HomeMy WebLinkAbout1248-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
UPDATED
CERTIFICATE OF OCCUPANCY
No Z-19791
Date MARCH 14, 1991
THIS CERTIFIES that the building NEW DWELLING & ACCESSORY
Location of Property 8795 NASSAU POINT RD. CUTCHOGUE~ N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 118 Block 4 Lot 14.2
subdivision AMD A NASSAU POINT Filed Map No. 156 Lot No. 70
conforms substantially to the Application for Building Permit heretofore
November 2, 1960 &
filed in this office dated November 3, 1972 pursuant to which
Z-1248 (Dwelling) November 2, 1960
Building Permit No.6274Z(ACCY) dated November 30, 1972
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 & ACCESSORY GARAGE (ZBA APPROVAL) *
The certificate is issued to ROSEMARIE BURNSIDE
( owner )
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N83791-APR. 12, 1973 (GARAGE)
PLUMBERS CERTIFICATION DATED N/A
· THIS CERTIFICATE UPDATES CO Z-1079 DATED 7/27/61 (New Dwelling) and
CO Z-5233 DATED 6/28/73 (Accesso~arage). ~
.
Building Inspector
Rev. 1/81
FORM 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? 1248 Z
Date ................... ~OVO~f)~-..-.. ~. ............ 19.~C)..
Permission is hereby granted to:
A]. ly. ne..... C~ o~j~. ..................................................
..... ~a~s ~U...Potn.~..Road ..................................
................ (~,a%ehog:ue ~...-..N-~.~.,; ...........................
to ..... Bu:LZcl...n~w...on.e.. f.a~l~., d~ell,t,~ .................................................................................
at premises located at ..lo.t,..#...2.q,..ZIamsau..2. oJ. iz~..dl~b..~operJ;£ea ..............................
................................. · E/~.....~a.~ ~,~;t...~ei.n.~- .:t, oa~ ..........................................................................
.......................................................... ~ ,¢.~ .q~..~..e..,......~L.~f., .................................................................
pursuant to application dated ..................... .}~lOve~:De~-....~ ................ 19.~O., and approved by the
Building Inspector
Fee $..~...0.,~..0., ,0. ...........
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPJdlTMENT
TOWN ~ALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter OR ink and submitted to the building
inspector with the following: for new building or new use:
1. Final survey of property with accurate location of all buildings, property li~es,
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 1% 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.
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 sompleted application and a 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. Busigesses $50.00.
2. Certificate of Occupancy on Pre-existing Building - $i00.00
3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Dat March 11, 1991
New Construction ........... 01d Or Pre-existing Building...~.qg..
Location of Property 8795 NASSAU POINT ROAD CUTCHOGUE, N.Y.
House No. Street Hamlet
ROSEMARIE BURNSIDE
Onwer or Owners of Property ..............................................................
I 18 4 14.2
County Tax Map No 1000, Section ............ Block ....... Lot .........
Subdivision .............................. Filed Map ............ Lot .......
~ .. 11/30/72
Permit No .... 6274 Z .Date Of vermin ............... Applicant. BIRTWHISTLE & GIBSON, P.C
Health Dept. Approval .......................... Underwriters Approval .........................
Planning Board Approval ~
UPDATED
Request for: Temporary Certificate ........... Final Certicate .... q:gP.
Fee Submitted: $... 50.00
~Z~L-~- ~. CRAIG GIBSON, ATTY
BIRTWHISTLE & GIBSON, P.C.
L /kLAN BIRTWBISTLE
CRAIG GIBSON
March 7, 1991
Building Department
Town of Southold
Town Hall - 53095 Main Road
P. O. Box ]179
Southold, N. Y. ]1971
516 537-1020
FAX: 516 537-1029
MAIN STREET, P. O. BOX 980
BRIDGEHAMPTON, N, Y, 11932
MAR - 8
RE:
Rosemarie C. Burnside
S.C.T.M. 1000-118-4-14.2
Certificate of Occupancy
Dear Sirs:
My client, Rosemarie C. Burnside, is currently under Contract of
Sale for her residence, Lot 70, Amended Map A of Nassau Point. I
am requesting that you department issue an updated Certificate of
Occupancy in the purchasers' names (Stanley Keating and Joan M.
Keating).
I have enclosed a guaranteed survey of the premises and a check
for $50.00 payable to the Town of Southold. I have also enclosed
copies of two previous Certificate of Occupancies for your
information.
Please contact me if you require any additional information or
documentation.
Very truly yours,
BIRTWHISTLE & GIBSON,
.
Craig Gibson
CG/ea
Enc.
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of O~:cup~ncy
~AR ,-, 8 1991
NoZ. ~233 ...... Date ............ .J..u~..e ..... .2.8 .... , 19. ~3.
THIS CERTIFIES that the building located at . .E../~. ~a..s.s.a.u..: pp.~.pt.. ~,qa,~ Street
Map ~o?.a.~.s. :..r.t.....r~r~k No .... ~ .... Lot No...?.9 .... q.u.t.c~9.g.u?.. ?. :.~.:'. ......
conforms substantially to the Application for Building Permit heretofore filed in this office
dated ........... lqoxr. .... 3., 1972. pursuant to which Building Permit No...6..2?.k.Z.
dated ......... I.~gY ..... 39 ..... , 197.2. ., was issued, and conforms to all of the require-
ments of the applicable provisions of the law. The occupancy for which this certificate is
issued is . .P. ri.vate, g.a~ag¢..(a¢¢.e.~OTY..b.u.i..3_¢.i.n.g .-..a2q. p .rgxe. c}..by. .t}.d. Ap.~ .e.a~.s.).
The certificate is issued to Paul J. Burnside ~wner
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval ............
-
7
UNDERWRITERSCERTIFICATENo pending ~ff'~ ?/ /2~ lf73
ttOUSE NUMBER.. $?.c).5 ...... Street ......~p..s.s.a..u...P.o.5. n. ~..R.o.a..d. ........................
TOWN OF SOUTHOLD
RUILDING DEPARTMENT
'I'OWN CLERK'S OFFICE
SOUTHOLD, N. Y.
CERTIFICATE OF OCCUPANCY
TI-IlS CERTIFIES that the building located atEg,{~...l~azsa.u...po.~.n.~..ttoad ......... Street
Map -R~.s...a.-u.- ....P~....'.,...C...ll~t~oc]~l~ ...... mm ........... Lot No. ~.Q, ........ gxttehogua ...............................
conf~x~ms subsiantially to the Application for Building Permit heretofore filed in this office
dated ...................... No~rembe.l*...2.., 19..(~1~ pursuant to which Building Permit No....~..],2~.~..
dated ....................... l~o.v, erahe2...~, 19~.0..., was issued, and conforms to all of the require-
ments of the applicable provisions of the law. The occupancy for which this certificate is
issued is ....... ~z'~,.v.a~te..one...2ara~_ly.. rt~.el:[ing ...........................................................................
This certificate is issued to .... kl.l. yme..6~>gah .................. Ox/nor ............................................
(owner, lessee or tenant)
of the aforesaid building.
Building Inspe~tiSr
BIRTWHISTL~ & GIBSON, P.C.
ATTORNI~"/S AT LAW
k ALAN BIRTWHISTLE
CRAIG GII3SON
March 11, 1991
5~6 537-1020
FAX:516 537-~029
MAIN STREET, P. O. BOX 980
BP, IDGEHAMPTON, N, Y. 11932
Building Department
Attn: Helen
Town of Southold
53095 Main Road, P. O.
Southold, N. Y. 11971
Box 1179
RE:
Rosemarie C. Burnside
S.C.T.M. 1000-118-4-14.2
Certificate of Occupancy
Dear Helen:
Pursuant to your request, I have enclosed a guaranteed survey of
my client's residence in order to obtain a Certificate of Occupany
as described in my letter dated March 7, 1991.
Very truly yours,
BIRTWHISTLE & GIBSON,
By: _
Craig Gibson
CG/ea
Enc.
TOWN OF SOUTHOLD
]~UILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
CERTIFICATE OF OCCUPANCY
TI-IIS CERTIFIES that the building located at]3/~...~Sa.~...l~o.l.ll~..~a~ ......... Street
~ap~.~..a~.~..'.....c...X~oc~Fl~l~ ...... ~ ........... Lot ~,,o. 7O, ........ ~.~.~o~.u~ ...............................
conforms substantially to the Application for Building Permit heretofore filed in this office
dated ...................... ~/0~el~be.~...~.., 19..~ pursuant to which Building Permit No....~...~.
dated ....................... I~o.v.~mhe~....2., 196.0.., was issued, and conforms to all of the require-
ments o~ the applicable provisions of the law. The occupancy ~or which this certificate is
~ssued is ....... l~t.v, ate..or~a...£ami.:~., d~.,l:l, lr~g ...........................................................................
This cert';ficate is issued to .... ~.~.l. Sril~..~§,~ .................. 0'g~l~ ...........................................
(owner, lessee or tenant)
of the aforesaid building.
~uilding ~nspe~t'6r
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
Examined f~'~-V' ~" 19..!:..?
Approved .................................... , ]9 ........ Permit No .................................
Disapproved a/c (~....~.....~
Application No. / ~ ~( ~
APPLICATION FOR BUILDING PERMIT
Dte /~/,~ c~ 19 L/~ 0
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 shah be kept on the premises ova~ilable 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 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 taws, ordinances and regulations.
(Signature of applicant, or name, if o corporation)
(Address of applicant)
State whether applicant is owner, lessee~ o~ent, architect, engineer, general contractor, electricion~ plumber or builder·
If applicont is a corporote, sign:ture of duty outborized officer.
(Name and title of corporate officer)
1. Location of land on which proposed work will be done. Map No: .~.....~..~.~..~....~...~ ......... Lot No:......?....~. .......
Street and Number ...?..~..~.......~..~'Z~......c~.....~....f~....~ ...... ....~....~....~z.....~....~ ...............................................
Municipality
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ...... ~...C~...c.~..S'~.~.L ................................................................
b Intended useondoccu onc ~'~--¢_ (~¢;c~,_~.,~ ~,~,_4~,,~,,¢~
· P Y .................................................. '1 ................................... T ......................................
\ I
PEE~
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
Examined /"~"~1/~ ~ !: o
Approved .................................... , 19 ...Permit No .................................
Disapproved a/c ................................................~ ~......_. ....... ~
...................... ......................
~ (Building Inspector) \
Application No. / ~ ~( ~
APPLICATION FOR 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 ava,liable 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 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 comp y with all appl cab eaws, ord nonces and regular ans.
....................................
(Signature of applicant, or name, if a corporation)
...W. .........
(Address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, gene£a{ contractor, electrician, plumber or builder.
Name of owner of prem scs .... ~ ...................... ~ ......................................... : ...........................................
If applicant is a corporate, signature of duly authorized officer.
(Name and title of corporate, officer)
1. Location of land on which proposed work will be done. Map No: /'~ ~ ~L/~' Lot No:.......~.....~. .......
Street and Number ...?.~...~.......~.~.....~...~ ...... ~..~...&'..~ ...............................................
Municipality
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ...... ~...d~..~..~U?~....~.... ...........................................................................
b. Intended use and occupancy ......... ~.~...... ~ '~.~ ..... ~~ ....................................... ~
3. Nature of work (check which applicable): New Building _....X..,.~. ......... Addition .................... Alteration ....................
Repair .................... Removal .................... Demolition .................... Other Work (Describe) ....................
4. Estimated Cost ! (~ 9, o 0 ff.` ·
..... y ................................................... 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 ca s .............................................................................................................................................
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 ...... ..~....~. .............. Rear .......... ..Z/_....~. .......... Depth ..,~..~ .............
Height ............................ Number of Stones ................................
9. Size of lot: Front ..... J..g..O. .............. Rear .......... /..,...~... ......... Depth .....~./..7.....~... ..........
10. Date of Purchase ................ .J..~...~.....~ ......................... Nome of Former Owner ..... ..~..~ ....................
1 1. Zone or use d/strict in which premises are situoted ......... ~.~. ....................................
13. Nome at Owner of premises. L.~...~..~,....~.,-~vAddress .......................................... Phone NO .....................
Name of Architect ..................~ ................................. Address .......................................... Phone NO .....................
Name of Contractor ...............;.? .................................. Address .......................................... Phone NO .....................
PLOT DIAGRAM
Locate clearly and distinctly oil buildings, whether exis:~ ng or proposed, and indicate all set-back dimensions from
property lines. Give street and block numbers or d~escription according to deed, and show street names end indicate
whether interior or corner lot.
~ /'00~
STATE OF NE~a~ Y~D~I~,. ) S S
COUNTY 0~~...) ' '.
.................... ~ ................. s..~.. ................... being duly sworn, deposes and soys that he is tho opplicent
(N~me of~dividual signing a~plicotion)
above named.~C: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 epplication; that all statements contained in this application ore 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 ~'o,~,y eJl~l~"~r' ~o~
................
Nota,y Publ,c~~.~~nty (SignOre of apphcant)~
~'g,
~ 7.z.z / 7
,~'o 'oo/