HomeMy WebLinkAbout1922-zTOWN OF SOUTHOLD
BUtLDtNG DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
CERTIFICATE OF OCCUPANCY
No ..... ~[1~.9. ........... Dote .................. ~.eh~mar~..,...16 ........ , 19-63_
THIS CERTIFIES that the building located at ..~.a~s~12...Ro~'~d ........................................ Street
M Nassau Point
ap .x~o ....................... ~mck No...~v~X~ ......... Lot No. '~'~t .......C[l~,tel~gme.,...E,.Z. .................
conforms substantially to the Application for Building Permit heretofore filed in this office doted
................................. .0g.t~Q.~9~.....~......, 19(~... pursuant to which Building Permit No.
dated ....................... O.Q~D.131~...~.~. ...... , 1 9.6,~.., 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 ........
........... P~,;Lv.e.t.e,...e r~e.. ~.ar[d. ~... dwe.1 ~ J~g. ...................................................................................
The certificate is issued to .,~,~/~.f~Gf~..~[e~B.d.~...&..W~l~ ................... O.~n~$. ....................... (owner, lessee or tenant)
of the oforesa.id building.
H.D.Approv~l Feb 1,
FOI~M 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)
Date .................... O~ t~l~r-.-..~l. ...........IC)&g...
Permission is hereby granted to:
Chet Or:Low~k~,....JL/C....2~.~nee..lleultadt, ........ -
............. ~]ttt ehosue ............................................ '
to ....B.1L~Ld.. _ne.~.. one..._eam~ ~ y...d.~e:L1 Ln8 ..................................................................................
at premises located at ...... L~t..~...~.~.~,..~ta~a&u...Pe~.r~t..~ep ...................................................
............................................... F~.....Yan~tma..l~oad~...;~aaaa1~..lae$1~t .......................................
.................................................................. C.u.t~,h~gne ............................................
pursuant to application dated ........................... Oe.t~l~:l,.....~. .......... 19~:)..., and approved by the
Building Inspector
Fee $3,0.-00 ............
September 11, 1986
Southold Town Building Dept.
Southold Town Hall
Main Road
Southold, NY 11971
Re: 1000-111-6-&
Dear Building Department:
Enclosed please find Application for Certificate of Occupancy and
copy of survey of premises dated December 4~ 1978.
Would you please be so kind as to issue a Certificte of Occupancy
on the above captioned premises and notify my office of the fee
due.
Please feel free to contact my office if you should have any
questions.
Sincerely,
Michael J. Hall N4
MJH:~
TOWN OF SOUTHOLD
, Building Department
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:
1. 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 disposel--(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 building.
5. Submit Planning Board approval of completed site plan requirements where applicable.
B. For existing buildings (prior to April 1957), Nomconforming 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 end 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. Certifioate of occupancy $5.00
2. Certificate of occupancy on pre-existing dwelling or lend use $5.00
.3. Copy of certificate of occupancy $1.00
Date December 5, 1978
New Building ....:,L....~.. Addition ................ Old or Pre-existing Building ..... .~......... Vacant Lend ..............
Location Of Property ....... .~..a.~.8..~'~`.~.....~.~..a...d..~.....~...~..~..~...a..~`~:..~..~.~...~.~!....~.~.~.~.!....~..~ ............
a '
Owner Or Owners Of Prooj~ ........- ..---...-arty L wrence Neustadt ......................................................................................... and HarLon Neustadt
Mag of SectiOn"D'"'Na'ssau
Subdivision .~..p.~...n_t.....C...1..u.b...~_~..o.p.~.~..~.$,.e_.s.~.!~.c.,.Lot No...3...5_5..... Block No ............. Mouse No .............
Permit No ..................... Date Of Permit .................... AppJicent Richard J. Cron, Ysq.
Health Dept. Approval ............................................ Labor Dept. Approval ................................................
Underwriters Approval .............................................. Planning Board Approval ........................................
Request For Temporary Certificate ........................................ Final Certificate ............. .X...., .......................
Fee Submitted $ 5.00
Construction on above described building and per es ax~ulations.
Applicant ............. ,~.~S~~~ .............................
Sworn to before me this //~ / / ~'
5th. . December, 1978 , ,,
................ gay or ............................................ tstomp or seou L~.-~'
· uffo lk JAN~ FLATLEY
//~c~,~ ~-- ~L~c~/ No 52-46654l 8, Suffolk County_. ~--'L~ /./~..), ¥/.j
~ .... - ~ //~' (~gm.~_J~Jor~ Exp~r~ Mo~h 80, 19,~ .~'~-
FORM NO. 6
TOWN OF $OUTHOLD
Building Department
Town Hall
Southold, N.Y, 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec-
tor with the following; for new buildings 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 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 installa-
tions, a certificate of Code compliance from the Architect or Engineer responsible for the building.
5. Submit Planning Board approval of completed site plan requirements where applicable.
For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of peoperty showing all prc~perty lines, streets, buildings and unusual natural or
topograph ic featu res.
2. Swern 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 informa-
tion required to prepare a certificate. ;
C. Fees: ~ .
1. Certificate of occupancy $5.00
2. Certificate of occupancy on pre-existing dwelling or lend use $5.00
3. Copy of certificate of occupancy $1.00
Date.. September 11, 1986
New Building ............. Old or Pre-existing Building(X). _.x.x~ .... : tVacant Land .........
2495 Vanston Road Cutchogue
Location of Property ......................................................... ..~ ..........
Hou~ No. Street Ham/et
Irving and Sylvia Squires
Owner or Owners of Property ................. - ......................................
111 6 4
County Tax Map Ne. 1000 Section ............... 8lock ............... Lot ................
S ..... Map of Section D, Nassau Point 806 355
uoa~wmon ................................. Filed Map No ........... Lot No ..............
Permit No ........... Date of Permit .......... Applicant ..................................
Health Dept Approval Labor Dept Approval '
U nderwriters Approval ........................ Planning Board Approval .................. ~ ,. ~
Request for Temporary Certificate ..................... Final Certificate ........ - .........
Fee '~ " "']'': Please advise
aubm~t, ted ~ .,.:,.. ...........................
Construction on above described building and permifmeets all ap[gi,cable~co~es and regulations.
Michael J. Hall
/App.cant .; ....,~ ........ ~ ........ ~./f ...............................
Rev. 10-10-78
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
$OUTHOLD, N. Y.
Examined ~'~'~- ~"~..~. 19..~...2~
Approved .................... .~.! ........ ~Z'......,
19 ........ Permit No ..............................
(Buildinglnspfctor)
Application No. / ~' ~'' 2~
INSTRUCTIONS
a. This application must be compIetely fiIIed 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 applica-
tion.
c. The work covered by this application m~y not be commenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applica,nt. Such
permit shall be kept on the premises available far inspection throughout the progress of the work.
e. No building shall be occupied or used in whole 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 SouthoId, Suffolk County, New York, and other appIicable Laws, Ordinances or
Regulations for the construction of buildings, additions, alterations, or for removal or demolition, as herein described·
The applicant agrees to comply with all applicable laws, ordinances and regulations.
......... ......................
(Signature~.~.~ .~ ~°f applicant, or name,jif ~, corporation).~... '
..............................'''''r .......................
State whether applicant~is owner, lessee, aD~n(, 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 will be done. Map No.: IJ,~.]../..L.I.(.Z.~..L... Lot No.: .~....)~.-~...;.~.
Street and Number ..L/...~....~...~...,......}~..~....-~....,~;.. ............... .~...~ ....... ..~......
Municipa ty u
State existing use and occupancy of premises and intended use and occupancy of proposed construction.
3. Nature of work (check which applicable): New Building ...,¢'~ ............ Addition .................. Alteration ..................
Repair .................. Remova! .................. Demolition .................. Other Work (Describe) ..................
4. Estimated Cost ...... ./..~,~..i...~..~...(,,z~.. 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, 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 ....... .~f-J.......~.... .... Number of Stories ...... ~ ....
9. S,ze of ~ot: Front ..... /..' '~...~... .......... Rear ......... ~.../.. ............... Oepth ..... ~..2....$'L..7'..
10. Date of Purchase ................. /..~...~../.. .......................... No,me of Former Owner ..... ~ ..............................................
11. Zone or use district in which premises are situated .....
12. Does proposed construct on v o ate an' Ton n~ [aw ordinance or reaulation? ...... ~ -- ' ........
13. Name of Owner of premises ~ :.~. ~~Address ..~ ..~..' .~.., Phone No
e ' I ......... r ......... ~j .~<:,~,:~.....
Nam of Architect ..,,-~. ,-.~ .~, .~ Address ~ ........................ : ............. Phone No ...................
Name of Contractor....~..~..~L. Address .~...~,.~..:,, ....... .~ Phone No.~--,~.~...~.~,~,.~_.
PLOT DIAGRAM
Locate clearly and distinctly ali 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
co ner lot.__ ~ t - i
whether interior or
PTZ-,
ST^T~ OF ~W. ~)y,~/~, ) s s
¢
~..-~....~ being duly sworn, deposes and says that he is rhea l icant
......... (N~me ........ ~f' ,ndividu~sig%(signi~- ~ n '~i~'i'~ ................ PP
~bove named He s the .~ ~ .................................................................................
(Contractor, agent, corporate officer, etc.)
of said owner or owners, ~nd is duly authorized to perform or have performed the said work and to make and file this
~pplication; that ~1 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 /, '
.......... ......... ......... ,
Q/_ ~,~, ,~ ~, ~ ......... ~~....~: ...............................
~otory Public ..~.~j~T~~..~ounty ~ (Sionoture of ~pplicont) ..........
~ No, b2,0344963, Suffolk Cou~t~
8omnl~io~ Ezplres March 30~