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Home My WebLink About5981-ZFq~-~ NO. 4 TOWN OF SOUTHOLD BU~.DI~G DEPARTMENT Town Clerk% Office Southold, N. Y. Certificate Of Occupancy Date .Al~ril lg.7.~.. THIS -- located at I/.3,1191/..~.~;~.r.a,c..t ...... Street Map No. conforms dated ........... to the Application for Building 3.., 19.72. pursuant to which this office 98o z & Permit No.. ~98.1,Z. dated ........July ...... , 19.72, was issued, to all of the require- ments of the applicable issued is. p~,T~.t.e..~.n.e ..... __ of the law. for which this certificate is The certificate is issued to .I/lchard. of the aforesaid building. Suffolk County Department of Health (owner, lessee or tenant) 19 Bugdlng InspeCtor ~973 NO. & TOWN OF $OUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No..Z.6.~.8.? ...... Date .............F~y.... 29 ..... , 19. THIS CERTIFIES that the building located at ~/i~lJ. ow. ~.err&c.e. L& ....... Street Map No. Willaw .~er.r~k No ........... Lot No, 1 ..... Orient.. ~I .~.. ............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ..........July.. 3 ·.., 19..72 pursuant to which Building Permit No.. dated ..........'J~ly' · '3 .... , 19.. ?~ was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which ~hi~ certificate is issued is P. rivate, one. family..dweLling ....................................... The certificate is issued to ...Richard. 1.~an£r~di ..... 0wae~ ....................... (owner, lessee or tenant ) of the aforesaid building. Sttffolk County Department of Health Approval . ~:ar...28...1973...by. ~,. ~lXla... tTNDERWRITERS CERTIFICATE No...N097~0. · · ~I~me..19..-~97.3 ............... HOUSE NUMBER .. 860 ........ Street .. ~t.l. tew..T, erraoe · La. ................... Building Inspector FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy THIS CERTIFIES that the building located at ... la~l. ll~..To~'r, aoO. ~a .... Street Map No.iClll~ .Te~'~'~k No ........... Lot No. 1~ ..... .~..J..e~$... ~ ?~[.. ............ conforms substantially to the Application for Building Permit heretofore filed in this office dated .......... ~-~"' '3" ', 19..72 pursuant to which Building Permit No. ~9..~.~... dated .......... ~.~],,~ .... 3..., 19.72., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is .Private..ane. g ....................................... The certificate is issued to .tLt. eb~'d. Nm~'re~. ...... O~me~'. ........................ (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval ... UNDERWRITERS CERTIFICATE No... l~Ol~.g ...................................... HOUSE NUMBER .... ~)0 ...... Street .... ~1,'1~ .~O~'~O. ~ ........................ FOBM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PP, EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 5980 Z Permission is hereby granted to: ........................ ~ ~./..z.¢. ~f.£ ~ Y .ZZZ ................... pursuant to application doted .................. ..:..~-'~ ........ ~ ........ , 19Z~, and approved by the Building In~ector. ' Fee $...../.~!.~..~ .l~..¢ e..Z.z../..~ ........................ Building Inspectar FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hali Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted I~ to the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of properW 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, a certificate 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 p~'operty 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: 1. Certificate of occupancy New Dwelling.$25.Q0, Accessory ~$I0.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 5 0.0 0 3. Copy of certificate of occupancy $ 5.00, over 5 years $I0.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date ...O..c.t°..bg.r..2.9.~.l. 9.8.7. ....... NewConstruction ...... Old or Pre-existing Building ~.~gPY ..... Vacant Land ............. Location of Property ........ Willow. Terrmc¢. La~-e .......................... Qr, i,e,n.t, ........ House No. Street Hamlet Richard Manfredi Owner or Owners of Property ............................................................ 026.00 02.00 047.000 County/ax Map No. 1000 Section ............... Block ............... Lot ................ Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........... Date of Permit .......... Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee submitted $ 10.00 Construction on above described building and permit meets all applicable codes and regulations. Michael J. Hall Applicant .................................................... Rev. ~0-10-78 FORM NO. $ TOWN OF SOUTHOLD Building Deparfment Town Clerks Office Southold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in triplicate to the Building Inspector with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, an6 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 installations, a certificate 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 formation required to prepare a certificate. Date .....,.~.../......~... ................... New Building ........~ ..... Old or Pre-existing Building ............................ Vacant Land ............................ Location Of Property .....~..../..~,.~.,.~..~......~...1~../~...~.~..(~..~_,~ ............. ~.....~...~.~../~......?. ......... ...~...,...~..... Owner Or Owners Of Property ....... ~.J..~....~..~..4~..~... .......... .,~.~.~......~..~..~.~..~.. ................ Subdivision ..~.J.~,..a./-~.....~'..~'~..~..~'..~-.Lot No.....~...... Block No ............. House No ............. Permit No..~..~.~.~...Z. Date Of Permit ~Z../~..~..~..Applicont .~J?,¢~....,.~....~.....~..~...~ Health Dept. Approval ............................................ Labor Dept. Approval ................................................ Underwriters Approval .............................................. Planning Board Approval ........................................ Request For Temporary Certificate ............. ~ ..................... Final Certificate .......................................... Fee Submitted $ .................................... Construction on above described building and p~_rmit meet~ all applicable codes and regulations. Apphcant .~ .......... ; .................. : ......... Sworn to before me this ....... dayof ,stamp or sea,, Notary Public .................................... County JAPtE.5 F. DOUGLA,$$ _r!r ~ E COM~_Atj__'/ NO,~Z714§5, 'J' ~'il~'~.' ~" TOWN OF SOUTHOLD BUI~ING DEPARTMENT ~0~ CLERK'S OFFICE ~..,.. .~.:..~.' ., ~....~ ~, Disapproved a/c .............. ~)......_....._.._._........... .... ............... . ............................................. .......... ...... (Building Inspector) APPLICATION FOR BUILDING PERMIT a. This application must ~be completely filled J~ by .typewriter or n ink and submitted ~n ~riplicate to the Building Inspector, wit 3 sets of ~lans, e~,~ri~te ~lot plan to"scai&, Fee, according'to' sohedule. · b. Plot plan showing location of,-dOt and of buildings on pr'~ises, relationship to ad oining premises or public streets or areas giving a detailed descril~'gn~q~ layout of property must be drawn' on diagram which is pert of this application. c. The work cove ~r~dby this application may not be commenced before issuance of Building Pqrmit. d. UPOn al~oval' of this'al~plic~tion, the Building Inspector will issue a Building Pe~mit'to.tbe applicant. Such permit shall be kept or~ the prem~ e~iJabla fo~,inspe(~tion~throughout the work. ' ' " - .e, N~ ~ou~di~l~all .be, o¢¢upmd or used ~ri v~hole or in I~rt for any purpose whatev&r bntd a Certificate of Occupancy shall have beer~ granted by the Building Inspector, · APPL~6,TIQN IS HEREBY, MADE to the Bulldog .~epartment ~fOr the issuance ~of a Building Permit pur'~llns to the Building ' Or.d. ina[~ca,~?,~.th.e Town of ~O~J. thold; ~uffolfi County,,NevJ, York, and other apl~icable Laws,Ordlnah~ or Re~llatiens; f~r the con~'ucflon buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable ordinancee~bpild!n~code~ h~usmg code, and regulations, and to admit authorized inspectors on premises and in buildings ?~ cao~sary inspections. (Signature of ~ if a ~argor_ation) ........................... i×~';;;';;';';~'~'.'~,, ~' '~- State ~ ~icant is owner, lessee, age~ nt, architect, engineer, general contractor, electrician,, plumber Or builder. Name ~ owl~'-,o( pretenses ............~..~ ......... ~ ............................ a , signet ~r~ of, du ~h, orize_d oflcer. .... ~.~~~..., ........... /: ~"/~7 1. Location of I~cl on which proposed work will dbe,_~Q.q~. Map No.'.' ..,,... ~1~., ...... Lot No, 2. State existing use and occupancy of ~lld ' ~ · ~tende~l_ use and. occupancy of proposed construction: a. Existing use and occupancy ~.',..,*,~~. ~. b. ~ use and occupancy ,~..~Z::;;~..~...~ ........ --.- - _._ ~; ~,...~ ......... 3 3. .Nature of work (check which applicable): New Building ...... ~ ....... Addition ................... ..,~Alte[at~on.....,.a..[~'~:~,~ .... Repair ......................... Removal ......................... Demolition ........................ 4. Estimated Cost ...~ ............. Fee .......... ~.....~......O.. ................................................. (to be paid on filing this application) 5. If dwelling, number of dwelling units ....... ~.. ...... Number of dwelling u~ On each floor .;......~... ........................... If garage~ number of cars ............. .~... ~....:....(~. ~. ~. ....................................................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................................... 7. Dimensions of existing structures, if any: Front .....................Rear; .............. ~ ........... Depth ................................... Height ........................................................... Number of Stories ....... , ..................................................................... Dimensions of same structure with alterations or additions: Front,,.....~:,...: ............ Rear ......................................... Depth ............................................. Height ......................................... Number of Stories ........................................ 8. Dimensions of entire new construction: Front ...... ~',~.....~. ...... Rear ....... Z.~... ......... Depth ........ ~l~i.~... .......... Height ............ ./-...4,~.. .......................... Number of Stories .............. ~........~.....~..~/.,~.. ........................................... 9~. ~'S~ze of lot:' Front ........ .~...~..~..,..~ .......... Rear ........ .~.~...~....~ .............. Depth ............. ~,.~..~.....~. ............... Height .................................................... Number of Stories ........ 10. Date of Purchese ............... ~..~..~...~.. ..... Name of Former Owner ~~~.'~t...~.~ . .,.~ 11. Zone or usa district in which premises ere situated ...a~,~-~.. ordi~ 12~ Does proposed construction violate any zoning law, hence or regulation: ............. .'~...~. ................................. 13. Will Iotberegraded--...~J~ll~.<l;). .......... Will excess fill beremoyedf~mpremisas: J)~ Yes ~ [ ] No ,.me o, Ow r ,.m. PLOT DIAG ~AM .~ - · ~:cb~l~ ~d ~m~y ~ ~ldl~ ~h~er exi~ing or propo~, and i~i~ all ~t~ dimensi~ ~m ~ li~. G~ ~t and~k numar or d~ipfion ~ording m d~, and ~ i[i~t n~es and indi~ ~- ~ i~ ~%~or~r 10t. - -- STATE OF NEW ~(ORK, -) COUNTY OF ...... J~,~mc....*~..----.,~,e~,,~,.~.).~.~ ,~ ,, ,~'~.d~.~.'~-..~......~..: .~-.-.~.....t~....~-.~.4.~.~.~. ........ being d~l*t~Worr~, depose, and says that,he is the app cant above named . ~' .' .. ,f~c~o[~.#iv~l~co~t~ ' ~. ~ -- ,. ,.' '. '-'L., ,. \ ,, ~ , 2 . ~. [Cot~ctor, agent, corporate oJ~Ere~tc.) ~f said owna~ or own~r~, and is duly authorizac} to pe~f.oi'm Or ha~.e performed tha ~ai{:l. work and"~to maka and fila this application; that statements contained i_n this application are true'to'.(he b~ 0~f his k~n~wled~ a'nd beliet~?and that the work will be performed in the set forth in the. ,app!icati~n fitnd tbe .r~with. ...................................... day ' ~ % of .................................. ~ ............... 19 ......... ;... County ,,~ ~m'"'"' O~ ,0 ........................... '%~ Notsry Public ................... ;. ................................................. Approved -' ........ Application No. ~ ............. ~ ................. (Building Inspector) APPLICATION FOR BUILDING PERMIT , Dot~ ...............,~ .~/.........m? ./........., INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building Inspector, wit 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Pict plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, an giving a detailed description of layout of property must be drawn on diagram which is part of this application. 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 issue a Building Permit to the applicant. Such permit shell be kept onI~ 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 beel~ granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building ZoJ- 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 alt alNJlicable laws. ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. (Sigffature of applicant, or name; ifa corporation) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. 1. Location of land on which proposea work will b~.~Jgne .................... Map No.: ......................~/ .~.....~ Lot No....~.. ..... Street and Number ~'~ ~, '~ ............................................................... Mun~pahty ~/' 2. State existing use and occupancym~se_s~~p_~m ~ , _cf r~m'ses and intended use and occupancy of proposed construction: a. Existing use and occupancy .~/~~....~ .................................... ,-.~.,~: ...... ' . ' b. Intended use and occupancy ............ ~..,~.....~.~....~.L~... ..... - .............~ ....................... Addition .............. ,.... AI,teretio ........ R~pair ........................ Removal ......................... Demo[it[on ........................ Ct 4. Estimated Cost .. . ~.a..&~g~ ....... : Fee ....... ~ ............................... : ................................. ! - (to be paid on fi~ing this application) 5. If dwelling, number of dwelling units ...... ~ ......Number of dwelling units on each floor ......... ~ .......................... If garage, number of cars ............................................................................................................................................ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of usa ..................................... 7. Dimensions of existing structures, if any: Front .....................Rear ........................... Depth ................................... Height ........ i .................................................. Number of Stories ............................................................................. Dimensions of same structure with alterations or additions: Front .......................... Rear ......................................... Depth ............................................. Height ......................................... Number of Stories ........................................ 8. Dimensions of entire new construction: Front ......................... Rear ............................ Depth ................................. Height ................................................. Number of Stories ................................. ~ ....................................................... 9. Size of lot: Front -, Depth ...................................... Rear ................................................ ,, .......................................... 10. Deteof Purchasa....; ............... ,a~..~.,t~'.~.. Nameof Former Owner...~. ...... .._ ,,~ ........... 11. Zone or usa district in which premisas are situated ......... 12. Does proposad construction violate any zoning law, ordinance or regulation: ............. .~,~al~....; .............................. 13. Will lot be regraded _ ~......~ ..... Will excess fill be removed from prem~sas:,UCJ Yes [ 14. Name of Owner of premises .. .~..,,7'Ck~. ..... ~'(Address) (Phone No.) · Name of Architect ................................................................. ; ................................................................. Name of Contractor ~RC~¢~...~....~,~.~.~,~...~. ............. .~{~t.~_,~{~.~...~~[~..-.~° (Address) (Phone Ne.) PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all sat-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate wheth- er interior or comer lot. r STATE OF NEW YORK, ) / '~''~ / COUNTY OF ...................................................... ) .S~. _.. .~ ...."~' ~f ~="' "/"' ~.~.~.'~.../........~.......~i~..41';1~..~.~.~ ............... being duly sworn, deposes and says that he is the applicant above named. (zVame of individual ~gning contract)/I . . ..~ ~.,. ~_ _ ~, ,,,a~'_ ' ~,lr~r ~*' ~ ~ ~' * He is the ( CoContr~ctor. a~ent, coroorat ~----- -- 'rac o, agent, corporete ~fi~, ~c~) ' of 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 work will be peYformed in the manner set forth in the application filed therewith. ...................................... day of .................................................. 19 ............ Notary Public ...................................................................... County .. 'PA N~ ~.L 5 PAP_TITIO~J S ~:,U1LDI NG LINE__ Z ul 4°3°/FI~ L F~L PAF~ P_L'~ ,b PARTITIONS ALL F~OOM~ ~ II WALK II --~--K>C:OF DVI~I~HAN~ LIN~ H~I~E Of-iL",( -- ZI'_o, ?z'~ 4'-0" JISY~" 7:-I~/z'' J CLOSET ~L-c~' I::'AT[O DOOR i II r'(~ L FL oofR PL~h4 FULL J "¢&'f, Z Z FROI'-~T ,S,C. 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DAR C)~::T~,I L 5 I -- 'E:,DL. ~×~O JOI~ 2J~6 S4LL 0 1 \ W 84" BO'~ ~N~ HL W D~ DO I HL HL KI¥~ H ~__ h4 L~,YO U% KITCHEN CADIHET~ WILL f~D 'r~IANGLE PA~IC-CAMELO'F ~T'r'LE O1~ ~A×O~4y ~TVL~ HL cD ou N ]--$~t~. 'TOp