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18317-z
FORM NO~ 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ha11 Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18585 Date NOVEMBER 21, 1989 THIS CERTIFIES that the building ADDITION Location of Property 3580 DIGNAN'S ROAD (PVT. RD.) CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 83 Block 2 List 4.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 14, 1989 Pursuant to which Building Permit No. 18317-Z dated JULY 17, 1989 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued isGARAGE ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to SAVLATORE & LAURA PASSALACQUA (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-039484 - OCTOBER 13, 1988 PLUMBERS CERTIFICATION DATED N/A ~'~~~/I~i"/) ~ ~ ~C,~ifa. -~'q'a~..~- - , Building Inspector Rev. 1j81 gosae< xo. s TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHALD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N 0 ~ ~ ~ ~ Z Date ~,l!1t~......1..~ 19.a...l Permission is hereby granted to: f ~d ~.I ~~->:1.~...~.... i to ~~~-::.~°...a- .s..........~~.~~R~.....~....... ~ ..t.......... s?~...... ~ ~ of premises located at .~,~..Q......~......~~.~':!'.1..................~:,:1~.S~,F.+..,`........ Caunty Tox Map No. 1000 Section 3...... Block ......~.1":.... Lot No...~.~.~' pursuant to application doted 19~~,., and approved by the Building Inspector. Fee $•.c~ 5... Building Inspector Rev. 6130!80 . TOF7N OF SOUTIIOLD BUILDING DEPARTHELIT TONN IIALL SDDTIIOLD, NEN YORK !1971 b 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCIIPANCY /J / DATE_...I11 3~ /~eJ V ~ NEH CONSTRUCTION .....22.OLD OR PRE-E%ZSTZNG BUILDING......VACANT LAND........ Location of Property.: s'.`'~U..~~7~'yj'U~,v~S _~UI~-~ .~_.•.~~u-T~-.~ v :~Y UOUSE NO. - V • ~ STREET AHLET SA L. V A--~-o 6 A ~,~-ra~ ~ s s~ c ~~~jjj 4 ~ ~ Ovner or Ovners of Property......._.._ ._.d.... County Tax Map No. 1000 Section Block Lot' v// Subdivision Fil/e/d-1Map ........Lot.......,.. Perait No. ~~~/~~Date of Permit ~(./!.f ~~.Applicaot IIealth Dept. Approval UndcrvriCers Approval .3.17 Planning Board Approval Request for Temporary Certificate Final CertificatC 6-v . ~ ~ ~p":~ Pee Submitted: APPLICANT. rr ey• 10/14/88 C~..Q,e. 3 g 6 3 ~n~ Ig~°~5 ~ n.. fORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTIIOLD, N.Y. NOTICE OF DISAP?'ROnVAL I' ile No . llatc .~41~,-t~ 19 2? 7. . To ~ «Q y; a.~. , x, r~ea;o-~ a.Q;a.c.2e~ U .'~a...U. pp.~~-...~«,~ ...b. . PL1iASE TAKE NOTICE that your appNcation dated 19 . f'or permit to construct ..~5~?~-~1 ..~4-~`:°~:?- at Location of Property .3.5`;B .qQ.n,~~..~:d.J.........C~S~.?~:1~.~....~ PvV. eon+~.. . House No. I Street Homlet County Tax Map No. 1000 Section ..~.Q~.~...... Block Lot ...~t ' Subdivision filed Map No. Lot No. . is returned herewith and disapproved on the following groundls ~~~1.. t1°~:¢.~~'~\Yl ~O1' a~. ~-K~e~Nr,,a . ~a-?~.~.C-TlA cQ. Vie..,;. ~t,~, /`.e.a.~. . ~7~, , ~ 4.1 M.C~ ~ es.. ~ ~a~. G3 aQs . ~ ~ Building Inspector RV 1/a0 1ELD ~ ~C:_~::. ~~DniC ;;v'z`iM€.N7.^, • H _ `3 r'OUNDATZO:! ( 1st) `I . CQQIJ _ w~~jj~ m POUNDATIOW (2nd) - ~ _ o W • v ~OUGH FRAME & ~o PLUMBING ;J . ~ ~i H 3. m ~g m Ja.. a T1ISULATTOt1 PER N. Y. STATE EPlERGY CODE a m r H 4. FINAL C.U o p F ADDITIOTfAL COMMEIJTS: x~, D 4 _ ~ r . M ~ x ~ ~ _ H ~ \ 9 N H O iT1 ' r 2 v ' m 'e H B0.1RD OF HE.ILTH 3 SETS OF PL.1NS FOFM NO. 1 SCIRVEY • _ • TOWN OFSOUTNOLD CEiECK 6UlLDING DEPARTMENT SEPTIG FOR:1 T06VN HALL SOUTHOLD, N.Y. 11071 NOTIFY 7EL.: 7051302 CALL • • . (-7 q b1AIL T0: L•xamincd .L..l 19 ~q! • ,~ppravcd ~ ..~.7.., 1989. Permit No............ Disapproved a/c (Building Inspector) APPLICATION FOR BUILDING PERMIT ' ~oYi ij°~~av`'!~ q~j~r~'io00 Date 7' 1~:...........15$~' INSTRUCTIONS a. Tltis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 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 stree~. or areas, and givin; a detailed description of layout of property must be drawn an the diagram which is part of Chis appl :anon. 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 >hall be kept on the premises available for inspection throu~ttout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupant. >hall have been granted by the Building Inspector. APPLICATION IS HEREBY hfADE to the Building Department~r~~is3~t~)of a Building Permit pursuant to tht 3uilding Zone Ordinance of the Town of Southold, Suffolk Count~y6~I~!~ Y d~kQ`>~' er applicable Laws, Ordinances o~ Re;ulations, for the construction of buildings, additions or alteratats~k8. a ,rry~e yya~l~c~r.'dtmo]ition, as herein described iite applicant acrees to comply with all applicable laws, ordina ' i~s~dC~~f siri~ code, and regulations, and tc admit authorized in@peGtPrs.on-premises and in building for necessary • ~ ,,1 r. './~S. . . ' ~(Signature of ap, Qlicant, o ame, if a corporauon)~ ' •~m~~i~i~-.1.C.~lilin~as~ofa~p~hMl=)~~(/~~O°7~J State whether'app~l/icant;.is„o~yn@t %1'ess'ee,~'3vent, architect, engineer, general contractor, electrician, plumber or builder. ameoFowncrofpremdstis~t~~;k~:~2~1:7.~~?f~~ ~~.?~tv.~~....~~~j.~#;tt.~-~.,~.5/!~ 1~§s t d l~,l.d~. i.E~,;;;is.~bE~;b3C1 f -4~~~ (as on the tax roll or latest deed) if a !leant i~°+awEo~t~j~o`ra~ ~n ~a thorized officer. ' F?1~.7+.. ~..9~471Nt4"'13351 1YA41 .~t"1Ck~ , (Ndf~fe e o corporate officer) s Buiidcr'sLicenscNo . Plumber's Liccnsc No . . Efcctrician's Liccnsc No . • • • • • Otltcr Trades Liccnsc No . . Location of land on which proposed work will be done. .-?7.--~, g©, , tT!V~}N•I,1.D; ,~V ,1 ~~a~~~ . Ifouse Number ...'Street....... ..............Hantlct , County Tax M:tCp No. 1000 Section ~ ~3. - • • • • • • • IIluek . , . • ,e•~, , , , ,~,q• Lot . , Subdivision ~ Y. ~.`j. Filed ;tap No. ~,vl,, ; J, Lot . ~.~J.~:...... . C (Name) State existing use and occupancy o(premisepps and intended use and occupancy of proposed construction: a. Existrng use and occupancy ....U~~!"C (3~T............ b.Intendcd use and occupancy 3. Nature of worn (check which applicable): Ncw lluilding ~ . , Addition ,Utcrauon . Repair Removal Demolition Other lyork I (Dacrpuon 4. Estimated Cost........ Fcc................................... (fo be pail on fling this application) 5. If dwelling, nurnbcr of dwclljng units Number of dwelling units on each floor , , , , , , , , • , , if gara,c, number of cars ...~-z . . 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . 7. Dimensions of existing struciures, if any: Front . .Rcar Depth , , Hcinht ...............N,umbcrofStories,..................................................... Dimensions of same structurd with alterations or additions: Front Rcar , Depth . . . . . Iicicht Number of Stories . 8. Dimensions of entire new construction: Front . . Rcar Depth . Hei;lit , . Number of Stories . . 9. Size of lot: Front l•~~s.`{'.`f. , Rcar ..1 f3.~p..`t~.. , . , Depth , . 10, Date of Purchase ,?y1~.`~ , . . .Name of Pormcr Owner T1.1 ~J, „~jf3~f, ~Y, , , , , , , , . I I. zone or use district in which premises are situated . . . . . . . . . . . . . . , . 1 Does proposed constructon v~olatc any zoning law, ordinance or regulatign: . . l3. 1\'ill lot be re;raded N.Q. , , . Nil( excess (ill be rcmo Crom prcmiscs: Yes i~ 14. Name of Owner of prcmiscs ~It4 pig;5,.`r,F),zA~;~'U~ddress rf'e~.?$•t`?-~~Y1'J~ ~~~'YDO~rone No.G'.7: ,3,~ q , , , , Name of Architect . fi`~. °I.~. S. ski ~Hl,;''.~CTS..... ,Address 75.5.',~m~3 Y':'.f~=. , -Phone No.3S.~: ~YYP..... . . Name of Contractor , . i . .Address .Phone No..... , . . 15.Is this property located within X00 feeC of a tidal wetland? *YES....ti0.... *If yes, Southold Toyn Trustees Permit may be required. PLOT DIAG RAh1 Locate clearh~ and distinctly~ah buildins, whether existing or proposed, and. indicate all set-back dimensions fror; property lines. Give street and block number or description according to deed, and show street names and indicate whethc: interior or comer lot. , , ~ • ocicupaacY oa • usEi~s u~~aw~u~ WITHQUT CERTI~ICA'iE ,,A~/P~P~R~OVED AS NOTED OF'~fCCUPl~IC1t pATE:.t4~=-~~-B.P. #Y__~___-- NQYIfY~BM t1f~G DEPARTMENT AT 75b• 1502 9 AM T10 A PM fOR THE • FOLLOWING INSF'ECTiONS: 1. fOUNpAT10N - TWO RECIUIREp ' PpR PpURED CONCRETE 2. ROUGH .FRAMING & PLUMSINf3 3, INSULAt1gN 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ' AU. CONSTRUCTION SHALL MEET Tµt REQUIREM@NTS s EMEROl' STATlF CONS7lMfCTbU! caalaa Nan R~snarol ~c s LESION 011 CaNBTRtIC? . T.\TL• OF \ElV Y'O OUtiTY OF ..,,,rte- a1.K~-.~ . S.S ~A Y~.T..d•%'{ ~..~s.~ f~:.r': A .Vi!~ being duly sworn, deposes and says that he is the applicant • . • 1 • (\`amc of individual si~ninq contract) ;ovc named. .istfrc... (Contractor, agent, corporate officer, etc.) said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this ~lication; that aft statements contained in this application arc true to the best of his knowledge and belief; and that tht rk wdl be pcriomicd in the manner set forth in the application filed therewith. om to before me this • ....................dav of. ,19.., ar; E'ublic . . . County . • • • • • • (Si;natur of'a• . .cant'