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Home My WebLink About1113-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector, Town Hall Southold, N.Y. UPDATED CERTIFICATE OF OCCUPANCY No Z-21170 Date NOVEMBER 20, 1992 THIS CERTIFIES that the building DWELLING Location of Property 1100 PRIVATE ROAD #18 House No. Street County Tax Map No. 1000 Section 50 Block I Subdivision Filed Map No. SOUTHOLD, N.Y. Hamlet Lot 10 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 20, 1963 9811-Z, ll13-Z & ~ Building Permit No. 1828-Z dated JULY 20, 1963 was issued, and conforms to all of the requirements of the applicable pursuant to which provisions of the law. The occupancy for which this certificate is issued is ONE FAMILY DWELLING WITH ADDITION & ACCESSORY GUEST COTTAGE The certificate is issued to of the aforesaid building. RIAL REALTY CORP. (owner) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 6/20/63 - R. VILLA UNDERWRITERS CERTIFICATE NO. N-402347 *THIS CERTIFICATE OF OCCUPANCY UPDATESBP #1113Z-CO Z-949 ISSUED FOR ONE FAMILY DWELLING, BP #9811Z-CO Z9346ISSUED FOR ADDITION TO SAID DWELLING, BP #1828Z-COZ-1638 ISSUED FOR AM ACCESSORY GUEST COTTAGE. '--Building Inspector Rev. 1/81 FO]~i~ N~O. 4 TOWN OF SOUTNOLD BUILDING DEPARTM£NT TOWN CLERK'S OFFICE $OUTI~OLD. N. Y. ~o..'E"'949 ......... Date ......................... January......9 ......... THIS CERTIFIES that the building located a~ '"'N/E"' Hyatt"Ro~d ............................. Street ~Map No.Hy~&.t% .......... Block No...-Y.~a~ ........ Lot No. :7.~,.~ ....... conforms substantially to the Application for Building Permit heretofore tiled in this office dated ..............J.~e ....... 't8 .......... 19~]).. pursuant to which Building Permit No. "~'"1't't~' ....... 4ated .................... 3%AV~e.-....l~ ...... , 19.~0., 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 ....................... .Prive~e...one"'fami'ty" dweT ]i~g ................................................................................. This certiflcale is issued to }~, o~tty Par~on 0 ~wner, e~s~ee or tenant) of the aforesaid building. Building Inspector FOItlE[ 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.o 1113' Z Permission is hereby granted to: Chef O~.~.~.~,.....~.~.¢......~..t,.t,~......~...~. ~.~..~... ......... ...q~.t.~g.~.,. i... ~.,. L.. ...................................... . pursuant to application dated ..............? ............. : ...... ~t1~.:.:.~ ........~1,9.~0,,, and approved Building Inspector " F~e $...10.~.C~. ......... FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved ........................................ 19 ........ Perm t No...~...J..!..t..~. ......... Disapproved a/c .................. .~ ......... ??t .............. ~, ..~ ............ ; .......................... (Building Inspector) Application No .... /..t..... ,~ ..... APPLICATION FOR BUILDING PERMIT Date ~Tl~t~e, I ~) 19 60 INSTRUCTIONS a. This application mus't be completely filled in by typewriter or in ink and su~omitted in duplicate to the Building Inspector. b. Plot plan showing location of lot and of buildings on premises, relationship to edioining premises or public streets or arees, and giving a detailed description of layout of property must be drawn on the diagram which is pert of this Iocetion. c. The work coYered by this epplication may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue e 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 Occupency shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuonoe of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other appllceble 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· Name of owner of prem ses ~f'~ ~, }~(',~',.g~...~.~r~]2,?, ....................................................................................... ~ ............ 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: ...~D~:,t,~..~).?.?.~Ot~L~o~,:g~,. ................. Street and Number }~O~%O~'t~ ]~O:],t~%~ ~O~:~O~.,~ ~ ~)~ Municipality 2. State existing use and occupancy of p~emises and intended use and occupancy of proposed construction: Ot~o~ ~O~ a. Existing use and occupancy...m....? .......................................................................................................................... b. Intended use and occupancy ........... }2~5~:tJ}...[}...~}~:~...}'~¢,~.~ .................................................................... 3. Nature of work (check which applicable): New Building....~. ............... Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost ......... .................................... Fee 8 ~pald on filing this opplicat ~) 5. If dwelling, number of dwelling units .......~ ........................ 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..~,$,~;~ .............. Rear ...... ~'~'~1:;'~ .......... Depth ......... ~Tf%'&; ....... Height .....~..~.:~.,~ ........... Number of Stories ....... ! ................... 9, Size of lot: Front ......f~O~t,.~ ........... Rear ...... ??~f,,. ........... Depth ........ .;~,~$ ..... ~'~f, ~f~Jb ~]0;¢$~ 10. Date of Purchase ....... ~?~*....~..9~ .............................. Name of Former Owner ,..~..~.~...]~.~.~ ............................. 11. Zone or use district Jn which premises are situated..~,ry~tc].~t~;t~]: .................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? ..... ~:[~ .......................................... 13. Name of Owner of premises.~,~,...~O~~ ........ Address .].~...~l~..~?~}t...~,~ecc~hone NO ..................... Name of Architect ............................... ~ ...................... Address ............................................ Phone NO ..................... Name of Contractor.t,~b.~..O~],.~,;*,~.~.~ ............. Address ...6~t,~t~.~'~.,.'Z,,, ........ Phone NO ..................... PLOT DIAGRAM Locate deorly and distinctly oil 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 ORI~ ) S S. COUNTY. OF ......... (~: ....... ...~..,,.~.%- .... .~¢~.~..~., ,,, ~' ' CZ' . ben' duly sworn, deposes and says that he is the applicant .... (Name of ndiwdual s~gmng apphcabon), above named. He ,s zne ........................................... ~z/..: .............................................................. ; ................. (Contractor, agent, corporate officer, etcJ of said owner or owners, and is du~y 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 know~edge and belief; and that the work will be performed in the manner set forth in the application filed t~rewit~. Sworn to before me this JUDIT~'T. Notaw Public, TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved ........................................ 19 ........ Permit No ............................... Disapproved a/e .................................................................... (Building Inspector) Application No ......Il I 3 APPLICATION FOR BUILDING PERMIT June 18 60 Dote ............................................................ 19 ............ INSTRUCTIONS o. 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, o¥ name, it o corporation) . .......... (Address of (:tCplicant) ~ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ....... ~.~...~D.t~.~...~r.~o~ ..................................................................................................... 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: ...p~,o~e~0y..oT..Rot~.er~ro~[~l~B~ .................. Hortons Point, Seuthold , N.Y. Street and Number ....................................................................................................................................................... Municipality 2. State existing use and occupancy of p~emises and intended use and occupancy of proposed construction: Open lot a. Existing use and occupancy ..................................................................................................................................... ~ build a studio house ~. Intended use end occupGncy.....~. ......................................................................................................................... property lines. Give street and block numbers or description according to deed, whether interior or corner lot. 3. Nature of work (check which applicable): New Building .................... Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost ......... ~1.1.6.~,000 .................................... Fee ........ ~.litO~i.~)?l~.i.~l..~..;[.i.l.i.~.~..t~i~..~.~.l~..i.~i~i ................... 5. If dwelling, number of dwelling units ....... 1. ........................ 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...~"~'.,b~ .............. Rear ...... '~?~P%'i .......... Depth ......... ~"~'~,'i ....... Height l~:~t,. Number of Stories 1 9. Size of lot: Front ......~.~O.Ze~,.~ ........ Rear ...... '~?':~'b'~ ........ Depth ......... ~e,'~,'"~'~P~i; ~l~t, ~I0~'~. 10. Date of Purchase ....... ~..~.~.....1.~.~. .............................. Name of Former Owner ....~'..f..~.'.....~.~..~..t'...~..~: ........................... 11. Zone or use district in which premises ore situated..:~.r]x~e~f~,~.'t. .................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? ...... ~.~. ......................................... 13. Name of Owner of premises.]~,t,~.~'..~.i~.~.~o~ ........ Address .1.~...l~.a,,S~.:;.~.~.~...I~l.~:~e.el~hone NO ..................... Name of Architect ........................................................ Address ............................................ Phone NO ..................... Name of Contractor...O'z'~mt, e~'...O~.~,~. ............. Address ...I3tt.~O~Ot~',Ze. rT...o.[.o ........ Phone NO ..................... PLOT DIAGRAM Locate cleorly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions tram and show street names and indicate STATE OF NEW ) S S. COUNTY OF ......... ~ .................. ) ..... ~,......_.~,~.~.~,~.~ .................................. being duly sworn, deposes and says that he is the applicant ~ (Name of individual signing applicati°n~)a,,,,~'-~'"--cz.. above named. He is the ........................................... k~..~..''~-.,-~....'.~.., ............................................................................... "~Contractor, agent~ corlborote officer, etc.) of said owner or owners, end 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'opplie, a,tion filed tb.~wit~. Sworn to before me this .......... r.~r .......... u y .......... ;_;......-~~/~ '""~t~.~ Publ,c, Stete'l~l~New ¥ort( ~ ~ - ~ ~, ,~, ,~,~ Notary Pub lc, .,~/r~,'.....*,~...(...~--~,~-~"~c;~l~Yssior, £xpire~ ~larch 3 '~¢! /