic-~t~ ' N°l~~t~;eSg/applicant)~i, .x~-~_. ........