HomeMy WebLinkAbout1214-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No...~.1.1.4. Q6 ........ Date ...J.a.n..ug.r.X ..3 .................... 19.8.3.
THIS CERTIFIES that the building ................................................
Location of Property 285 Gillette Drive East Marion
hi, ds; ~iol ....................... 's't/e3i ....................... h~r~M
County Tax Map No. 1000 Section 031 .Block 06 .... Lot 003
Subdivision...M.a.r.i.o..n. ~.a.n. 9.r ............... Filed Map No. 2..0¢} .... Lot No..5.9. ..........
conforms substantially to the Application for Building Permit heretofore filed in this office dated
........ J. qn. 9 ......... , 196. 9 . pursuant to xvhich Building Permit No. 12q4 Z *
dated .... J.. u..n.e.. ~. 5. ................19.6. 9, was issued, and conforms to all of the requirements
of the applicable provisions of tile law. The occupancy for which this certificate is issued is .........
a private one-family dwelling.
The certificate is issued to E the 1 J. Br own
(owner, -te~se~.~r ~eeen-t)
of the aforesaid building.
Suffolk County Department o1' Health Approval .n. 9 ~..a.p. p .1.i.q a..b .1.e.-; '7 .n 9.t.. r..e .q.u.i.r..e .d..i.n.. ).9. 60
UNDERWRITERS CERTIFICATE NO .... not applicable--not reguired in ~960
· This is an updated Certificate of Occupancy for this dwelling.
Building Permit # 12~4Z was issued on 6/15/60; Certificate of
Occupancy # 1020 was issued in 3/61.
Building Inspector
Rev. 1/81
FOI~M NO. 2
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. ¥.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N? 121 t, Z
Date .......................... ~e.i)~e~:be~...~,,~.. 19..6~.
Permission is hereby granted to:
,T..]3~xg,e~..~.e~Lte:s.on ........................................
........ E~.~,,.J~e,~.im~ .............................................
........... .~,.~Z .............................................................
to ...~.~...~e..w...~..~e...;l;'.~,&z..~,,t~.;~ ...................................................................................
at premises located at ..... ~O.~..,~9......~.;LoxL,~Cano:te. .......................................................................
................................................... g.i I1~ ~ e...DrJ, v.e s ........ E~ ~...~ ,~z. im~L,..... ~'~ .~ ........................
pursuant to application doted ........................... ~]~......~.~ .................. 191~O..., and approved by the
Building Inspector
Fee $.1 O...O0. ..........
FORM NO. 6
TOWN OF SOUTHOLD
Buiiding Department
Town Hall
$outhold, N.Y. 11971
Ao
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Jnspeo
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 topograohic 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.
For existing buildings (prior to April 1957}, Non-conforming 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 other pertinent informa-
tion required to prepare a certificate. '/
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
$5.00
. OppA~:.~TM..... _. ' ..
New Bullding ............. Old or Pre-existing Building(X) .._.~_ --=/Vacant Land .....
Hou~ No. ' ' ' '
~ S~ree ~ Ham/et
Owner or Owners of Property . . ~/~ ..... ~.:~ ........
...........................
County Tax Map No..1000 Section ..... ~ ~. ~ .... Bloc~ ... ~.~ ....... Lot... ~ .......
Suboivision ............. Fi~ed Map'No .... Lot No ..........
Health Dept. Approval ........................ Labor Dept. Approval
Unde~riters Approval ........................ Planning Board Approval ..................
.
Request for Temporary Certificate ..................... Final Certificate ...........
,ee ~,~mi,,~d S .~... Z ............~.
//
: :.; ?¥'.:'::::'>.? ?,-.... :.?:~. , , · .,'.. :....' ~. ~.q.~
Research
Service Corp. 44 couRT STREET. BROOKLYN, NEW YORK 11201
· 212/23'7-9643
DESCRIPTION (Attach survey if available):
Gentlemen:
In reference to the above premises, please provide BRS with the information
checked below:
~// CERTIFICATE OF OCCUPANCY SEARCH
(Copies of all Certificates of Occupancy, Certificates of Completion
and copies of all subsequent permits.)
VIOLATION SEARCH
DEPARTMENT OF HIGHWAYS MAINTENANCE LETTER
Your cooperation in this matter is greatly appreciated.
Very truly yours,
BARRETTA RESEARCH SERVICE CORP.
By:
FORM NO. 6
TOWN OF SOUTHOLD
Building DeparTment
Town Hall
$outhold, 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.
tot 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 topograohie features.
2. Final approval of Health Dept. of water supply and sewerage disposa --(S-9 form or equal).
3. Approval of electrical installation from Board of F re Underwriters.
4. Commercial buildings, Industrial buildings, Multiple Residences and similar building~ 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), Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate sunzey of peoperty showing all property lines, streets, buildings and unusual natural or
topograph ic 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. ! '
1. Certificate of occupancy $5.00
2. Certificate of occupancy on pre-existing d~velling or land use
3. Copy of certificate of occupancy $1.00 $5.00
New Building ............. Old or Preexisting
Location of Property Hou~
I Hamiet
Permit No Date of Permit '
~ pplican*
Health Dept Approval '
......................... Labor Dept. Approval ......................
Unde~riters Approval ....................... ~Planning Board Approval
Request for Temporary Certificate ' ' ........... '~'
Final Certificate - .
Fee Submitted $ .............................
Construction on above described building and per~ ttmeets all app~e~b~ codes and r ~.1~ '
TOWN OF $OUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL. 765-1802
December 21, 1982
SUBJECT: the Ethel Brown property, Tax Map # 1000-031-06-003
Certificate of Occupancy for private dwelling.
To Whom It May Concern:
The Building Department office records indicate that a
Building Femrit, # 1214, was issued to a J. Burgess Jamieson,
for property located on Gillette Drive, East Marion, in the
summer of 1960. A Certificate of Occupancy was subsequently
issued, #1020. At this time, the file is not available to
us for copies to be made.
Sincerely,
Curtis W. Horton
Building Inspector
CWH:ec
]~0~ ~0. 4
TOWN' OF SOUTI-~/OLD
BUILDING DEPARTMENT
TOWN CI,E~'S OFFICE
SOUTI'~OLD, N, Y.
C~RT~FICAT~- OF OCCUPANCY
No. "Z' 't0'2(~ ....... Date ....................... l~larch.....2.~. ......... ~..,,~,!9....61
TH]iS CERTIFIES that the building located at '"Gi.t'~e.~te..~)l- ...................... al.. ~treet
Map No.l~al~.:[Ol~..~D~]Ttock No ........ XX ........... Lot No ..... ~$ ........ Eas.t...~,.l~l~....:.~,.]f.~)...~..
conforms subslsntially to the Application for Building Permit heretofore filed in ~his o~ffice
dated ................... [~.9.1~]~,....1..~, 19....~0Pursuant to which Building Permit No ......
dated ...................... S~p~e~t~e.l~....l~[9..60, was issued, and conforms to alt of the req~!re-
ments of the applicable provisions o£ the law. The occupancy for which this certifi~t~ is
issued is ...... ~I'.[.~.at2..o~l~...£~tl.t.. ~.~.~,~.1~ ..................................................................... ~. ....
This certificate is issued to ...... J-,...Btt~.g~ss...J~J~sos .......... 0~r. .........................
(owner, lessee or tenant)
of the aforesaid building.
BUILDING DEPARTMENT
TOWN OF SOUTHOLD, N. Y.
NOUSING CODE INSPECTION REPORT
Loc~tion 285 Gillette Drive East Marion
[number &
Subdivision Marion Manor Map No.~2038 __Lot(s) 59
Name of Owner(s) Ethe~ _ 1 J. Brown
Occupancy R-~ ~,~,~
'~e~-- '~ own~'~enant -
Admitted by: Mrs. Brown Accompamied by: s__~am?~ ~
Key available ~ Suf£olk Co. Ts~x No~03~-06-003
Source of request Samuel J.~= Glick_ man
Date ~2/28/82
DWELLI~[G:
Type of construction wood #stories
Foundation cement block Cellar full Crawl space
Total rooms, lsto F1
Bathroom(s) 1
Porch~ typq__
Breezewa~
Type Heat oil fired
Fireplace(s).
Domestic hotwater
5 2nd. Fl___ ~__3rd. Fi
Toilet room(s).
Deck, type Patio~
Garage one-car ~tility room
Warm Air Hot'water
Other
one
typ q
No. Exits___
yes .Type heater
.Airconditioning.
. tankless
ACCESSORY STRUCTURES
Garage, type const.
Swimming pool
Other
NONE
Storage~ ~ype const.
Gues't, type const.
VIOLATIONS: Housing Code, Chapter 52
Location Description
No violations of the Housin
Ch. ~2~ where found.
Code.
Art. Sec~
This is an updated C.O.--B.F. 1214Z was issued, 6/15/60,
Remarks: C.C. was issued 3/61, ~ Z1020
Inspected by. qte of Insp. ~2/29/82
Curtis W. Hot'on ~Time start~ 2:~0 end
Greenport 7-177~
BUILDER
East Gillette Drive
Mar. 23, 1961
Town of Southold
Building Department
Southold, L. I.
Attention: Mr. H. Terr~
Re: Permit Mo. 12142
Dear Mr. Terry:
Request is hereby made for certificate of
pancy for house erected on Lot No. 59, Marion Manor,
East Marion.
Enclosed are permit card and survey showing lo-
cation of building.
Your prompt attention will be appreciated.
Eno. 2
Very truly yours,
Burge~ss~y~ieson
SUFFOLK COUNTY
DEPARTMENT OF HEALTH
S U r F g L K n t'] U N Ty 0 E NT E R
November i5, 1960
Mr. Terry, Bldg. Insp.
Southold Town
Southold~ LoZ., N.Y.
Dear Sir:
We received an inquiry from a resident of East ~arion, NoY.
relatd~e to the Se£folk County ~eparment of Health requirements for a
safe private water supply.
Our follow up revealed that Mr. Jameson had constructed
a cesspool approximately 45' from a neighbors private well on Lot 59,
Marion Manor-East Marion, N.Yo
The above unsatisfactory condition was brought to the
attention of Mr. Jameson, believed to be the owner and builder, by a
representative of this department on iWovember 14, 1960. Mr. Jameson
stated that he had no intention of moving the cesspool to a distance
recommended by this department for the protection of a water supply.
Since it is the policy of this department to work closely
with the Townships, we bring the above to your attention in the hope
that you are able to take action which will lead to the correction of the
abovee
A reply would be appreciated.
VeFy~truly yours~ ~ ~
~- Senio~ Sanitary Inspector
PJM:DB
FOI~I~I NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
Approved....~..~..f~...../..~.. 19..~...G... Permit No ....... ~../..~. ,../... ,~ ...
Disapproved a/c ................................. z~ ......... ~..zC ............... .~ ............. ~ ..........
...... : ................
(Built'lng inspector) ~"-~.]
APPLICATION FOR BUILDING PERMIT
Date .................. s~.p~.....15., ..................... 19...60 .....
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 o 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 a Iterations, or for removal or demolition, as herein described.
The applicant agrees to comply with all applicable laws, ordinances and regulations.
(Sig e of o , e, if a corporation) ~
~ EastUGillet'~e Drive,
....................... .E~.$...yl~r.~,or~,...L.,...~.,.,...N.,...)~., ............
(Address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
........................................................................... O~.r~.~.r....~...C~ zz~ r.~l...~.o.n.tP. ~t .o.~ ........................................................
Name of owner of premises ............................... ,.[.,...]~'~,~S...._T~rt&/~.S.OTt .........................................................................
If applicant is a corporate, signature of duly authorized officer.
(Name and title of corporate officer)
1. Location of land on which proposed work will be done. MaD No: ......... ~[a~.~.~or. ..... Lot No: ....~. ...........
Street and Number ..............~$,~.~.t~.~...~).~.;[.Y.~.,...~.lb..~a,~i.~t%...~,....~.^.~...~,....~.., ................ ] .....................
Municipality
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ................................... ~.o...~..e. ........................................................................................
b. Intended use and occupancy ................... ~...~.e,~.i~.~'..~w~.l~.i~.g ....................................................................
3. Nature of work (check which applicable): New Building......X ............ Addition .................... Alteration ....................
Repair .................... Removal .................... Demolition .................... Other Work (Describe) ....................
4. Estimated Cost ................. $1~.,.Q0.0 ............................ Fee '~'/~ ~
(to be paid on filing this application)
5. If dwelling, number of dwelling units ............ '11 .................. Number of dwelling units on each fioor......~.~..~ ................
If garage, number of cars ............................ ~ ..............................................................................................................
6. ff 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 ........ 5~.~ .............. Rear ....... ~.~.~ .............. Depth ....... 28.! ..............
Height ........ ~8.~ ............. Number of Stories .......... ~ ................
9. Size of lot: Front .......~.Q~.,.ZS. ...... Rear ....ZZ~,Z~ ......... Dep h ..~.~...~..,...~O~ ~O~
_ lZt.Y~' ~OU:n ~oun~ary
10. Date of Purchase ...........~...5~...19.5.~ ................Name of Former Owner ...~eCe~..~.La~k..&...So~ ...........
11. Zone or use district in which premises are situated ................... ~eai~i~L..A .............................................
12. Does proposed constr~ction violate any zoning law, ordina~a~r ~ff~latipo? ...... ~ia~.~..~.~t......,
13. Name of Owner of premise~..~Q~6e.8~...~a~6~ress .~.~.~..~a~O~ ................ Phone NO..~.,~.~?~ ....
Name of Architect ........................................................ Address .......................................... Phone NO.
'East ~illette Dr, ~'~'~
Name o~ Contractor..J.,...$~rgesm..J. amieao~....Address .Ems¢..E.a~.i.o~ ................ Phone NO..T.~$ ....
PhOT D~AGRAM
Loca~e dearly ond dJstJncHy ali buildings, whether existing or proposed, emd JmdJc~te ell set-b~ck ~Jmensions from
property lines. Give street and block numbers or descripHon according to deed, ~nd show s~reet names ~nd ind~cafe
whether interior or corner lot.
STATE OF NEW YORK, )
COUNTY OF .~9.EF. OLK .......... )
SS.
.................... ,.T.,:.,~ur. ge. es...Jamims~n ............................... being duly sworn, deposes and says that he is the applicant
(Name of individual signihg application) '
above named. He is the ..................................................... D. or~t~a~t~o~. ...............................................................................
(Contractor, agent, coqborate 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 ali 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 applica~tion~filed therewith.~l
....... .~5.~ ....... day of ........ Se.p~,~he~......: .... 19...~0 .... F/ ~a~~t)--,,~
~ ~ t · * . . ~ ~0TARY PUBLIC, State of ~ ~ ~
Notd~ Public, . ........... ~ ....... ~.,County ~ OualifiedN°' In30'[954300vNassau Coun~ ] '