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Home My WebLink About15535-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No....z.-16626 Date ...~:e.b.r.u.a.r.y. 2, 1988 .... THIS CERTIFIES that the building CONSTRUCT ONE FAMILY DWELLING Location of Property 1140 Mill Lane Peconic, New York House No. Street Hamlet County Tax Map No. 1000 Section ...0.7.4. ...... Block 02 .Lot 12.3 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ,N.o.v.e.m.b.e.r..1.2.'.. ?.8.6. .... pursuant to which Building Permit No.. i.5.5.3.5..Z. ......... dated .... November. ..... .........28, 1986 ....... .. 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 ......... ONE FAMILY DWELLING WITH ATTACHED WOOD DECKS AS APPLIED FOR The certificate is issued to RONALD & SHEILA RICCA ..................... ?o;?,,,'o; ..................... of the aforesaid building. Suffolk County Department of Health Approval . 8. 6. Z8.0.-72' 0.0.0.. Z. D. e. e.: . ! ] ,.. ! .98. 7. ............... UNDERWRITERS CERTIFICATE NO. N843900 - November 18, 1987 PLUMBERS CERTIFICATION DATED: Jan. 4, 1988 - George J. Berry Rev. 1/81 FO~W~ NO. ~ 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) Ne 15535, Z Permission is hereby granted to: ....~.z..~~~.....~ .............. ..... , ,o County Tax Mop No. 1000 Section ..... ..0.~..~ ........ Block ...... ..(~....'~., ....... Lot No....1.,,~-..:,~.~. ....... pursuant to application dated .... ~..~ ......... ./.....'~.. ........ , 19...~...~.., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall Southold, N,Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted m~ to the Building Inspec- tor with the following; for new buildings or new use: ~.v4~. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. ~ F~2. Final approval of Health Dept. of water supply and sewerage disposal-(S-9 form or ). v'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. Su bm it Plan n lng Boa rd app royal of comp leted site p lan requirements where app l icable. 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 featu res. 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. KS: Additions $25.00 POOLS $25.00 ALTERATION $25.00 {].~7Jertificate of occupancy New Dwelling $25.00, Accessory '$10.00 Business $50.00 '2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, oYer 5 years $]0.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date NewC°nstructi°n ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property ././'~'.?... ,/.~./'~ .~. /~4/~ House No. ' .......................................... Strut ~. ~m/et Owner or Owners of Property ./~.~ ~//l..~..J~... ~'~ .J~/l ¢1'/.~<.. ~]i ~ ¢..~. ....................... County Tax Map No. 1000 Section ....... ~. ...... Block ...q..~. ...... Lot.../.~-..; 3 ....... Subdivision ~/~/~.~.~.~C~)/.V/¢,'~.,~. ............. Filed Map No. ~..~.-. ~f. 7..Lot No. ?'. ,.~. ........ /.A . . ............. Permit No./~. SZS~_Date of Permit /~;.yZI.. pplicant /~¢/??..~.~,..~,'~./~¢//~ Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $..~.~T ...................... Construction on above described building and permit meets all/8t~licable codes Applicant .... (~.. ~..~ .~.''.. ~.' .~..~..~..~. Rev, 10-10-78 TOg'N OF SOUTLIOLD OFFICE OF BUILDING INSPECTOR ILO. BOX 728 TOWN IIALL SOUTIIOLD, N.Y. 11971 January 21, 1988 TEL. 7(;5-1802 Ronald & Sheila Ricca 27 Lawrence Street Farmingdale, New York 11735 To Whom This May Concern, We of Occupancy because .of are unable to complete your Certificate the following reasons. E CLOSEa /-~/ No~erwrit~rs Certificate on file. /-~/ No final inspection has been made. NEED SECOND SURVEY Please contact our office on this matter. Thank you for your cooperation. Certificate of Occupancy Perm.it tt 1 5 5 3 5 Z Bu i l~g Dept. . ***/~/ No Plumber .~3olclcr Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) THE NEW YORK BOARD OF FIRE UNDERWRITERS 1001071 BUREAU OF ELECTRICITY ~-~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT only the electrical equipment as de#crJbed below and introduced by the applicant named on the above apphcat~on number m the premises of Rormld Ricca~ 1],40 Mill LDne, Peconic~ ScuthoI~ in the followlng location; [] Basement [] Ist Ft. [] 2nd FL Section Block Lot tt~s examined on }~O¥1F~I~ ~ ~ 19~7 and found to be in compliance u'ith the require.tents of this Board. FIXTURES RANGES COOKING DECKS vVENS DISH WASHERS EXHAUST FANS FIXTURE OUTLETS SWITCHES FLUORESCENT v~o~ 35 35 39 35 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS TIME CLOCKS UNIT HEATERS MULTI-OUTLET SYSTEMS NO. OF FEET SERVICE DISCONNECT S E R OTHER APPARATUS: ~ot, o~:~: 1-3/4hp 3.~G. FoC. I. 2--Smoke Detector~ Track Li~ting, 12' O' 6 lit. e~ AWO. OF CC, CDND 2/0 I C E NO OF HI-LEG G & S Electric Box 215 Southold, ~,Y. 11971 GENERAL MANAGER /, ,,7- P~'r This certlficote must not. be altered in any manner; return to the office of the Board if incorrect. Inspectors mc~y be identified by their credentlais. COPY FOR~B, UILDING DEPARTMENT. TH S, COPY, OF CERTIF~,, .....CATEM!L)~ST ,NOT BE LTERED IN ANY MANNER. TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR. P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Building Permit No. /5535 Owner ~0 .~d/~ ~ZP ~_J~_ ~I ~"1~% /~II'C. ~ (please print) Plumber ~ ~ (please pr~t)/ I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this ~ day of~/~A.~, . ~,' Notary Public,.~/_-~r~/,/ff County EIARBARA sTEPNOWSK~ Notary Public, Stato of New York No, 48447E2 Oualified in Suffotk County commi~ion Expire: .~5=rc~: ~ 19-~ 765-1802 BUILDING DEPT. INSPECTION ~? FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION AND [ ] INSULATION BUILDING DEFT. INSPECTION ~[~OUNDATION 1ST [] ROUGH PLBG. REMARKS: )~,?~z s'~~ ~, ~,,,~~ INSPECTOR BUILDING DEPT. INSPEi TION FOUNDATION 1ST [ ] ROUGH PLBG. [ ] F/.OUNDATION 2ND [ ] INSULATION / FRAMING £ ] FINAL DATE /9 ~? . INSPECTOR .~,~/ 76,5-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 15T [ ]~ROUGH PLBG. FOUNDATION ZND [ ]' INSULATION FRAMING [ ] FINAL REMAR~KS: .,~.~ ~'/,///,~,/~ OUNDATION ( 1st ) OUNDATIO~ (2nd) OUGH FRA~E & PLUMBING ~NSULATION PER N. Y. STATE ENERGY CODE FINAL -- ADDITIONA'L COMMENTS O,~ HEALTH ~SER¥1CE~ ~TRIJCTION ONLY Area= 5.2::51 Acres N ~2o47 '$O "W~ 440.00' N now or formerly F F Overfon Estate NOTE m: MONUMENT ~ ELEVATIONS SHOWN THUS- z4- :F ARE REFERENCED TO AN ASSL/MED DATUM. NEAREST PUBLIC WATER = P_ MILES ~ WATER SUPPLY= PRIVATE WELL YOUNG & YOUNG 400 OSTRANDER AVENUE, RJVERHEAD, NEW YORK ALDEN W, YOUNG SURVEY FOR: RONALD RICCA ~ SHEILA RICCA LOT NO.3 OF MINOR SUBDIVISION FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1B02 Examined..~.~..~.~., 198.~. Approved .}0~. ·~.~., 19~..~. Permit No../.~.--.~'7..~.~.~. .~. Disapproved a/c ..................................... ................................ (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Received ........... ,19... 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 untii~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, buildeg code, housi~ng code, and regulations, and to admit authorized inspectors on premises and in building for necess~n's.~_~r ~-c~ //'--,.~ .-----~___---~~'~)~.--~-- , . .~¢¢%?.~. '...'% .4~..~Y. ~ ..... . ......................... (Signature of applicant, or name, if a corporation) State whether applicant is owner, lessee>, agent, architect, engineer, general contractor, electrician, plumber or builder. .......... ~. ~ ?~ .~.,, .zS.,, .¢...~...~ ~ ~... ~.~ ~.~.~o...~. .................... Name of owner of premises ~/f~)/0/~Q[~ O~- ~.~...~./..~../.q~ ..~..(.? .~. ~ (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~ .............. Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ..................... ..~.~¢ ~_ZYC_~ : ~-O~ /:': I.Location of land on which proposed work will be don .................................................. ............ ..... ................. .................. House Number Street Hamlet County Tax Map No. I000 Section ~ ~ Block ~ Lot ..... ~..~..'..~ .... 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 . .~. S.~ ~5 ........ ~.(~ ....... ~.~ ................ i 3. Nature of work (check which applicable): New Building .......... Addition .. ' ... Alteration .......... Removal Demolition ' Other Work Repair .................................... . ............... 4. Estimated Cost ..................... Fee ........... , ........................... [to be paid on fihng this application) 5. If dwelling, number of dwelling units .... [ Number of dwelling unit~ on each floor. If garage number of cars . ~ 6. If business, commercial or mixed occupancy, specify nature and extent of each typ& of use ..................... 7 Di nsio sol istingst ctures if any Front Rear ' Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front ............. ! .... Rear .................. Depth ...................... Height ....... ~ .... Number of Stories .............. D~menmons of entire new construction' Front , ~ Re r 10. Date of Purchas J.. · .~J.~. · ................... Name of Former Owns, 7. 1 1. Zone or use dis n which premmes are situated..~ ................... t~ '/: ......................... 12. Does proposed constru.ct~on violate any zoning law, ordinance or retaliation. 14. Name of Owner of pr.g~mi~e~l.~L~/A~'~ .t.<J C. <. 95 Acldress '.~. / L,-.tJ.t,d...~.d. C Name of Contractor ................. Address ........... i Phone No .............. 15. Is this property located within 1,00 feet of a tidal wetland? ; ~;~ ..... No . ~ ' · If yes, Southold Town Trustees Permit maM be required. 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 indicat '. whether interior or corner lot. STATE OF NEW YORK, S.S CgUNTY OF ................. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the .............................................................. ~ ........................... (Contractor, agent, corporate officer, etc.) ! 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 performed in the manner set forth in the application filed therewith. Sworn to before me this ............... /..&. ...... day of ........ "}~ t~XC. ........ ,19 ..~.~ ........ , ,, .... ~ ~ ~ ~ ~ ~ [S~gnature of apphcant) TEST HOLE 0.0 LOAM SAND lB 6RAVEL $.0' COARSE SAND COARSE SAND THE LOCATIOM:~C)F ~l~.S AND CESSPOOLS SHOWN HEREON ARE FRQM F1ELD THE DISPOSAL S¥STEM~ FOR THIS RESIDENCE WILL · UFFOI.K ~UI~ DEPARTMENT OIr HEALm FOR APPROVAL OF CONSTRUCllON ONLY N$3°O~ M/LL aa., L~NE VA/.. 150. ~ 2( now or formerly John 8 dulio Sepeno$#/ (vocont) S 60 °10 '00"£ Area= 5.2:51 Acres NOTE: · = MONUMENT REVISIONS ELEVATIONS, SHOWN THUS: ~4-.a' ARE REFERENCED TO AN ASSUMED DATUM. NEAREST PUBLIC WATER = 2 MILES-* WATER SUPPLY = PRIVATE WELL YOUNG & YOUNG 400 OSTRANDER AVENUE, RiVERHEAD, NEW YORK A~DEN W. YOUNG SURVEY FOR: RONALD RICCA & SHEILA RICCA LOT NOS OF MINOR SUBDIVISION HOWARD W, YOUNG AT PECONIC TOWN OF SOUTHOLD SUFFOLK CO., N.Y. SCALE: I"': 80' DATE: AUG. 27, 1986 SC,~:L~: I" = SO' THE LOCATK)K (]: WELJ-S AND C~SSPOGL8 SHOWN ~ONAK m~ tO ~VA~ ANO/~ ~ ~TA ~TAIN~ F~ .OT~RS. TEL ' -- . The sewqle dispo~ and wMm supply facilities for thb Meatiofl Imve btam inspected by this Department and/w ~and,~oU~,,to_~be sa~idactory. Chik, f of Bureau of Wastew8ter M~nagement ~LL now or f~rmerl~' doan ~ Jul/~ Sepo~ti Areo= 5.231 Acres ~ or formerly F. ~: RLrVIBION$ SEE INSET · - k NOTES 400 OSTRANDE~ SURVEY FOR~ RICCA & SHEtLA RICC& .OT NO. 3 OF MINOR SUBDIVISION." ~T sO~JTHOLO,