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Home My WebLink About15116-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hail Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z17138 Date JULY 29, 1988 THIS CERTIFIES that the buildin~ Location of Propert~ 100 DA~rN DRIVE House No. County Tax Map No. 1000 Section 035 Subdivision CLEAVES PT SEC 3 ONE FAMILY DWELLING E. MARION Street Hamlet Block 05 Lot 11 Filed Map No. 4650 Lot No. 76 conforms substantially to the Application for Building Permit heretofore filed in this office dated July 16~ 1986 pursuant to which Building Permit No. 15116Z dated JULY 21, 1986 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 ATTACHED GARAGE. & ATTACHED DECK. The certificate is issued to ANTHONY J. SARACENO (owner, of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 86-SO-102 7/26/88 UNDERWRITERS CERTIFICATE NO. H003999 7/26/88 PLUMBERS CERTIFICATION DATED ANTHONY SkRACENO 7/14/88 Building Inspector Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PER~IT CFHIS pERMiT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N9 1511.6 Z County Tax Map No. 1000 Section ..... .~).~...~ ..... Block ...... .~...~. ...... Lot No ...... !~ ................. pursuant to application doted ......... ...~.~...~..~:~. .................. , ,9.~.~.., 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- 1802 APPLICATION FOR CERTIFICATE OF OCCUPA[ TOWN OF SOUTHpLD~ Instructions A. This application must be filled in typewriter OR ink, and submitted m ~--.------ 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 featu res. 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 property showing all property lines, streets, buildings and unusual natural or topographic 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: Additions $25.00 POOLS $25.00 ALTERATION $25.00 1. Certifieate of occupancy New Dwelling $25.00, Accessory ,$10,00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 5 0.0 0 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 Date .......................... NewCons%ruction ...... Old or Pre-existing BuiJding ............ Vacant Land ............. Location of Property..... ~ .O.~.. . .. · ·............ ~(/~/,7 .~... . .(.~..~,.....~.~.~..~....~.., .'..~...~..C~../..f. ?~q~f,.~ House No. /~ ~ ...~eet ' l~amlet ~0 ~ County Tax Uap No. lO00Section ..... ,0._~.~. .... Block .... .0..~. ....... Lot .... (.(,..' . . Subdivision ................................. Filed Map No ........... Lot No .............. Permit NoJ~..[ (~. ~.. Date of Permit ZJ[ . .Applicant. ,~.' .. d .~..~,/L//..~. ?..~..~) Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building and permit meets all applicable codes and regulations. Applicant ,.,.,0-,0-,e 5(216 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST r ] ROUGH PLBG. 'REMARKS: FOUNDATION 2ND [ ] INS_ULATION FRAMING [ F~INAL 765-~,802 BUILDING DEPT. INSPECTION FOUNDATION ~.$T ~ ] ROUGH PLBO. FOUNDATION :)ND [ ] INSULATION FRAMING [C,~NAL 765-1802 BUILDING DEPT. [ ] FOUNDATION 1ST [ ] [ ] FOUNDATION ZND [ ] INSPECTION ROUGH PLBG. INSULATION .-/-, -/~, -, - / · - DATE ?~//~/"~ INSPECTO~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST ['~ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [,~F~MING [ ] FINAL DATE 7GS-1802 BUILDINO DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING FINAL DATE INSPECTOR 76S-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ]/ROUGH PLBG. FOUNDATION 2ND [/] INSULATION [ ] FRAMING REMARKS: [ ] FINAL DATE ~//~//7 / / FIELD INS?ECTION FOUNDATION (1st) FOUNDATION ( 2nd ) 2. ROUGH FRAME~ j PLUMBING~ INSULATION PER N. STATE ENERGY CODE CO 1,' m~,iS Fi'N AL/ ADDITIONAL COMMENTS: THE NEW YORK BOARD OF FIRE UNDERWRITERS 800~91 BUREAU OF ELECTRICrrY ~--- 85 JOHN STREET. NEW YORK, NEW YORK tOO3E /).t~,, JUt, Y 26~:1988 .4ppli~utlon/~o. onftle 422]6986/86 H 003999 THIS CE~IFIES THAT int~Jollow~l~ation; ~ ~,t ~ IstFI. ~ 2~ H. .~tion~5 BI~ JUI.,Y ~5,1,988 ~ examln~ on and~nd to ~ in ~m~iance with t~e r~irement~ o~ th~ B~rd. FIXTUIE ~A ~ IT ] RXTUIIES I IIA~ ICOGKING DECKS I OVENS IDISH WASHERS I EXHAUST FANS OUTL,TS I"'C"" CL"S SW C'm .,~.,...~,., ,L,'.,,~',., ~ ] '" ~'"" ""- "-'". '"". ~-'". '~"- ~,"'- ] DIWERS I F~IRACE MOTORS [ ~ AF~tJAN'''~ ~ Is~cm,~L,m:'P*J m~ CUX:KS [ ~u ]UNIT HF. ATEI~S I MW. TI-OUTLET j 3 F I 30 9 600 sw.c~ .,sco.mct I ~.~' I s m . v . ¢ ~ 1 200 (:l~ x 3/0 ANTHONY J. ~ARACgNO lO0 DAWN DR. ',:"~;.'State Lis. L~qd ZZ TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 CERTIFICATION TEL. 765-1802 [))i ................. ~lll I JUL I 51988 TOWN OF SOUTHOLD Date Building Permit No. (please print) Plumber A ~ 'f~4 d ~7¢f (please ~rint) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this ~ ~ay of ~L~ , 19 ~% Notary Public, ~ ~\% County l~mber I Vignatu: e) Notary Public KATHRYN M. WILOER Notary Public, State ~f N~w i~,ommi~onNo. 524692622- Suffelk ~ Expir~, Nov. 30, FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall ~outhold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted~;~-c~pl[cct~to the Building Inspec- tor with the following; for new buildings or new use: I, 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 e~ectrical 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. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peoperty 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, Fees: 1. Certificate of occupancy $5.00 / Certificate of occupancy on pre-existing dwelling / land use 2. 3. Copy of certificate of occupancy $1.00 --Fre-Exist~ng C.O. $15.00 Vacant land C.O. $ 5.00 Date..~/:P~.:.~ ........... New Building ..... ,.~ ...... Old or Pre-existing Building ............ Vacant Land ./~', ...... .... Location of Propertv... P,~,, ,~,.. ~, ,~,...,` ,~,-,~, .~,~..~,0. ,~J.,, ~,, .~, ? .... ~, .................. House No. Street Hamlet Owner or Owners of Property .~.~..~ .hi..../~/.~.. r~.i~..e_ ....... ~-~ .~.]~. ~ ........................... County Tax Map No. 1000 Section ~.~,~'..-..~-, .T../!.. Block ....~.. ........ Lot... ~/! ........... Subdivision C,~-Ji~g~-mLq....~.?. ................ Filed Map No..L'~'. ~.~..0 ....Lot No. '~b .......... Permit No ........... Date of Permit .......... Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 \ TEL.: 765-1803 Examined .]~.~ .~../..., 19.~.['. Approved ..... .&./..., 19~..~. Permit No. ~..~..I.1.~ Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT TOWi~! OF ~;OUTH(SLO 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 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 authorized inspectors on premises and in building for necessary~~....r~f.. 00~'~~ ~i~;tur'e'of,;a~/~ '~cant, or name, ifa corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder. Name of owner of premises .... .~..r? r~..~..'~.~. .....~.7~. · . · .~..~..~ .~t..~..-~./('~. ~) ............................ (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 .......................... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... I. Location of land on which proposed work will be done .................................................. ....... /.0..o. ............ p.../f., .v. ............. ,. ........ House Number Street Hamlet County Tax Map No. 100 ction.. ~..C '~..J Block ....... -,~-- ......... Lot..'~. ~r. ~.ff...' Subdivision...~.~.0.~,...~.~ ........... FiledMapNo....z'~'..~.~.~-.~) ..... Lot ....'~.~. ......... (Name) 2. State existing use and occupancy of premises and iht?haled use and occupancy of proposed construction: a. Existing use and occupancy ....... ~..~-~..,/~.~...-t~.... ~.¢). ~ ......................................... b. Intended use and occupancy ...... . .~.~...c~.~...ff. .... [...~'..C .¢r~..../.~. c/.. ~ .q?...~...c_/..~.~ ! 3. Nature of work (check which applicable): New Building V/ Addition Alteration .... Repair .............. Removal .............. Demolition .......... i' · Other Work ............... 4 ' (Description) 4 Etim tedCot ~..O~.....~..'~. Fee · s a s ................................... i ............................ ~ (to be paid on filing this application) 5. If dwelling, number of dwelling units ......... J. ..... Number of dwelling uniits on each floor ................. If garage, number of cars ........... ~. ............................. ~ ............................. 6. If business, commercial or mixed occupancy~ specify nat. gte and extent of each t~pe of use ................... ~.. ?. Dimensions of existing structures if any: Front ..... .'-. ~./~"~,~Rear ...... i ........ Depth ...... Height Number of Stories . Dimensions of same structure with alterations or additions: Front ' i Rear ' Depth ...................... Height .............. Num bfl_r 1~ Stories ................. 8. Dimensions of entire new construction: Front .... .~.~.i~ii . Rear ~o.! ........ Depth .. Height ............... Number of Stories ........................ i ................... : ......... 9. Sizeoflot Front tq~°. ~ Rear.. ~.O./ ..... I Denth I~q,~. 10. Date of Purchase ...... .~/.~.~./~'~ . . Name of Fla~-mer'O(v~l;;'I 11. Zone or use district in which~prem~ses are situated ............ ~~... iii. 12. Does proposed construction violat~e any zoning law, ordinance or regulation: ... ! ........ .'Y~91 ................ 13. Will lot be regraded ...... ,:~.; ./~.rl~ ..... .~ ......... Willexce. s,s ft~b~er_emov~dfrompremises: ' Yes ..~.o,.. 14. Name of Owner of p/~e~i~s(,r~:...~-~..cz..¢-?,2~O.. Address ~'~ff~. ~'~_,. Phone No Name of Architect k.~-..e-~A~... ~ ..... o_~.z.~. Address .~.. ~ ~'f~j/~d~.~i Phone No: Name of Contractor ...................... . .('~'Z-.. Address .............. '7. .... Phone No ....... ~-. ....... 15. ts th'ts property located with±n1.00 feE~l~....~t±dal wet,and? *i Yes.~.. .; ,,,ye ...~ · If yes, Southold Town Trustees Permit may be r~'~ad~ed. ~a ] $'",~.~ l',*~,, ,~e PLO'F DIAGI~AM~7 t')~,~,.4-~, ~.;~'""~d.~_.~'~'~-~_.,, ~z'~ Locate clearly and distinctly all buildings, whether existing or proposed, and?~dicate ~f set-back dimet~sions from property lines. Give street and block number or description according to deed, and sh( w street names and indicate whether interior or corner lot. STATE OF NEW XO_R?,,,,7 , COUNTY OF...t..~AZ..~Z.,~ ...... ~ ,4 ................ .... (Name of individual si~,~/ng ~ontract) above named. being duly sworn, dep6ses and says that he is the applicant He is the ........................................................................................ (Contractor, agent, corporate officer, etc.] of said owner or owners, and is duly authorized to perform or have performed the shid work and to make and file this application; that all statements contained in this application are true to the best of hi ~ knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ............ . .....,19... ....... Notary Public, v-?, .....~,,_~,,,¢~, ,_...,~-., ,-~ ¥ ..... '~,.; .... County motary Public, State of New York Oommlsslon Expires March 30, ~08E ~AY 28 S.C. (~l~F. OF / / SUFFOLK CO. HEALTH DEPT. APPROVAL STATEMENT OF INTENT THE WATER SUI~-kY AND .~WAGE DISI:~SAL t SYSTEMS FOR. THIS R:ESIDENCE WILL coNFoRM TO'THE STANDARDs OF THE S ~ R~V'I C ~S ~.~OR APPR'OV A L OF C~TRUC~N~N;LY, 'f r , ;,; , - ~', :: D R~. BED RM. :,,o.:, -.~,'"T E R R'A.C E FAM LY BATI ' LIVING P / A.N'I' E~ R , SERVICE NTRANcE GAR,. PLAN OF WHERE CONC.$LAIB IS USED F I, R S~T~ FLO,,OR PLAN ~V. EN% 2hese drawings and speei£ieatfons have been prepared by or Under the direction of %he undersigned and 'to the bes'L of the undersigned,~ knewledge, in£orn~tion and bel: meet ~he reGuirements o£ the York State Energy Conserva~io ConsZruetion Code. 8362 OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIRCATE OF OCCUPANCY /ICE RANCE SOLDER USEDIIN WATER SUPP&Y S~T~M CANNOT EXCEED 2/lO ~f l%.Lg~O. ON LEAD COAITEAtT £EFORE C-EttT'IFIC14TE.O...~,~4NC Y APPROVED AS 1'~3TED'"- DATE: '7-'/~/,/1'~* B.P '~ /g'//~ ''~ NOTI~ BUILDING DEPARTM~T AT 765-1802 9 AM TO 4 ~ ~R THE FOLLOWING INSPEC~ONS: 1 ~UNDATION ~0 REQUIRED FOR POURED.~ON~ETE 2 ~UGH ;RA~iNG & ~UM~NG 3. INSII~ flOE 4. FINAk CONSTRUCTI~ MU~ e~ COMPL~E FOR C.O. ALL CONSTRUC~ON ~ MEET THE REQUIREMENTS ~ ~E N.Y STATE CONS~UC~ON & ~E~ COD~ NOT RES~S~LE ~R II~,~ . . .~ 8362 BED RM. 5~'' GALLERY ATTIC ATTIC PLAN 8362 t,2:d' UNEX, co~c. UNEX, 19:'d'" UNEXCAVATED IG,: o" __. B~SEMENT ~L~N NOTE 83~2 FRONT ' II'N-~F:'RIOR., vIEW OF FI REPLACE :SECTION TH RU "A- A" ELEVATION, CROSS SECTION ".B-B "(.cc~pOu ~ ,, / ,REAR, ELEVATION - I ' I 'l ____ LEFT SIDE: ,RIGHT SIDE ' I I I 8362 /4' 4' PLAN -i OF CONCRETE SLAB ALTERNATE DETAIL DETAIL "12" DETAIL rOU. C,,..T,O. D~'~,,,-$ DETAfL DETAIL "9_." "10" ' - '-"-~- - "13" --=~'~ ' "~' ~" -" °-' .,I TY, PI LL S RU' BATH ~-~ 1 I~ ~ BATH 2 P LU M BI NG ~ 'D lAG RAM DETAIL S1ZE SA~. 8Y EN" KITCHEN CABINET DETAILS / -T ', IL S $CA~LE.- t' -I ~A~ Tbs eent~as~r eha~ comply C. It r~s' th~ respems[~A~y e~er te~ eempl2 w~h a~X ~he app~iea~e~aw~e this hluse. L , B~ Cenerete mix, a~ Fer fe~aa~ns ~ fe,e~mg~ ~nim~ h~ Per ee~re~e ~e~, en ~" gravi[ ~Ia se~ with 6"x6", ~e ~ri ! A. Ur~ess spes[fied nails per C. Headers: 2-2"x8" ~ess speeif[e~ e~e~s~ ,' E. Clear~ee, adjaeent gra~e~ · F. 0penings* Demb!e ~e~ ~ra~ng shall be prev~ea are~d epenimgs. G. Unless she~ e~e~se~ a~it[a~ be 2"x$" * ceiling beams, when sueh beams perpendie~ar~ be as fellows, Kftehen~ mad ~em & laur~ry (if a~}l RestlesS. fleer Bathreems* eeramie fleer ~[[e & base, Ceramle tiles a~ s~e~s & ~a~ te eeiI[ng~ .Remainder Areaa Oak s~r[ps. A. Previde fiberglass tnsulat[~ wASh where ~e~ en ~ra~[~s. FeX~ B~. Where re~re~ ~y ~al ~e~ e~ w~'e