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Home My WebLink About20266-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28971 Date: 10/08/02 THIS CERTIFIES that the building ADDITION Location of Property: 1085 WIGGINS LANE GREENPORT (HOUSE NO.) (STREET) ~ (HAMLET) County Tax Map No. 473889 Section 35 Block 5 Lot 9 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 6, 1991 pursuant to which Building Permit No. 20266-Z dated NOVEMBER 8, 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 AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to PASQUALE & SANDRA SANTANIELLO (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A A ho ize Signa re Rev. 1/81 f'OfS~[ NO. f 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) N° 2 0 2 6 6 Z Date f/ ~ I9. Permission is hereby grated to: ~..o :..,~.~.~..z.,~ at premises located at .....1~.~:~....lr.~.~,~:~rt'~:...1~~.~ . County Tox Map No. 1000 Section Block .........e.? Lot No pursuant to application dated ........1.1~,~ 19. and approved by the Building Inspector. ,,rr~~ o e Fee .......tl...r~ i uil Ing nspector Rev. 6/30/80 Form No. 6 ~ ~ ~ TOWN OF SOUTHOLD D BUILDTOWNDIE~PARTMENT ~ 765-1802 , BLDG. DEPT FS4UTHp~p APPLICATION-FO'R CERTII'ICATE OF OCCUPANCY A. This application must be filled in by typewriter OP, 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. Z. 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 sold~sed 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 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. 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 - ResidentiallI$15.00, Commercial $15.00 Date ....~.l~l~.~ New Construction........... Old Or Pre-existing Building... ~~jjJ ,-t Location of Property.... ~ D lJ.~....... W C~ / tit -S L/l~ ........C.,~~Z~ ~Q/~ T . . . . House No. Street Hamlet Onwer or Owners of Property..... ~"5 Q:.U~.L.t... `S~~JT~} ~ /L , L L U . . I - q County Tax Map No 1000, Section.....:3.~.....B1ock....J .........Lot.. / . Subdivision. E/-},V r.~ p i ~v,~; , , , , , .~s. .Filed Map............Lot Permit No..Z ~ ~ b,z ..Date Of Permit..~~./~/ 9i......Applicant Health Dept. Approval ..Underwriters Approval......................... Planning Board Approval Request for: Temporary Certificate........... Final Certicate...:~..... as Fee Submitted: $ ~ C. to a.,~ - - . APPLICANT ~ 2~~ ~ ns-1ao2 BUILDING DEPT. 1 NSPECTION [ ] FOUNDATION 1ST [ ]ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN CATION [ ]FRAMING [ FINAL ~~~12u5,~ [ ] FIREPLACE A CHIMNEY REMARKS : i~~- ~ r ~ INSPECTOR DATE ~ o~~~~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ] IN CATION [ l pppMING [ INAL [ ]FIREPLACE & CHIMNEY MARKS: ' ` RE QL~S ~'J~ n DATE ~ INSPECTOR 765-1802 BUILDING DEPT. INSI~ECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ] INSU ION [ ]FRAMING [ NAL [ ]FIREPLACE & CHIMNEY ~ .f REMARKS: ~ ~ - DATE INSPECTOR _ Q ~ ~I ~'4: ~e ~E ?OU77DATI0:71 (~St~ I ' 1 _ I - ~ OU'lDnTI071 I ~ i (2nd) 2• I !i ~ 4 'OUCH FRki-fE & I G -PLUMBING I I 's ( v 13. I yti m i71SULnTI02I PER N. Y. I y STATE E2IERGY II CODE II - - II _ .~I cn H I A ~ FIi1AL ~ /~C - ADDITI077AL COMMEDlTS: m - l x /l t , ~ " ' i ' ~ A . H V w l O - ' t'7 i ' r~ - - m ^o _ O ! . BOAFO OF HEALTH . FORMN0.1 ~3 SETS OF PL.1.IS ~4 L ~ TOWN OF SOUTHOLD -SURVEY _ _ . ±i BUILDING DEPARTMENT .~'CIIECI: . .;'(r~iJ TOWN HALL SEPTIC F02:1 . SOUTHOLD, N.Y. 11971 . TEL.: 765-1802 t:OT I F'f ; / 7~ ~ Q/~ CALL K!./•~ ~ Examined/~.... r 197. / ~ Mn I L~ T O / - . Approved . 19!/Permit No. ; . Disapproved a/c _ . (Build~Inspc r) i-.rrL ..ATivw . v, Date 19 . ~ . ~ INSTRUCTIONS a. Tlus 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 sc:~le. Fee accordin; tc .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 dravrn 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. (Signat}tre of applicant; or name, if a corporation) f /1 i- (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ...;~w,,7.~-~ ~ ~ Y / Name of owner of premises .?~~.s`~ .L!Q If' Gi, ~t !.C. ~ y ! C l L( o (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. ..ia.~ y C{y{ L~,.. ~Sr,~N~~~~J~~~( G Plumber's License No . . Electrician's License No. . Other Trade's License No . . Location of land on which proposed work will be done . . IFJ~'S (fit ~ ~ ~ ?t s Lc~~~ • . . • • • • . • • • 1 . • J . • • • . • . . • . House Number ~'i.~..v(- Street,~ Hamlet County Tax Map No. 1000 Section ' Block . Lot. yf X50 Subdivision Filed Map No. Lot . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ....{.~-~~r~ . 4 ~ ~ ~ ~ : . b. Intended use and occupancy . 3. Nature of work (check which applicable): New Building Addition Alteratioq Repair • • • • • • • • • • • • Removal Demolition Other Work ' . ~r~` ~ (Description) 4. Estimated Cost ~ ~ .L~ V. 4! Fee . (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 , • • , , • , , . . , • 5. If business, commercial or mixed occupancy, specify nature and extent of each type of use . 7: Dimensions of existing structures, if any: Front ...............Rear . Height Number of Stories • • Depth . Dimensions of same structure with alterations or additions: Front • ~ - ~ - • • ~ ~ ~ ~ ' ' ' ' ' ' ' Rear.................. Hei t Depth gh Number of Stories . 8. Dimensions of entire new constntction: Front Rear De th Height ~ Number of Stories p._ . 9. Size of lot: Front . ,/,G'(J Rear 0. Date of Purchase ....~f'-~fU `C'f.l.......... • • • • • Depth ~ , . ....••••••••••••.......NameofFormer Owner i i. Zone or use district in which premises are eituate!t ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' 12. Does proposed consiruction violate any zoning law, ordinance or~regulation: • 13. Will lot be regraded iV , . , , • ..Will excess fill be removed from premises: Yes No 14. Name of Owner of premises ,~~Ta•~i,P, t~r?. , , , ,Address 14`:. ,Iti!~,j. ii1 LEi 3S C<' . S ter Phone No fly; ,~},7 : ZlncSr Name of Architect • • . Address ....~`~.K~~>!1l~~.~.PhoneNo. Name of Contractor........ ..................Address...................Phone No. 15. Is this property within 300 feet of a tidal wetland? ~ " " " " " " yes, Southold Town 'I'LUStees Permit may be required. " No........, 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. n STATE OF NSW ~qRI~~ COUNTY" ~ F .v.ti~-.~, a~, S.S ' ' ' ' ' '~~S' ' ' •~N ~ •l ~ •C? being duly sworn, deposes and says that he is (Narr~ of individual signing contract) the applicant above named. He is the ....................Q. c.,.ln/. ~ ~ . (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 application; that all statements contained in this application are true to the best of his knowledge and belief; and that the .vork will be performed in the manner set forth in the application fi]ed therewith. iworn to before me this ............~n.~~.\....dayof~.4.~e~~f'ti~;I~i.P.~.., 19.Cf' Jota 'c '~t`:.t~ Coun yf ELIZABETH AN NEVILLE ,f • • .~~C . . Nota Public, State of Now York (Signature of a No. 5~ 8125850, Suffolk Coug'ty.,- PPlicant) Term Expiras October 31, 191! / ~ a a~ SID + i~: • I b (1. 777y ~ OC o i ~ h ~ ~ ~ Z ` T i ~ a` Y V ' • SON ~'SI ii ~ g•1!~V _ ~4t.. 41\h V w * Z Wi I 0 ii3d ~ 'n ~ ~o ~ ~ i 4i a~QiS~~ o^i O W <vw v ~ ry,. - ~ZC 3 ~ ~ s ~ y uuv~~ i ~ i w, 4 v w 1~ N ~ Zpb v ~v? 0 z ~ r---.- w ~ ~ ~ ~ ~ r - 1.~ ~hE ~ ~ re ~ ° s@ to O Q z o t ,`t: `1~Lf ~h ~.l____ 2 ~k~ N ~KO vii rN ^J ~ 111j~ ~ J p 14 N 4 41 Z~ 8W O V?r Q W Y v Y C ~ a OWq w wN0 0 =i• Q V R J O p p Z iw. 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