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Home My WebLink About1562-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. UPDATED CERTIFICATE OF OCCUPANCY No Z-22686 Date OCTOBER 29, 1993 THIS CERTIFIES that the building DWELLING Location of Property 755 LIGHTHOUSE LANE House No. Street County Tax Map No. 1000 Section 70 Block 6 Subdivision Filed Map No. SOUTHOLD~ N.Y. Hamlet Lot 31 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 20~ 1961 pursuant to which Building Permit No. Z-t562 dated SEPTEMBER 23, 1961 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 * The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A JOHN & VIRGINIA BURNS *NOTE: THIS UPDATES CO Z-1352 dated June 5, 1962 /Building Inspector Rev. 1/81 FO~ N'O. t TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLU, N. Y. CERTIFICATE OF OCCUPANCY conforms substant a y to the Application for Building Permit heretofore filedI [~ '~[~Is,,office dated doted .......................... ~t~.~.~1~'~1::...~ 19.....~J, was ~ssued, end conforms to oll ~f ~;he requirements of the applicable provisions of the Iow. The occupancy for which this certificate is i~sued is .......... (owner, lessee or tenont) of the aforesaid building. Building Inspectdr ,. / FO~i~[ NO. 2 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUlL. DING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 1562 Z Date ................... ~ ~.i~ ~/tttOe~......~..~ ........ 19.~.]... Permission is hereby granted to: Go ld smirK..~l,¢tg ..6~..Co. ns.~'u~.t i.an... Inc.... ,AZC.....AJ~£r e d Offner .......... S,m~t }:m ZL~t ................................................ to ...Brtz J.]~d.. z~e.~., ck~e...£~m&JLy...¢l~e 3_,]~ .~ t~ ................................................................................... at premises located st ~j'~c~.....~P~n~..~B~,..~.~D~.d ............................................................................... .................................................. ~o~t;b,a.'Ld, .......................................................................................... pursuant to application dated ........................ ~'~.~..,..~.,0 ......... 19,~.., and approved by the Bui!ding Inspector Fee $..]:.0..?,.0...0. ........... Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must 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, end.unusual natural or 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. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installatlons, a certificate of Code Compliance from architect or engineer responsible for the building. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and ['pre-existing" land uses: 1.~ Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 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. Fees 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 $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 ~ Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.O0 Date .... ..... . ~ew Construction ..... .. .... Old Or Pre-exi~ting Building .... ~ ....... · ocation of Property.'' .. House No. Street Hamlet 'nwer or Owners of Property ................. ~ . . OUnty Tax Map No 1000, Section. ............. Block ....... Lot. ubdivision ' ...................................· Filed Map .......... · · Lot ...................... .......... Applicant ......... ~alth Dept. Approval ........................ - · Underwriters Approval ......................... lanning Board Approval ........................ -~quest for: Temporary Certificate ........... Final Certicate........ ~.. :e Submitted: $ ~ ...... .... ' ............................. Print Key Output Page 1 5738SS1 V2R2M0 920925 SOUTHOLD 10/29/93 10:42:25 Display Device : WY User : GEORGIAR SOUTHOLD NYSRPS ASSESSMENT INQUIRY DATE : 10/29/93 755 LIGHTHOUSE LA 70.-6-31 PR ACCT NO 08 SCHL SOUTHOLD SCHOOL PROP CLASS 1 FAMILY R = OWNER & MAILING INFORMATION =J MISC =J ...... ASSESSMENT DATA ........... BURNS JOHN A JR & VIRGINIA M 216 PIPING ROCK RD LOCUST VALLEY NY 11560 J RS - SS J J 1 JLAND J BANK JTOTAL J J J JLAND J JTOTAL CURRENT RES PERCENT 4,100 TAXABLE 14,000 COUNTY 14,000 PRIOR TOWN 14,000 4,100 SCHOOL 14,000 14,000 VILL 0 SALES INFORMATION ................ J ............. =DIMENSIONS BOOK 11618 DATE 02/11/93 JFRFT .00 DEPTH PAGE 334 JACRES 1.20 PR OWNER CONROY RUTH M & ANO AS TRUSTEE J====TOTAL SPECIAL DISTRICTS ....... TOTAL EXEMPTIONS 0 J CODE UNITS PCT TYPE CODE AMOUNT PCT INIT TERM VLG HC 1 FD028 2 PK070 3 WW020 4 SW011 .00 VALUE FI=XREF F2=NEXT PARCEL F3=NEXT EXEMPT/SPEC F6=GO TO INVENTORY 31.00- 02-014 F4=PREV EXEMPT/SPEC F10=RETURN TO MENU December 18, 1992 Mr. Victor Lessard Principal Building Inspector Town of Southold Southold Town Hall P. O. Box 1179 Southold, New York 11971 Re: 755 Lighthouse Lane .' Southold, New York This letter will supplement a telephone conversation several weeks ago with Jane Blados of your office. I had Our client, Mrs. Ruth Conroy, is selling the house which she and her late husband owned at 755 Lighthouse Lane in Southold. As part of its title report, the title company sent us a copy of Certificate of Occupancy No. Z 1352, dated June 5, 1962. At the bottom of the CO, there is a handwritten notation stating: "(no H.D. approval cert)." The initials ~H.D." apparently stand for Suffolk County Health Department. The attorney for the purchaser has inquired as to the meaning and effect of that handwritten notation. In my telephone conversation with Ms. Blados, she informed me that she had spoken with you and that you had indicated that the notation is "not a part of the CO" and "does not have any bearing" on the CO. I would very much appreciate it if you could confirm in writing the substance of the preceding sentence and that the CO is in full force and effect. /bey Yours sincerely, Adelman FOI~ NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUT.OLD, N. Exomined....~;:... · " Approved ........................................ 19 ........ Permit No. Disapproved a/c .......... ........................ :..:....,,: ....................................... (Building Inspector)l Application No. /~'' APPLICATION FOR BUILDING PERMIT ........................... 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 adioining 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 Permi~r. 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 a Iterations, 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 o corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ...~. ZV.~¢.~.~ ...... . .~.~.~v..~.,~ .~;~ .~/. ~.%, ............................................................................................................................... Name of owner of premises......~.~.~..~.¢~l~.....,~.., ...... ..O...~.~"~'\I'~'Z~"'- ................................................................................... 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: .................... Street and Number ..., .................. :..: ....... :: .............. ;.,-.:,~ ....................... : ...... ......... '. ............. :,.~ .................................. Municipality 2. State existing use and occupancy of p~emises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..................................................................................................................................... b. Intended use and occupancy ....... ~/..~.~.~.~'.~.¢..~... ............................................................................................. 3. Nature of work (check which applicable): New Building ...... L......Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ....... ~ ................... Number of dwelling units on each floor ....... ~,, ............... 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 ................................ Height .....~.6/.~. ............... Number of Stories ..... ~1 ................... 10. Date of Purchase ........................................................ Name of Former Owner ..J~.,~.,....~,~--:..~.. ..................... 11. Zone or use district in which premises are situated .....~'~,~x~?,,~l~z/.'~,J~ .......................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? Nome of Architect ........................................................ Address ............................................ Phone NO ..................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, end 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. (Nome of individual signing application) above named. He ~s the .........~.[~.~.~ ....................... .......................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or hove performed the said work and to make and file th s appl cation; that a I statements contained in this application are true to the best of his knowledge and belief; and that the work wJJl be performed in the ~ann~e~¢~ forth in the application filed therewith. FOEM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Exo m ined....~.......~)'f....'~.......: 19..'.('P...~.. ' ' Approved ........................ ................ 19 ........ Permit No ........... D i sapp roved a/c ........... ~~.: ............... ~__ Appl~aat~en No. /~ ~ ?J APPLICATION FOR BUILDING P[RMIT Date.,. ,.--,~, ',~'.'~...~., .~.,..:., ..~....O.. ........................... 19. ~./. .... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink end s~t~mitted 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 cov, ered by this applicotion 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, ahd other applicable Laws, Ordinances or Regulations, for the constructien of buildings, additions or alterations, or for removal or demolition, os herein described. The applicant agrees to comply with all applicable laws, ordinances and regulations. (Signature of applicant, or name, if o corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ...&-7...~. ~.~.-.~ ...... .~. z-~.e_,~_, ............................................................................................................................... Name of owner of premises......~~,...~, ....... ~~ ................................................................................... If applicant is a corporafe, s~gnature of duly authorized officer. ....... ~ (Name and title of corporate o fice) t. Location of land on which proposed work will be done. Map No: ................................ ~ ........... Lot No: .................... Street ~nd ~mb.~ ...~.~.~...4~.~.~.~....~...~.~. ................ ~'.~r~.~:Z~'~:;C.'~ ................................ Municipality 2. State existing use and occupancy of p~emises and intended use and occupancy of proposed construction: a, Existing use and occupancy ....................................................................................................................... , .............. b. ~ntended use and occupancy.....~~ ............................................................................................. 3. Nature of work (check which applicable): New Building............,./'"~"......Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost,~.....~.~:/.~l~.~ ..................................... Fee ...~../~1.~.~. ........................................................................ (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 ...... .~...~J~ ........ ~.,,~v'r-~.~J'J.~"2~....~.~-~.,) ..................................................... 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 ................................ ~ s ,~,t 4 °' Rear .~'..~....,~ '~Depth ~"~ ~/~ ~'' 8. Dimensions of entire new construction: Front,..~-,....~/.,~. ......... ......... ....... ............. .'.:~.~; ....... Height ....,~' .................... Number of Stories ..... .~ ................... 9. Size of lot: Front ..../~.*.~[~.'~.. .....Rear ....... 4~:/..~.Z~ .....Depth ,~.~/~J~/~.....~'~4:~~ 10. Date of Purchase ........................................................ Name of Former Owner ,,J~,/~,.~.....~.~...~/,~,'.,~- ..................... 11. Zone or use district in which premises are situated ......~-~'~.~-;~.~'~t'/~/~ .......................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? 13. Name of Owner of premises/fl/, .~......~,/~,~f~'~.,Address /F~...'x'm~.....c'Z..~...'~.~.,¢~ ........Phone NO..~.4.T.~Z.~4~..~ Name of Architect ........................................................ Address ............................................ Phone NO ..................... Name of C0ntractor..~.~/rt,/l't~....~.~.~v~'.~...~,,~ddress ~r~./~,~..l~..~.,/~/.~., .......... Phone NO.~.~..~7.~...~....~' PLOT DIAGRAM Locate clearly and distinctly oil buildings, whether existing or proposed, and indicate ali 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 Jot. STATE OF NEWJ~'O~,~:,. ~// ) S S COUNTY OF ~....) '. ..... ~.~ .~--.~........~.,.,..~.,t~./..~J'. ............................. being duly sworn, deposes and says that he is the applicant (Name of individual signing application) ~ ' above named. He is the ........./~'.~/./~--~¢.~:~..l~....~:J~,~./ff.~.,~.~r~'-.. ....... ~.(.¢.~.~f~ ............................................................ (Contractor, agent, corporate officer, etc.) of sa d 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 th~n~et forth in the application filed therewith. Sworn to before~e this ~ ~ ~r~ ~,mi~, st~ eo~ ~~ ~, ~ ~ ~ f w ~4~~ i w ~t~~ (S~gnoture of opphcont) '~ '~ ............ ....... · tf¸ - i,, i1 i ,I ~1~ L., ~_..:.. 'V';k: 1 ~) c ,'Nm'C,: .'.,-[ :. %', 1': ~"~"" ;-:? ....................... W--4 . 3~' 7.~-''''~ ~