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.
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OF LAND
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