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Home My WebLink About209-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Buildin§ Inspector Town Hall Southold, N.Y. Certificate Of Occupancy THIS CERTIFIES that tile. bmldmg ................................................ Locat,on of Vroperty. ~ 0.'!? ..... e.~.5. 7....~' ~. ~. ~..."ST...~.....~..'.~..~. ~. .... .~.?... ~! .~'..~ :~ House No. Street Hamlet County Tax Map No. 1000 Section .... .~..~ .... Block ...... ~ ....... Lot..~..~ ............. Sub&vision...~/.~,..~.l.6..N ..... .~..~..~.0..~ ...... Filed Map No.~.O?..~.2..Lot No. ~...O. ......... conforms substantmlly to the Application for Building Permit heretofore filed in this office dated ......... 0.~. ~...7.~, lcd.., pursuant to which Building Permit No... dated ............. ~.~ ~. }.~ ...... I~ ,was issued, and C~,s to all of the requirements of t~apphcab]e p~ov~s~ons of the law. ~he occupancy for whic~ ' ~ ' . ........ we,. ~.g~. ~.~..~.( th, ~,~t,~,c~t~ ,, ,,~,~ ~o .(~5~F.~..~.. ~?.. ?.~ ~.~.. f.'.~.~ ................... [owner, ~d o~ t~e aforesaid braiding. ................... ~Z. Building Inspector Rev 1/81 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 .,F.~S ~l:'let~,~..]~ ...................... Street Map No ~J~___t*iOip,. ~/~g~tl~r ....... Block No .......................... , Lot No .~.0.t ......~..a..~.t....~.o..n! conforms substantially to the Apphcatlon for Building Permit heretofore filed in this off~ce dated ..................... ~.~_~1~.]/'.~'~..19 .~.., pursuant to wh,ch Build,ng Permit No .... .Z....~....0~. ......... , dated ...................~.-~-~......~.LI' ..... 19.~'.~.., was issued, and conforms to all of the requirements of the applicable prows~ons of the law The occupancy for which this certificate is issued is ............ .................................. PEi~.A~E..DWE~LING .............................................................................. This certificate is issued to ..~{~1:~;. ~r~t~ ...... (...Q!tl~,~'.) ............................................ (owner, lessee or tenant) of the aforesaid bu~ld~ng FOI~IV[ 'NO. 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) Perm:sston ~s hereby granted to to ...... :[~lZd nevi dw~l.l:t.~; ............................................................................ at prem,ses located at .. ~_~/J] Gi~].~t, ])~ tr ' ]'~t~0~ .~._~?"~K~CI~. ~,~1~ .~) ................... ................................... Ea~t..l/,ar:i.o~a,..,I,h,.~'o .............................................................. pursuant to apphc(:tlon dated ......... ~-~--~. ~!J'.l, ......... 19 ...~'~, and approved by the Budding Inspector, Fee $...3,0,00 ....... FORM NO. 6 TOWN OF SOUTHOLO Building Department Town Hall Southold, N,Y, 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions 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. Finat survey of property with accurate location of aH buildings, property lines, streets, and unusual natural or topographm 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 instal~a- tions, a cert~hcate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit P~anning Board approval of completed s~te plan requirements where applicable. For exist;n§ buddings (prior to April i957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peoperty showing all property lines, streets, buitdings and unusua~ 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 ct.her pertinent informa- tion required to prepare ~ certificate. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1.00 $5.0O New Budding ............. 01d or Pre-existing Budding{X). _.>q .... = ZVacant Land Location of Property/~'-~East Gillette Drive, East Marion, New York /-louse No. Street Hard/et Owner or Owners of Property Charles J Sraitl3 and Adele F. Smith County Tax Map No. 1000 Section .... 0,3879.0. .... Block . .q4r.0P ........ Lot ....9.2. .-.q99 .... Subdivision .... .M.a..r.i.o.n...Mg.n.n.e..r ............. Filed Map No. 2038 ,Lot No. 80 Permit No ........... Date of Permit .......... Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ...................... ,.. Underwriters Approval ........................ Planning Board Approval .................. ~ .., Request for Temporan/Certificate ..................... Final Certificate ........ Fee ~ubmitted $ ............................. CRUsEI~ & tt~LL$ April 28, 1982 Town of Southold Building Department Southold, N.Y. 11971 Re: 80 East Gillette Drive East Marion, New York Gentlemen: I enclose herewith application, in duplicate, for a Cer- tificate of Occupancy for an existing building erected prior to 1957, together with a survey, in duplicate, made by Van Tuyl & Son dated June 28, 1966. The building shown on the survey was erected, as indicated on the application, prior to 1957. The department indicated by phone that a permit for an addition was issued on May 20, 1975 under No. 7943. This application was submitted by Mr. and Mrs. Smith for the sole purpose of screening an existing porch and not for an addition. They were advised by your department that the screening of a porch did not require a building permit and, therefore, no certificate was issued in connection with that application. I also enclose our check for $5.00 for your fee in issuing the Certificate of Occupancy on a pre-existing building, and trust that you will issue such a certificate and forward the same to this office. Very truly yours, CRUSER & HILLS GEORGE L. CRUSER GLC:ra Enclosures - ---4 · - ,~ Z 0 ' / ---:~.~.~;-~~~ AECHIBALD k,t~c ~'~' .... ~"~':~-~' ~ ETHEL JAIqE MANDY -, BUILDING DEPARTMENT TOV~[ OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location 1645 East Gmllette Drzve East Marion (number & street) [Munmczpai'~ty) Subdivision Marion Manor Map No. 2038 Lot(s) 80 Name of Owner(s) Charles J. Smith & Adele F. Smith Occupancy (type) Admitted by: Mr. Smith owner (owner-tenant) Accompanied by: same ~ Key available Suffolk Co. Tax No. 038-04-024 Source of request George L. Cruser, Esq. Date 4/28/82 D~LLING: Type of construction wood framed Foundation cement block Cellar full Total rooms, 1st. FI 5 2nd. FI #stories Crawl space 3rd. FI Bathroom(s) 2 Porch, type screened in Breezewa~ Type Heat ozl fired Fireplace(s) 1 Domestic hotwater yes Other Toilet room(s) Deck, ~ype Garage one - c a r 'garm Air No. Exits 2 Type heater Patio, type__ Utility room Hotyater x Aircondi~ioning tankless ACCESSORY STRUCTURES: Garage, type const. Swimming pool Other NONE Storage, type const. Guest, type const. VIOLATIONS: Housing Code, Chapter 52 _Location ~ Description A. rt.: t Sec. .h. allway no smoke detector A-406 A-510 State B...uilding Code ~ara~e No 3/_4 hr. fmre sep.aratiQn bet. w~en..~arag~ .and dwelling. A ~02-3.6 Remarks: Inspected by: ~~~_ ~~a. te of I~sp. May 11, 1982 Curtis W. Horto"n Time start 3:30 end 4:00 BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location Subdivzsion (number & street) Map No. [MunicipalitY) LOt(S) Name of Owner(s) Occupancy Admitted by: C~._/~.~¢? Key available (own er- tenant) Accompanied by: Suffolk Co. Tax No. Source of request , Date Ty'pe Of c~onstruoti~_n_ /~/~~ ./ #stories Foundatzon ~~. _~ Cellar ~ Crawl space Total rooms, let.' F~~2nd. F1 ~ 3rd. F1 '' oro , Breezeway ~ ~ ~age ~l~ Utility room . J k ~ Bomes~ic hotwa~er ~l~ T~ heater ~~ Other ~ ~ ' ~ ACCESSORY STRUCTURES: Garage, type const. Swimming pool Other Storage, type const. Guest, type const. VIOLATIONS: Housing Code, Chapter 52 .... Location ...... Des, cri,,ption .... Ar.t" Sec. .~,~,~ ?~.~..L/_ M~/ ,_, ............ Remarks: Inspected by: Date of Insp. Time starts---end FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ................... No. .......... Disapproved a/c ~_~..~....~......./~~ -~~' ~ (Building Inspector) Application No .............. .7 ............. APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and suJ~mitted 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 o 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 port for any purpose whatever until o 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 and regulations. .......... ............................... (Address ~f applicant) State wheth,er applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. If applicant is a corporate, signature of duly authorized of 'c . (Name and title of corporate officer) 1, Location of land on which proposed work will be done, Map 1'~: ,,,.',,,~,~. ........ ~ ......... /,,,/(Z,'L-Lot No: ,,~,,~,_ ........... Street and Number ..... ~.:~.'.././~.././....J~...~..J' .~.~. ...................................................................................................... Municipality 2. State existing use and occupancy of pr,emises ancJ intended use and occupancy of proposed construction: o. Exist lng u se a nd acc upa ncy.... ~.'-~..~..'..~...J ................................................................................. b. Intended use and occupancy....~~ .................................................................... 3. Nature of work (check which applicable): New Building.....~,../. .......... Addition .................... Alteration .................... Repair ................... Removal ...c,~, ............. Demolition .................... Other Work (Describe) .................... 4. Estimated Cost........./.'./~.~...Z.~. ..................................... Fee ..... .'./~'.'." ......................................................................... (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: Frant......~.~..~.. ............ Rear ....2~,~....~. ............... Depth ............................ Height ........ ,~.~:...~. ............ Number of Stories ....... ~ .......... 9. Size of lot: Front ./..~.~(~ Rear /~ ' Depth ...... , ..................... : ................................................ /0 10. Date of Purchase ...:..¢~./.~.~..Z.../.~..~.. ................ Name of Former Owner ..(:,.,~.-t..C~...c~..~ .... 11. Zone or use districrt'/iin which premises are s~tuated .......... .~. ............ .- ...................................................................... 12. Does proposed construct on v o ate any z~ning law, ordinance or re~ulation?~)......~'~ ....................... ..<-~~~~'~o / .~.,.~.~.- ....... Owner o prem.ses...b.:.~...~...~:.~.v..~adress .......... -- ~r~:..~. .............. Phone NO. ................ 13. Name of Name of Architect ........................................ .'.J'.i ............ Address ............................................ Phone NO ..................... Name of Contractor ...... ...~!.,/" ..::~..z,~...~?.t~'~'~ ........... Address ..~'~t-"~, ....................... Phone NO. ~. / 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 whether interior or corner lot. STATE OF NE~j( ) COUNTY OF~...) S S. ........................... ~r,~.,kc~.,~.-~'..~:~...~ZJJ.i ........... being duly sworn, deposes and says that he is the applicant (Nam~'of in,dfvidual signmng/apph' ' ",cetion~ above named. Fie is t~'e .......... .~..~.~~'~'~" .......................................... (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 th~ewith. Sworn to before me this ~ .;~ .~ ~