HomeMy WebLinkAbout1151-zFO~ NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
C£RTIFICATE OF' OCCUPANCY
No....Z...9.~.~. ....... Date ................ D.ec.emb.er......29. ............ 19...60
THIS CERTIFIES that the building IDeated al ..~.~...(~.~-.li~t.t~...Dr. .............................. Street
l_~on Manor
Map No. ~2~ ......... Block No ...... ~ .......Lot No..2~ ............... Eas.t..~.iarlon.~.......N..~.. ............
conforms substantially to the Application for Building Permit heretofore filed in this office
dated ......... ~lal~. .......... .~2 ............. 19.~0. pursuant to which Building Permit No...~...~.~.~.% ......
'lated ............. ~...~.~Y-......2~ ............... 19..~0, w.as issued, and conforms to all of the requirements
of the applicable provisions of the law. The occupancy for which this certificate is issued is
.............. P.~],.v.a.te...~n.e...~amily...d,w~ llt. n~ ..........................................................................................
This certificate is issued to ...... J.,.~ll~./~s~..J~iotlle.~O~, ........... ~e~ ..........................................
(owner, lessee or tenant)
of the aforesaid building.
Building Inspector
FOI~NI NO. 2
TOWN OF SOUTHOLD
BUILDING DEPARI'ME~IT
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? 1151, z
Date ................................. ~.tt~-~..-..2.3 ...... ~9.6~..
Permission is hereby granted to:
J~...B~ g.e s~.. Jameson .......................................
....... E, ·..G~.I.t~ ~.f,e .. ~Jr .......................................
.................... p~ ~.~...~.~,.:t: o~%...... ~ u ~Z.; ..................
to ..... ~.~.Z..~..~.e.~..g~.e....~..~,.$y....~lli~ .................................................................................
at premises located at ....~:J;...,?6t...~j~.~O~..~x'~O~ ........................................................................
.................................................... ~ae~...~.~.~a~ ~z%......~T~ ~ .................................................................
pursuant to application dated ............................ ~Lt~ ......... ~.~ ............ 1960.., and approved by the
Building Inspector
Fee $...lg,.O.~ .........
Building Inspector
FORM NO. 6
TOWN OF SOUTHOLD
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. Final survey of property with accurate location of all buildings, property lines, streets, and unusual
natural or topographic featu res.
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.
For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
tand 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 other pertinent informa-
tion required to prepare a certificate.
3. Copy of certificate of occupancy $1.00
Date ..
/about 1960
New Building .C.o.n.s.t.~.~.c.t.e.d.. Old or Pre-existing Building ............
Fees:
1. Certificate of occupancy $5.00
2, Certificate of occupancy on pre-existing dwelling or land use
$5,00
., ? .............
Vacant Land .............
Location of Property Westerly side of Gillette Drive East Marion
House No. Street Ham/et
Owner or Owners of Property ........ David A, Detrich District 1000
County Tax Map No. 1000 ~ection ... ,0.3.8 ......... Block....09.2 ......... Lot. 99.7 ............
Subdivision.. i~p. ge..FI~t*~(~D. I~Dgr ............ Map No, . 203~ ......... Lot No, , 26 ...........
Permit No ........... Date of Permit .......... Applicant ....... Da~/.id. A,.. De.t.r.i£Jq ...........
Health Dept. Approval ........................ Labor Dept. Approval ........................
Underwriters Approval ........................ Planning Board Approval ......................
Request for Temporary Certificate ..................... Final Certificate .... yes
Fee Submitted $ 5.00
RICHARD PELLICANE
(610) 727-554,4
February 28, 1979
Building Inspector's Office
Town of Southold
Town Hall
Southold, N.Y. 11971
Re:
Property of David A. Detrich to be conveyed
to Dr. and Mrs. John F. Edwards
Premises: Westerly side of Gillette Drive
East Marion
Gentlemen:
Thank you for furnishing us with a copy of the C.O.
in the above matter.
MLC/ds
'Enclosure
CC:
Enclosed is our check for $1.00~
yery trul~ypgrs,
/
Legal A~sistant
Mr. David A. Detrich
1380 ROANOKE AVENUE, P. O. ]~OX ~09, RIVERHEAD, NEW YORK 11901
February 23, 1979
Town of Southold Building Department
Main Road
Southold, New York 11971
Property of David A. Detrich
to be conveyed to Dr. and Mrs.
John F. Edwards
Premises: Westerly side of
Gillette Drive, East Marion
Gentlemen:
Enclosed in duplicate is an application for a certificate of occupancy
in the above matter together with $5.00 check and copy of survey.
We understand that the house was constructed about 1960 or 1961, You
may have already issued a certificate of occupancy to the previous owners,
Frederick E. and Betty A. Hamblet. If this be the case please furnish us
with a copy of the existing C.O. in lieu of issuing a new one.
Thank you.
MLC/mld
Enclosures
ery truly y~?rs,
~ARY L.
/
!
cc: Mr. David A. Detri'ch
1380 RO.~NOEE AVENUE, P. 0, ]~ox ~09, R~VERHF~D,N~:W YOR~< 11901
BUILDER
/
Lo t .~ A
/W',4 N O ~ /Ci' O..4 D
5'/
FORM NO. 1
TOWN OF SOUTNOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
Approved ........................................ 19 ........ Permit No ..............................
Disapproved a/c .......... Lx'I"~"~'""~~~"
......... ..............................................
(Building J/hspector)
Application No....l../....~../. ............
APPLICATION FOR BUILDING PERMIT
Date ........................ ,ZUl ~r...2~- .................. 19..~g. .....
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 port 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 have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuanoe 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.
~//gnature_o~ep. pli_ca.n~w6r name, if a corporation)
~ E~st Gillette Drive
East Ma~ion, L. I., N. Y.
(Address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
................................................. ~m~.r...&...Gene~.al..0.an~r~.~,o~ ..................................................
Name of owner of premises ..................................... ',,T..i..,~.U.Z'~.D,~...J~.~ft~.C~ ..................................................................
If applicant is a corporate, signature of duly authorized officer.
(Name and t/tie of corporate officer}
Marion Manor
1. Location of land on which proposed work will be done. Map No: ........... 2D~. ....................... Lot No: ......~.~. ..........
Street and Number .......................................... GLll.e.t.~...D~.~.v.~t,...E~fi~.i.M,~;i,.~D, ................. .~ .........................
Municipality
2. State existing use and occupancy of p~emises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ............................. ~O~e. ..............................................................................................
b. Intended use and occupancy ................. .],..~t~:i.'].~...D~.e~L'Iiz~ .....................................................................
3. Nature of work (check which applicable): New Building ........ .X ......... Addition .................... Alteration ....................
Repair .................... Removal .................... Demolition .................... Other Work (Describe)
4. Estimated Cost ~12,0D0 . Fee
(to be paid on filing this application)
5. If dwelling, number of dwelling units ............. '1 ................. Number of dwelling units on each floor ........ .-...-..-. .............
If garage, number of cars ............................ 3 .............................................................................................................
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 ........ .~.~..~. ............. Depth ........ 28..~ ..............
Height ......... 't~.~. ............ Number of Stories .............]` .............
9. Size of lot: Front ........],IDa.! ........... Rear .......... 1.OO.'. ......... Depth ........ ],2,O.! ...........
10. Date of Purchase ...........~1/1.y. . .5 ,. . .19.5 6. ............... Name of Former Owner .... ~.eJgb.az'...B]`.a,D_k...~..~.o~ ..........
11. Zone or use district in which premises are situated .................. l~.sl~e~%l.a.],...A, ..............................................
12. Does proposed construction violate any zoning law, ording~nce.or~r.e.g~latiqn? ~,.~ra,~.:tg.n.e,e...~Z'g,~.f.,e~r ..........
13. Name of Owner of premises~.,..~u~.~e.ss...Jamie~J~JressEa, st,..~a,~.i.on .................. Phone NO. 1.~.'~./-t.. ..........
Name of Architect ........................................................ Address ~.....,._.._....:.._....~..........~.........Phonea, st, GfLllet,%e Dz" NO. ~.~.....z? ........
Name of ContractorJ......Bum~e.ss...Ja,ml~.s.o~ ...... Address ..]];:&s.C,..~&on. ............... Phons NO..'l..~.~.Jl, ..........
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from
property lines. Give street and blocl_~( number~, or description accordir~g~_~ and sho_~,' street names and indicate
whether interior or corner lot. /j~ ,<~o,
STATE: OF NEW YORK, ) S S.
COUNTY OF .... ~u f.E o-]2~ ....... )
........................ · ,T..,....~A~./~.S.8...~.al~,lftJ~otl ........................... being duly sworn, deposes and says that he is the applicant
(Name of individual signing application)
above named. He is the ...................................................... ~.ont,~.~,~.t,o~. ..............................................................................
(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
th s opp cation; that ali 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 oppli, qatiog~n filed thereW~h.
2.~9~1. ... day of ~g.'l~ 19 60 ..... £R~~i~if a~l?cant)
................ ,, ,-' t . .%"C,/:'*/~,~,,-/,C. NOTARY PI~LI¢, State of NeW ~m~-.
Natal, Public .~..~:~.~- g' ~ ... County No. 3D-1954300
', . · ..................... ..................