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Home My WebLink About535-zFOI~M 1~0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TO~VN CLERK',$ OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the. building located at .~..~....0..~.~...~...~.~:~...~...~..*..~...~..~.~....t~....~... Street Map No ......................... Block No ......................... Lot No ................................................................... conforms substantially to the Application for Building Permit heretofore filed in this office dated .................... .~.~.~e.~...~ ........... , 19....~ pursue'hr to which Building Permit No...~...~.~ ............ dated ....... ~.~.~.~...~. ........ 19...~,wa.s issued, and conforms to all of the requirements of the applicable provisions of the law. The occupa.ncy for which this certificate is issued is ................ PRIVATE FA MIL DWELLING This certificate is issued to ~J~'~i.~tiS 3'. Murphy~ o~ne= (owner, lessee or tenant) of the aforesaid' building. Building Inspector FOBM NO. 2 TOWN OF SOUTHOLD 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.o 535 Z Date ........ ~.~...]~...r.....~ ....................... 19~.... Permission is hereby granted to: Haz'o].d l~e.~sahma~ .... ~.C..... l~a~a~.s..... I~vgh~. ........ ............. ~lat:~ttuekt..ll,Zo .............................. to . JJliJ],~ ..IIIW.. tl¥~t],~.~ ............................................................................................................... at premises located at ...~...,~iJJ3..]l~l~d .......................................................................................... ........................................................ l~aSti.tu~k, .....ll,.~, .................................................................. pursuant to application dated ................. ~cembar.....~ .................... 19.~,~J..., and approved by the Building Inspector Fee $..~.0~0l~1 .......... ui ding nspector .............. J FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec- tor with the following; for new buildings 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 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), Nomconform[ng uses, or buildings and "pre-existing" land uses: 1, Accurate survey of peoperty 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 ot,her pertinent informa- tion required to prepare ~ certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or [and use $5.00 3. Copy of certificate of occupancy $1.00 ~-~ ~P/~7 Date.. April 22, 1982 New Building . .~.. Old or Pre-existing Dui d n~(X)_ ~9.u~s,e, _ ~/Vacant Land - .. Location of Property .O,t.d,~{Ai.~' Rp.~.d_ Laurel~ New York Hou~ No. Street Ham/et Owner or Owners of Property . ~.i~b.e. th H.~z~._,. .................................... y T p N 7~ 7. ~0...6. ' Count ax Ma o, 1000 Section l~-. .... 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 $ o/ .......................... Construction on above described building and Fermit~meets ~II a.p,~ca~le~odes,and regulations. Applicant,.; .... ,~¢~ .... .,.,.. ........ ~ . .. . ............... . ..... Rev. 10.10-78 FORM NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ........................................ 19 ........ Approved ........................................ 19 ........ Permit No ............................... Disapproved a/c .............................................................................................. Application No ............................. (Building Inspector) APPLICATION FOP. BUILDING PERMIT Date ............ ...... /. ..................... .... 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 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 shall 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 hove 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 Lows, Ordinances or Regulations, for the construction of buildings, additions or a Iterations, 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) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ....... .~..~.~ ........ ~5.....~ ................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) ]. Location of land on which proposed.work will be done. Map No: ................. :..z ...... ; ......... ; ...... Lot No: .................... Street and Number...~..'. ........ ~..,...,..~ ............... ~ ......... ~ ................ ................................................ Municipality 2. State existing use and occupancy of premises and intended use and occupancy of propOsed construction: Existing use and occupancy ........................................................... ~ ......................................................................... Intended use and occupancy ............ ~..~ ..................................................................~ .......... 3. Nature of work (check which applicable): New Building ........... ~.........Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost../....~....0...O....l~. ........................................ Fee .~/..0.. ~ ................................................ (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 .................................................................................................................. 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 ....... ~...../.i ............ Rear ........ ..~...?.. ............ Depth .....~...~... .............. Height ............................ Number of Stories ....~~ .... 9. Size of lot: Front .....~...../...~.. ........... Rear ...../..~..O...'~.. ......... Depth ...c~-.....~..~.~...../'..~...0.... Date of Purchase ~ ! ~ ('-~' · 10 ........................................................ Hame of Former Owner ...~.~...~...~ ....................... 11. Zone or use district in which premises are s tuated ~ ..~.....: ...................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? .......... ..~'....0.. .................................. 13. Name of Owner of premises..~.~.....~Address ....... .~.~.?~..L.. ........ Phone NO ..................... Name of Architect ........................ IIK'~I~.~; ............................... Address .............. v ............................ Phone NO ..................... Name of Contractor../~!..:..~..~:;...::...~.. ........... Address ............ i~.'~ii ......... Phone NO ..................... whether interior or corner tot. 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 numbers or description according to deed, and show street names and indicate STATE OF NDWt-'~Oj~I(~.~)/k ) S S ......................... .~...~....~. ,..~~:~ ....... being duly sworn, deposes and says that he is the applicant (Name of individual signing application)~ 0 --~ ' 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 ~nner~t~orth in the application filed~th~ewith. ~ Sworn to before me this N~.~.~ 80[~ [ ~ ~ ~ ~ ~) ~ ~V OWNER PROPERTY RECORD CARD STREET VILLAGE DISTRICT SUB. ·( ' ~' I s. I c~. I ~,sc. RES. ~/O SEAS. LAND IMP. DATE LOT VL. TOTAL BUILDIN~ CONDITION 8ELO~ , Value Per Acre Tillable 3 Woodland Swa mpl~:~l ~.~ Brushland House Plot Tillable 2 Farm Acre Value Tillable 1 AGE NEW NORMAL ABOVE REMARKS ,. :~ ~:..~ ~~~. - ~,~.~ M. mag. Extension Extension Extension Breezewa G~rage !~.~/~_.~i ~'~l q /~J' ,F~;~dation ~/ .... ~~ ..... , ~ ~t. Walls ~ Fire Place Interior Finish . -~. ,' /9 Porch Attic Porch Rooms ]st Floor Potio Rooms 2nd Foor Driveway OWNER TOWN O~: $OUT~-iOLD PROPER'~Y RECORD CARD FORMER OWNER RES. 3// ~ SEAS. LAND NEW FARM VL STREET TOTAL FARM DATE AGE BUILDING CONDITION Tillable Woodland Meadowland House Plot NORMAL Acre Total VILLAGE ~DI-SY.i SUB. LOT ACR. -! ,/37-- TYPE OF BUILDING COMM. CB. MICS. Mkt. Value REMARKS BELOW ABOVE Value Per Acre Value FRONTAGE ON WATER FRONTAGE ON ROAD BULKHEAD DOCK