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Home My WebLink About17364-zFORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18118 Date JUNE 14, 1989 THIS CERTIFIES that the building ACCESSORY Location of Property 16705 MAIN ROAD EAST MARION N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 23 Block 1 Lot 14.6 Subdi Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 16 1988 pursuant to which Building Permit No. 17364-Z dated AUGUST 26, 1988 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 AS APPLIED FOR The certificate is issued to ANTHONY & ROSEMARY BOLLETINO (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-068371 - APRIL 26, 1989 PLUMBERS CERTIFICATION DATED N/A ~~~ +1--~ Building nspector Rev. 1/81 rows xo. 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) No O1736µ Z .......,~~~-~........ Date .... .., 19~Sd. Permission is hereby granted to: ~~~ , ........ .............. ... /So u,S~ar~, ,/X703'..........~-!?........~~ .............. ~.~ ~~~ ....,~ ............~,., f...r..~-~:. , at premises located at ...,lI~.~D~........:~~...~i1.......~gt ................................................ ............................................:~..5~,~.~1..~-.~i ................................................................... ............................................................................................................................................................. Coun Tax Ma No. 1000 section Block ............~ l h' p " .........c..~....-~..... ....... Lot No. ~..'. y...~ Jfi pursuant to application dated ................~.,1/.~........................., 19.~.~~., and opproved by the Building Inspector. pv Fee $..~. Rev. 6/30/80 FORM N0.6 ~ V ' TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 gLDG.DEPT. APPLICATION FOR CERTIFICATE OF OCCUPA Y 70y~N OF SOUTHOL.D Instructions A. This application must be filled in typewriter OR ink, and submitted ~ ~~ to the Building Inspec- torwith the following; fior new buildings 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 of Health Dept. of water supply and sewerage disposal-(S•9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, acertificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: Additions $25.00 POOLS $25TERATION $25.00 County Tax Map No. 1000 Section ..c~C.'~.,,..,,,, Block ,C,,,,,,,,,,,,, Lot.~.7.',~?,~',~;;~ 1. Certificate of occupancy New Dwelling, $25.00, Accessory 10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 5 0.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $]0.00 . 4. Vacant Land C.O. $ 20.00 +~ 5. Updated C.O. $ 50.00 Date .c.C~~,), ~~'..... NewConstruction,.t~..OldorPre-existin Buildin Vacant Land 9 9 .......... ............. Location of Property .~.~?~~.~,,,,,,,,,,,,,,,,,,,~~(/(),.(~c~„ .,~~~. House No. Street I /r Ham/et Owner or Owners of Property . ~.h~!to!~`>?, ~, , ,~5~(iYIAIL~ ... ~C1Fl~`t~.hp ... . . . . . . ..... . . . . . Subdivision .~~:i ofv~ c~ ~ .tai ~.: (j~ :,(-Q~., ~~ ... ~~// // .Filed Map No~.'}~.7~(,... .LotNo.~T:6~" S.S Permit No.U~ ,~ 31?~Z Date of Permit g./r~~?~t~~, ,Applicant . ~?'~. ,1!~J,+~ lii,~, , , ..... , , . . Health Dept. Approval .. ~.~ ................Labor De ~( //~~ pY. Approval .. /U .(`......... . Underwriters Approval ..... ,. f ~+ ................Planning Board Approval ...'U,/.f1.............. . Request for Temporary Certificate ... ......... .Final Certificate . . J!~ , Fee Submitted $ .....~. !~ `U' ° ~'..~ ~®°2 ~ ... ............. . Construction on above described building and permit meets all applicable codes and regulations. APPlicant .. ~~. ~.•.(r.~fS~~ ..................... . Rev. 10-10-78 C~.e~. 3~ 4'9'7 Ct7 ~ 18-)~ THE NEW 1~36y YORK BOARD OF FIRE UNDERWRITERS PArr 1 100lJ1 "I.7. BUREAU OF ELECTRICITY 85 JOHN STREET. NEW YORK. NEW YORK 10088 paw APRIL 26,1.9A9 Application No. on file 59'I,59(I$$/A$ N Of>A:371. 1 THIS CERTIFIES THAT Doty eM eYctried puipmant a dsecrihed 6slotD and introduced 6y the applicant reamed on the chose applicatton numher to the promtsas of NTHONY BOt,Lk`CINO, MAIN RUAi), F. NANTON, N.Y. in thefolbtcinp lorotbn; ^ Basement ^ Ise Fl. ^ Ynd Fl. OU'P, SHk~D Sertiun Block,.. Lot ores examined on APRIL, 07,19$9 ondfound to 6e in complianre with the reyuirernents of thu ~dard. RKTURt RXT(AFf RA NWf COOKING WOKS O VlNS qSN W FXNAU ST BANS WTleff ACTlf SYNTCMFS SClNT ~rlUDttbCENt OTHER AMT. K.W. AMT. K.W. AMT. [.W. K.W. AMT. N. t. 7 1 DRYERS RANACF MOTORS tuiYRF AMtIANa IRwas sAaAL RFC7T r1Ate CLOCKS nu HINT NFATgf M11etf-0Yfllt pp+gtlw5 AMT. K. W, ql X. t. OAt N. !. AMT. NO. A. W. G. AMT. AMr. AMT. AMlb. TRANS. AMT. R. E NO. W AFT AMf. WA71! i n SFRVIQ pS00FR1iCT NO.O! S E R V 1 C E AMT. AAa. Ink ~ 1 / 7Vt I P tW J R tW 7 / AW NO.O~~ rCCNJD. OF CC LOND. NO. Or ,I4LED Of ~XF~IEG ND.OF NEUTRALS Oi ~t EIROMI O7MA AeRAFATUf: G.k',C.i:-~1. PAUL, R. BURNS L1(:.A28`). H; "l7S TORN HARBOR LANk; SOUTHOLA, NY, 11971 OMRAI*~~ I.1 Per This cerlificaM mutt not ba aharad in arty manner; return to tfle office of the Board if incorrect. Inspectors may be identified by tMir credentials. COP1f POR D ARTMENT. THIS C OF CER 1 KATE MUST NOT B ALTERED IN ANY MANNER. S~FFD~C 0~0 . , OGy TOWN OF 50UTHOLD ~~~~ '' t ' ^'c OFFICE OF BUILDING INSPECTOR ~ :i+' ~ ;n . " I•r' rn P.O. BOX 728 ® ~' TOWN HALL ~~0~ ~ ~~~~ SOUTHOLD, N.Y. 11971 January ]9, 1989 Mr. Edward E. Williams 150 Seawood Drive Southold, New York 11971 2nd NOTICE TEL. 7G5-1802 RE:ANTHONY 5 ROSEMARY BOLLETINO To Whom This May Concern, \~ We are unable to complete your Certificate of Occupancy because of the following reasons. /=j An application for Certificate of Occupancy is not on file. /g/ No Underwriters Certificate on file. /_/ The check is(outdated/not on file.) /_/ No Health Dept. Approval on file. /_/ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. IIuildi.ng Permit ik Building Dept. 1 7 3 6 t~ Z ***/y/ No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) OCCUPANCY OR USE IS UNLAWFUL WITHOUT A CERTIFICATE OF OCCUPANCY. CLEAR UP THIS MATTER AS SOON AS POSSIBLE SO THAT LEGAL ACTION DOES NOT BAVE TO BE TAKEN. Thank you. ~~FFOU{C Y~~O!~~ ~,_ 40G TOWl'd OF SOUT~IOLD !sh•. ~" ~ OFFICE OF BUILDING INSPECTOR ~, ~` s P.O. BOX 723 ®' ~ TOWN BALL ~~O! ~ ~~Q~' SOUTIIOLD, N.Y. 119~I / I // 6 /~~ To Whom This May Concern, We are unable to complete your Certificate of Occupancy because pf the following reasons. TEL. ?GS-1802 ~- /a!/ An application for Certificate of Occupancy is not on file. .,r<`~ - ,. _v. />(/ No,. Underwriters;~~Certficate ,on .file. G,~. /~/ 'Phe check i~ (outdated/not ~tt'.,fi1~,~ ) /_/ No health Dept. Approval on file. /_/ P:o final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Building Permit 11 ~ 1 ,3 ~ ~ Z ~~~,.,~o- Building Dept, *'`*/_/ Dlo Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) ~de.~ . ~~~-~~~ ~iti . /SD ,~~~e~~a~ ~~.~ ~~y~i rss-iso2 BUILDING DEPT. II~ISPECTION [ ]FOUNDATION iST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [t-y~INAL DATE 1 ~''`~ INSPECTOR- ~%~~~~ ,, c'lELD Ii;SPE~:iU:i I ~Uiiir. ~ CUa`iMbNT° ~ 1 ~~ m~ a Lc~ ~ . -r r-i c00NDAT20N (lst) C FOUNDATIOW (2nd) r. rn 2 _ . v P OUGH FRAME & G , q PLUMBING ~~ y d ' 3 . ~ m IIJSULATION PER N. Y. y STATE ENERGY CODE _ T 9~ y 4 . Gtfi, , (Ye' F y FINAL ADDITIONAL COMMENTS: x c~ ~~ H.mp H O Q Z 1 ~~ x m H~ d m ro y '~\,"7,~ I ~ I_I 1v~'"-~ FORM N0. 1 TOWN OF SOUTHOLD f ~~ 6UILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 AWN UR'sOUtritrn n TEL.: 765.1802 Examined .. /.rZ. ~......., 19 (~O 2 // ~/ Approved .../$Sfi......., 19 ~~Permit No. 1.~.~ 4^~ J"'~ Disapproved a/c ..................................... / BOARD OF HEALTH .... 3 SETS OF PLANS `~..... SURVEY .........'~.......... CHECK .......`~ ............. SEPTIC FORM ................ NOTIFY ~/^~.:3.~oc~ CALL .. ........... MAIL T0: ....................................... OL..i. .. .... ~il ~ Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date ....~.... /~ ...., 15 ~~ 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 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 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 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 Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or 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 to admit authorized inspectors on premises and in building for necessary inspections. ...................................... (Signature of applicant, or name, if a corporation) . .............................................. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ....~~/~~~.1~/.~y~~~ ' ........................... ...~.~.... ................ ~f // L ,,l' n.. ...... Name of owner of premises . '!~~a~'~...~Q!! ~ 7. /, dG.'~ . Y' . /~SC~/yvlQ r~ ~O ~1~. "ts ~du°~..... . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. .............................................. (Name and title of corporate officer) Builder's License No. ... ~~ 1.~..J~ ............ . Plumber's License No . ....................... . Electrician's License No . ..................... . Other Trades License No . .................... . Location of land on which proposed work will be done. .! :~ ~l ~..~~/. ~'Gt.S ~ / ' ~~~~ v ~ ... ........... ........... ...~~ 205............ ~GLI °~°...~,. 44 ................... ~-'CC.S,~ ~?G~~r'-~.U. ?'.~ ....... . House Number nStreet Hamlet ~/ County Tax Map No. 1000 Section ....®!~'~.. • • • • . Block ....... ~, , . , , , , , , Lot lC: ,~°... ~..``~; , S,_, , , Subdivision ..................................... Filed htal~ No. .............. Lot .............. . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ........................................ ~ .... ........... . b. Intended use and occupancy .`•~~~~• •C~~o~ ~ ~,'<KF2 ~e .~..... .. ~. .~A aN ............. u ~, .. ature of work check which p • • • • • • (....... Re Applicable): New Iluilding .....•..... Addition .......... Alteration ........ . Re air moval ..... . ........ Demolition .......... , ... Other 1Vork ,.$/1~.4i. , , , , , , Description) 4. Estimated Cost . ? S' Q ~: ~ .Fee . ` (to b`e paid 8n 'f ling this appl#cation) °' g 5• If darallennumbeb of carsvellin'g units ......! , , , , , , , , Number of dwe,llin urFits~on-each floor ......:.. . s s ....•~.... ...... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ....... . . . . . . . ....... Height .......... g.... Nures, if any: Front ............... Rear .............. Depth .............. . Dimensions of existin stnictutnber of Stories ........................... . ............................ Dimensions of same structure with alterations or additions: Front .. ... .Rear ,,,,,, , , , , , , , , , , , • . .. ..... e + 8. Dimensions of entire new c Nu' height • , • • • • • , • ' • ' ' ' ' ' • • • • • . Num er of Stories ............... . traction: Front , ,°f~(n, , . , , . , . , Rear ...~~.~ ~ ...... Depth . ,/, 2,, , ~ • ~ • • • Height ~.~ . ~nber of Storieg , , , 1, , • ' ' • ' • • 9. Size of lot: Front .. I5. r'J'P&'y , , , , , , , , , , , Rear ...zj~~~~ . ~,5-9. - Depth . ~7.~.~~:.3.3 • ~ • .... ~ . ~ . 10. Date of Purchase •••••••••••• ........•:.•••••+••••........Nameof)~otmer Owner ................ 11. Zone or use district in whic]t premises are situated ......................... . ........................... 2. Does ro osed consptruction violate any zoning law, ordinance or regulation : .......................... 13. Will lot be re raded • • p g • • • • • • • • • • • • • • • • • , ..... , Will excess fill be removed from premises: Yes No 14. Name of Owner of remises . Name of Architect •~~ •••'••"•••••.Address,,,,,,,,,,,,,,,, Phone No........, . Address . .Phone No. Name of Contractor .~~ ~I/d,~//.~~'Yt.,S , , , ,Address ISU,Se!~a,a~ ~~"~ Phone No, ~~Os, `3dOa 15.Is this property located within 300 feet of a tidal wetland? *YES....NO.... *If yes, Southold Town Trustees Permit may be required, PLOT DIAGRAM Locate clearly and distinctly ail buildings, whether existing or ,proposed, and, indicate all set-back dimensions from property lines. Give street and blocl~ number or description according to deed, and show street names and indicate whether interior or corner lot. .. STATE OF NE1V YORK, I ...... S.S COUNTY O~! . ~ .. ~.... !, ~f. ~ ~r,~ ~ S being duly sworn, deposes and says that he is the applicant .. I ~.. ~.....~ ..~v. (Name of individual si ning contract) above named. He is the.......... Contracto- agcnt,,corporate officer etc.) of said owner or owners, and is dul~ 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 Itis knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ............. /~~day ofl',.. . ~, 19 .U.S Notary Public, .~~~„ ;e~~ ... . , . County QuelNbd In $u1~Wk Gounry (Signature of applicant) Pnntmission Explree Oecember+Y, 1 + __ _ L ~ f / ~P tYG~ ,ler ~ ~ r -_ _~ _~ ~,U t29e -.i "- ~~ t y~ ' S~(; ~i ~ 1 ~~ " I. ~_ I h i r-ia r:: iv ~`~ I~ ~vr ~ -1~ { __.. __ ~p _. ANC// , _'i0 _ ~ij for ~,d '~tk a i ~+~ `(~ ~~~~ (~ ~n4i( a sfL. e,, 0 ti .1 <' i3..~ ^' ~ i '-7 i tt ~} ~ ° _. "e 1. i`f.(= r~r]1tb~C fln pr h ~ I ~ 76.9 = r~tnira ~. i ~ 0 ~ ~ ~ lower ~_ ~ ~'t . ~ ~ ~; ._ .tr' -~'. .. `~ ~i ~ a Ar^~~ ~ ~~ G"~ _ z "' ~' ( . r~ _~ ~ ~', ~ ~4 - fr Iwurs~ y~ .; ~ _Zr~\yr i ^ ~~ ~ HPG14 ~'3i }NJ ~'u f~VaY ~N1-l~Sn ~~' -~~ ~ ~\ I `t, ~ .Z ~N ~a ~,v z ') `k oai ;~~ ; ,,, 1 6~ . -; i 1- h 1, ~g ~ ~ ,.1~, .,=.~- ;r 'l r _ /~`~ ~1 61 pr h-{- ~ _ l ~ !_:~ f ~' ~ ~ ~_ ~` arnris ~+7 -- ny".f rlk. t+" ,~ a ~4. ' ~ 1 i ~p h 2~ ~_ 1 r, ~.'! ~• f~ ~ (~J ,r, ~~• J try SUFFOLK CO. HEALTH DEPT. APPROVAL ~ -, . ' / n'"i pry': h7 4. y,- . j ' J . _ ____ i i i STATEMENT OF INTENT i ~ ': -' '` :- ~ THE WATER SUPPLY AND SEWAGE DISPOSAL _ _ . , ' ~' ~ I r SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE f i SUFFOLK CO DEPT. OF HEALTH SERVICES. (SI I APPLICANT P .,_ .. AT 1 ~, r,r~r:a?naent .., ~l'!L YI i. Q!G:~!"-~</~-">'i ._. ~"Cl ~ YJ ..a e:: r": .f /L.C J y !, _.rrf.; ..~'. .rG'..i ~' `. if r iK ~ 'i~f:. < .Y~ /ld?r.'"- r f. /e>va titer, dc7~Glrat: mG~ar; ~~x tev~l . ., Nov Z.3, .. _ ., J' n 6 f $ ~ .. 2U,.. o a'- ieY' .-.~ y r it , JJ RODERICK VAN~UYL, PAC. LICENSED LAND SURVEYORS _ __, GREENPORT NEW YORK SUFFOLK COUNTY DEPT. OF HEALTH SERVICES - FOR APPROVAL OF CONSTRUCTION ONLY DATE: H. S. REF. NO. f36- C?- f"7°.~ APPROVED. SUFFOLK CO. TAX MAP DESIGNATION: DIST. SECT. BLOCK PCL. rood oat r r-~.6,~s~ OWNERS ADDRESS: ~~ 8~~ Gtipreiirre~r [~t"tve° f ~'U~ ~C... C C: : .. C V !y DEAD: L. N~l~ P. wn«n~a .l~..he„ a .eeb.~ blhN SUrv~-4~MOMland 6~pAn 7908 d tl» IMYah ~r E4uo~tlon {aMti CapMSdtlde erwl'~R~~ Ur ImA wirgar'~ YiIM MW Of MnEor~d wY tliM nK M arYwi bMenW two ..~ o~w r , ~, F~ -~"-!1 rn~ ~~ ~ -- nroao ~~„e ~_ z ,~~~- _~- I I _}~_ /~..~ i' ___ __--_ ` I e_ _...__. _.. ~~ ~ ~ ~' !/ ~ I _- II''7 ~~ - ~~ r~~l .' f- I I -- -~-~- _~,, l '~;,. c i r3 i 1~ --~, -- - - -- _-; - _--: _" : ~~ ~/ i fpmlgRD E. WILLIAM9 e150 SEFWO OD~R gplffHOLO, N.Y. 12971' __._.__~._.._~._.___..,.,~ ,.n . _. _._ y ~.4Lllh rr--11C~Fli .,~Af-it i_." _L____..__.._"~_.~ _'.. ~~~ I ~ ~.+ ~ ~~ OCCUC,"~NCY OR USE IS UNLAWFUL °~~ITHOUT CERTIFICATE C'''" 0CCU6°ANCY DATE: !R R FEE: S o0 NOi1FY~D A7 786-1802 9 AM TO 4 PM FOR 7HE FOLLOWING INSPECTIONS: 1. FOUNDATION - TVND gE0U87ED FOR POURED CONCRETE 2. ROUGH -FRAMING 4 PLUMBING 3. INSULATION 4 FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET 1"HE REQUIREMENTS OF THE N.V "+TATE CONSTRUCTION & ENERGY ~'U~;FS NOT RESPONSIBLE FOR ' S";M OR CONSTRUCTION ERRORS ~r p~^~~ ~W~~~Ip17~4 ~_"~~0~ I£t~A7ni P~1a, . L'LN.1'' L-P+`.-1'-~!.> `mar=1.-Ir:_`.Zn.. 4~_ BUILDING CONTRACTOR 150 SF•~NlOOD DRIVE != SDUTHCLO, N.V. 1197T ~~ _ __"~ T-..------~-.__. ' l_ '- l Y _'_~ ~YC Pk' ' ~ I Y. Cr R ' { ~ / i h~IG. AT?,,zV TeAtRR~gvF 'J'2, j ~ Ctr,nlt -,u~aa ~_arrt -e-.--~~1~-~ -~; ~~ _ X31 ___... --- - ----- -~- - 6" p,li, -T7 ---- - ---~ ' / N {{W 1J IfJ ~I ~ i /~,, ,~IIi r- - -__-