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Home My WebLink About1403-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Oi[ice I S0uthold, N. Y. Certificate Of Occupancy No.Z639.Q ....... Date .April. 2., .................. , 197~.. THI~ CERTIFIES that t~he bu ding located at . 0s.p. rl, y. ~Ies.t..t~oad ..... Street Ole av~ s conforms substantially to the Application for ~uilding Permit heretofore filed in this office Rei~,spection (new O~aers rOauest) . . dated . N~Y. ~.~ ......... .... ~ 19.6.1~ pursuant to which .B. uildin~Perm~t No. l!~.Q.3~., was pursuant to which Certificate of O~cupancy ~? Z ~1-76~ dated 11/9/6~ issued dated . .M. ay. ~ .............. , 19.6~., 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.va~e. one. £araflyJ ,d:~.al]ing .................. .............. The certificate is issued to . A~.nol~l .D,..~ardl~ .............. (owner, ~e2~.'xlIXl~iI~t ) of the aforesaid building. ..~ Suffolk County Department of Health Approval . Nf. tl. ' ':~ ............ UNDERWRITERS CERTIFICA~ No. .~. ~ HOHS~ ~MB~g .~ ......... Stree~ .q~12r~¢X .~ .gg~ ....... .~. :',. .......... Building Inspector TOWI~ OF ~OUTHOLD BUILDIi~G DEPARTMENT 'I'OWN CLERK'S OFFICE SOUTHOLD. I~, Y. CERTIFICATE OF OCCUPANCY No. ~ .~..6. .......... Date .................... ~/O.~.e~lbeM.....9. ........... 19...~]. THIS CERTIFIES that the building located at 0s~or.o.y...:~Ie~t; ]~o&~ ................... Street ~e,~](.e.~..?..p.i...n...t. ..... Block No...~eC...~ ......... Lot ~o..L2., ..... ~}~.ee~P...o~.~...~.,.~.,.... conforms substantially to the Application for Building Permit heretofore filed in this office dated ..................... l~ay..,..E~ ...........19.~,~.. pursuant to ~vhich Building Permit No...~03 dated ................... ~Iay ........... l~ ....... , 19..6~[., 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 ...... P. ri.v.a.te., one...~.ami.l¥., dwelling. ............................................................................ This certificate is issued to .V.i.c~to2......0~t;~J,l~lg .................. ~lgielel2. ...................... ~ ................. (owner, lessee or tenant) of the aforesaid building. FOI~NI NO. ~ 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? 1403, Z Permission is hereby granted to: ...g=..~9.~r~...~9..m..e.~,:.....~.~e..E~.9..t,9~...°..~.z..,t. ng Box 157 ,,.~:t.L~.%.~...~.%~..n.~....~f~...~9.~5 ...................... to ~,~-,~:SL.~.e..'.?..,,°.~.,~,.,~,~,m...t.~....d.~'.e...z..z,,.t.,n.~. ..................................................................................... at premises !ocated at ..T.o~.lt'~o....l~.~.,.r~a3c~l~t..13e~tch-..C~l~.~. .......................................... ...................................... ~/~....o...s.~..r.~X..~..e..s..~...Ro.~.d,...~,.a..~ ~...~,~a~.~.o.~.,... ~t .e_w...X~..r.~ .................. pursuant to application dated ...................................... M.,~,,.~ ........... 19~...1:....., and approved by the Building Inspector ~ee $....Z...O..,..qO....~..id caee~ Building Inspector \ HOUSING CODE INSPECTION April 2, 1975 745 Osprey Nest Road R-1 Greenport, New York Subdivision: Cleaves Point Sec. 1 Map ~ 2752 Lot ~ 12 Tax Roll ~ Arnold D. Gardner Occupied : owner Upon receipt of an application from present owner, I made an inspection of this one story framed dwelling constructed under Building Permit # 1403 Z, dated May18,1961 - Original Cert~fica%e~of Occupancy ~ Z 1176 was issued on November 9, 1961 tO victor Osling. I was admitted to the building by Reginald Hudson and began inspection at approximately 11:20 A.M. D~ by Mr. Gardner. The building consists of enclosed sun porch, kitchen, dining and living room, three bedrooms and two full bathrooms. Heat is supplied to all rooms from an oil fired hot water heater located in utility room. An attached one car garage is located on the south side of building. Building is constructed on cement block foundation with a full cellar and partial crawl space. The following violations of the Housing Code, Chapter 52, Town of Southold were found: Furnace - Electrical hook up to motor or oil burner requires connector for BX conductor and a cover or plate for terminal box. Electrical- Junction box wires out of box plate not in place Art. V, Sec. 52-56 A-1 A metal utility building located in front yard area violates Zoning Ordinance Chapter 100 - Art. III. Sec. 100-32 and Art. XIV, Sec° 100-141 Building and open yard area in good order. Inspection ~ompleted at approximately 11:50 A.M. Building Inspector EH/bn cc: Applicant shall prepare neatly drawn sketch. See Department of Health instruction notes for aid in making sketch and completing application form° HOUSE STreET !%ive~head, Now York 2, (a)Se¢.No..~ ~,-7--i .... - ~. ~l~t (b)Lot No. ~ -_ 6 / 3., F.H.&.No.~ ~' ~ or Job No.~ ..... ~o the Suffolk County Department of Health, Date~ ~/,, ~Z~ ,,_ Application for approval of p~te sewage disposal for a single fami~ c~welling is hereby requested concerning which the following information is submitted~ 7. N~e of owner~xO*&'~ -. 8, Nn~e of budder ~o;2~, ~ I~~m'u'~u~- ~ ~¢~'~ '- * -* d '- .. ~.~ ~.~.. Address ~ 9. System ~s~a~e W ~.~ i.'~ ~ :* , ' ..... 10, (a)Deed l~ation of property mSp~'¢ ~%~ ,,bV,'~O , ,, . ...... 12. ~ater supp~ by - '~ l%aol~.c ~.~,.~e.~~,uV ~,~% -, wel~ 13. Cellar ~ ; Slab ~ ~ Cra%~l space ~ 14. Cesspools - ~.7 ~ M ~ 15. Soptic tank - (a)N~ber of pools~ .............. (a)Inside W . _ft; ~ft. (b)Bloc~ below inleb - Liquid depth_~ft. 1) ~ 2) .... ) 3)~. 16. Seepage field - (c)Block size - ~in. ~$ ...... ~n. (a)Trench - W~in~ (b)L~t. H in~ (d)~ecast pool ~1__2__3_~ (c)N~ber of ~re mhes .... if/HI ft. ~ in:Diam.~ft. ~' in. (d)Depth botto¢ )f tile to ground 17, Backfill material used below inle~ ,~¢: ~o~aznec on I hereby cert~y that this private sewage disposal systeE has been constructed as indicated on the application and is in accordance with all th~ requirements of the latest bulletins on the Standards for Private Sewage Disposal of the SCfolk County Department of Health. 18. (aJAoolicant,s ~,a*uCe~%*'~/*" . FOR USE OF THE Fd,~iI,TH DEPAHT~lqT ONLY Installation :Satis.facto~ ~,_, Based on the information sta%ed hereon by the applicant and other info~mtion made available, it is the opinion of this departraent that this system with proper ma~nten~ce c~ be expected to function satisfactorily and is not li~ to cause Date fEB 20 19B¢ · _ 1/58 (~er - Complete sketch on reverse FOEM NO. $ TOWN OF SOUTHOI. D ~ Building Deportment Town Clerks Office 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 Inspector with the following; for new buildings or new use: I. 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 buildlng. 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 all property lines, streets, buildings and unusual natural or topographic features. 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 in- formation required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existir~j dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 ~ ,~_~_~ · ,~' % ................ New B~ilding ................ Addition ............... ~ ~ Building ..t~ . ......... Vacant Land .............. Locat.on Of Property ....~...../. ............................ ~ .................... ~/.~../.~.....~. .................................................... Ow,er Or O ners Of P,o t¥ ....... Subdivisio~~......~...~...~.../. .............. Lot No../....~...... ~,ock No ............. House NoZ.~...~... Permit No ..................... Date Of Permit .................... Applicant .................................................................. Health Dept. Approval ............................................ Labor Dept. Approval ................................................ Underwriters Approval .............................................. Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Fincd Certificate ~ ..................................... Fee Submitted $ .................................... Construction on above described building~e~L~me~,~ll applica~,~o~a~ [eg,~ulations. ...... TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ............ :~../...~......., 19~. ·../.... Approved ............ . ./././.~_../..,..~.~i.. 19.~./.. Pe rmit No ...... ~ ,/,,~..~. ..... Disapproved a/c .............................................................................................. .... .............. Application No..../..~..~.?. ........ APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and su6mitted 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 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 buiIdings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances and regulations. Original Homes (Signature of applicant, or nome, if a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder· Z Contractor .... ~ Victor Ostling . . Name of owner of w ............................................................................................................................................................ If applicant is a corporate, signature of duly authorized officer. ................... ('1~1~ me and CreScent Beach Colony 1. 12 Location of land on which proposed work will be done. Map No: ............................................ Lot No: .................... Street and Number ...... ................................................................ Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: Vacant lot a. Existing use and occupancy ..................................................................................................................................... Private one family dwelling b. ~ntended use and occupanc~ ............................................................................................. t .................................. 3. Nature of work (check which applicable): New Building .................... Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... ~. $14,500.00 ~.0.00 4. Estim(~ted ~osr .............................................................. Fee .......................................................................................... (to be paid on filing this application) 1 5. If dwelling, number of dwelling units ................................ Number of dwelJing units on each floor ............................ If garage, number of cars~.O..n...?....'..'..-.....C...ll.~,,~,.~,t'. ..................................................................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .............................. 7. Dimensions of existing structures, Jf 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.....~.6..~ .................Rear 56' Depth 52' Height ............................ Number of Stories ............................ 9. Size of lot: Front 55' Rear ~129' Depth n/Il-l?0~ III/111 ~.51~~ 1960 Cha~clee Cornlbu~t 10. Date of Purchase ........................................................ Nome of Former Owner ........................................................ "A" ReS ldent~al-Agr leu 1tubal ] 1. Zone or use district in which premises are situated ................................................................................................ 110 ]2. Does proposed construction violate any zoning Iow, ordinance or regulation? .................................................... .o. VlctOr Omtltng ~..~tooeevelt St. ,Glen ]3. Nome of Owner of prem ......................................................................... NO ..................... Name of Architect ........................................................ Address ............................................ Phone NO ..................... Name of Contractor....O...~.~.~.~.a..1.....H.~.~ ............... Address .~..~..d..d.~..~....~...I..~..~.,~.,d. ............ 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 whetl~er interior or corner lot. STATE OF NEW %ORIL ) S S. COUNTY OF ..~..u...~.~.o...z..~, ........... ) Gust~v Poer~hke ......................................................................... ~ be ng duly sworn, deposes and says that he is the applicant (Name of individual sJgnJn~ application) Con~acto~ ~ ~ ~ above named. He is the ............................................................................................................ . ...................... /~/; ................. (Contractor, agent, corborate off,co, etc.) /~ of sa d owner or owners, and is duly authorized to ~erform or have per~, t~ z~aid work a~ ~make and file tbs app ication; that all statements contained in th~s application are ~ue t~ :~ ~st of his ~,~dge and belief; and that the work will be performed in the manner set forth in the ~pl~a¢~ ffiled th~rewifh./~