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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 220133 Date AUGUST 7 1991 THIS CERTIFIES that the building ADDITION Location of Property 2045 WUNNEWETA ROAD CUTCHOGUE House No. Street Hamlet County Tax Map No. 1000 Section 111 Block OS Lot 02 AMENDED MAP A Subdivision NASSAU POINT Filed Map No. 156 Lot No. 164 conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 28, 1991 pursuant to which Building Permit No. 199142 dated JUNE 4, 1991 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING. The certificate is issued to MICHAEL AND MARGARET 5ALERNO (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ~Vd~~_ Building Inspector Rev. 1/81 I !O>SDi NO. . TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL CQMPLETION OF THE WORK AUTHORIZED) a N_ 1 9914 Z Dare ..........~..~.~nx.......'~ 19~/... Permission is hereby granted to: :Y.Y. J.as:~...~..~...1' :.j.'l~. w~:....~~,.0.~e~,.,~ ~i . ~.~...~.C~:.....~.....~a ~ to ..U~..~.~^:R^:`~Sr7.......~4r....Q:~:S~S.... °i::~?...°..~:R....4~:Y.S...~Z:!.... of premises located of .s~4~.w+...... W ............~:..............M..::~,......... County Tox Map No. 1000 Section ~ Bloek Lot No..Q.za- pursuant to application doted ~....s~~ 19~.~..., and approved by the Building Inspector. lV\ Fee 3..-ti,.~.:... ' Building Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTFIDLD ,~,~~is,.~t.~,,,_ ~,„,,o,:":~', BUILDING DEPARTMENT F~U~z, ~ i6sNlso2L ~ JU(. 3 01991 ~ s , s,~;~ d APPLICATION FOR CERTIFICATE OF OCCUPANCY 70`~~"~,~~'..';'~.r:'e...°~''~,:..N. 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 17 lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from archi=ect or engineer responalble for file building. 6. Submif Planning Board Approval of completed site plan requirements. 3. 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. 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 Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Resid-e~ntial $15.00, Commercial $15.00 Date °2.11.. )Q.E~~ ~ C~LeG~r~Obt o~~.ft ..C~fC~ Iew Construction........... Old Or Pre-e/xist`i~ng Building..../~....... I ~.ocation of Property..:~L':~:~2..~.~4~1~t1L~i-~.~I'cl..JiUC(~..........5-.:~~4~tt~Fp~[4...I~.,l' ..~il~~;S.... House Noon f pSntreet ~ 'J Ham~et lnwer or Owners of Property...l~'IiCI~~~YYZ.~....Qq4~...L\'1~F:~~!~pp~..r-?~.I~./.l.t~ ,ounty Tax Map No 1000, Section...~la........Block... © P. ..~"r:....LOt, d 'ubdivision..QQ ................................~~.tt.Filed Map...~~.j? ....Lot...'?./...nn.(n~...........r. 'ermit No...l, l ~ . ! : • "Date Of Permit... ~7~~i j.....Applicant.. / t',I ~ t:~il,Q d, l YlClr 4~,.,S,k ~{'r~o 'ealth Dept. Approval ..........................Underwriters Approval............... lanning Board Approval equest for: Temporary Certificate........... Final Certicate........... ee Su(b~mit~ted: $,,,r,7~S,+~~,,,,,,,.. ~'T{9~~3s~ coxaa~~ PL -'IELD i;:S:'c".CiIU;t ~IUniE ~ i;UMMENT.°. w ~ - y "G FOUIJDATION (1st) Y C FOUNDATIOtJ (2nd) _ ~~C 2 . 1~ z ~ 0 o P,OUGH FRAME ~ N~ PLUMBING ti H 3 . ~ m ItJSULATION PER N. Y, y STATE ENERGY Q CODE • x a 4 . ~ ~ y FI;JAL ~ ~ E z~ ADDITIOPIAL COMMENTS: ~ x . ~ • ~ % 1 ~ H ~ ~ . ~ ' 9 ~ , H H N ~ a 2 i [+J - H x _ • v r, ' _ ro . H 'v - - ~ - ~~i., „n1a ~ro ..ka>..4a..~n,Ewa.kCFkk..~aa..WSw.~.,.,Faay.gN., ,..aK..sw.-.e } July 29y 7-991 Toom of Southold, Office of I~u:Lld.ing Inspector Tovra Ffa11 Southold. y 1] etr fork 11911 Gentle~nczi: i~nclos~•d is iiy application f`or a certificate of" oc~upan.cy for an a.dd.it7.on of deck at 20~+5 ~,lunneweta .load, Cutch.ogue along wa.tYi my check for .~25.OQ, i~lease send r~iy cor2pleted certificate to my address listed be7.ova, shank you S'or your help. Since~•e ly y %dC _ wiichael Salerno lit- Jessica Y1ace S~nslyn I~eigh"ts9 tiT.Y, 11'7'] ~.~y~/"l(,°;~, v' ~~g roy~,~~Q 9~ , so~-~~a~ ; ° t ` ~ ''T L.:ys ~Z'aL - TE,ir.:r G5-1802 ~~FF01kc4 OG TOWN 0~ SOUTIIOLD o`er ~ y r? Vtvt~.~ ~ OEI'iCE Or BUILD[NG INSPECTOR o vt.jk4nq P.O. BOX 728 ' ~ ~ T01VN fiALL ~ ' ' O~Ol ~ ~ap~" SOUTIIOLp, N.Y. 11971 U ' ~ ~ , I ~~A To whom This May Concern, we arc unable to complete your Certificate of Occupancy because of the following reasons. /X/ An application f~oyr Certificate of Occupancy is not on file. vwcu8.4nr.Q / / Clo Underwriters Certificate on file. The check is `---'/not on file.) ~ ~S.Od No (Icalth Dept. T:pproval on file. No final i.nspccCion has been made. Please contact our office on this matter. Thank you for your cooperation. Buildi-nq Permit / / ~ Z. /./.a-c~ Buildi.nci Dept. Dlo Plumber So.lcler Certificate on file. - ( all permits involving plumbing being .i.^,sucd after April 1,19II4 ) b r c RZ ~ ~ ~ A ~ N. /2.35' SO - /00.02 ~ o ~ • ~ y • a ~ S_~LiiJ~- ~ ~ p . 0 ~ ~ ~ C L Rl ~ /'ek~'4ULAR GURV i 38't - Q Z Rl b~ ~ i~ i Y ~ Cy CC/~ O ~r-i ~ 14i i Q ~ ,O 6~ --1 ' 6` ~ m o ~ -.az' ~r y ~~{C ~ a i 2 Q p ~ V Os cn ~ ~ ~ ~ ~ ~bg~~~~~~ ~s~ N o r Imo' y ~ p p=~R Y oop ~2 ~ 0 /Zr '^rN O'i (;puy rte.>wn ~ 0 $Yn Nt'zF~ oz z=y rte. OT y--~i~/S7. ~.i:6mr~~ °~oe f~i ~ Q ~ m~ O i°; ~o; C;= zio nn ZO ~ ~.yru z n p m y p~ p o t~~.'o Y o ~ p i 1. i < ~ I '..4~'~ ?4$ ' ~ C ~ ~l ~ ~ ~ o ~ ' ~ s 9'44'00 "E. - /00.04 s~ a nM o~ c C ~ ^1 o r. 'n R~ i =._.m_ e.b. ~ ~ . O ~ ~ ~ m rn ~ t...l'.t, e1 ~ 0~ ~r.o ~ a L1 n O t~ - i ~~y ~ ~ ~ a ~Z 4-, ~ t Ca b A r 6 ~ n'j ~'a:. ~V y ~~~z~ 765-1802 BUILDING DEPT. ~ 1 NSPECTION [ J FOUNDATION 1ST ( ] ROUGH PLBG. [ ]FOUNDATION 2ND [ INSULATION [ ]FRAMING [~AL REMARKS: DATE ~ ( ( l INSPECTOR - ~i ~a ~~~L~~`~~,P_'~ ~ BO,1F0 OF HE,\LI'17 ~p ! FORMNO.1 3 SETS OF PL,l77S P~ TOWN OF SOUTHOLD SURVEY MAY 9 t+~ ~ ~~R 4 281 9f ~i BUILDING DEPARTMENT OIIECh _ _ _ , . , , . _ I.i ;t-t~~s,..:.....,_Elia.3,yl.: ,.i.,.,,,M.:.i~9.,~.~ TOWN HALL SEPTIC FOR:I SOUTHOLD, N. Y. 11971 y l"tt,,,SIIIi,i~ila)I':'r+i;~~,l£,I,k'; . -"r TEL.: 7G5-1£302 17oT I F'! ; L/ G,~L samincd..~•~,q,..`C...,19Q1. CALL ..t~~_Jaf~~...... ,yy~ CIAIL IO: PProved ...~..Wev+4 19`T~.. Pcrmlt No. 1.9 q~.~ CJV , . . isapproved a//c _ _ . (Building Inspector) APPLICATION FOR BUILDING PERMIT Date o~l~ 19 INSTRUCTIONS a. This application must be completely filled in by typewriter or in iltk and submitted to tl7c Building Inspector, with 3 s of plans, accurate plot plan to scale. Fee according to schedule. amas~and giving a detailed description of Inyoutllof propertyemustsbe drawn Coln the diagram which is part of hissapplis ion. 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 [lte applicant. Such permit 1l be kept on the premises available for inspection throughout the work. e. A`o building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy ll 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 !ding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or ;ulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. applicant agrees, to comply with all applicable laws, o dinances, building code, housing co e, and regulations, and to tit authorized inspectors on premises and ' buildi/n/g fo necessary inspections. Dn B (Signature applicant, or name, if a corp~~o(ra~~tio~~nff)) .?.~I.~B.,S.S:~S... ~~QCe... ~OSIy„. ~f. CI'L5 111-~..,N77 -}Q (R ~t on eaili ; ad,~{ress of ca~p~pligqan to ~.vltetf;er a - ~ ~ 4~ k - pplicani is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ......IYJi.~'!u~l,J~„~.gle~na...~inQ. ~ar arfi...S~(~~~~.°...`-.Dts)n~ ,'1(~................ ncofowncrofprcmises ..,~~,`~S„WJpn~LtJ~ IR7aao~ C ~ I'~3, (as on tltc tart roll or latest deed) ~plicant is a corporation, signature of duly authorized officer. ~ ' (Name and title of corporate officer) Builder's License No. ~ ~ ~ ~ J Plumber's License No . . . Electrician's License No. , . , , , , , , , Ot17cr Trade's Liccnsc No . . .ocation of land on which proposed work will be done. . .j. ..~o.~I:S...(-vin.n:~.t.~~e-f.~a..GPou.d....... ...C ~~~~..UQ.....:~,`~:...1.1..9.3,5 louse Number ~ ~ ~ Street , ~ H~ilct ounty Tax ;viap No. 1000 Section Block g Lot...`.... ibdivision Filed Rlap No. ~Sb II (Name) Lot...lY~.~f....... ate existing use and occupancy of premises and int nded use and occupancy of proposed construction: Existing use and occupancy .......Dr.YI,?, . ~qm L,~~, , ~ (,l~ Q.Lf .t•n Intended use and occupancy ~V12..~.4'4~.t~1...i~4~~~-.I~l ~ .....K~:~~ / 3. Nature of work check whicRemoVlicahle Ncw Buildin V d2c ( Addition t~ration Repair 11 • al Demolition , Other )V;r,rk : . . 4. Estimated Cost , , ~ ~b ~1-D (D~scnption) Fcc'..... 5. If dwcllin^ numbc it . (to be paid an filin,r, this application) dun r of dwellin~• ds . . Number of dwelling units on each floor , , If garage, number of cars G. If business, commercial or mixed gccupancy, specify nature and extent of each type ofusc . 7. Dimensions of existing structures, Iif any: Front , , • ' ' ' ' ' ' ' ' ' ' ' ' Height Rear Depth.............. •••••••..Numb'rofStotics,,,,, . Dimensions of same structure wrtt~~ alterations or additi ~ s: ['rout , , , • ' ' ' ' ' ' Depth .J Heil;ht..... Rear.................. 3. Dimensions o entire new c strucition: Front . , , , , • ' ' ' ' ' ' ' N11O1bcr of Stories , , , , • , • , , • gj~ Heigltt~r0<~n,.. ~K,?f~.. ~~?N I~........ Rcai' Depth .lb............ umbe' .......,r of Stories . 9. Sizcof ot: Front ~©0 • 0. Date of Purchase ~i"""••• Rear,,,,,,iUO,•..•.•.•••• Depth ~Oc~ ' • •p • • • Namc of Former Owner • I. Zone or use district in which rcmisesaresituated..• Does proposed construction violate' any zoning law, ordinance or regulation: . 3. Will lot be regrade k,S~ . •l. Namc of Owner a ~ er ~c_dl, , ' ' ' • • Will excess fill be rcmovsrl fro prem;srs• Yes _ rc.(~u..c,~..s-;tl ~¢,Tt10.. Atldtcss~l''~.~~gt>PS•ttQ-Ea..~~Phone No..~-~~{~ 6.~(~.... Namc of Arc}titect Address , , Nance of Contractor ! ..............Phone No.............. . oper y wit in 3001 i. Is thisIf yes, Southold Tows feet of a tidaldwetland? " ~ • • ' ' • ' ' ' ' ' ' ' Plto~ne No. * Yes........ No......... F Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all bu~ldings, whether existing or proposed, and. indicate ail set-back dimensions from roperty lines. Cive street and block number or description according to deed, and show street names and indicate whether rtcrior or corner lot. gee 0.-~'~~~eK SurvL'-~ J Y I ~ ' ' I ~i +T>; OF NEIV YORK, JNTY OP S.S • " ~ ' ' ' ' • • • • • • being duly sworn, deposes and says that he is the applicant (Namc of individual signing coritract) 'e named. ;the ' ~I (Con tractor, agent, corporate officer, ete.) ~ • • ' • ' ' ' ' ' ' ' ' ' 'rd owner or owners, and is duly authcirizcd to perform or have pcrforntcd the said work and to make and file this cation; that all statements contained inl this application arc true to the best of leis knowledge and belief; and that the tvrll be performed in the manner set forth in the application filed therewith. to before me this tL ii • ~,7, ......day of /.~!1(j 195. Y Public, , , , , , , • , ~~r~~~ County '~i~ RIC ' . ISCMt,~ W k~~~ .........G/.n/. !//)W. F ~NOTRRY P uLIG, State of ht0 Yor ~ No. 304612534 ' Qualifi.d In Nassau County q~ ~ • (Signature of applicant) Comi~.~san,~~ enpires ~~3~. lg •~i i C~C~C~~~~~aT~w,,~~;; ED I MAY 2 01991 ~ i; RLDU. bEPT. TOWN OF SOUTHOLD r A ._...,__.~..,..~.,~....,-.~.._...._p (Q~ ~~r~~l ~ ~ l~ ce V fr ~GO~f'~l r1C`a 3r rv ?L > ' - 1 -h~ i_~ k 1 ~l _ ! OCCUPANCY OR ~ ~ j y r~ ~ ~ USE IS UNIAWFUI WITHOUT CERTIFICATE 1~;~ ~ OF OCCUPANCY ~L~j3 ~1 i'y~1 ~Jl.' I J Cdr¢~~a~e^~' ~ 0C~ I _ _yr I j I ~ P n c,~ r ' ,S""' ~ ~5 A P VED AS NDTEO ~ 4° O.C. ~ DATE: e.Rr~ /SI I FEE:~~SY~ r c '~'"'I N01'IFY BUILDMIO DEPART'AgENT ~ 1 I FOLLOW~IN6 NSPECT ONS: FOR TF ~ 1. FOUNDATION . Q4~ f I I FOR POURED CONC~E EOUIRE y~6P „~-~'`~~~F~" i~ 3. NSULMyON~MING 8 PLUMSINt E°° ~h / a BE COMP CONSTRUCTION MUS' ~ , ~ LETE FOR C.O. THE REOUIREME ON SI'IALL MEET pi--, nl.,,~/ .J,". 67DTE U~ NOF THE N. V. v 3.,._. I I..E..I..N.._I-9._~i-.1..-1-~---~.j.,_..1 ._M._~_i?. .1..1 .1_1_l._..dA.~1~._._1..._ !~_.__1 ~ 9 1 " CO ES.C Np~ _B ENEFORT . ~ ' - DESKiN OR CONSTRUCTION E11ROR8: 1 ~ ~