HomeMy WebLinkAbout1599-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town ~all
Seuthold, N.Y.
UPDATED
CERTIFICATE OF OCCUPANCY
No Z-23464
Date JANUARY 20, 1995
THIS CERTIFIES that the building
Location of Property 175 MAJORS PATH
House No.
County Tax Map No. 1000 Section 54
Subdivision
DWELLING
Block 1
Filed Map No.
SOUTHOLD, NEW YORK
Street
Lot 27
Lot No.
Hamlet
conforms substantially to the Application for Building Permit heretofore
filed in this office dated OCTOBER 30, 1961 pursuant to which
Building Permit No. 1599-Z dated DECMBER 9, 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 WITH ENCLOSED REAR PORCH & GARAGE UNDER *
The certificate is issued to MARION O'CONNOR
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N/A
N/A
N/A
*NOTE THIS UPDATES CO Z-2785 DATES AUG. 8, 1967.
Rev. 1/81
FOEM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
CERTIFICATE OF OCCUPANCy
No ......... ~...~J.'[.l~,5 ...... Date ~tg.~ 8 , 19...6..7...
THIS CERTIFIES that the building located at .... J.J~J, OEL~.~..~B,t.h .................. Street
Map No...~ ........ Block No...~J::JJ~J~.... Lot No. X~ .............. ~O.~1t,~o[¢1,,~,.~., .......
conforms substantiolly to the Applicotion for Building Permit heretofore filed in this office doted
............... .O...~.~,0,b.e..r.....3.0. ........................... , 19....6..1.. pursuant to which Building Permit No. 15992[
dated ..... ~[~l[~]~...~.~jlJ~.~...~. ....... , 19..~..~..., was issued, and corlfor'ms to oil of the requirements
of the applicable provisions of the law. The occupancy for which this certificate is issued is ........
............... ..................................................................................................
'rhe certificate is issued to ......... t~[~,.~.~;J.~.~...~.,...fi...~..O..~. ,.C..,....O...~.~...O..~..~...Q.~.. ................................
(owner, lessee or ten.a,nt)
of the aforesaid building.
FOl~i~ ~0, ~
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N? 1599' Z
Date ...................... Decembez~.....9 ......... 196.1...
Permission is hereby granted to:
~ion..C.o... D. LC.onner ......................................
.... 26.,Pu~.wo~d..~load ........................................
....... F, aat.. ~or. th. po~.t?...L,.I ............................
to ...]~ui].d..ne~..one...f~Lm~l~....d~l,li~ ..................................................................................
at premises located at .I~q.~.~qV~h.~T{~&~2.~...(.~..~.~8...~:~.~..~..f..~/~.~...L~.~1e .............
............................ ' ..................... 2.r~'L~.%h ~ t d.$. ·. ~%~ ~..'f ~. ..............................................................................
pursuant to application dated ........................... ~C~,O~.~t.....~.O .......... ]9~1..., oad approved by the
Building Inspector
Fee $..10,.Q0...pd-..
- ~: .( >/4 /' ,,
"'/~:'"/' .......... Buddlng'U"U .................... inspector '/ .............
/
Form No. 6
TOWN OF SOUTtlOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
A. 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, and 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.
4. 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 installations, a certificate of Code Compliance from architect or engineer
responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
B. 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.
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.
C. 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 Buildin~ - $i00.00
3. Copy of Certificate of Occupancy - $20.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00-, Commercial $15.00
D January 20, 1995
New Construction ........... Old Or Pre-existing Building .... ~ ........
175 MAJORS PATH SOUTHOLD, NEW Y~
Location of Property ................... . .. . ........
House No. Street Hamlet
Jnwer or Owners of Property MARION C. O'CONNOR
~ounty Tax Map No I000, Section ..... 54 ! 27
· ........ Block ................ Lot ......................
~ubdivision ................................. .- · Filed Map ............ Lot .............
~ermit No. 1599Z DEC. 9, 1961 MARION C.O'CONNOR
........... Date Of Permit .Applicant... . .....
lealth Dept. Approval .................
......... Underwriters Approval .........................
'lanning Board Approval ................ ....... .
~equest for: Temporary Certificate ....... · ... Final Certicate ...........
~ee Submitted. ~ . 50.00
¥' ............." .................... ' "' '
GARY FLANNER OLSEN
COUNSELLOR aT LAW
P, O. BOX 706 · MaIN ROAD · CUTCHOGUE, LONG ISlaND, NEW YORK li935 · PHONE 516-734-7666
FaX 516-734-7712
[' t ....... ~ January 18, 1995
I BLDG, DEPT,
Re: Marion O'Connor
Majors Path, Southold
Building Permit #1599Z
co #z2785
Our File # 5701
Dear Georgia:
Enclosed herewith please find the
following:
1· My attorney's check in the sum of $50.00.
2. Copy of survey of subject premises.
I am hereby requesting an updated Certificate
to reflect the porch on the back of the hous
Very truly
GFO:lmk
Enclosures
Southold Town Building Dept.
Main Road - Town Hall
Southold, NY 11971
OLSEN
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
Examined ....................................... 19 ........ ~ Application No .............................
(X (,. r.
Approv d ............... ~ ......... E. ......... 19...L.~e~m~t No ...............................
DJsaBproved a/c .................. ~....~.~ ............................... ]~ ...............................
,// ~ ~.
............................................ .......................
........................ ~'~'i'l~'i~}"i~}¢~;~) .................................
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted Jn 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 issuanc.e 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) (J
State wheth.er applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
If applicant is a corporate, signature of duly authorized officer.
(Name and title of corporate officer)
1. Location of land on which proposed work w,~ill be done. Map No: ............................................ Lot~ No: ....................
Street and Number .~..d.~9.~!~5.. .~..~../`.~..~.?..~.~(.?...~.~.~..~......~. .~.q../j..q!:~.p.~.~.~¢tn~/~d~ ....... ~..~.~../~g../C/
Municipality
2. State existing use and occupancy of pr, emJses and intended use and occupancy of proposed construction:
a. Existing use and occupancy .......... .~/.~..~.e..o,~.Z~..<~.~,~..~.... .......................................................................................
b. Intended use and occupancy ....... ./..J~..q ~ O~.~:.~.~..
3. Nature of work (check which applicable): New Building ........ .~...........Addition .................... Alteration
Repair .................... ,t Removal .................... Demolition .................... Other Work (Describe) ....................
4. Estimated Cost......~.'....~,...~ .................................... Fee ..........................................................................................
/-
(to be paid on filing this application)
,5. if dwelling, number of dwelling units .............. L. ............... 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 ....... .~...~...~ ............ Depth ....... ..~-,..'~.. ..............
Height .......... ./."~...~ ......... Number of Stories .........../ ...............
9, Size of lot: Front ..... /...~....O...~ ........... Rear ...../....~..7......~, ........ Depth ....../..'~...,~...~.. ..........
10. Date of Purchase ...... ./.. ...... ~ ..... ,./. ......................... Name of Former Owner ..... L...~. .... k'...¢..~..
1]. Zone or use district in which premises ore situated ...........................................................................................
12. Does proposed construction ~iolote any zoning law, ordinance or regulation? ............ ~ ...............................
13. Name of Owner of premises...~..:...~:...~..C..~.~...~...~...~.../~...Address Z(¢* ,~-z~-z~-~.~Z.,~'~ Phone
Name of Architect ........................................................ Address ............................................ Phone NO .....................
Name of Contractor .................................................... Address ............................................ Phone NO .....................
PLOT DIAGRAM
Locate clearly and distinctly ali buildings, whether existing or proposed, and indicate alt 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 NE',~'-,Y~RK,,~ ) S S
COUNTY OF-~..";~<. ........ ) '
'" c'
/~.~/.~./..~.. .... .~...~..~../~ ..... being duly sworn, deposes and says that he is the applicant
(Name of individual signing application)
......
above named. He is the .........................................................................................................................
(Contractor, agent, corporate off cer, 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 Jn this application are true to the best of his knowledge and belief;
and that the work will be performed in the manner set fg~ $~lication filed therewith.
Sworn to before me this ~ARY PUBLIC, State ~ ~ ~
.... ~.'~ ...... da~f .~..j .......... 1~sss~i~,~s~o~c~Z.~(Signature of applicant)
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
Approved ............... . ..~..?,...%z......~...., 19...~.../[..Permit No..../~...../....?J~../.c.i.2. ......
Disapproved' a/c ....... ~....~......d~.....~...........~~..[..~...: ....~~
................. .............................................
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
1NSTRUCTIONS
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 Ioca¢ion 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 thediagram which is part of this application.
c. The work covered by this application may not be commenced before issuance of Building Permit.
6. 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 whob or in pa rt 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)
................. ...........
State whether applicant is owner, lessee, agent, architect, engineer, genergl contractor, electrician, plumber or builder.
Nome of owner of premises ............................................................... ; ................... ~-~d~ .......................
If applicant is a corporate, signature of duly authorized officer.
(Name and title of corporate officer)
1. Loco¢ion of land on which proposed work will be dor}e. Map No: ............................................ Lot No: ....................
Street end umbe ......
Municipality ...........
~. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use end occupancy ....~:~ ~.~.~ .................................................................................. .
b. Intended useandoccupancy..~.~....~~ .............
3. Nature of work (check which applicable): New Building ~ Addition Alteration
Repair .................... Removal .................... Demolition .................... Other Work (Describe) ........................
4. Estimated Cost ....~....~ .......................................... Fee ..........................................................................................
(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 .............................................................................................................................................
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 ............... ~..~ .......... Rear ..... ..~....~ ............... Depth ....'~..ff. ...................
Height .............. .~...~.~ ....... Number of Stories ......... ~ ...........
9. Size of lot: Front .......... ff..~ ............. Rear ...... ~.~...~.:...~.~.. Depth ....... ~.~.~...~ ................... ~
10. Date of Purchase /~/ ~ / ~ ' ..... Name of Former Owner ..~..~....~~ .......
11. Zone or use district in which premises are situated ....... ~. ....................................................................................
12. Does proposed construction v~olate any zoning law, ordinance or regulation? ..... ~
13. Name of Owner of premises .~.x.~.~.~...Address .~....~ ~~- ~Phone No ~ ~
Name of Architect ...................................................... Address ~..~Q.~~ ~hone ~o~ ~.~.~J~
Name of Controctor .................................................... Address ............................................ Phone Mo .....................
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.
STA-FE~,~OF
COUNTY OF
C,_ ~ ........... being duly sworn, deposes and soys that he is the applicant
(Name of individual signing application)
above named..~-le 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 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
'~' of ~ , 19(D I
Notary Public .................... ....~.,-~ ............................ County (Signature of applicant)