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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 Z-25246 Date SEPTEMBER 8; 1997 THIS CERTIFIES that the building ALTERATION Location of Property 575 WATERSEDGE WAY SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 88 Block 5 Lot 61.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 24, 1997 pursuant to which Building Permit No. 24073-Z dated APRIL 24, 1997 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 TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to WILLIAM & DOROTHY GALATI (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PENDING — AUGUST 20, 1997 PLUMBERS CERTIFICATION Rev. 1/81 "EM NO. f 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° 24073 Z Date ........ Aur.il.24 . ..............................1 1991... Permission is hereby granted to: William..S..thy at Doro„Gali................. ............. ............ P.O. Box 556 ................................................................................ St. James, N.Y. 11780 ................................................................................ CONSTRUCTION AN ALTERATION TO AN EXISTING FAMILY D[IELLIIQ�,,,,,,,,,,,,,,,,,,,,, to.............................................................................. ............................. AS APPLIED FOR. (without deck addition) ................................................................................................................................................................ ................................................................................................................................................................ 575 WATERS EDGE WAY SOUTHOLD, N.Y. atpremises located at............................................................................................................................. County Tax Map No. 1000 Section ....$$................ Block ....5................ Lot No. ..... 61_2........... pursuant to application doted .......FEB: 21,. 19.95.., and approved by the Building Inspector. Fee $,702.00 REPLACES BP #22618Z ..... ..4.i....:.:.'..I ..................... it for Rev. 6/30/80 FORM NO.3 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 AUTHORIZEED))/ 9q Date ..............ow .... //............ 19.,1.. N6 22618 Z .,��. ..... .. r `. ...... .....= !1. ...... ..... ........ .... ....�.�. .............. ............................ at premises located at... --T......4 County Tax Map No. 1000 Section ........ ,ems pursuant to applicatlon dated .........,1 Building IIIn7nspe��c�7tor. ?Fee $,.,/..1�f —7, Rev. 6/30/80 ................................................................................... ............................ ......I................ .............................. ...... ...... ... Zc" ....................... ............. ..... Block ....... ...-�-�..,-,.......... �Lot No. ....�-�..... ...............119.. ..-J...., and approved by the ................................... ?'Ii�in Inspector TOWN OF SOUTHOLD X4 BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must by filled in by typewriter OF, ink and submitted to the building inspector with the following: for new building 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 from Health Dept. of water supply and sewerage-disposal(S-9 form) 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non -conforming uses, or buildings and '.'pre-existing" land uses: 1. Accurate survey of property showing all 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, A Additions to accessory building $25.00. Businesses 450.00. Z-. Certificate of Occupancy on Pre-existing Buildine - $100.00 3. Copy of Certificate of Occupancy - •25C. L'. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential /$15.00, Commercial, $15.00 Date ..O. ✓ Alljl ,,7 ........................ New ConstructionIVEMo ba,�011l d Or Pre-existing '-B uuilding.................... Location of Property..l.7S.W,476! �ry .. �! r ...............J dt!/.f/�%l!%i ....... . House No. F Street }� �j�Q / Hamlet Cower or Owners of Property.•/'jj .. J � �✓t7.. a� •� . *r /�•s���................ . County Tax Map No 1000, Section ... O..Fr ..... Block..�.......... Lot.4. l.'.0� .............. Subdivision.................................7....Filed Map ............ Lot ...................... Permit No .P,#A73Z...Date Of Permit. ��'7 '....Applicant �,AA" �a;rM... ��. `�+�����✓ Health Dept. Approval........r ..............Underwriters Approval......................... Manning BoardApproval........................ Request for: Temporary Certificate........... Final Certicate........... ,ee Submitted: 5.:?r':....................... Q Qc -,52351 APPLICANT 7 N o '7 'A -0-- l'n ..? S -0) 4/_ THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE i 5.000121 BUREAU OF: ELECTRICITY F 85 JOHN STREET, NEW YORK, NY 10038 ff, `a G JW Dote SEPTEMBER 11,1997 Application No. on file 1463159"7/97 04S �N 431279 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of WILLIAM GALATI, WATERSEDGE WAY, SOUTtH�O1LD, NY in thefollowing location. © Basement ® Ist Ft. iD 2nd FL GAR/ATTIC/OUT .Section Block Lot was examined on SEPTEMBER 08 ,1997 and found to be in compliance with the National Electrical Code. " R%TURF FIXTURES "' RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS ECEPTACLES SWITCHES INCANDESCENT FLUORESCENT OTHER AMT K W, "T. K W Ami KW. Ami I K W AMT. I H P 51 53 60 . 51 1 111 3.1.5 - 1 7.5 1 1.2 3 F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIALREC'PT TIME CLOCKS I BELL I TRANS. UNIT HEATERS MULTI -OUTLET NO.OF FEET DIMMERS AMT K. W. I OIL I H. P. GAS H. P. AMI NO A. W. G. AMT. AMP AMT AMPS AML H P.SYSTEMS AMT. WATTS 2 1 - SERVICE DISCONNECT NO -OF I S_ E R, V I C E. AMT. AMP TYPE METER EQUIP. I S, 1.0 3W 3 e TW 13,e AW NO OF CC. COND PER a AWG OF CC.CGND NO OF NI -LEG A W G. OF HIAEG NO. OF NEUTRALS A. W G OF NEUTRAL 1 2001 1 CB I 1 I X I I 1 1, 2/0 1 1 2/0 OTHER APPARATUS: 814OKE MiTECTORt_,9, LL PAUL R. BURNS LTC.#3897-1 PO BOX 1061. SOUTHOLD, NY, 11931-0932 GENERAL MANAGER - ri Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by theircredentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE"MUST NOT Be ALTERED IN ANY MANNER. �y. A Town Hall, 53095 Main Road y - Fax (516) 765-1823 P. O. Box 1179 Telephone (516) 765.1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T F I A T I 0 N �yAL Air DATE:..M Building Permit No. Owner: rti4� \ -(please print) Plumber:C' (please print) I certify that the,solder, used in the water -supply system contains less than 2/10 of 1% lead. (Pluibfts Sig ture) Sworn to before me this -6�^— day of — 1921 Notary Public, 11ARBARA STEP INSKI'7 \ No" Public, State of New York/ No, OIST484 ;752 \ Oueflfied in SufVk County \ Commission Expires Sept. 30,19 \ s FOUNDATION (IST) ROUGH FRAME 6 PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL 0 y,ri. ��f if/►�!JJ�I. z VA 4pc� � / 94--1 765-1802 BUILDING DEPT. INSPECTION 7 [ ]FOUNDATION IST [ ROUGH PLBG. [ ] FO DATION 2ND [ ]INSULATION FRAMING [ ] FIN/LL [ ] FIREPLACES CHIMNEY REMARKS:6,a Feld p q-'n�Aa t�GS,iv ('Ci�.S �' �.+'� S► �CA% 7f` AA[✓L %� " �► �. �O 1� �t� s �i� l�r�� ul/ /1G�S�a[ 4� Gee &X&k A 65�lvcly DATE INSPECTO - 1 o�. 04 - . 765-1802 BUILDING DEPT. NSPECTION ["FO DATION IST [ ]ROUGH PLBG. 14 FOUNDATION 2ND [ ]INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE &CHIMNEY REMARKS• 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] F NDAYION 2ND [ FRAMING [ ] FIREPLACE & CHIMNEY REMARKS: [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL DATE % ( INSPECTOR c 2 (�, 6 7, 3,-k 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION IST [ ROU6H PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ]FIREPLACE &CHIMNEY REMARKS: �ol 3 A A: le& A, 4 , 4 4, X65.1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION IST [ ] RO PLBG. [ ]FOUNDATION 2ND INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: 4;z& -4z-, a&- � as'-) site a�73� 1 7 g 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE A CHIMNEY REMARKS: of e [ ] ROUGH PLBG. [� Nsu�►TIoN [o�FINAL DATE 7 INSP FIELD MSF4 4N i�E O�'� DATE CO S ' gn- FOUND,Atlox (IST) FOUNDAn- 01.1(2ND) a 2i ROUGE! FRAAMCr & PLU-MING o � y INSULATION PEA N. Y. STATE ENERG'y COBE H FMA.L m • b 7i FORM NO. 1 q FEB i,� TOWN OF SOUTHOLD 1� 2 1 1995 jw BUILDING DEPARTMENT TOWN HALL BLDG.D P7 SOUTHOLD, N.Y. 11971 TOWN SOUTHOLD TEL.: 765-1802 Examined .....4e� Y9 7 b% Approved ....... 1 . : Permit No BOARD OF HEALTH . ..... 3 SETS 0y,,,PLANS ...... SURVEY... ........ CHECK . i:k" �./ .......... SEPTIC FORM .............. NOT IPY: -?(6i133� CALL................... MAIL TO: .................... Disapproved a/c ..................................... (Building Inspector) P LICATION FOR BUILDING PERMIT Date ......:... 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 dr 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 in cttons. (Signature/of app ltcant or nam/¢, if a r oration (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Ai.`✓.[...!,........../............ ................................................ Name of owner of premises ............................................... (as on the tax roll or latest deed) If applicant is a or tion, sign ure of dulyauu o/`rized officer. ...................................... (Name and title of corporate officer) Builder's License No . ......................... Plumber's License No. . / � `.Y/ No. � Electrician's License No. ..................... Other Trade's License No . ..................... /J 1. Location of land on which proposed work will be done. �' G ..' ............................ . .......... ........................ :..................... ........���.................... House Number Street Hamlet County Tax Map No. 1000 Section ......� • . Block ...✓............... Lot .. �? 1s......... . Subdivision ..................................... 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 ....vGeu... A� .... .................... . ........................ b. Intended use and occupancy ..........� . .... . ..GAS„". Nature 3 Repair of work (check which applicable): New Building .......... Addition .......... Alteration R ........ . .............. Removal .............. Demolition .............. Other Work ............... (Description) 4. Estimated Cost .....�.�1 1o.�.d of°.. ....................... Fee ...................................... ...................... (to be paid on filing this application) S. If dwelling, number of dwelling units .... �.......... Number of dwelling units on each floor. : .............. Ifgarage, number of cars .... . i., ............. . . .............. ..... ... . 6. If business, commercial or mixed occupancy, specify p1re and extent of eacJt.type of use ......... o...... . dd iY ... 7. Dimensions ht... of existing structure Number if any: Front ................ Rear :.4.......... Depth ... d.......... . Height J. ber of Stories .... toles_' Dimensions of same structure with alterations or additigns: Front ... �$ A .......... Rear a . ............. . Depth ...... VA .......... . Height ...31.x.4 ............. Number of Stories ... l. ii * ...... ... . .. 8. Dimensions of entire new construction: Front ............... Rear ............... Depth ............... Height Number of Stories . 9. Size of lot: Front ...... J-0 ......... Rear .... 5.0 ............... Depth .../� .............. . 10. Date of Purchase ..... ll.& I .................. Name of Former Owner .. 11. Zone or use district in ich re" 12. Does proposed construction vol ((r�ises are situated ..................................................... p P ate any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded ..... �y�- Wil ces$fiI1 b r ovedd fpm premises: Yes No 14. Name of Owner of repliY� w ! tl� ... �� , , . Address . q�3�dj�....'.......f, .. Phone No' L: . 3. � � 9 ...... Name of Architect .... ..Address . !-`t't�! Vis".. ..Phone No. )3 :�.) Kitt..... . Name of Contractor . JA j(� Address t�� 6!�W :F'! " !d . Phone No. IVtdAr.... . 15. Is this property within 3100 feet of a tidal wetland? *Yes.Y..... No......... *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM j ( Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set -back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, COUNTY OF . S ............ �4U.�A l ,f�`C , Int).. W.i (Name of individual signin above named. \ He is the ... ".'. ... . of said owner or owners, and is duly application; that all statements contai work will be performed in the manner Sworn to before me this .........�.. ..... dav of. Notary Public, .. . 'K61W4111X4T11�f:4 &9 Term Expires Xj . �. I......... being duly sworn, deposes and says that he is the applicant contract) (Contractor, agent, corporate officer, etc.) Futhorized to perform or have performed the said work and to make and file this -d in this application are true to the best of his knowledge and belief; and that the A forth in the application filed therewith. 19 l .'. County York (Signature of applicant) G F - el, It cr z at r4 11eW r. ISO. ADDITION EIS n UNAUINORERD ALTERATION 10 To THIS SURVEY 15 A 110'A OFE OF S,C,,ON 7"OF THE HE, '0" STATE >r• EDUCATION IAA�- OF "I'NSURVEY "? NOT MAMW COPIES 04 rlfLAND SURVt KID A'S I SEAL U CONSIDEW EMIOSSED SEAL 5 ALL NOT J 10 M A VALID TRUE CORY. bpomc� oj(z;- GUARANTEES INDICATED 1091OH'SHAU !L THE -1 ONLY ED SHE emsowfO` If to IA 'UAR(D. AxD ON "Is .AIAT -0YTI-.jHEAL AGcNC TITU Gc'� UHTHNG LASTED W -LION' A' �TPIU LNG WS1 I HE ..... ITT$ of THE C&NP 0 IS AU "of TILANSFE IU7IONL WAILAN" 10 ADDITIONAL 'SInU111N4 OL I"! ,'int_.� Ow"FIL ;jq' j SUFFOLY COUNTY HEALTH DEPARTMENT A N 33 1. 1-074 DATE H. D. REF. The sewage disposal and water supplysc:c' c facilit,*es for this location have been inspec,.cd by.this, department a9d found to be satisfactory. 1 Y4.1 r a. -Z1c'e& Chief of General Enrineering Services' 'Ev co and Southold baridq, SLAV`V0L,4C-' Nov. ZI), I413 Wo 'ays CoVrl'lj SIC Yk'S I WATERSEDGE WAY ep (50' WME) % VEL APRON p p S 6S' 2 0 8 80.0 N 66W'10"W MUM C cu o m m 1 �• Co� m ~ D SHOAAt m a sy .s'9.2' 2 p J N p b D� O N '" a N FILE N0. T61054 SCALE: 1 " = 30' DATE. ,4 01 G POLE IB.O' m p pJ1T _ ROOD 730t�o HB4CH AM 19GE Ala � - — - - �- FJ 7a'Fe'63'11 O9.G0� HOG NECK BAY //Z- 16 ---- SURVEY OF DESCRIBED PROPERTY SITUATED AT Sg1FF� TOWN YORK S C.T.M. NO. 1000-88-5-61.2 UPLAND AREA = 17,333 Sly_ FT.' CER77FIED 7 0. STAMA770S G. PSARROS SANDY PSARROS THE SECURITY TITLE GUARANTEE COBALORS OF SC77C, INC. (TITLE NO. 33094-6394) FIRST PRIORITY BANK, ITS SUCCESSORS AND OR ASSIGNS, ATINA, 2 }r. LIBERTY BLVD, S7E104, MALVERN, PA 19355 cuvzv"EES mT CTWICAROM ARE NOr 1TTNaf$aWM 1cvOEACROLUIO MMES rASDQM5 NOr sww ANO um" PmE 1DGQATA6 ARE Nor GDRNOEED THE 0I RT 05W000N S m"W NFAfO.N FAOn IE e7W¢NRES m TWPROPEH7r UNES ARE MR SP FIC PWOME ANO = iM>iHTIBE ARE AVr R MVW TO MroC DW amcmN or Facet RE7APM WXM POCIZ AU= PUNIAG AREA^ AODMON m RTA7lRE64 AEAT (ARA CWSTRUCI<PI. 77Ri E]SZMCE OF R OF MAK RE MAROS AM7/DR FA Dn= W FMCOM 6 ANY, ROT W WN ARE NOT cumw= YMUIRU RM AUETG770.Y OR A00lmN W 7716 SURYET 6 A IiLII.1IiCT! OF SECTION T1D9 C' iNE NEW iDR[ Sr.A7E EOUOQA]V IAM. COPES OF 7TOS SURVEr n1P NOT EFARNa THE LAND SLUKYORS SCWRZE ANO RED PNC 0R f1WOSym SEK sKU EIOT SC C7IHSMERED A TRUE U4W COPT: ALL IOGAM6 OF AND DSUNM M WEUS AMO CE35Pa0LS.ARE Ur LOCV N6 £AW ITOYEaATEA[ E7ETD L�FRI'AmNS A,' RApTT%IM C1HfAB/Ep FRpM a1NERS. SIM£ 1105! ARC Nor 56181E 7/4FE t001T81T6' AM7 OOAEISA7N5 f1 \W lac [FAINTED.. PAT T. SECCARCO PROFESSIONAL LAND SURVEYOR, P.C. _ _ SUCCESSOR TO - DONALD TASE LS RLCW4M H1WELM Alm ASSm:wTEF NORMSTAR SURYEYLNG. RC PAUL T. [INA E0, LS, ROBERT A. KART, LS GOOD GROUND SURVEYORS, P.G J284 MWn Street Hama ton Afnum Unit D-4 Center Moriches, my 17934 I06 W. Montauk Highway tiampfan NI' 11946 Phon 63T) tf78-0120 Phwee: (6 1) 728 -SMO FDIC 76 1) 878-7190 Fmc (871) 728-6707 PSECCAFfC0®DPrONUNENET N.Y.S. UC. NO. 049287 COPYRIGHT - 2015 PAT T SCCCIF'CO P.LS, P.C. i k T 2ttlT E`'gm- ZYP t,77 { XUA�rou Ju' LW k� e k a I y 4 t =:k, � �...�!�.a..a �` ,: .x E t§raYs � ,� �, � F g ' r• � . k a-s �3 � t- x r � - i � z;». v;. i� y. -t,F :'ti5. �T ,i u � "�' •+� q�.._ � � .. y � !`:. 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