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HomeMy WebLinkAbout965-zFORM HO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22753 Date NOVEMBER 30, 1993 THIS CERTIFIES that the building Location of Property 1555 BAY HAVEN LANE House No. County Tax Map No. 1000 Section 88 Subdivision DWELLING SOUTHOLD~ N.Y. Street Hamlet Block 4 Lot 39 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 4, 1960 pursuant to which Building Permit No. Z-965 dated FEBRUARY 4~ 1960 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 WITH ATTACHED GARAGE & PORCH The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED NOTE: T. GORDON YOUNG & NOLA I. YOUNG THIS UPDATES CERTIFICATE OF OCCUPANCY #Z-564 DATED MAY 25, 1960 '~~~Building Inspec or Rev. 1/81 NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at ~/.~....~Ba~/:...Ra.~/.et~..~e. ..................... Street Map No ......................... Block No....~2r~ .............. Lot No..~[C~ ...... ~.q.'~O~/..).....~,.~,, .................. conforms substantially to the Application for Building Permit heretofore filed in this office dated ..................... ~f~l~..Y......~. ........... , 19.6.Q.., pursu.ant to which Building Permit No....~...cj~.~' .......... dated ......................... .~.~.~.~'...~..~.~...~ ....... 19....6...O.,wa,s issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ................ ................... .............................................................................. This certificate is issued to ..... ~;~[.$~.....~.~.~ .......... .(.O¥1~fl:~.). ................................................... (owner, lessee or tenant) of the aforesaid building. Building Inspector FOEM 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? 965 Z Date ......................... ~eb~l~'.. · .~ ............ 19.60.. Permission is hereby granted to: W/llia~. ~/~t.l~ ....................................................... ............ .e..~...~. ....................................................... ..... ~ ............... ~_~-_t~.~.~. ............................... to .. B~.~ ~ ~1. ne~. a~ae. Fa~i.l~...el~ell:~ng ............................................................................................... at premises located at L~t ~ ~0..Bay Tia'~'en /Lt ~ut~ho].d ............................................... ............................................... ~...~..~.e.... ................................................................ pursuant to application dated ................ ~.ebl~'~'...~ ........................... lc/~0....., and approved by the Building Inspector Fee Building Inspector / HOV 29 '93 11:59 TOWN OF SOUTHOLD Farm No. 6 TOWN OF EOUTHOLD BUILDING DEPAKTMENT TO%~NHALL UP-DATED APPLICATION FOR/CERTIFICATE OF OCCUPANCY This application musu 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 lines, streets, and unusual natural o~ 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 lees than 2/10 of 1% lead, 5. Commercial building, industrial building, multiple residences and similar buit~ings 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 Vpre-existing" land uses: I. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed 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. 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. Businesses 2, Certificate of Occupancy on Pre-exis~ing Building - $100.00 3, Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 of C. O. # Z 564 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction ........... Old Or Pre-existing Building~ .............. Location of House No. Street Hamlet 0nwe= o= Owners of Property. T. Gordon Young and Nola I. Young (originally William Wells County Tax Map ~o 1000, Section............088.00 Block..9~:99 ....... Lo~ 039.000 29i0 Subdivision..~.~O.~.~qq~9~ ............. Filed Map ............ Lot .................. .. --- gf~J9.. ~ lico~ William Wells Permit No...~96~ ...... Date Of Permit .......... pp ................................ Health Dept. Approval ........................ - · Underwriters Approval ......................... , Planning Board Approval ........................ Reques~ for: Temporary Certificate ......... Final C ate ........... Up-dated Certificate of 9 ?il3 ".· .,- .. FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, 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- tor with the following; for new buildings or new use: 1. Final sur~ey 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" 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. C. 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 . ~-,~,~/'. ,'{.'{,, , ,'19.7,9 ......... New Building . .~.Q~'.¥ ....... Old or Pre-existing Building . .~..Z~. ....... Vacant Land ............. Location of Property . ?,~..~.~..~..~..~..8:'¢...e~..~.~..~.e.,..~..o~.~.~..o. ~.~.,..~......~.: ...................... House No. Street Hamlet Owner or Owners of Property . . . ~.e~T~.~ .&. O.e~.~(;t~_;D,(~. ]),..~'ot,tTz~ ....................... County Tax Map No. 1000 Section .... 08~ ........ Block ... 0.~. ......... Lot ...... © .~.() ....... Subdivision ....... .~.~,~.e.y.e. zq ................ Map No...~..2~cj.'l.O... Lot No .... 50 ......... Permit No. 96.5.Z ..... Date of Permit ,Feb,4! 6.(~pplicant .... .Will~,a~. W~iI~ .............. Health Dept. Approval ...... ~/,I~ .............. Labor Dept. Approval ..... ,~,/,~ ............... Underwriters Approval ......... 1~/.~. ........... Planning Board Approval ...... i~, ./.~ ............. Request for Temporary Certificate ..................... Final Certificate ........ ,0,0,t~-,,, .......... Fee Submitted $ /' ~ Construction on above describedApplicant,.j~. ,building and permit meets ~, a. pplicable, l~codes and .................... regulations. PROP~:RTY TOWN OF SOUTHOLD RECORD CARD VILLAGE W SEAS. VL COMM. IMP. AGE FARM TOTAL DATE BUILDING CONDITION I IND. DISTRICT SUB. LOT TYPE OF BUILDING CB. NEW NORMAL BELOW ABOVE Form Acre Value Per Acre Value Tilloble 1 ,.: Tillable 2 l'illoble,3 Woodland ;wampland 3 rushland =~.z~~ House Plot Fctol xtension .... ' :reezeway ~arage ,F, oundation Basement Ext. Walls Fire Ploce Patio Porch Porch Both Floors Interior Finish Heat , Attic Rooms 1st Floor Rooms 2nd Floor WILLIAM WICKHAM ERICJ ~RESSLER ABIGAil A, WICKHAM DANIEL C ROSS LYNNE M, GORDON dOSEPH C. SAVINO HUBERT F SULLIVAn dANET GEASA JEFFREY STARR LAW OFFICES WlCKHAM, WlCKHANI & BRE$$LER, P.c. November 29, 1993 Building Department Town of Southold Southold Town Hall 53095 Main Road Southold, New York 11971 Re: Up-dated Certificate of Occupancy C. O. #Z 564 Att: Georgia Dear Georgia: We are the attorneys for Mr. T. Gordon Young and Nola I. Young and are representing them in the sale of their home on Bay Haven Lane at Bayview in Southold, New York. Enclosed please find an Application for up-dated Certificate of Occupancy a copy of survey of said premises and our check to the order of Southold Town Building Department to cover the expenses of said up-dated certificate. Very ~ruly yours, ~Abigail A. Wickham mh encl. q TOWN OF SOUTHOLD ~'~ ,/BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD; N., Y. Approved ....................... .~ .............. 19..!)....Permit No. ~ ? ~ ~'~''~' Disapproved a/c ........... ~~~ ~ ..I....~:....~:. .... ~ ....................................... (Building I n~peFtor) Application APPLICATION FOR BUILDING PERMIT I N'STRUCTI.ONS , 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) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or 'builder. ................................. ......................................................... .' .................................................................. Name of owner of premises ........ ~.~k.~,.~.l~...~.~. ........................................... ~ ................................................................. 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: ....~...~'~4~.'~.~i .............. ~..' Lot No: ........ .~.0. ....... Street and Number .......... ~.~'...~.V..~..~...~.~....~.~,.~0,c~.¢1, .................................... ~ ............................................. Municipality 2. State existing use and occupancy of p~emises and intended use and o¢~up6ncy of proposed construction: a. Existing use and occupancy .......................................................... ~ .......................................................................... b. Intended use and occupancy .......... 3. Nature of work (check which applicable): New Building ........... .~.. ...... Addition .................... Alteration .................... Repair .................... Removal .................... Demolition..: ................. Other Work (Describe) .................... 4. Estimated Cost......J..~e..O..0.O.~0.0 Fee (to be paid on filing this application) 5. If dwelling, number of dwelling units .................. .~.....~..O..O..~..~umber of dwelling units on each floor ............................ If garage, number of cars .............~.....t~...~ ............................ 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 (~8! Dei~th 24! Height 'll~l Number of Stories '1 9. Size of lot: Front ..... ~.~.. ............... Rear ..~..~.~ .................... Depth .......~..~..J.. ............... 10. Date of Purchase ......... .~..e.~.~;,.~,~..~..~...8.:: ..................... Name of Former Owner ........................................................ 11. Zone or use district in which premises are stuated ~.~.l.~e~lal 12. Does proposed construchon violate any zoning law, ordinance or regulation? 13. Name of Owner of premises...l~'~..~..~....~...m.....~..e.~..~.~ ...... Address .......J~..Z.....J~...v...e..~.. ................. Phone NO..~...~.~..'.~.?..~..g.. Name of Architect ........................................................ Address ............................................ Phone NO ..................... Name of Contractor .................................................... Address. ........................................... Phone NO ..................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block numbers or description according to deed, and show street names and indicate ' whether interior or corner lot. STATE OF NEW YORK, ) S S. COUNTY OF .... ,,~.LI ~',~. o,l,,k. ...... ) .................. ..~.~..~..~. ~....~..~..~...]..~ ..................................... j ......... ~eing duly sworn, deposes and says that he is the applicant (Nom~'~ individual signing application) ' above named. 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 application; that all statements contained in this application are true to the ~st of his knowledge and belief; and that the work will be performed in the manner set forth in the application .file~ therewith. Sworn to before me this - ..................... ~day of~.~.~ ................. ~.~o~ ~ (Segnature of applicant) Notaw ~blic, .....~..~ ........