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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-27185 Date: 07/10/00
THIS CERTIFIES that the building ACCESSORY ?
Location of Property: 185 WIGGINS LA GREENPORT
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 35 Block 5 Lot 40.1
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 9, 1995 pursuant to which
Building Permit No. 22646-Z dated MARCH 27, 1995
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 ACCESSORY SHED IN REAR YARD AS APPLIED FOR.
The certificate is issued to JOHN COSTELLO & WF.
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. H-068440 06/29/00
PLUMBERS CERTIFICATION DATED N/A
L
Au orized Signature
Rev. 1/81
Form No. 6
TOWN OF SOUTHOLD O O
BUILDING DEPARTMENT
TOWN HALL APR 2 8 0
765-1802
;hd+. NLDF S EPT ~
APPLICATION FOR CERTIFICATE OF OCCUPANCY
A. This application must be filled in by typewriter OR 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 frog 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,
Additions to accessory building $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Buildin¢ -.$100.00
3. Copy of Certificate of Occupancy - _ .25c,
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date .......'Y o
New Construction.. Old Or Pre-existing Building
Location of Property... Y~ .'..q...: S.....L . (O a<«~ ° A.
House No. Street Hamlet
Onwer or Owners of Property...
County Tax Map No 1000, Section.?.` ........Block.... 0.5 .......Lot....(.
Subdivision ....................................Filed Map............tLot.....A.................
Permit No. zE'Y ....Date Of Permit Applicant ...V°~':-?..
Health Dept. Approval ..........................Underwriters Approval.........................
Planning Board Approval
Request for: Temporary Certificate........... Final Certicate.......
Fee Submitted: $....Z.....
' S yP APPLICANT
C ow a~fKS
FORM NO.3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
MARCH 27,
Date 19.95.....
.
N2 22646 Z
Permission Is hereby granted to:
JOHN COSTELLO
BOX 2124
GREENPORT, NY 11944
. PLIED FOR .
. .
. AP .
. YARD AS
. REAR
CONSTRUCT
. AN ACCESSORY
. SHED
. IN
. TBE
.
.
.
.
To
.
.
.
.
.
.
.
.
.
at premises located at .......185 WIGGINS„ LANE CREENPORT NY
County Tax Map No. 1000 Section ............35......... Block 5............ Lot No. 40:1.......
pursuant to application dated .......March„ 19.....95....., and approved by the
Building Inspector.
Fee 5..~..~bC
J/ Building Inspector
Rev. 6/30/80
THE NEW YORK BOARD OF fI,RE YN0EIMRITERS PAGE 1
8080340 BUREAU qF EI,ECTRI$ITY
40FULTON:8TR6Ei`, NgW,YQSK,_NY 10998-
Datr JUNE 29,2000 Ape>i£ation Iye, ea.Jt(v 10351900/00. H 068440
THIS CERTIFIES THAT
aNh Hu rbretrieat MM®m4nT of dtratihtd bFbew #pW ttttre*!ctd by Ths,gW#M I AAalfd f w A* gbgre application number is in the premises of
JOHN & SARA COSTELLO, 415 WIGGINS LANE, SEC. 1000-35, GREENPORT, NY
god" ftrllowing loeaflon;. 0. Sasrment 11 In PL -I--Ir 2nd HL GAR - secdon BlocO Lot 40-1
war examinrd on JUNE 23 - 2000 _ and found to, be .#n ea apltancr with the National Electrical Code. -
FDGURE RCERACIp SWITCHES . FDCIURES NSES eaoDHe DECp ' OVENS DISH WASHERS EXHAUST FANS
OUTLETS rwOMICEW OrM LW. AM. .-LW. AMT. R.W. -AMT.: R.w. AMC ,Cr.
DRYERS WRNACRMOTORS RI?I ;ASPEIANt:IRmpERS St!ICIAIwt mrimecumn , ` UttiTHEATEp MUri .....DIMMERS
AMC. J . KW''AMG° N0. A.w,_41 -AN1i -::AMiI. AMM. TRANS. AMr. x.r: , NO. OF FEES AMS, wATM
71
_ . . v
_ SERVICE DISCONNECT NO. V E , - -
AMr. MY. . TM iourpn r e sW r e sw a t.lw R ew ; : tp a Maw - • -a Wxaib ` xu a,n mAM a,W.
OTHER A"AMTUS: _ - _ _ d...--
STORAGE BUILDING-1
*NO VISUAL DEFECTS: "An electrical
survey has been made'of the exposed
electrical equipment in the _
premises indicated." "No obvious
unsatisfactory condition was found.-...,
ls~
fGtu,.... L L
JENNIFER B. GOULD
P. 0. BOX 177 - GENERAL MANAGER
GREENPORT„NY, 11944
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.
rt
JENNIFER B. COULD
Attorney at Law
210 Main Street* P.O. Box 177 • Greenport, New York 11944
Telephone 631-477-8607 • Fax 631-477-2601
July 3, 2000
Attention: Connie
Southold Town Building Department
PO Box 1179
Southold, NY 11971
RE: Costello - 415 Wiggins Lane, Greenport, NY
SCTM # 1000-35-5-40.1
Building Permit # 22646 for accessory shed
Dear Connie:
Enclosed is a copy of the underwriters certificate for the shed at the above premises and
my attorney's check in the amount of $25.00 for the certificate of occupancy.
My client informs me that Gary Fish has already made an inspection for the c.o. Please
send me the c.o. as soon as it is issued.
Should you have any questions, please do not hesitate to contact me.
Very truly yours,
Jennifer B. Gould
enclosure
cc: John and Sara Costello
JUL _ 5 2000
1.
$13FF0j,fco
Gym
Town Hall, 53095 Main Road p ;.e Fax (516) 765-1823
P.O. Box 1179 * Telephone (516) 765-1802
Southold, New York 11971-0959 O-
col ~ Sao
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
JUNE 29, 2000
Mr. John Costello
P.O. Box 2124
Greenport, N.Y. 11944
Re: Premises @ 415 Wiggins Lane, Greenport, N.Y.
Suff. Co. Tax Map #1000-35-5-40.1
Dear Mr. Costello:
During a recent inspection of your accessory building, I
noticed that your inground swimming pool does not have an
enclosure that conforms to the N.Y. State Pool Enclosure
Requirements Part.720 N.Y.C.R.R. Vol 9B.
In a follow up telephone conversation with you we discussed
this matter, and I faxed you a copy of the requirements.
I would appreciate you contacting me as to when and how
you plan on taking care of this matter. Keep in mind that
it is in the interest of Health and Safety that I write you
this notice.
Thank you for your anticipated cooperation.
Respectfully,
SOU OLD TOWN BUILDING DEPT.
Gary J.' Fish,
Building Inspector
GJF:gar
FIELD Zi1SPECTION REPORT IRATE o COMMENTS N
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a9~~ , w r Scott A. Russell Chairman Southold Town Hall
n 9 P.O. Box 1179, 53095 Main Road
Darline J. Duffy, Assessor Southold, New York 11971
Robert I. Scott Jr., Assessor d Fax (516) 765-1823
a,t b
•9J Telephone (516) 765-1937
BOARD OF ASSESSORS
TOWN OF SOUTHOLD
Dear Homeowner:
The Assessor's office is available to answer any questions you may
have regarding new construction you are planning and what changes,
if any, could be made to your assessed valuation.
Any questions we answer will be done informally and no actual
changes would be made until you proceed with the planned work to
be done.
The Assessors feel that the more questions we can answer for you
regarding your assessment and property taxes , the greater the
understanding between the Assessor's office and the homeowner.
Again, if we can be of any assistance, please do not hesitate to
call on us.
Best wishes,
The Assessor's Office
MAR 919,95
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7GS-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
ell
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DATE INSPECTOR
M-1802 ~ t
LDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ) ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] IN ULATION
[ ] FRAMING [ FINAL Vy
[ ] FIREPLACE E &1 CHIMNEY
REMARKS:
rte" _ N ~
DATE V-0 INSPECTOR f ~ZS~
r, E~B (a l j W-111, 3 SET OOO HEALTH . • • .
01 ,1 FORMNO.1 S TS F PLANS
TOWN OFSOUTHOLD suRVeY ...4••............
MAR 9 199 BUI!_D „ . - I,,1 .
TOVVt~ S12' 1-1-.iC r•ORN
B= SOUTHOLD, N.Y. 11371
6i.flG, i7E4';.
TEL.: 765-7802, Y.OTIFYi ~17-7
Examined u_ ._.w`.GALL . .
NAIL TO e,. - Z~t
Approved Isp . Permit Nb. ' ~6 • . • • • • • • .
Disapproved. a/c ................................i..:. /i95`F
(Bui ng In ctor)
APPLICATION FOR BUILDING PERM),,
„ Date ..M 4.tt..J..1.., 19-~$
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with
Wts 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 stieet:
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 permi
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 Occupanc}
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 Ordirumbe of'the Town of Southold, Suffolk County,'New York,' and other applicable haws, Ordinances of
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 tc
admit authorized inspectors on premises and in building for necessary i cti 'l
rtl
nature of applicant, or name, if a corporation)
(Mailing address of applicant)
State whether applicantowner lessee, agent, architect, engineer; general contractor, electrician, plumber o builder.
....,....o...............~
Name of owner of premises s'T..LG•o r......:.".... .
(as on the'tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
OW...... -
(Name and title of corporate officer)`
Builder's License No. • . WA......... .
Plumber's License No.
Electrician's License No. N.i!4 .
Other Trade's License No. ....N
.
1. Location of land on which proposed work will be done. .
. W/ ~6in! 5 G:i=1N~ 2cSL~NOo!e..!. > yy.Y.............
House Number Street f Hamlet
County Tax Map No. 1000 Section J~ 5 Block ......r Lot
Subdivision .../.r P,%P 5V , (N e?~0,5 . .Ssc:Z~' Filed Map No. 1.~?.°.,~...... Lot 3,.2;`(~ ?
1 State existing use and occupancy of premises and intended use and occupancy of proposed construction: Z-f
a. Existing use and occupancy ; , , • , , , • , , ,
b. Intended use and occupancy • • • • • • • • • • • • • •
.~..&+t'.~+"1Cz~_+i4'..,•pl.;:.r.:•S Vii,:;..,^..
3. Nature of work (check which applicable): New Building ; Addition . • Alteration
• .
Repair Re oval Demolition . , , • ther Work
4. Estimated Cc'st (Description)
Fee..........................,.........
5. If dwelling, number of dwellinS (to be paid on filing this application)
If number of cars units N/'q • . , Number of dwelling units on each floor
garage ,!(.g
6. If business, commercial or mixed occupancy, specify nature and extent of•each type of use , ......IV7. Dimensions of existing structures, if any: Front 9!Z." ' . Rear ~R , , • Depth •7,$ ' "
Height `S t , . , , Number of Stories .
Dimensions of same structure wIith alterations or additions: Front .7A4Mcs, Rear .
Depth , . Height i,4/1 Number of Stories .......If 0^ , , . • „ .
8 Dimensions of entire new construction: Front ZZ6.'...... . Rear . . A$: , , . • Depth ....'y
Height Number of Stories . ??r.4.t , , .
9. Size of lot: Front c?,;.!. o'a. 282.' Rear A90. A. -T7 ' Depth o ? . ?,S• Y,% ' .
10. Date of Purchase , y. . Name of Former Owner .N41 .
11. Zone or use district in which premises are situated ...R ~,~a!r T`71.47 L ' ' ' ' •
•
Does proposed construction violate any zoning law, ordinance or regulation: , ..nlxi , .
13. Will lot be regraded , . , , .NR Will excess fill be removed from premises: Yes No
14. Name of Owner of premises 0Pw*.C9srd"A- s~we, Address ;oey 2r?Y,-.`/i6,nrldwfTPhone No. X: 7~./.~,?'
Name of Architect -N°/Vff, . Address g'=a`"""p ° rT uY•, Phone No. .
Name of Contractor . , , , , Address . t Y9y
15. Is this property within X00 feet of a tidal wetland? Phone No .
*If yes, Southold 'own Trustees Permit may be re ±rLrd. . No.........
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 show street names and indicate whether
interior or corner lot.
i
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STATE OF NEW YORK, S
COUNTY OF .4.U.MOLk• .
' ' 0•14 W • • •R•,• • ~•Q~T • • • , • , being duly sworn, depose s ys that he is the applicant
(Name of individual signing contract)
above named.
3e is the . ~G.9NE7 -
(Contractor, agent, corporate officer, etc.)
)f sai 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
..day of
L9
Jotary Public, ~.X1J~.t~G W.A.) . A6 1k County
8USAN E. C
Notary Public, State New York
No. O1Lt)495843 (Signature of applicant)
Guallfied In Suffolk CouM~
Commission Et<parae:NovImber 0,18i`J~
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SE t I
TO IS SURVEY IS A YORK STATE ^ nc-~N C@' _y~_
N 7209 OF (HE NEW v I I. x'
e <
ED TION I.AW,. NOT BEARING 11 , pp ES DF THIS SURVEY MAP
THE N~ SU.VFY00.'S INKED SEAL
NOT SI
SSED SEAL SHALL PR CONSIDERED
j, ~J.LID TRUE COPY. A - {
SHALL RUN
,,pHFE {NDICATC-0~0. WHOM THE SURVEY
O iFILiE:.50M1 Tp THE YE
pREFAREUr AND AN HIS BEHALF
`.COMPANY'"UVERNMENTAL AGENh +DANO
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'qiG INSTROTIOONFIiSTF~ Aa I SEFR
TF21 A I'NER ` f
.iHE ASSIGNEES
IAN. GUARAN... Np iRANABLE \
- O,AppH10NAL tM1SU~uT10NS OR SUBSEQUEM - ~
WHERS.
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TOVN OF SMVTl44Ml- a, W.Y.
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Mp??N R 25S eeA 03JUN 2 R VEY OF TPROPER T Y
ER gt LLD-. DEPT. GREENPORT
NE o WN OF SOUTHOLD
m z SUFFOLK COUNTY, N. Y.
N~~~F O 1000 - 35 - 05 - 40.1
\ T SCALE: 1" = 40r
$ / MAR. 17, 1998
MAY 31, 2000 l revirion 1
"01 20"
E• JUNE 5, 2000 ! cer!l/icollon 1
66
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N LOT 23
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N 94A
NOTE:
LOT NUMBERS REFER TO MAP OF FORDHAM r POST I RAL HENCE v S 6 1; J O wy C o S7 ACRES, SECTION 2' FILED IN THE SUFFOLK COUNTY b
CLERK'S OFFICE AS MAP NO. 4605 oT S 89'32'40" W. 111.03'
AREA = 1540 acres of Nfwoo C
WIGGINS LANE
~j *ON\M T.
METrOF 'p~,
~ry q
CERTIFIED TO,
$fl
ANY ALTERATION OR ADDITION TO TISS SIEVEY IS A VIOLATION
OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW, STEPHEN FITZPATR/CK
dll
EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CERTFXATIONS RENEE PONCET F/TZPATRICK
HEREON ARE VALID FOR THIS MAP AND COPES THEREOF ONLY F FLEET MORTGAGE CORP. - S. LIC. NO. 49618
SAID MAP OR COPES BEAR THE IMPRESSED SEAL OF THE SURVEYOR FIRST AMERICAN TITLE INSURANCE
WHOSE SIGNATURE APPEARS HEREON. COMPANY OF NEW YORK P. C.
SC !63/1 765 - 1797
ADDITIONALLY TO COMPLY WITH SAID LAW THE TERM 'ALTERED BY' 163/1 UB
MUST BE USED BY ANY AHO ALL SURVEYORS UTILIZING A COPY P. (I OF A
NOTHER SURVEYOR'S MAP. TERMS SUCH AS 'INSPECTED' AND
BROUGHT-TO-DATE' ARE NOT IN COMPLIANCE WITH THE LAW. 1230 TRAVELER STREET
SOUTHOLD, ° N. Y. 11971
98 - 14 4