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Home My WebLink About16928-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19855 Date APRIL 16~ 1991 THIS CERTIFIES that the building. Location of Property 2700 BRIDGE LANE House No. County Tax Map No. 1000 Section. 85 Subdivision ADDITION CUTCHOGUE~ N.Y. Street Hamlet Block 2 Lot 4 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 11, 1985 pursuant to which Building Permit No. i6928-Z dated APRIL 28¢ 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 ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED JOHN A. & AMY S. BAGLtVI N-179790 - MARCI~ 22, 1991 Building Inspector Rev. 1/81 FOn~'M' NO. S TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y, NO_ BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 16928 Z Do,e ........... ~ .................................. ,, .~..~ Permission is hereby granted to: ~/.j j ' ~ .~.~ ....... ~.~....z.e-.,~. ............. ..,... ...~:.~~, ........ ./z~.~..~ ...... ~.,, ........ ............ ~.~ ...... ~,~..~ ........ ~.....~ ................................... ~ . ~ .... ~.~..~ ..... ~ ~.~ ... .t ,.e~i....~*~.* .. ..... ~ ........... ~ .... ~ ........................................................... ............................................... ~~...~..~...~ ........................................................ ~o~ **~ ~o~ ~o. ,0o0 s~,o~ ...... ~ ...... ~,~ ........... ~ ...... ~o~ ~o ............. ~. .... Building Inspector. P,,zctt... 3 q ~1,5 Rev. 6/30/80 ! *, (!37 [!:~1 =~ ! Form No. 6 BLDG. DEPT. TOWN OF SOUTHOLD APPLICATION FOR CERTIFICATE OF OCCUPANCY TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1&02 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, 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, ComM. ercial $15.O0 - fTleD ~ ~'~ Date ....... ,, ...................... New Construction.:. ...... '' Old Or Pre-existing Building ................. Location of Pro-crt,, ~DO~ ........................................ ''' House No. Street am e Onwer or Owners of Property...~..~..~ ..... 7 "' County Tax Map No 1000, Section...~,.~.. ...... Block ................ Lot ...................... · . . . J ........... Subdivision ................ ~ .................. Fzl~d Map .................. ~ . . Permit No .... /.~ ........ Date Of Permit .... ~/~.Applicant..~.. ~...~.~... Health De t. A royal ........ g'.~ ..~ ...... ~=~ : . 7 ~ ~ ~ ~1 ~ P PP Planning Board Approval....~/~ Request for: Temporary Certificate .... Final Certic~te,.;~.~. .... Fee Submitted: $ ...................... ff 307 . ' ........ · .................. THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 'l~L[5065 BUREAU OF ELECTRICITY [~ 88 JOHN STREET, NEW YORK, NEW YORK 10038 D.,e I~ARClt 22,1991 ~pplicationNo. o. file 72546091/91 N 179790 THIS CERTIFIES THAT only the elertricol equipment ~ ~scribed below and intr~ced by t~ applicant ~med on the above application number in the prem~es of JOHN BAG~IVI, 2700 BRIDGE LANE, POLE ~21, CUTCHOGUE, N.Y. in the fotiowi.~ h,catio.; ~ Base,neat ~ ;st Fl. ~ 2nd FL GAR Section Bilk Lot wasexaminedon ~(~RCH 07,1991 andfoundtobeinco.tpliancen'iththereq.ire.tents~ffthisBoard. FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS FIXTURE OUTLETS DRYERS SWITCHES 12 ITHER APPARATUS: PANELBOARD$: 1~6 CIR. G.F.C.I:-i 100 R V I C NO. OF NEUTRAL OF NEUTRAL 17 FOREST TRAIL RIDGE, NY, 11961 GEt. Rat MANAGER This certificate must not be altered in any manner; return to the office of the 8oard if incorrect. Inspectors mc~¥ be identified by their credentials;_~ OUNDATION ~_~ {~st) DUNDATION { 2nd ) DUGH FRAME & ~?LUMBING ~SULATION PER N. Y. STATE ENERGY CODE FINAL ,I ADDITIOI COMMENTS: 765-1802 BUILDING DEPT. INSPECTION [v/J/FOUNDATION tST [ ] ROUGH PLBG. [ J FOUNDATION ;ZND [ ] INSULATION [ ] FRAMING [ ] FINAL 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ]/~OATION :)ND [~/~ FRAMING REMARKS.' ~ ROUGH PLBG. INSULATION FINAL DATE ~/~//~2 iNSpECTOR~~ ~~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION ~.ST FOUNDATION 2ND FRAMING ~r ROUGH PLBG. INSULATION FINAL DATE INSPECTO~ INSPECTORS (516) '765-1802 VICTOR LESSARD, Principal CURTIS HORTON, Senior VINCENT R, V!~IECZOREK, Ordinance ROBERT FISHER, ~ssistant Fire Buikling Inspectors THOMAS FISHER GARY FISH SCOTTL HARRIS, Supervisor Soud~old Town Hall EO. Box 1179, 53095 Main Road $outhold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD November 2, 1990 Mr. John Baglivi P.O. Box 1020 2700 Bridge La. Cutchogue, N.Y. 11935 RE: Building Permit 916928-Z Premises: 2700 Bridge Lane, Cutchogue, Suff. Co. Tax Map #1000-85-2-4 Dear Mr Baglivi: During a review of our files, it was noted that the above building permit has expired and a Certificate of Occupancy has never been issued. According to the Code of the Town of Soutkold Article XXVIII 100-281 and 100-284 a building permit is needed for any construction of additions, accessory structures, alterations or new dwellings, and it is unlawful to occupy or use said structure until the Certificate of Occupancy has been issued. Please contact this office as soon as possible so that we may clear up this matter. Thank you for your cooperation in this matter. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. Victor Lessard, Principal Building Inspector VL:gar THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~- BB JOHN STREET, NEW YORK, NEW YORK 10038 Da te Application No. on file THIS CERTIFIES THAT only the electr~cel equipment as described be~w a~ int~uc~ by t~ ap~icant ~d on the a~ve application number in t~ prem~es of JOHN BkGI, IVI~ 2700 BRIDGE LANg~ POLE ~2t, CUTCHOG~,g~ in the following loca' · B nt Fl. ~ 2nd FI. GAR u~s examined on amd found to be in compliance ~'ith the requlre~nenL~ 9f this,Board. I DISH WASHERS I EXHAUST FANS FIXTURE [ ~ FIXTURES ] RANGES C~KING D~KS OVENS OUT~S t~EPTACLES SWITCHES NCAHDESCENT FLU~ESCENT ~ OTHER ~T K W ~T [,W ~T. ~ KW' ~T. [ K.W ~T, [ H P 6 ~.2 i2 6 17 FOR~iST TR~}b Per . TMs certificate must not be ~[tered in any manner; return to the offke o~ the ~ord i{ incorre~, inspectors m~y be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANHER. $55' 1'7~10 E IZO, O ,i CERflFIED ONLY TOI WILLIA~ t. JAEGER P.E., L.S. ~, TOWN HALL B.l.o~, .............. ~:,:~. · "',i $OUTHOLD, N.Y. 11971 ?OV.W~ ol- sourl~oLi-~ j TEL.: 765-1802 I~xamined : ......... 19 . ~. . Approved. ~.' ..... , 19~ennit N~. ~aa ~ Disapproved a/c ..................................... ............................. .... '1 ~;ET,q OF PI,ANI; ....... Foam NO. 1 SURVEY .......... TOWN OF SOUTHOLD CHECK .......... BUILDING DEPARTMENT SE~TZC FORM ............. : NOTTFY · ..... MAIL TO: APPLICATION FOR BUILDING PERMIT Date .................. , 19..· ~ INSTRUCTIONS a. Tiffs 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, ando~¥m,,o' · ~ 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 apphcable laws, ordinances, building code, ~6using code, and regulations, and to admit authorized inspectors on premises and in building for necessary ~...(/~...~... _ (Si~(f al:~licant, or name, if a corporation) ~OB 1020, Bridge Lane, Ou%ohogue (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Applioanl~ i.~ Nameofownerofpremises John i. & Amy ~. Baglivi (as on the tax roll or latest deed' If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) . ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No .... ~.q~.~.+ .......... O Plumber's License No... ~ ............ TT~ Electrician's License Njo.k .y~ ........... Other Trade's License No ..................... I. Location of land on which proposed work will h~clo~he.~ . J~r.i..dge. I~ .a~.e.~..O.u.t.o.t.og.u.e. 1[.%.o ....................... County Tax Map No. 1000 Section Subdivision Ism. ar A~re~ ' . ............................ ........................... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~ingl~ famil~r b. Intended use and occupancy .... ~..ir).gl. e..f...~./...d~.e.l.l.i.?.g . .w-j:.t.h..e..:~.r.a..r.o.o.m..a~..d...g.a~..a.g.e ................ 3. Nature df work (check which appli~able~):JNew'Bffilding-: ~- L-? )'... ! C A~ldftton T..I ~ .X ~ ' Alteration ........ .. Rep~r .............. Removal .............. Demolition ........... t... Other Work ............... 4. Estimated Cost ..... t ............................ Fee .... [to belpaid on filing this application) .............. Number of dwelhn~ug~s on each floor ...... 5 '. ........ 5. If dwelling, number ,of &vel~ng.units ~. ~ ' 'J If garage, number of cars 6. If business, ommercml or m~xed occ~pahcy, specify nature and extent ~ each type of use ........ :...,. ........ 7. Dimensionso~e~e~"sti g structures if any Front . ~.feet Rear 36fe~ nenth ~Ofee~ _ .,. .... ~t~ .... ............... . · · ~.. ~ .... ,..,~ .,~b~a~Sta~. ~pt~ ............... .... ....... Size 10. Date of Purchase ... ~[~ ..................... Name of Foyer Owner .l*~ .~ ............. 11. Zone or use district in wkich premises are situated ........................ ~ ...... . ....... . .............. 12. Does proposed construction violate any zoning law, ordinance or regulation: 13. Will lot be regraded .. ~q ....................... Will excess fill be removed from premises: .... 14. Nme of Owner of premises .. ~PP)~9~g~ ......... Address ............... 1 ....Phone No ................ Nme of Architect ........................... Address .......... i Phone No. Nme of Contractor .......................... Address .... : .......... ].... Phone No ................ [5. Is th~s property located wSth~n 300 feet of a tSdal wetland? *~ No ..... ail yes, Southoid To~ Trustees Permit maybe required. PLOT DIAG~M Locate cle~ly and distinctly ~1 bufld~gs, whether existing or proposed, and, indicate ~1 set-back dimensions from prope~y ~nes. Give street and bldck nhmber'dr d6scflptl6fi ~ccording to deed, ~d sho~ street nines and indicate whether intehor or corner lot. See attached survey STATE OF NEW YORK, COUNTY OF ' S.S ................................................. being duly sworn, dep] ,ses and says that he is the applicant (Name of individual signing contract) ~bove nalned. }le is the ............................................................. 1 ............................ (Contractor, agent, corporate officer, etc.! of said owner or owners, and is duly authorized to perform or have performed the laid work and to make and file this application; that all statements contained in this application are true to the best ofhi~ 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 ..... . .......... fl. t ..... day of ...... ~ ... Notarymublic, .....~-~,~'.....~/. ]Qt.-.~.~tlt~t'/ ....... NOTARY PU~L C, ~ of ~.~ . ~.~7~7878, S~olk le~ ~plr~ March 30,19~/ County Signature of applicant) .... --_,, ! ., , ' ,- · ; · ¢ l~em; piping eFRTIFICATE OF OCCUPA 'B~ COM;L~E ~ '-*-- IN WATER , ' 'SOLDER USED_I~-'""OT TH~ ~ S PPLY SYSTEM ~,~ ,,, ,