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Home My WebLink About511-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. UPDATED CERTIFICATE OF OCCUPANCY No Z-25441 Date DECEMBER 18, 1997 THIS CERTIFIES that the building. DWELLING Location of Property~214S HAYWATERS RD. CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 111 Block 7 Lot 3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office datedlO/17/57,11/5/58&9/12/74 .pursuant to which Z145, Z511 & Building Permit Nos.7535Z dated 10/17/57,11/5/58 &9/12/74 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 GARAGE & 14' x 22' HREEZEWAY & AM ADDITION TO EXISTING DWELLING * The certificate is issued to RITA M. BOSS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 * THIS CERTIFICATE OF OCCUPANCY UPDATES CO Z-163 DATED 7/~9/1958 CO Z-?~B DATED I~/B/~B, & CO //U~lng Inspector FO~RM~ N,O. 4 TOWN OF SOUTI-IOLD RU1LDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N, Y. CERTIFICATE OF OCCUPANCY . Z 765 D~t~ ~ ~u~..~ 21 19 60. ~o ......................... ~ ~ .............................. ,~ ........ ~ ;~ ..................... THIS CERTIFIES that the building located al .~.~...~,.,...~A~g.~ ....... Street Map No..~..-. Block No ....... &~.~..__Lot No ........................... ~%~.....3176...-~{ ........................ Pt. Club P=ope~te~, Znc. ~ conforms substantially to the Application for Building Permit heretofor~ fiied in this office dated ............................................... 19 ........pursuant to which Building[ Permit No ......................... ~ated ~O~ax ~ 19.~.., was issued, and conforms to all of *~ requirements of the applicable provisions of the law. The occupancy for which this 'c~tifieate~,, is issued is PRIVA~ ~tE F~ILY (o~ner, lessee 9r Tenant) of the aforesaid buHdtn~. k FOR~ NO. 2 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 511 z Permission is hereby granted to: at premises located at lot~. 3Z6, .....[~.~.~.~.B....P.o.j:~..t. ........ ........................................................ E~ako~.~e., .....l'f.,.~., .................................................................. pursuant to application dated .... .Q~..~.9.1,).¢.~...,.3.Q ..................... 19 P.~ , and approved, b,y the Building Inspector B~Oo yard vez-lence granted by ~ o~ App*~Z~- ~¢v. ~0~ FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. E.~.. i'~o ~:.t h.~n o.r.t .~...it... L.. ~... N. ~ ................... PL~^S~ T^K£ HOYIC~ taa~ your oppl~otbn do~ed ....................... !/.c..'.t..g..b..e.F..3..O. ....... 1~}18..... for permit to constructblf'.P..e.~..e..~.~Y....~...J~.a.~.~g..e, at the premises located ate../.~..J.~.~...~.~,.~g.~.~..~q~.. .QgJ2~ b,qg .~ .~...[~g...}{ ................................... Street Ma~a,2s~,~z..P. oJ,rz.~,,~?.]~:o;p,. Black ............................................ Lot ...~/~.~ ................................. is ~J[~f~L~£~J~tJ~Yz~ disapproved on the folJowi ng grounds .~.r.i.~.]~.'!~([~..q.~...e..zl...~...~.~.d.-~...,~...~.?...~. ...... .a..s....T.'.g..q..u.~. F..e.g....u...n..d...e.z..L..~.?.,c..'~ ~..qg...~...0.'~.....q~.%..b...u.;i,l...d..i...n.~...~ .~..2.e.....q;f.~_. 2 ~.e, ........................ Building Inspector FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. £xomined ........................................ / ....... ,~/' / Approved ........................................ 19 ........ Permit No..~...~.~:~..~. ........ ....... Disapproved ................ ........................................... (Building Idspector) £ Applicotion No ..... ..~:..?. ~ ...... APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building Inspector. 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 drown on the diagram which is part of this location. c. The work cov. ered 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 shall 'be I~ept on the premises available for inspection throughout the progress of the work. e. No building shall be occupied or used in whole or in p art for any purpose whatfve~ until .a Certificate of Occupancy shall have been granted by the [Bu'ilding Inspector.~ ~ '~ \ .... APPLICATION IS HEREBY /v~ADE to the Building Department for the issuanoe of a J~uilding Permit pursuant to the Building Zone Ordinance of the ~own of Sou'thold, Suffolk County, New York, and other',applicable Lows, Ordinances or Regulations, for the construction'of buildings, additions or a Iterations, or ~or removal or emolition, as herein described. The applicant agrees to comply ~ith oil applicable laws, ordinances and regulations. , (SignatUre of applicant/, or nome, if o corporation) * (~ddress b~ applicant) State wheth,er applicant is owner,., lessee, agent, ~aFchi~tect~,eng~neer, ge~e~gl contKactoz,;.electriclan, p}umbeE 9[ budde[. Nome of owner of premises .......... ~.~..~. ........ .~.~ ..................................................................... ~~lf ogDJicont is o ~rDorote, signgture of duly authorized ~fficer. , 1. Location of land on which proposed work will be done. Map No:,,...~?~,~:(~/....Z~, ........ Lot No: ...~.Z.~ .... - a 2. St~e exisHn~ use ~nd occup~ncv of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ............./~ ~~.....~4:~. ......... Z. .C.;~ .................................................. b. Intended use and occupancy ............ ; ........................ ~.~.~..~. ............. ; ............................................... 3. Nature of work (check which applicable): New Building......"~, .......... Addition .................... Alteration .................... (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 ....... /.......t~'.~4~.t~.. ...... ~.~...~..~...'~. ...... ;.'fTJ......~..~...~...~.....~....../..~...r]....'~..?...~....~......cr~..~ ............. 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.....z'J.....'~... ............. Depth ./~.....~....~.....~.. ...... Height .....~..y. .............. Number of Stories .......... ~.. ............................................................................................... Dimensions of same structure with alterations or additions: Front .~ ........ .~J'.~...~. .......... Rear ....~..~...:.. ............. Depth ....~...~... ............... Height ....... ./.,~.. ............... Number of Stories ...~..~... ............. 8. Dimensions of--entire new construction: Front......~.i..~. ..............Rear ......'~.....~ .............. Depth .........~...~ ........ Height ..... ./...~... ............. Number of Stories ...... ./.. ................. .Z ............ Depth ..¢;~..~....~..... "__ */,, 9. Size of lot: Front ..z.....~...~.. .............. Rear of Purchase ...~...,d./..~'....~../...,~.~...' / ....................... Name of Former Owner /v,~..~..~././.~.Z'.~.. ...... ~,:, ,,v , ,.~..:.....k1....~.~4~,, 10. Date 11. Zone or use district in which premises are situated ................................................................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation? ......... ,.,..,,,, .................................. I3. Name of Owner of premises./~.~/.....~/-~.~.~...~/...~...~'~¢.~.~Address /Z¢.~.~....~.~-?..~.~ ...~..¢.. .. hone NO...~.~.. Name of Architect ........................................................ Address ........................................ ~...Phone NO ..................... ~ ' Address .....~,...Ad..P.~7....~./F..~..~...r.,¢~Phone NO..47~...¢....ff..:..:./ Contract'~At'Jc'..'g..~"'~-~/~./t~/~./5...e.~.../...~'...c..~,tf* ...~.,.,- ,.~ ~r,-//, ~,¢/¢/~,~'/~ Ay~M(, ¢' Name of JA~ES SCHWARTZ & CO.~ INC. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and ~ndicote alki$1,-I~Fakra~l~651~nklorj,s from property lines. Give street and block numbers or description according to deed, and show str. ~j~j~s~me~.~j/'~l'~if/klicote whether interior or corner lot. STATE OF NEW ~'ORK, . ') COUNTY OF ............................ ) ...................................................... r~ ................................... g g duly sworn, deposes .and says that he is the applicant (Name of individual signing dpplication) ~ / ' ' , ' x above named. He ,s the .............. ~ .............................. C......~ ...................................... J ................................................. (Contradtor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or hove 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 VALENTINE RYAN 4J ~-* of ~ 52-8727425 ~u~u~.' ........... ' ........... TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ~xamined ........................................ 19 ........ Approved....~ ................................... '19 ........ Permit No. ,~....~ ........ Disopp roved a/c..~:.~..l:. ....... 6: :~.~...'~..,:?..:..~.......":.... ~...°...7 ....... Application No....~ ............. APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building Inspector. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, ond giving a detailed description of layout of property must be drawn on the ;diagram which is part of this location. 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 sha~l be kept on the premises available for inspection throughout the progress of 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 Southo~d, 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 and regulations. ..... (Signature of applicant, or name, if a corporation) '.,.:S Z:./. · . . (Address af applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .......................... ................. ............................................................................................... Name of owner of remises ,~z~u J ~..~.....z~..i~'.~/~(.. /,~-c,.~.~.~..~,. If ap~J~ant is a corpo/~lz~te, sign~ature of du? authorized officer. ..-'~ ~,~ ~ ~-'> ~,'"~~~ ~ ....... ,~ . ............ K.~k....' 1. Location of land on which proposed work will be done. Map No: ........ .~..~.~....Y..../..../~...~ Lot No: ..~.Z...~. ..... Street and Number ..... ~..~..~...~.~.~.~.~....~..~.:. ........ ~..~.'¢..5~...~.:~.'.~.~.~.f.~../~'6"~''..C.~.'''~' ............................... Municipality ,~ ',2. State existing use and occupancy of premises an~ intended use and occup&ncy of proposed construction: ............... .............................................. a. Existing use and occupancy .............. .~. · · .~:.~f,~..,/?~. · J. · L~ .~ R..I....~.. b. Intended use and occupancy ............. .~.....~..~..~.'. ......... J~.C.~....~...7..z.?.....~..~?.~ ........ '.J:...../...:~.~. ...... ..~.~¢.'.~.~..... 3. Nature of work (check which applicable): New BuildJng......~. ............ Addition .................... Alteratlon .................... Repair .................... Re~oval .........;.~, ....... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost .............. l~...~,.O... ................................. Fee ................................................................................. ~ ........ (to be paid on filing this application) 5. If dwelling, number of dwelling units ......... ~ ..............Number of dwelling units on each floor ........................... If garage, numD r ca ............. i.~'~. ........... ,~m ................... .~......'.....h.;'~ ............................................. ; ...... ;/'....: 6. If business, commercial or ~ixed occupancy, specify nature and exter~t of each type of use .............. : ............... 7. Dimensions of existing structures, if any: Front ........ Z./.~..~.. ............ I~eer ..:...:....~..'.'.~. ......... Depth ....~..~'...~......'~'...?..~., Height .....Z.~.. ................ ~lumber of Stories .... i ........ / ............................................................................................. Dimensions of same structure 'with alterations or additions: Front ........... .~.....~....../. ...... Rear ....... ...'?...~....~. ............ Depth ....... ~.../.~.. ............ Height ........ ../...~.. ............. Number of Stories ....... L.../.. ................. 8. Dimensions of entire new construction: Front ....... ~....O .............. Rear ........ ~....O. ........... , Depth ...... ..'~...~.. ............. Height ....... ./(...~... ........... Number of Stories ....... / ............... 9. Size of lot: Front .../.~.....~. ............... Rear ...... ~.¢¢....~.. ........... Depth ...'~...~...?.. ............ Purchase .....~.~.l~..././..,~....":~..~..... .......... Name of Former Owner .../..!.~..~....~.~.../..CK....~..~...;..~.~'....~...Q.°./~ 10. Date of 11. Zo~ne or use district in whicqq premises are situated ................................................................................................ 12. Does proposed construction violate any zoning Iow, ordinance or regulation? ........................ ,,. ......................... 13. Name of Owner of premises.~.'~.¢.L..~...~.~.~..'~...~..~.~Address .~../2)~...~.~..~..~..~..~..~.~.~..~.~o~ne~O. '.~.~,../2(...'~..~..."~'/ Name of Architect ........................................................ Address ............................................ Phone NO ..................... Name of Contracta~.~.~.,f..~.d.z~/.//:.~...~.~...(..,O.~./..~..~.Address ~..~.~.~.~.../.~..~./..~i~..;~.~j ........... Phone NO...~..~....~.Z.~...~.~ ~f W~4~t?'~I~'$C~ARTZ & C(L~ IN~. PLOT DIAGRAMs,. 2,~ LARK[~IELD HOAD~ Lacate clearly and distinctly all buildings, whether existing or proposed, and indicate a~,!,~J~t,L~l~j~rksic~s from property lines. Give street and block numbers or description according to deed, and show stjp~jtre~n~m§SS"'~l~'~ ~'~dicate whether interior or corner lot. ' STATE OF NEW~YOR~Ig ~_/) S S ~ ' ' cO?TV ' i..~.." .~..'~'~'/c/ '~'<J~ ~~ ~' . be n duly sworn~ deposes ,and says that he is the applicant .... /..~...z ............................................................................ t" ~ , . 'individual sig~ing appli~a{Jon) ~ .; , (N~me ~f ~,~ ~ '~o~ ~ above named. He ~s the .................. ~ ................................... ~ .................................. ~ ....................................................... (Contractor, agent, corporate o{ficer, etc.)' of said owner or owners,' and s duly agthorized to perform or .have'performed the said work and to make and file., this' application; that ail statements contdJnbd in this app i~cat6n are true to the best of his ~owledge and belief; and'~that the work will be performed in the ,manner set ,forth in the application filed therewith., ', , SwSrn to before me th s ~o~ VALENTINE RYAN i'