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Home My WebLink About997-z FOH~M NO. { TOWN OF SOUTHOLD BUII.DING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No.Z'136'1....... Date 1Q......, 1976 . THIS CERTIFIES that the building located at $/B .Old .8oi'.th .Road • . • • Street Map No... ~ Beck No...~...... Lot No.. ac 8outhald 8 •X........ • . conforms substantially to the Application for Building Permit heretofore filed in this office dated ~.6..., 19 60. pursuant to which Building Permit No. ~9',tZ.. . dated ~r...~6..., 19.x., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is ~i!~!t!. 04!. f44~lY..dM~7.~.1a[.1o~Q11.aR4asoos:8.bnildia$.l..t'osolln$ The certificate is issued to . ~ttY..Lr. ~l`tsAllltY~.Ak ~1IAAP . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval !?'N...Jd#tl,A$ . UNDERWRITERS CERTIFICATE No. P.>~N.o]G10ti14s HOUSE NUMBER Street O~.d ,lfp~teh; , Al~d , ....$ORt~llold....... . f ~ ~ R!, :Q . Building Inspec , HOUSING CODE INSPECTION November 8, 1976 4600 Old North Country Road R-1 Southold, N.Y. Tax Roll: Betty L. Fitzpatrick Occupied: Owner Upon receipt of an application for an updated Certificate of Occupancy, I made an inspection of this one-story, framed dwelling which was constructed under Building Permit #9972, dated March 16, 1960, to which subsequent Certificate of Oc- cupancy #2705 was issued to Robert and Judith Williams on July 14, 1960. I picked up the key from Edward J. Boyd V, Attorney, in Southold, admitted myself to the dwelling, and began this inspection at approximately 12:50 P.M. The building consists of a kitchen with a dining area, a living room with a heatilator fireplace, a full bathroom, and three bedrooms. Heat is furnished to all rooms from an oil- fired, hot water heater located in cellar of building's cement block foundation. The following violations of the Housing Code, Chapter 52, Town of Southold, New York, were found: Kitchen - entry at rear of building to dining area, no means of controlling light on entering, Article V, Section 52-56 B (2). Cellar - open electrical box on the first floor joist odd over the furnace, Article V, Section 52-56 A (1). Open yard area contains the following structures: a paddock-type fence along the front yard property line, and a greenhouse located in the rear yard area. Buildings and grounds in good condition. Inspection com- pleted at approximately 1:10 P.M. Key was returned to Mr. Boyd's office. Re ctfull submitted, ward i dermann Building Inspector EH:med FORM NO. 8 TOWN. OF SOUTNOLD Building DapertmerM Town Clerks OfHee Southold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Inrtruetions A. This application must be filled in typewriter OR ink, and submitted in DUPLICATE to the Building Inspector 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 installations, 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 survey of property showing ail property lines, streets, buildings and unusual natural or topographic features. 2. Swam 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 in- formation required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 ~~QQ Dateyy......~lRI~ New Building Addi/tio~n,~................ Old'~or Plre.-existing Building .....t)......... Vacant Land Location Of Property ......~5'a~.....~.....~..c1r1...ORD...}.....~~`:""~'~.?~`~.1 ~Q _ Owner Or Owners Of Property • :t~.~P!~~~ v Subdivision ..................................................Lot No.....~..... Block No...X....... House No............. Permit No........... Date Of Permit x .............Applicant Health Dept. Approval ......!..~-:...Fs.~.,..~:.:,.......Lobor Dot. Approval .................N.`.. f Underwriters Approval ............~.L ...........:..\............Planning Board Approval ,~1~ Request For Temporary Certificate Final Certificate ~`I' C1~ Fee Submitted $ ~ Construction on above described building an mit s all oppl' able codes and regulations. . . . Applicant Sworn to before me this ~hwA0.p~.a ~ciD-fit p~ y~ ~ C, 'Renv L. ~~rzAcre~cK . o... day of .....1..- ~..L.~.~ (stamp or seoq ~~rr~~~ ~~~~~6 Notary Pubtic County T„ 1 Z6 FO~RNT NCO. 4 TOWN OF SOUTHOLD EUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF' OCCUPANCY No....T.+...`1~~....... IIate ................................~?~Y...~!!:........., 19..0 THIS CERTIFIES that the building located af ..~a./$.,O~;d,.No~'th..~d~.~..,SOttthO~~treer. ll~fap No......'!*~`......... Block No........... t!.*..!!`..Lot No.....!~!tM! conforms substantially to the Application for Building Permit heretofore filed in this office dated .....................~ki..1d....., 19....~?~pursuant to which Building Permit No........,7i...~Q'~.... dated fit?.. 19........~~as issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is PRNATE,.ONE...~'~~I.•.X..pWET,~~`IG........................................... This certificate is issued to RCb@1't J'udith.. W1111amS.~,., OWI79Ts (owner, lessee or tenant) of the aforesaid building. t.~~(~}--%~.~ cam.,. Building Inspector FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT' (THIS HERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~ 997 Z Date ............................:~~.~....,x.~~1....... 19..~t~. Permission is hereby granted to: ~s`.Dt'I~..~.~.?'..~~ ..................~G12:~~3~+p.....:~• ~«c.......................... to ......T'3r~.t`...L.~'~...cx29...Y.~SA~.'...fi!df'~~.~ of premises located at .....$.>r~.....£1~,:E~...Q;~.'~r'L....$A&~ ......................................................~D??. ~i~~.C~$ a ~x pursuant to application dated ...................................T`.4`~3.....~.~t........19~#.~..., and approved by the Building Inspector Fee $.1QaQ1~.......... Building Inspector v ~ I3 ~cl FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOU7HOLD, N. Y. ~ ~"C ~ C, Examined ~C~.~f:C.-....1~, 19..1.1 A lication No.........l"'~ Approved .......Et,-...~~ 19.~~.'.~~'..Permit No.....~.,/../..,~..,....... PP Disapproved a/c (Building Inspector) APPLICATION FOR BUILDING PERMIT Date "„V,V \ t!.-., c.Q.;. G?... 19.~?.~?. INSTRUCTIONS a. This application must be completely filled in by typewriter or in inl< 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 opplicant agrees to comply with all applicable laws, ordinannces and regu//lotions. (Signature of applicant, or name, if a corporation) (Address of applicant) State whether opplicant is owner, lessee, ent, architect, engineer, general contractor, electrician, plumber or builder. Nome of owner of premises.....:..:-.:Y..k`:`^:': Y:........~' ~'c"`"^-'° If applicant is a corporate, signature of duly authorized officer. (Nome and title of corporate officer) 1. Location of land on which prop~ose/~d'(Jwor~k/w'ill be one. Mop No of No:.................... Street and Number .S/~....~?".`..':1.../..V...?~..,...~': c~ ~-A.c--'~.'v,,-c`''~ C`,~: Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy c' ~O`""' b. Intended use and occupancy <~...L^'?:...~.C.~~.~..~.~~...tY'.`.'t?`~`Q:'Q~~-:`...~ 3. Nature of work (check which applicable): New Building .......,.X....... Addition ....................Alteration.................... Repair Removal Demolition........~j. Other Work (Describe) 4. Estimated Cost ...~..a. ?...:r~...~. ~ ..................................Fee (to be paid on filing this application) 5. If dwelling, number of dwelling units........~x.:~'...Number of dwelling units on each floor If garage, number of cars 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 .....'y.`?-......,.. Rear ......y.~-.......... Depth ~/?~.6.......... Height Number of Stories.....~r./~:~~.~....... _ 9. Size of lot: Front ...~./..I? Rear ........0.~.~......... Depth ...~..7.~.......... 10. Date of Purchase ....../..`'`~`.".E:~....~..~"~......r~.d......Name of Former Owner ..1!'!~`.~ti.`.~:......iY':^.~r~!`^"..~x....... 0 l 1. Zone or use district in which premises are situated.......~..........~!.' 12. Does proposed construction viol~~,,t,,o~~ a~nyoo zonintq law, ordinance or{~re-gulaltioQn? ......./v ~ 13. Name of Owner of premises..:r~"°-.(Wy)^M..Q~''`f~`~Address .....`t'4~`~""^Q"¢'~.~......... Phone NO Name of Architect P~r-'~~~":..:5!"!!"'....Address ...Y~.::':"""" Phone NO / r~ .............:.......~f (1 Name of Contractor ..~.lN'..~~.'.Q'~'.....Ct-6"r-"'••••••••Address ...~r.Ste?-,!4^~.~-..~~ 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. S S ~ ~~C ~,I ~~)s - r-nT~~'~', Y ay 10~ n~v,.~ ~e 30 ---------__J~LLn__--------- - b ~-D J~! o ~t h I~ rp - _ STATE OF NEW ,Y K ) S. S. COUNTY OF `"'^""~'~"'":....being duly sworn, deposes and says that he is the applicant ..................................................9 9 ...p (Name of ' di idual si nin a 'cation) above named. He is a (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 best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ~`2~9 = ~ pp C ..................~.G. day of ~..,.~..........~.l.k'~..`..5'.`.:4.,.... 19...~ d, Notary Public, ~J?'~~ Cry f (Signature of applicant) FORM NO. 1 TOWN OF SOIITHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOIiTHOLD, N. Y. ~ - l' Examined 19..'F.tJ A lication No.........~C. ' Approved .~:~:1:r;'r`t.~-...~.~~ 19~~~.Permit No.....,,iC.~.%.~......... PP Disapproved a/c (Building Inspector) APPLICATION FOR BUILDING PERMIT Date 19. C7 U INSTRUCTIONS a. This application must be completely filled in by typewriter or in inl< 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 henein described. The applicant agrees to comply with all applicable laws, ordinaln~ces and regulations. U..~. r...~.~...(1..... 1(~........l~..i..~. t::. f ~ (rUt..:S........... (Signature of applicant, or name, if a corporation) ; ~ v................................................................... (Addre,ss of applicant) State whether applicant is owner, lessee, ent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises.....4 If applicant is a corporate, signature of duly authorized officer. (Nome and title of corporate, officer) 1. Location of land on which proposed(~wor~k/will be one. /Map No of No:.................... Street and Number C~:.. ~l ~ ~J dt"~~~ U~~ r.~. lW'1 Municipality 2. State existing use and occupancy of premises and intended ~u&e and occupancy of proposed construction: ~~n c. a. Existing use and occupancy b. Intended use and occu anc (~'9...._~ j~"""'~~~ P Y .........................~••................,.............................1..................................................... 3. Nature of work (check which applicable): New Building x:....... Addition ....................Alteration...,..,,........,,,, Repair Removal Demolition........;........... Other Work (Dascribe) r' 4. Estimated Cost ...~.A4~..`.y....,~.~?..t~ .................................Fee (to be paid on filing this opplication) 5. If dwelling, number of dwelling units........~Xti'.y:'.`?"'...Number of dwelling units on each floor If garage, number of cars ...................'..".-w-............................................................................................................... 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 ~"~..~.?e!r:.......... Rear Depth ./.aa..~.......... Height Number of Stories.......-:~^r.~'....... _ Y 9. Size of lot: Front ....~.(..fa Rear Depth ....~,.7..~. P 10. Date of Purchase / ~ trA^ ~~(-4....L.!^(.......~?.d......Name of Former Owner ..~.r:4y:{ri.`lo~a.....:(yk~~-:v>:~-:a.~r.:...... P 11. Zone or use district in which premises are situated........,~`t.....,.... " 12. Does proposed construction violate any zoning law, ordinance or regulation? .........1.U..G1 r ! , c' 13. Name of Owner of premises..l:~'~2.P.'~^::~...~4!!~:~:~.f^^>Address .....)?r.4:^~:.".:'E%~:P.P.i~......... Phone NO. f}~~~~ Address Phone NO Name of Architect ..J "~.r,p.... ~.~rc.e~;.~... , ~j~.l-A..,,y~....; Name of Contractor . ~ _,;;d•.•• Address Phone NO. ter.. PLOT DIAGRAM locate clearly and distinctly gall 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. ~ S,~ y° i"? w r,,,. s,. ~ ~ } ~ p„is+/ 1~= ~I._ __,_._.`.,.v ~ry w. - - ~~~..-.~,.~.-..v_._....... ~1..v~ N o fz~ 4, 1r(~, STATE OF NEW YORK > S 5 .__.~___~.~_w COUNTY OF ,~~r,~.....) ,,,,,,,,,,,,,,,,,,,,,~`"a~..,":~w;.k,X•a,...~..~:~;<,......a,....being duly sworn, deposes and says that he is the applicant (Name of i div dual signing application) abovf: named. He is .........................~~;,,,4.~,•:y:,,..,~...~•......................................................................................................... (Contractor, agent, corporate officer, etc.) ,,~~rr~~ 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 best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ' ................f.~. y ~ , Notary Public,(,.-.{z~~.~..P.....,' .~`~.~.~^::~:rt.T:t Ge~+ty (Signature of applicant)