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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-23313 Date OCTOBER 28, 1994
THIS CERTIFIES that the building ACCESSORY
Location of Property 13453 OREGON ROAD CUTCHOGUE, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 83 Block 2 Lot 10.5
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 11, 1993 pursuant to which
Building Permit No. 21273-Z dated NARCH 18, 1993
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 TENNIS COURT TO CODE A APPLIED FOR.
The certificate is issued to LOUIS C. & LUBA CORSO
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N-332523 - NOVEMBER 4, 1994
PLUMBERS CERTIFICATION DATED N/A
zuild'ng Inspector
Rev. 1/81
FORK NO. 9
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)
NW9 21271 Z Date ..J~ 1 . 19.p~
Permissio is hereby granted to,
........Y d.. '
,L i 1977,E
a'7! 5 p
ro A.4.~i AW- 1-4 / Fl ~ ...cam lo.....4.
. .
at premises located at ......v~..-........ .C
A
County Tax Map No. 1000 Section ........C.t:..r13........ Block 'F"% Lot No.
pursuant to application dated v~ 19A and approved by the
t
Building Inspector.
t p~
Fee $....y~....`.1....
E C
ildin for
Rev. 6/30/80
t
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
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 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,
Additions to accessory building $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Buildine - $100.00
3. Copy of Certificate of Occupancy - $20.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date
New Construction... Old Or Pre-existin_ Building..
Location of Property...... 3 S^~ 0
House No. l~/~,j~ Street Ham
Onwer or Owners of Property... 44,E . I F~. k ^^WA-.1tv. , , , , , , , , , ,
County Tax Map No 1000, Section..., N ......Block... 4........... Lot.../
Subdivision ....................................Filed Map......... Lot.....................
Permit No.:.! ...Date Of Permit..... ' #,/9?..Applicant )ko./A. ~d/ ;V-V /7+c~(r~lW'J
GD4 'J Ga 9; *6*041o
Health Dept. Approval ..........................Underwriters Approval.........................
Planning Board Approval
Request for: Temporary Certificate........... Final Certicate...........
Fee Submitted: $ W` /A 4/y 7
PLiC
c 33 lL?
I
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1
10001.21 BUREAU OF ELECTRICITY
F 85 JOHN STREET, NEW YORK, NEW YORK 10038
Date NOVEM$ER 04,1994 Application No. on file 0659GtA94l94 N 3X25 3
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
LOUIS CORSO, PRIVATE ROAD, OFF OREGON ROAD, CUTCHOGUE, N.Y.
in thefolloming location; ? Basement IN Ist Fl. ? 2nd Fl. OUT Section Black Lot
uns examined on OCTOBER 31,1994 and found to be in compliance with the National Electrical Code.
FIXTURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K. W. AMT K.W AMT K.W MIT K W AMT H P
3 4 4
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS
AMT K W. OIL H. P. GAS H. P AMT. NO. A. W G AMT. AMP. MIT. AMPS. TRANS. AMT H P SYSTEMS NO. OF FEET AMT. WATTS
SERVICE DISCONNECT NO.OF S E R V 1 C E
MIT. AMP. TYPE METER I,e 2W I 0 3W 30 3W 3q 4W NO.OF CC COND A. W G NO, OF HI-LEG A' W.G. NO OF NEUTRALS A W G.
EQUIP. PER % OF CC. COND OF HI-LEG OF NEUTRAL
OTHER APPARATUS: a
L^?~~
PAUL R. BURNS LSC'43897E G!~~
P.O.Box 1061
SOUTHOLD, NY, 11971-0932 GENERAL MANAGER
71
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.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
0:(itENT lJ
1 lJ
m ~
y
OUITDATION (1st)
'OUNDATION (2nd) _
TOUGH FRAME &
-PLUMBING
ti
y
3. I m
n
INSULATION PER N. Y. I y
STATE ENERGY
CODE T
4
FINAL
ADDITIONAL COMMENTS: s
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LONG ISLAND SOUND
N 82°0200' E.
156.23
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- 0.03 dy, (bbsl V ' ,O ~l0 '°!f
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eti 5T.n 9°12
14.7 Zp E WAY
0
60~' 90 (54.9) FOG" •r 5-T9.511
79220 vJ. f~
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NOTE: 1 ~ i
1. LOCATION OF DIRT ROADWAY E
WITHIN THE RIGHT OF WAY ' '
IS NOT SHOWN HEREON MAR 7° y Ft j
113
TOVVN Z a L .33HOL3
SURVEY FOR
LOUIS C. CORSO fk LUBA CORSO
NOV 17,1992
AT CUTCHOGUE DATE'. SEPT. 23, 1992
TOWN OF SOUTHOLD SCALE 1"= 100'
SUFFOLK COUNTY, NEW YORK NO. 92 -0811
N UNAUTHORIZED ALTERATION OR ADDITION TO THIS CERTIFIED TO
SURVEY IS A VIOLATION OF SLCTIOM 7209 OF THE LOUIS C.COR
NEW YORK STATE EDUCATION LAW
MCOFIES OF THIS SURVEY NOT KAR910 THE LAND LUBA CO NE
3 VEroR'S INKED SEAL OR EMBOSSED SEAL SHALL 1•:
MOT BL CONSIDERED TO BE A VALID TRUE COPY FIDELIT I~ •dA
NOVARANTEES INDICATED HEREON SMALL RUN ONLY TO (TIT 9r n
.7
HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT THE PERSON FOR WHOM THE SURVEY IS PREPARED
AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERN- CQ G
M NEAREST WATER MAIN MI t RSOURCE Of WATER MINUTE -PUBLIC. MENTAL AGENCY AND LENDING INSTITUTION LISTED * Z
¦ M/F CO. TA%MAP OBT JN. _SCCTION 83, BLOCK .2_ LOT 9 HEREON, AND TO THE ASSIONEES Of THE LENDING
*THERE ARE NO DWILLIMS WITHIN 100 FEET OF TONS PROPERTY INSTITUTION GUARANTEES ARE NOT TRANSFERABLE
OTHER THAN THOSE SHOWN HCREOM TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT
OWN
THE WATER SUPPLY AND SEWAGE DISMAL SYSTEM FOR THIS RESIDING[ *DISRS
M SMCES SHOWN HEREON FROM PROPERTY UM[! A'
WILL CONFORM TO TNC STANDARDS Of THE SUFFOLK COUNTY DEPARTMENT TOEX Il TIM{ STRUCTURES AMC FOR A A SPECIFIC 4 g
Of WEALTH APPLICAIf SERVICES. PROPERTY AND R OR N FOR T THE Of USED TO OF ESTABLISH
FENCES OtANDS~ PURPOSE ADOR[!!
,<L YOUNG at YOUNG ~RHE' o"~w YOR E
NOTE: a -STAKE AREA - 66772 S. F.
ENGINEER
S
RE: LOTNO. 3, MINOR SUBDIVISION NINA STEVENS" A LAND YOUNG, SURVEYOR PROFESSIONAL S LICENSE 45
ELEVATIONS SHOWN THUS: (54:7) ARE REFERENCED A LLOEN W.
m TO MEAN SEA LEVEL DATUM. HOWARD W. YOUNG, LAND SURVEYOR
M RTHE LOCATION OF WCLL(W),!C?TICTAHK(BT)BCEMMOL!(O) SHOWN MEIILOM N.Y.S.LICENSE NO.45893
^ MC FROM FIELD OM MATIONS AMC OR DATA OOTAIN90 FROM OTHER!
BRANDIS A SONS INC.
R in va nay chrr~ _ f . 2
MAR I 1 1993'
I'
i r
i
W._.
- -
:
:
3. Nature of work (check which applicable): New Building........... Addition Alteration
Repair Removal.........
Demolition Other Work .
4. Estimated Cost . . .~QQ. . . . Pee ~ . Ti. tjuI . 'J sydption)
~
(to be paid on filing this application)
5. If dwelling, number of dwelling units Number of dwelling units on each floor .
If garage, number of cars
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use
7, Dimensions of existing structures, if any: Front .
Height Rear Depth
Number of Stories , .
Dimensions of same structure with alterations or additions: Front . . . . . . ' • ' • '
...umb torte Rear..................
Depth....: Height..... N
Number os j
8. Dimensions o~entire new construction: Front Rear Q• • • • • Depth l2rQ , • .
Height NQ............ Number of Stories . .
9. Size of lot: Front . I ' ' ' ' ' ' ' ' ' • • • yr.... .
SG7./.0A..........
Rear . S~?laat ~r Depth V
10. Date of Purchase ti./!I Q,, , , , , , , , , Name of Former Owner . .
11. Zone or use district in which premises are situated 42' ; St.,> ' ' ' ' ' ' ' • • • ' • • •
12. Does proposed construction vi9]ate any zoning law, ordinance or regulation: . . . . . . .
13, Will lot be regraded 5 Will excess fill be removed fro pre 'ses: ?
14, Name of Owner of premises 17,.... 40..4.. . , , , . Address TTA. j~!11.+Y.f p GZIZ) I.. yG~a.
Name of Architect Address fl?'(' J . . ,Wine •
Name of Contractor LUGA~a. Address e NogZ4.
15. Is this property within 300 feet of a tid lwetlad? * phone No.72 f~dt'~
*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 number or description according to deed, and show street names and indicate whether
interior or corner lot.
AP R D AS NOTED
DATE:
.y / B.P. # 173
NOTIFY SUILDING DEPAR' N AT
765-1802 9 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. INSULATION
4, FINAL - CONSTRUCTION BUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET
T14E REQUIREMENTS OF THE N.Y•
STATE CONSTRUCTION & ENERGY
CODES. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS
STATE OF N YOR
-OU OF S.S
, , , , , being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
bove named.
le is the
(Contract Caent)orporate officer, etc.)
f said owner or owners, and is duly authorized to pr 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 set forth in he application filed therewith.
worn to before me this l
'...day of rc
otary Public, . County
CLAIRE L GLEW `A
Notary Public, State of New York o
No.4879506 (Signature of applicant)
Qualified in Suffolk County ~JJL~ pplicant)
Commission Expires December Q 1
pr y
{ mss C71" 130,= OF HEALTH
- FORM NO. 1
3 SETS OF PLANS
TOWN OFSOUTHOLD SURVEY
9 BUILDING DEPARTMENT CIIECK
V. TOWN HALL SEPTIC, FORM
,,SOUTHOLD, N.Y. 11971
a xn
.
TEL.: 765-1808 tt
Examined 19 1.rTrrTTT .
MAIL/
Approved , , , , , , 19T~/~". Permit No. "
Disapproved a/c / .
•
................li...........
. Q%'1
wild' nspector)
APPLICATION FOR BUILDING PERMIT
Date 191.1
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 whin is part of this appli-
cation.
c. The work covered by this app) {cation 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 4vailable ;for inspection throughout the work.
e. No building shall be occupied I,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 Towri of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulation's, for the, cpristruction."of.t uildings, additions or alterations, or for removal or demolition, as herein described.
The applicant agrees to comply with sall applicable laws, ordinances, ode, housing de, a d regulations, and to
admit authorized inspectors ' on
premis s and in building for necessa ctions.
(Signature of applicant, or name, if a corporation)
h.IIGYG!.,W .P............
P-r J LCi VF*kg%W*&of a nt) 11-1-14p
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Name of owner of remises C012+60
(as on the tax roll or latest deed)
If applicant is a corporation,. signature f duly authorized officer.
(Name and title of corporate officer.).. .
Builder's License No. lJ.~i4.s.. SItJ,IM1,w? I~Cj POCL6 . V 3M N Z
Plumber's License No. II .
Electrician's License No. • • . , . , i .
Other Trade's License No. .....'!I
1. Location of land on which propose work will be done. ,Ged-p0u 21~
GU?GHOli4l.
House Number Street'
Hamlet f
County Tax Map No. 1000 Section) S~J......... Block ...Z Lot.... 1d.! 7.........
tk,
Subdivision'. W A...~...... .
Filed Map No . Lot .
me)
3. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy 'u1S.G. (,,4`• , , , , • , F t$
Y ¢
l9r. 1
b. Intended use and occupancy .l4! ..t4 ~S• , • f~,{GTh. ,
J{ ylnse• `.i., :••t ,-I!q
r...• iP i;ri .'saff?e"zt Yw -A ,fi,4'~ .e'rXlk
i
l
i 54H°53~ 00° ~ ~ •.G9~
.P ,
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ls~
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All r"av /
~ I I p ~ o~ ~ ~ o ~~ti
V n O~~,c/v! ALL WEATHER Cao' Lw' TEnWI~ C4JIZIT. ALL cCN6[x cncfJ-HALO i ~ ~~~vyQ4i ~ I I a~ ±5!'EC1~ 6Y O'MER9. ALL coN RuGTICN 'ro MEET Ou- TONING +
~ T .4".rFT~~ ~ / I I ~ 13UILDIN@ ~NAhGFt aF THE TcnNN OF 50UTF#~LD - . rn ~ i
L- 1U-OI' I-II(~N GI-le1N LINK FE/JCE
n !
0 0
N 48° 53' 00' 570,4 '
~,04
aUa~ ~ I ~ ~ 1-- / \ I
-5c~,e:1 =2o~d OCCUPANCY OR
pl5tikl GT- 1(100 SE @S UN ',."FUL
5EG'7~UN~ ?i3 6LCXac : 2
10.5
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-pLL ~Yt'E Ld.ID F.URV~~Y~r INF0IZMATION TANEN ro l OF OCCUPA CY MAR I 11993
51JRVEY pKwpAFYOC e/.~~ YOUN6 E YOUN6, LIG1=N5~D
S~ll!L~ZyVy-E/~YGRS . r-NmHEAD NY . UGC=NSF- NO. 12$' 5, SUFUEY P,&TED 9123l9Z
O`=tE0.ED Appe r'"''~L/ JO I~I~?IJ~1 l~~
Fredrick Ercolino
Ancnlrec3S ueslmlens
8 358'57., y, 1100.1 II 131".10 Pall, Poll Jelleison Sld, WY rqp ~p~ :illi~4211~5549 II/!b
E OF Ntiv~ Idle Ihawn: Ilcvlslmrs;
_ 3/AV93 CMG
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