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Home My WebLink About31265-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31280 Date: 11/17/05 THIS CERTIFIES that the building ACCESSORY Location of Property: 95 HIGHWOOD RD SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 78 Block 9 Lot 53 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 12, 2005 pursuant to which Building Permit No. 31265-Z dated JULY 12, 2005 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 HORSE BARN AS APPLIED FOR. The certificate is issued to CHESTER L & ANTOINETTE A. CIAGLO (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A 'Authorized Signature Rev. 1/81 Form No.6 r TOWN OF SOUTHOLD I ' BUILDING DEPARTMENT f TOWN HALL lI t 7 20I J, 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPAN T wig Or Su VF HO I This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. 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 I%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. 2. A properly completed application and 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- $100.00 3. Copy of Certificate of Occupancy-$.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential $15.00, Commercial$15.00 Date. CJIIJ r New Construction: Old or Pre-existing Building: (� (check one) \ Location of Property: 7 �� 1Co L�� 1�� 1 D"tV� d 11( 7 House No. St 11 / reet ) H et Owner or Owners of Property: �S't'+°�C 7is.- n��_—� �� Suffolk County Tax Map No 1000, Section Block Lot VVV Subdivision Filed Map. Lot: Permit No. of to S Date of Permit. -1 Z—O � Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ Applicant Signature —-�— Cd �3 f�8o FORM NO. 3 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) PERMIT NO. 31265 Z Date JULY 12 , 2005 Permission is hereby granted to: CHESTER L CIAGLO 95 HIGHWOOD RD SOUTHOLD,NY 11971 for CONSTRUCT A HORSE BARN AS APPLIED FOR. THIS PERMIT REPLACES BP17450 . at premises located at 95 HIGHWOOD RD SOUTHOLD County Tax Map No. 473889 Section 078 Block 0009 Lot No. 053 pursuant to application dated JULY 12 , 2005 and approved by the Building Inspector to expire on JANUARY 12 , 2007 . Fee $ 75 . 00 Signature ORIGINAL Rev. 5/8/02 Fl--LD I;:SFECTION COMMENTS a 3 H FOUNDATION ( 1st ) C\, ASIA. FOUNDATION ( 2nd ) _ _ — mix 2 . .. z 0 ROUGH FRAME & PLUMBING i y 3 . m m INSULATION PER N . Y. STATE ENERGY CODE w ! Q 4 . e FINAL o z ADDITIONAL COMMENTS : m m x ' N A H H 1 z r •' 2 m a ' r H - x v m -o H - — i s SOF SO(/r�, � 194 �* r TOWN OF SOUTHOLD BUILDING DEPT. s , 765.1802 i INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. f [ ] FOUNDATION 2ND [ ] INSULATI N , [ ] FRAMING / STRAPPING FINAL i [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: D / L L e i i i c � ) -7. S DATE INSPECTOR'' o J O O n Z > � O� 5.a, iq moo" W. 198, 40 1 6-T�'•}r 1 oh J O � 6 3 J 0 /q,23"4/3.OU'•E- /71.-'7 y N•`an mod Qoad J BOARD OF HEALTH 3 SETS OF RLANS . Y. • • yrp��1 ynCa ?mw 1i✓ + Ad" FORM NO. 1 SURVEY rwE r �fE' TOWN OF SOUTHOLD CHECK - t/• .ol 1-��P BUILDING DEPARTMENT SEPTIC FORM . . . . . . . . . . . . . : TOWN HALL NOT11 Y SOUTHOLD, N.Y. 11971 CALL- • • � ! ./. TEL.: 765-1802 Examined . . . . . . . ., I9 �� ermure� 3�a1� To : . �.y�9. �C� ApprovedL',✓r� . . . . . ., 19K.(/PermitNo. .L Disapproved a/c a/c . . D 5 . . . . . . . . . . . . . . . . . . . . . . . (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ' 190 INSTRUCTIONS 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 ppl. . . . .or name, if a corporation) in addresg of pljCN State whether applicant is owner, lessee, agent, architect, engineer, general contractor, e``leeclltrric n,llplumber or builder. "Xv\ -. . . . . .... ....). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises (� 5� . .� . (as on the tax roll or latest dee If applicant is a corporation, signature of duly authorized officer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . (Name and title of corporate officer) ALL CONTRACTOR' S MUST BE SUFFOLK COUNTY LICENSED Builder's License No. . . . . . . . . . . . . . . . . . . . . . . . . . Plumber's License No. . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . Electrician's License No. . . . . . . . . . . . Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . Q 1. Location of land on which proposed work will be done. 7.J. . � �yq House Number S Street Y Hamlet County Tax Map No. 1000 Section 1C . . . BlockX ! �. . . . Lot X. . . . �+� . . �. . . . 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 . . . . . . . . . . ./. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b. Intended use and occupancy . . . . . u a44t° . . c!x?Q` ✓�f!1+1 . , '41 ow S(YkA�L ash 3. Nature of work (check which applicable}-New Building . . . . . . . . . . Addition . . . . . . . . . . Alteration . . . . . . . . . . Repair . . . . . . . . . . . . . . Removal . . . . . . . . . . . . . . Demolition . . . . . . . . . . . . . . Other Work . . . . . . . . . . . . . . . Qp � 'j— (Descriplion) 4. Estimated Cost . . . . .� .`. . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . v..� . . . . . (to be paid on filing this application) 5. If dwelling,number of dwelling units . . . . . . '. . . . . Number of dwelling units on each floor . . . . . . . . . . . . . . . . Ifgarage, 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 ofStories . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . I . . . . . . . . . . . . . . . . . . . . . . . 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 ofStories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9. Size of lot: Front . . . . . . . . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . . . . . . . . 10. Date of Purchase . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of Former Owner . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11. Zone or use district in which premises are situated . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. Does proposed construction violate any zoning law, ordinance or regulation: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13. Will lot be regraded . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will excess fill be removed rom premises: Yes No 14. Name of Owner of premises . . . . . . . . . . . . . . . . . . . . Address . . .XT.' Phone No. . . . . . . . . . . . . . . . Name of Architect . . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . . . . Name of Contractor . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . : . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . . . . 15. Is this property located within 300 feet yof a tidal wetland? *Yes . . . . . No . . . . .ed. *If yes, Southold Town Trustees Permit 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. VV (rr T 0 C4t r. c�^7'� T V _ m J Z � z STATE OF NEW YS.S �yCOUNTY OF . . . . . . . . I i i ,((L >. . . . . . . . . . . being duly sworn, deposes and says thatpe is the applicant "� (Name of individual signing c ntract) above named. 'yam He is the . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . agent i i . . . . . . . . . . -_. : :�. . . . . . . (Contracto , orporate officer, et ]) ' of said owner or owners, and is duly authorized to perform or have performed the pwork and to Dake,and file this application; that all statements contained in this application are true to the best of 14_ ledge a f an that the work will be performed in the manner set forth in the application filed therewith. Sworn to before rn thi/s �./ / . . . . �dayof. . . . . . . 1925 Notary Public, . . . . County ///UW 1Is7� 11MYtM1t (S ature of applicant) QWM6d in Suffolk county Commission Expires December 8. 19— JOB No. 05-31 TAX I.D. No. 1000-78-09-53 NpRTN Bq YV/e \ \ R � O,go [49.511 \ f�DQf�P 8 7 5°154 00 8 \ \ 1 q. n fie y.Rro cmc fiy� ?43 Q 2 w t Z0 qqq. r q 0 +aT P ,p3• sp v f38 * 117)b a �G AT qo, dT � S8 \. p 351 f 2 c1YgP N 66°7T to?.q trs y�8, FILE MAP No.5547 NOV 30, 1970 SURVEY PURPOSE:C.O.BARN AND DECK UmtarortMdaaaratbn or addition to this document is a violation of section T" TOWN OF SOUTHOLD or maw Yak State Education Uw SURVEY OF: LOT CertMleetlam Indicated hereon shaa nm only to the Devon for whom n k prepared aInslit tionsNO thTeCeroawliaa'amnnot Wim, `daitionali,sti,eom MAP OF HIGHWOOD AT BAYVIEW or subae4uad owrrere. sOn hate t��copy. eremiadseal«emtaaed BAYVIEW, TOWN OF SOUTHOLD The offsets[ or d mnsiom I shown haaon ham etrrcaras a e,e plopedy Imes are ratsink well..pools.foraswft Wrposeand use and °;;,w,laao 0manto an r SUFFOLK COUNTY, NEW YORK The mdebence of right of ways andfor eacemenh of record,d any,not sInwn are not guaranteed. SURVEY DATE:10/27/05 SCALE:1 1'=30' CERTIFIED ONLY TO: CHESTER AND ANTOINETTE CIAGLO DESTIN G. GRAF LAND SURVEYOR P.O.BOX 794 Rocky Poinf,New York,11778 831.8213442 By DESTIN G.GRAF N.Y.S. LIC NO.50087 FORM NO. B 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) N2 017450 Z Date ....... ................ 19.. Permission is hereby granted too:: �..rGl..� ...... .�. . ........... ........ -. .. ... ... ... .. X971 Q: ...... ...........(/Y/..... .... .... . ..�f , ........................... at pr.mises located at ...........1 ...... . .. .. ,did' .....C.�:.Gil-.............................. oo ........................................... .. ...... ... ........ f......014��r.......... ......................................... ................................................................................................................................................................. County Tax Map No. 1000 Section . .9........ Block .........4l ....... Lot No. .... ..... pursuant to application dated ............� ��.............. 19..:�.. and approved by the Building Inspector. .�Fee .............. ............ . . Building Inspector Rev. 6/30/80 - t FORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD,N.Y. NOTICE OF DISAPPROVAL Date . . . . . . . . . . . . . . . . . . .. 19 To al. ..G� . . ..q . . . . . . . . . . � . . . . . . . ... . PLEASE TAKE NOTICE that your application dated . . . .g/� 9 r. . . . . . . . . . ., 19k�'. . for permit to /�� . . . . . . :�!? l ��i lL�l��.. . . . . . . . at Location of Propertyl, J�. . .�f . . . . . . . . . . . . . . . . . . . . . . House No. Street Hamlet County Tax Map No. 1000 Section . . . . . .7e. . . . Block . . . . . .9. . . . . . . . Lot . . . --�. ... . . . . Subdivision . . . . . . . . . . . . . . . . . Filed.Map No. . . . . . . . . . . . . . . . Lot No. . . . . . . ... . . . . . . . . . is returned herewith and disapproved on the following grounds . /? . . .GGG 67 � ° . . . . . . . . . . . . . . . . - � � . . . . . � � . . . . . � � : � : : � . . . . . . 40 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B� ildi� nspector� RV 1/80 •4:,- -15 /, �� ? � % �� ` r-�. �" - t :'a t;.CA..i• .,..E V \ �� i� ' lip APPROVED AS NOTED BATE: \ FE Lj4 7i-e 4 rvonF BY:4AT.ilN BUILING DET A7 765-1802 9 A y M TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION FOR POURED CONCRETEREQUIRED 2. ROUGH - t 3. INSULATION MING 8 1'UiMBINQ 4. FINAL - CONSTRUCTION MUST BE COM ,y k ALL COMPLETE FOR C.O. CONS THE CONSTRUCTION $1� �T . REQUIREMEfft OF` IM.Y STATE CONSTWjCjM: CODES. fir' YDESIGN OR ON ER rr 40