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HomeMy WebLinkAbout1227-zFO,R~ /40. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD. N, Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at N~....~.~d~..~l.e,.ai~vie.~...I)~ .................... Street Map No..~...a..S...0..~.. ......... Block No ......... ~....Lot No...~ ......... ..~...a~}.~}~.0..t~.,......~..Y..?. ................... conforms substantially to the Application for Building Permit heretofore filed in this office dated ............. .0-~.0..~..~.~....~ ........... 19...~..0.. pursuant to which Building Permit No...Z~aa?. ........ ~lated .................. ..0..C...~..O..]~..~..~.....~. ....... 19...~.0., ~vas issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ................. ~ .t..~.~}..e.....o...n...e...~.~.~.!~....a.~e.~Al~ ......' ................................................................................. This certifieale is issued to ....... ]~.allk..~.~,t;...&..laltl~ ........................ O~,el'.s. ............................ (owner, lessee or tenant) ~ of the aforesaid building. Building Inspect~ 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) N9 1227 Z Date ......................... ~)(?OO~e~'"" ~ ........ 19'"6~) Permission is hereby granted to: Riverside Home~.... A/~..~.a.;~...~c~¢.t ........................... ........... %t.-.-Mai~..~.~ ............................................ ................... .R-i-ve~herad-f-'-~ ~' ~ ~- ......................... to..B.~lld., zte;~., one.. £~il~....d~.el.Liz~g .................................................................................... at premises located at ..~.~...~'~s.t..¥.~.e~..])~...~T~..(,~c~oc~...o.]:~£.~..~r...&...~a.~.i~g. .............. ............................................... Na~.ti.tuc~ t.--.-~'. ¥- ........................................................................... pursuant to application dated ............................ O~.to~0e~,......~ ............ 19~G.., and approved by the Buildin~ Inspector Fee $~ .Q,..O..Q ............ Bu,ld,ng Inspector CEHTflAI ABSTRACT OORP, 260 HOR11IERH GREA[ HECK, H~YORK 1102~ June 18, 1979 Town of Southold BuildinS D~pa~t~enC Town Hall Southold, New York 1197]. Title No. R977 958S ~ee~ 150 Westview Dr~ve, Mattltuck ~e¢o 10~OC~ 7 ~O~ (S)1 Dist: 1000 We a~e enclosing heroin a check in the s~m o£ $1.00 .... add~tions and subsequen~ ce~tiElcates, i£ any ~ere issued for the premises described, If ~o, please ~u~ntsh copies Very t~ly AnneMarle Cordani ENCL. WICKHAM, WICKHAM & BRESSLE~R, June 21, 1979 Town of Southold Building Department Main Road Sou%hold, NY 11971 Gentlemen: I enclose application for certificate of occupancy in dupli- cate, together with a check to your order, in the sum of $1.00 to cover charges in obtaining a copy of the certificate of occupancy. I am interested in Building Permit No. 1227, dated October 1960 and Certificate of Occupancy No. 956. Thank you for your cooperation in this matter. AAW/ibs Encs. Very truly yours, Abigail A. Wickham FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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. 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 featu res. 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. 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 $5.00 Date June 21, 1979 New Building ............. Old or Pre-existing Building X Vacant Land Pro~e~rlt~5 (~) Westview Drive, Mattituok, New York Location of p YJ-:.~'~"~'."~",,~u~,~v ....................... ~'r;~t' ......................... ~rank J. Scott and Vera M. Soott, his ~ife Owner or Owners of Property ............................................................ 107 7 County Tax Map No. 1000 Section ............... Block ............... Lot ................ Subdivision ................................. Map No ............... Lot No ............... Permit No ........... Date of Permit ~ ] ~.~.QApplicant J .................................... Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ~ /~/o, ~ ~ Fee Submitted $. 1.00 Construction on above described building and permitters all applicable co~les a~d regulations. ...... Rev. 10-10-78 ,~ ~j ~ 7~ O FOI~/ NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTJ~ENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Application No ..... !.....)Z...?....i~ .......... Disapproved a/c ....... (Building I nsp,ec--~o r ) APPLICATION FOR BUILDI~G PERMIT Date ................. ..~/-/.. ~.........~'......, 19.~...f-,). 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 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. (Signature of applicant, or name, if a corporation) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. 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: ..~ ............ Lot No:.......k~....~...--.. Street and Number ......~../....~'.~.~.-~..~z~;)....~..[~.l..~~~"~ .................................................... Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. [xlstin~ use and occupancy .......................................................................................................................... b. Intended use and occupancy ................................................................ property lines. Give street and block numbers or descri whether interior or corner lot. Add'~ n r tlon 3. Nature of work (check which applicable): New Building .................... ir'o .................... Alte o .................... Repair ...................~ Removal .................... Demolition ...................~.~ther Work (Describe) .................... 4. Estimated Cost ..¢./.~/ .~...(g....~.. f ..'~.....~.'~... ........ 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 ............. ~...~Z..~C~. .............................................................................. 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 ......... -- :Z ............Rear ............~.~ ......... Depth ....~..~:~ Height ............................Number of Stories ...... ~. ..................... S,ze of lot: Front ....... ~.~ ......... Rear ..../~. ............ Depth ......... ~~/~ __ 10. Date of Purchase ~¢,~....,~.~.D ...... ~ome of Former ~r ~q~.~..~~. 1 1. Zone or use district i~which premises are situated ........ ~ ........ ~.,%.~6 ............................. ~ 12. Does proposed construction violate any zon ng aw, ordinance or regu ation~.~ ..... Name of Architect ..... ~ ........................................... Address~ ~~./~.... Ph~e NO ..................... o, ..................... PLOT DIAGRAM Locate clearly and distinctly aJl buildings, whether existing or proposed, and indicate ail set-bock dimensions from to deed, and show street names and indicate STATE Of NEW~9~.~ ~ % S. ' ~ . .................. ~ ........ bm~~, deposes ond (Name ~gn~ ~pl~cation) / " above named. He Is the .......... ~ ............................................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly quthorized 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 ~ann~ ~o~t~jn the application filed therewith. b 0 '0 0 OF LAND 4~~u~ $co~ "T i'T'L~ C K