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Home My WebLink About1511-zFORM NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. UPDATED CERTIFICATE OF OCCUPANCY No Z-23570 Date MARCH 29, 1995 THIS CERTIFIES that the buildin~ DWELLING Location of Propert~ 200 CLEAVES POINT ROAD EAST MARION, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 38 Block 2 Lot 33 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 8, 1961 pursuant to which Building Permit No. 1511-Z dated AUGUST 8, 1961 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate i~ issued is ONE FAMILY DWELLING WITH DETACHED ACCESSORY GARAGE * The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED JOHN & MAGDA BAZOVSKY N/A N/A *THIS UPDATES co Z-1625 DATED JUNE 17, 1963. // /Ruling k~spe6~or Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No. :~ 1625 Dote ~ttrte ~L? 19..~.~... THIS CERTIFIES that the building located atC]..~,~..~J~..~..O,J~J;..~l~t~.~/),El~,.t...~iJS~, Stree~ Map No. ~D/'l..~J&~k No .......... .~.~. ........ Lot No ...... 3 ............................................................... conform~s substontiolly to the Applicotion for Building Permit heretofore filed in this office dated .............................. ~..~g..U.~.~...~.. ............... , 19..~.~.. pursuant to which Building Permit No. dated ................... ,~...U..c~..~..B.,.~....,~. ............... , 19.6..1....., was issued, ond conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificote is issued is ........ The certificate is issued to .....~*~1.~.~.~..~,~'~ .,G~d~f~ .................................................................. (owner, lessee or tenant) of the aforesa'id building. FORM 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? 1511' Z Date ......................... Permission is hereby granted to: · .gta~,l;.l:~-.l~ycq, ................................................. ........... ~'eenpert. .............................................. to..Bu$.~l~l...n~., on~..ff, am.i.t.y...dve.t.1..1~ .................................................................................... at premises located at "LO~"~.~'"~.I":[OI'I"'~iO~' ........................................................................... ........................................ Cle&v~s..Pt...Bo~l~ ......... .Ea~t.-.ffa~, ion .............................................. pursuant to application dated ................................. il:~ll~t.....8 .......... 19.6.1..., and approved by the Building Inspector Fee $....fl-.O,,OO ....... Building Inspector Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-I802 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, 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. 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 o~ 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, Swinging 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 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Con~ercial $15.00 March 14, 1995 for updated CO to include garage ~ a~6a'6¢66~6¢~ ....................... New Construction ........... Old Or Pre-existing Building ................. East Mar~on Location of Property ........ ~00.¢~¢¥¢~.~J05.~¢¢ ........................................... House No. Street Hamlet Macda Bazovsky Onwer or Owners of Property ...... , ........................................ County Tax Map No 1000, Section..P¢ .......... Block..~ ............ Lot. 33 .. Subdivision ........................ ............Filed Map...... ...... Lot ................... .. . Permit No ................ Date Of Permit ................ Applicant ............................. Health Dept. Approval ...................... . ... Underwriters Approval ..... Planning Board Approval ....................... . Request for: Temporary Certifica~¥j~F~~[~_ Einal[s~Certicate... Fee Submitted: $.. 50.00 ............. , LI. .Y. ]1935 :,4 , ,51 ........... APPLICANT GARY FLANNER OLSEN COUNSELLOr At LAW P 0 BOX 706 · MAIN ROAD · CUTCHOGUE, LONG ISLAND, NEW YORK 11935 · PHONE 516-734-7666 March 14, 1995 Re: Bazovsky to Napolitano Our File # 5864 Dear Georgia: Enclosed please find the following: 1. Application for updated CO. 2. Copy of my letter dated February 27, 1995. 3. My attorney's check in the sum of $50.00. I would like the updated CO to be clear that garage attached with the breezeway. · y tru: the GFO:lmk Enclosures Town of Southold Building Department Main Rd. - Town Hall Southold, NY 11971 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved ...... ;'":"~i ...... ly ........ ~'ermir No. Disapproved ~..~, .:u*,-' 'x ........ .~ ............ ......................................................................... ............................. (Building InspeCtor) 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 covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue o 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 issuanae 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) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ................................ .o....~....e.~. ........................................................................................ Name of owner of premises ....... ~.1~'1,...I~.~.~. ................................................................................................................ 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~$D.~.....C~'qf)~. .............. Lot No: ..,.~. ............... Street and Number .....C,Z.,a.~..e.~..~.~..~o,~.¢l..~¢ ........................... ~,.41.~,..~t~'.~.~ ............................................ Municipality 2. State existing use and occupancy of pr. emises and intended use and occupancy of proposed construction: a.. Existing use and occupancy .~tg,~lt~,~ ~.~ ........... ' .......................................... b. Intended use and occupancy.....O~..~'~l~,,~....C].~.~].].,C~L~ .............................................................................. FORM NO. 1 TOWN OF SOUTHOLD BUiLDiNG DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ........ Appra ed ............ Perm't ...... ~isapproved a/c .............. ~.~.............~~ Application o ............................. 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 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 p art for any purpose whatever until a Certifica~:e of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of 6 Building Permit pursuant to the Building Zone Ordinance of the Town of $outhold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alteratlons, or for removal or demolition, as herein described. The applicant agrees to comply with ali applicable laws, ordinances, and regulations. . ...... ~.r..tZr~..lCe~z. ............................................................. (Signature of applicant, or name, if a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. owner Name of owner of remises M~rtin Mey. er 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: .l~.~;~,~Q~....:~It.O~ .............. Lot No: ..~ ............... Street and Number ..... Clem~..~,.a...~.~z..~.~o...t.~.~.~ ........................... .~...~.¢...~a,~..z.~ ............................................ Mugicipality 2. State existing use and occupancy of pr,emises and intended use and occupancy of proposed construction: a. Existing use and occupancy.....~..~Q~,~h~...,~.Q.~ ................... ..................... b. Intended use and occupancy.....Q~fl..,~'Ll,,'~-~...c]M~.~Z,~g ......................................... 3. Nature of work (check which applicable): New Building....~, ........... Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost.~-.~..l..0..0...0...?,./..~.. .................................... Fee ..~.0..?.0..0.. ........................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ........... O~1~ .............. Number of dwelling units on each floor ............................ If garage, number of cars ....... ~.~..O.. ............................................................................................................................. 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 ne~; 6onstruction: Front,....~..f,~ ............ Rear ...... ~.~.~ ..........Depth ..~?)..I...~,~ .......... i .... Height ............................ Number of Stories .....O.~. ................ 9. Size of lot: Front0.0. ........................ Rear ...... ~.~. ................. Depth ..~..~.~../.~..0..2. .......... 10. Date of Purck~ase .......... ~,.9.~.0. .................................... Name of Former Owner ....~..~...~..~.~.O...~...' ................................ 11. Zone or use district in which premises are situated..~.!!..~$.~$. ........................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? ...~.Q ............................................ 13. Name of Owner of premises....~..~...~..~.~. ....... Address ............ ..O.~..~...~..~.~..~. .......... Phone NO ..................... Name of Architect ........................................................ Address ............................................ Phone NO ..................... Name of Contractor....(~/~.~ ..................................... Address ............................................ Phone NO ..................... PLOT DIAGRAM Locate clearly 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 YQP, K,~ ) COUNTY OF ...~...~...1.:.O.'.1...~. ........ ) SS. ......... ~t~l...~..~.~..~...~. being duly sworn, deposes and says that he is the applicant (Name of individual signing application) O~ner- builde~ above named. He Js the ............................................................................................................................................................. (Contractor, agent, corporate officer, etc.) of said owner or owners, an~ is duly authorized to perform or have performed the said work and to make and file this app Jcat on; 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. JUDITH T. ~OKEN Sworn to b~ore me this i:r~lary Public, State of New York ~ ~j~: I~q~2~4963, Su: ,~lk Co[mty ~ (S nature o~ ~ licont)