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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-19655 Date JANUARY 14, 199-1
THIS CERTIFIES that the building ADDITION
Location of Property 7410 MAIN BAYVIEW ROAD SOUTHOLD NEW YORK
House No. Street Hamlet
County Tax Map No. 1000 Section 78 Block 7 Lot 52
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 24, 1990 pursuant to which
Building Permit No. 19426-Z dated SEPTEMBER 27, 1990
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 ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to RUDOLPH & DOROTHY CAGGIANO
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. PENDING - 12/17/1990
PLUMBERS CERTIFICATION DATED 12/21/90-MATTITUCK PLUMBING & HEATING CORP.
Building Inspector
Rev. 1/81
NORM NO. A
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)
I
N2 'I 9427,', Z Date 7 19,90
Permission is hereby granted to: r
P.
t ~ 'f ~tl- 7...... . ~ &*21 ice....
to . ? 1rY,l .....,lt~......... l`i//
at premises l...
ocated at 7~~/..9..e... .r-1.x.......... .
4
i
County Tax Map No. 1000 Section ..../..0 Block .........7....... Lot No......~ ~
pursuant to application dated I ~ 19.~ and approved by the
Building Inspector.
ea~
f€ Fee
f
I ~Uil 0--in to
k
s
t '
Rev. 6/30/$0
D LEE Form No. 6
DEC Z 61990! TOWN OF SOUTHOLD c~
BUILDING DEPARTMENT
TOWN HALL
BLDG. DEPT. 765-1802
TOWN OF SOUTHOLD
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 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 - Residential $15.00, Commercial $15.00
Date o-aF ..9 b
New Construction....... Old Or Pre-existing Building q . 1
Location of Property....
House No. Street Hamlet
Onwer or Owners of Property ...U: O? 4l.. t QXJD -w~ CBA(.Z./.L\l AJ.Q
County Tax Map No 1000, Section.... Block..... J. ......Lot... ? .
Subdivision.. 1......... Filed Map......... ...Lot......u................
Permit No..lA>.L,,,Date Of Permit.3..?:1..1Q...Applicant. .9.0 11F11
Health Dept. Approval ..........................Underwriters Approval.........................
Planning Board Approval
Request for: Temporary Certificate........... Final Certicate...........
Fee Submitted: .K,'„{~J7
0444 , ~I I l O Y
CO-2- 19~ •PLICANT
765.1802
BUILDING DEPT.
INSPECTION
t,o-l FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
REMARKS:
DATE INSPECTOR
/I
l
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
OUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
REMARKS:
Z"04.
DATE 101,1 INSPECTOR
j FORM NO. 3
)
D~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N.Y.
NOTICE OF DISAPPROVAL
Date ........August 24.•......., 19 9.q
RUDY CAGGIANO & WIFE
7410 Main Bayview Road
Southold, New York 11971
PLEASE TAKE NOTICE that your application dated A u g u s t 18 , 119.9 0
for permit to CONS11M . AN INVEMM . BW= OFFICE .
. ADDTTRK TO C NE » FAMMY RESIUMM . . . . . . at
Location of Property „7410 MAIN BAYVIEW ROAD SOUTHOLD,,HEW YORK
House No. * ' Street Hamlet
County Tax Map No. 1000 Section 8 Block Lot 5 2
Subdivision Filed Map No. Lot No.
is returned herewith and disapproved on the following grounds . Un d . r Ar t i c 1 e I I I A,
Section 100-30A.2 C (1) (100-31C (2) This type use is not
permitted under home occupation.
Action required by the Zoning Board of Appeals.
L D'~ :
/ Bui ing Inspector
RV 1/80
O~~F F U(A-C TEL. 765-1802
o~ O? TOWN OF SOYJTIIOd,3~
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
O t'l -c TOWN HALL
SOUTHOLD, N.Y. 11971
1 ~
C E R T I F I C A T I O N
Date 21 a -o _
Building Permit No- Ob
Owner C-sC IA I ~
lease print)
Plu^Wer o,.0 J:< J
~o lin~~r~•
(please print)
I certify that the solder used in the water supply system
contains less than 2/10 of to lead.
(plumber's iganature)
Sworn to before me this
10)_%% LIA J0_day of
/IE~E~/8r 2 ,
19 tli ^
Notary is
notary Public, Si~GfQ!>~ County ~NftF NMlbdt
T~ r M os Feb, 8,100
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [41419AL
REMARKS: 2'm~
DATE ~1 INSPECTOR
%
H
FOUNDATION I - H
c
FOUNDATION (2nd)
2. D cc•~ 2. r~ ~e zo
ROUGH FRAME & oo\
-PLUMBING ~~S •
ti
3.
m
rn
INSULATION PER N. Y. y
STATE ENERGY
CODE I
1)1191 ~06
' m
H
FINAL
ADDITIONAL COMMENTS: m
x
x \
H
A
H
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Z
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f
THE NEW YORK BOARD OF FIRE UNDERWRITERS 1'k .a
'ft}(7014 d BUREAU OF ELECTRICITY
85 JOHN STREET, NEW YORK, NEW YORK 10038
W).f. f%~fl f ~1) N$ 1 f+r}f 1) i
Date Jk1.WHiRY 07, 1 `?'7 f Application No. on file
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
RJCHARD CA(JANO. '1410 NAM l1AVV1'',A AVE; , tiOUTHOiAl, N,Y,
in thefollowing location, ? Basement H Ist Ft. 12nd FL Section Block Lot
axis exarnined on I)FIC, EI'MYR 1b ~EI(1 andfound to be in compliance with the requirements of this Board.
FIXTURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS
OUTLETS INCANDESCENT FWORESCENi OTHER AMT. K W AMT. K. W. AMT K.W. AMI K.W AMT. H P.
l3 t'r1 7~ T, 8 i ri
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. AMT. AMPS. TRANS. AMT H P SYSTEMS qMi WATTS
No. Of FEET
SERVICE DISCONNECT NO. OF S E R V I C E
AMT. AMP TYPE METER 10 2W 1 g 3W 3 0 3W 3,0 4W NO. OF CC COND. A W G. NO. OF HIAEG A. W. G. NO. OF NEUTRALS A. W G
EQUIP. PER H OF CC COND. OF HI- EG OF NEUTRAL
OTHER APPARATUS:
irOO113t1)k: P;IIH;<",PIt'IC 1Tt1.#78
7°7i
73siY4 I4A19 R0AU
GENERAL MANAGER
k7?t'1`T19't1CIC. NV, 14.x'"5< 9~
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 MANNFR.
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] UGH PLBG.
[ ] FOUNDATION 2ND [ INSULATION
[ ] FRAMING [ ] FINAL
REMARKS: j,,
DATE ///,)0 1520 INSPECTOR
v L
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [AT-M--OUGN PL®G.
[ J FOUNDATION 2ND [ ] INSULATION
[ AMINO [ ] FI ML
i
`~%INSPBC7'OR
DATE
3. Nature ofwork (check which applicable):NewBuilding Additicn.X~..... Alteration
Repair Removal Demolition SWiM'.1 n;, pool.
Tennis Court•.........~ccessory Building
.Fennce Other Work.,
4. Estimated Cost . Pendi.n5:...6-. Pe. a Fee ?r.4 e .
tW0 (2) , (to be paid on filing this application)
5. If dwelling, number of dwelling units . YOOm
`dumber of dwelling units on each floor one (1) 'room
•
If garage, number of cars ..Does .49t. A,Pply, ,
6, If business, commercial or mixed occupancy, specifyy nature and extent of each type of use , , .r. ,
7, Dimensions of existing structures, if any: Front . 50 ,feet , , , , , Rear .50 feet, , , , , Depth .25..fAet.. • . ,
Hei_ltt, 25 feet two
Number ofStories , stories
Dimqq`n~sions of same structure with alterations r additions: Front 5Q. feet, , , Rear , 50 feet
Depthk!:.@et. ~5 feet
. Height . Number of Stones . tWP.. (2~....
S. Dimoti3igps tire new construction: Front , 50 feet R.
50 feet , , , , Depth
5 feet
Hci_ -t4,i; t," itf two .i~j. ~r . Number of Stories . _
9. Size x f lo,': Front 100 feet Rear . 100 feet Depth varies i"c 1 20'0'tt*.
'
10. Datq of Aff hate Ma)i '1b74 ' Namc of Former Owner , Meyer. €~IiIY....... . ' .
11. Zone or u3 -'district in which premises are situated • . ' '
12. Does proposed construction violate any zoning law, ordinance or regulation: NO , , , . ,
13. Will lot be regraded .:..YES . Will excess fill be removed from premises: Yes NON,
14. Name of Owner of premises . RUDOLPH. CAGGIANOAddress 7410• ,M,A1N, 13AXVIEWPhone No... 765 ,.1064
Name of Architect DONALD FEILER. Address699 Old Jule LaDOPhone No.. 298'5250
Name of Contractor ,
Address Phone No..
15-Is this property located within 100 feet of a tidal wetland? =YES.... N.O*:
*If yes, Southold Town Trustees Permit may be required, v
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.
ARTICLE XXIV, SECTION 100-244 B
LOT AREA•LESS THAN 20,000 square feet.
r
i
STATEOFNEIV~jORK~, S.S
COUNTY OF ..rte Lte , , ,
RUDOLPH CAGGIANO
being duly sworn, deposes and says that he is the applicant
(Namc of individual signing contract)
above named.
He is the OWNER
(Contractor, agent; corporate officer, etc.)
)f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
IPpliration: that all statements contained in this application arc true to the best of his knowledge and belief; and that the
work Will be performed in the manner set forth in the application filed therewith.
iwom to before me this
q ,
.....day of 19~d
lotarY Public, County _
YOLANDA ETfl .
Notary Public State O/NPW Yp%
No. 30 4521243 Now" C.OWIly ILIJJ (Signature of applicant)
Comm. Expires A~ ji 1~~
BOARD OF HEALTH
3 SETS OF PLAN :10~
FORM NO.1 SURVEY _
~~~yyy, ~C/~r TOWN OF SOUTHOLD CHECK: ..~1.SLS A.~Q•yp, • , • ,
BUILDING DEPARTMENT SEPTIC FORtt • •
TOWN HALL
U $OUTIiOLD, N.Y. 11971 NOTIFY-, TEL.. 765.1302 CALL
Examined . wit . 1 , 19:.-AV MAIL •
TO: ~yu tc~m.~ • •
Approved 7~/~.1111ur_ A IwJ N...
191 , .Permit No.... -Y)
r _ LI971
Disapproved a/c Z I D -r
l7 L5 tl
D
AM ISO
(Building Inspector) B~rU~ti~n
LDG. DEPT
APPLICATION FOR BUILDING PERMIT OR q
f
Date JULY 19 90.
INSTRUCTIONS
a. This application must be completely filled in b r:'•
sets of plans, accurate plot plan to scale. Fee according to schedule ~r to ink and submitted to the Building Inspector, with 3
r 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 isprt 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 CertiGate 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 Lam. Ordinances or
Regulations, for the construction of, buildings, additions or alterations, or for removal or demolition, as herein described.
The applicant
admit authoriz drinspectors all applicaL~Je
in buildingv for ordinances, insp ct ons de, housing code, and regulations, and to
.
(Signature•ot applicad
7410 MAIN 13AYVIEW ROAD,SOUTHOLD,NY 11971
(Mailing address of applicant) .
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
APPLICANT IS THE OWNER.
Nameo RUDOLPH CA `
f owner ofpremises
GGIAN~ ,
(as on the tax roll or latest deed)
If applicant is a coreporation signature'iof duly authorized officer.
J Does Not Apply,
,
(Name and title of corporate officer)
Builder's License No. Pending... ' • • .
Plumber's License No. 1?endin
Electrician's License No.Pending
Other Trade's Pending
Incense No . .
• Location of land on which proposed] work will be done'
7410 MAIN BAYVIEW ROAD, SOUTHOLD, N.Y. 11971
House Number .
• I~ Street..
Hamlet ' • '
House County Tax Map No. 1000 Section BI'ock
78.... 7
52
Subdivision " Lot .,i . .
Filed Map No. Lot .
Slate existing use and occupancy of premises and intended use and occupancy
• of proposed construction: • -
a. Existing use and occupancy Residential Use 1
b.in[ended Residential'Use ~.graez -
use and occupancy . I*WT-" E~• OF~IG~7 -
,
01 Xev,. C PI.4carglli
~ 23
COREY CREEK ROAD
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OCCUPANCY OR u
O D USE IS UNLAWFUL
~K15jINC.t GONS112~YiT1ON ~ sUR,~rce Ma>uleD~KTuR.E o
_ _ ~R,b'~`JEL~ GONS'(RNG"I•IpN .WALL MgllJjtTJ~IKTUR„'G WITHOUT CERTIFICATE
OF OCCUPANCY o a
} 17uc-T -7c' ~x r Paz A IN AS NOTF.1) 0
-Egan V F1. F'4
FEE 5d °d ®V, _
NOTIFY UI'[} LMNU UL'PAR AT
Tbs. 1802 ° AM TO r„ PM FOR THE
I II I k-~ca ~ 4~-- rf, FOLLOW MC INSP'LCTIONS.
-a-- oJ-~.e\ 1~.1 lti ,J I . FOUNDATION - TWO REQUIRED
- FOfP POURED CONCRETE
~ OuTLET - ~4LF uvE 2. ROUGH - FRAMING 8, PLUMBING 3. INSULATION
I FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
All. CONSTRUCTION SHALL MEET W '
ou~sed If copper tubinPLUMBER CERTIFICATIO I"HE REQUIREMENTS OF THE N.Y.
for water-distributing n~~ STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR L
,5 0 ahall be ON LEAD CONTENT BEFORE - - system: piping DFS(;IV OR CONSTRUCTION ERRORS
,Zp fL of types K or t onl CERTIFICATE OF OCCUPANCY
SOLDER USED IN WATER
I_-- \ / SUPPLY SYSTEM CANNOT
l~ r LE E L L ~I EXCEED 2110 of 1 % LEAD I~ \ I L r- 'L
IFWER, L y~ j f -T
bCQM ON
J_T L I ~-I G l F::- I G Z_l O
O U T oECw-
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