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Home My WebLink About2061-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. UPDATED CERTIFICATE OF OCCUPANCY NO Z-22891 Date MARCH 8, 1994 THIS CERTIFIES that the building DWELLING Location of Propert~ 4800 NASSAU POINT ROAD House No. Street County Tax Map Ne. 1000 Section 111 Block 8 Subdivision Filed Map No. CUTCBOGUE, N.Y. Hamlet Lot 11 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 10, 1963 pursuant to which Building Permit No. Z2061 dated MAY 11, 1963 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 ATTACHED GARAGE & ADDITION * The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED JOHN P. & SUSAN M. GANTL¥ OCT. 14, 1963 - R. Villa N/A N/A * THIS UPDATES CO Z-1711 DATED 10/16/63 & CO Z-3081 DATED 5/21/68 // Building Inspector Rev. 1/81 FOI~M NO. 4 TOWN OF SOUTHOLD BUILDliqG DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, iq. Y. /7// No ....... ..... CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at ..~/~q.....1NaSsa%%..P,c~lr~t..Road .............. Street Nassau Point Club P~op. Map No ....................... Block No ............ Z.~ ...... Lot No...'l~O.,.....Dutchogue .............................. conforms substantially to the Application for Building Permit heretofore filed in this office dated ............................ Ha,y .......... ~0 ................ , 1963.- pursuant to which Building Permit No..~0~1... dated ......................... ~a,~' .......... ~ ......... , 19..~3.., 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 ........ ........ .l~.i.v e.t e · .o~e...f. am [, t.y.. ~t~e .t..1.[. mg ........................................................................................ The certificate is issued to ..~,~.~.,...~TO~,...R,...L~cI~g ............................. C~elt. ............................. (owner, lessee or tenant) of the aforesaid building. H.D. Approval O~tober l~ 1963 FOt~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) N? 2061' Z Dote .................... ~.~. .......~, ..................19~.~... Permission is hereby granted to: Chef. Or~.~k.~ ........ ~/(~.-..~r~,..Jo~..(~ar.l.o~). Ladds .... gu%~hogue ...................................................... to..Bu:~.I~.. ~e~.. one...E~$.l.¥...d~e.l.l.$ag .................................................................................... at premises located at ..-.to~,..]:.~'O~.....~,as.sa,,~...~P~t.n% ................................................................... ................................... lfas.sau.-P~)t.n~.-.Re~ .................................................................................... .................................................................. ~te~ogue ........................................................................ pursuant to application dated .................... ; .......... J~I~ty ....... LO .............. 19.~,~.., and approved by the Building inspector Fee $"'~O~ ............... -- ~uJJaing ~nspector APPLICATION FOR CERTIFICATE OF OCCUPANCY TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 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 or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Ocaupaucy is denied, the Building Inspector shall state the reasons therefor in.writing to the applicant. C. Fees i. 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 4.Updated Certificate of Occupancy - $50.00 5.Temporary Certificate of Occupancy - Residential $i5.00, Commercial $15.00 Date ......... ~. l~. J.?Z ..................... New Construction ........... Old Or Pre-existing Building ................. House No. Street Hamlet County Tax Map No 1000, Section..[~l ......... Block .... ~ .......... Lot .... [.~ ................. Subdivision ............................. .. . .. . . Filed Map ............ Lot .................... . . Permit No ............... . Date Of Permit ................ Applicant ............................ . Health Dept. Approval ........................ · . Underwriters Approval ....................... . . Planning Board Approval ...................... .. Request for: Temporary Certificate .......... . Final Certicate.~./~/~.~ Fee Submitted: $ .... ~ ~ ......................... Ekoc. s 17 ......... Co I -- c, FORM NO. 6 TOWN OF $OUTHOLD v Building Deparm~en~ Town Hall Southold, N.Y. 11971 APPLICATION FOR CbRTIFICATE OF OCCUPANCY 1. Certff~ca . of occupancy $5.00 2. Cerldicate of occupancy on pre-e×isting dwelling or land use 3, Copy of certificate of occupancy S1.00 )nstructions This application must be filled in typewriter OR ink, end submitted in duphcate to the Bu ding Inspec- tor wi~h me following; for new buildings or new use: 1. Final '.urvey of properw with accurate location of all buildings, properW lines, streets, and unu~l na~ur3l or tooograDh c features. 2. F/nm approval of Heaim Dupe of water supply and sewerage disposal~(S~9 form or equal). 3. Approval of electrical installation from Board of Fire Unde~riters. . . 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildin s and nstalfa. ~ions, a certificate of Code cornpliance fiom the Architect or Eng neet responsibJe"f~r the buJJdJn . 5, Submk Planning Board approval of compie[~d site plan requirements where appllca~le, g For exisdng buildings (prior to ~pril 1957), Non-conforming uses, or buildings and ' '.' land uses: pre-ex st nc" 1. Accurate ~ey of peoperty showing all property lines, ~ree~s, buildings and ~nusual natural or topographic features. 2. Sworn s(a[emen[ of owner or previous owner as to use, occupancy and condition of buiMings. 3. Date of any housing code or safeW inspection of buildings or premises¢ or other pertinen~ inforrna. tion required to prepare a c~fica[e. / $5.00 Daie ,. 8/18/83 Ne B [Idi Old P i ti Buildi g(X) XX '~ eVacant .- ..... Land Locadon of Property Nassau Point :Roa~ , Hour, No, Owner or Owners of Property .... P~eq9 S. ~qb~&& ,an~ Erg~ ~-Y.'~U$~ ..... County Tax MapNo 1000Section ~ZZ FHud Map No ' Lot No Permit No Date of P · He~l[h Dept Approval ......................... Labor D~pt. APproval ~nd~rit~rs Approvol . ........................ Pl~nnin~ Board Approval Request for Temporary Certi[ic~te · ..................... Final Certificate ........ - ......... Fee Submitted S 5. O0 Con&truct[on on ~bove described building ar:c~ f;ur~i '~s al ,a ~q blc,~ d and regulations SUFFOLK COUNTY DEPARTMENT OF HEALTH Buildi~ Permit No. TO WHOM IT MAY CONCERN: Z2061 The sewage disposal facilities for a structure located at Lot !~Q. Nassa~ Po~, C~t.~ho~ (Give deed location) have been inspected by this Department and found to be satisfactory. Dis%rio% ~gineer "District Engineer F TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N. Y. Examined ............. ~..C....~.... [. L...., 19..~..~... Approved ........................................ , 19.....!..Permit No. Application No. "~(~ (~ /r APPLICATION FOR BUILDING PERMIT Dote .................... , 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 ~ocation of lot and of buiMings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drown on the diagram which is part of thi,~ applica- tion. 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 applica,nt. ,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 MAiDE 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, a terations, or for removal or demolit on, as herein described. The applicant agrees to comply with all applicable laws, ordinances and regulations. . ,~ (Signature o~appIJcont, or name~ if a co~porotion) / ~ £.,----/~ (Address ofdbppllcant) State whether applicant is,~own, Cr,%lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. If applicant is a corporate, signature of dub/authorized off'car. (Name and title of corporate officer) 1. Location of land on which proposed work will be done. Map No.:~.'c~'~*~ ~l(J' ' ...................... J.,'...~.~ ...... ' ~'~--~Lot No.: .Z.~--- .......... Street and Number ...~~....t...-m.z.../.X.,~....~ .............. ~...~; ................. Z ....... ~ .................. Municipalit~ / 2.State existing use and occupancy of premises and iptended use and occupancy of proposed construction. a. Existing use and occupancy ~ b. Intended use and occupancy ........... ~.....~C.....~.~%J~.~...?~~ ................................. / 3. Natu]re of work (check which applicable): New Building ............... Addition .................. Alteration .............. Repair .................. Remova! .................. Demolition .................. Other Work (Describe) .................. 4. Estimated Cost ......... ./.~Z...~,~ ......................... Fee ............. .~...~..~...~?T~d.. ................................................. (to be paid on filing this application) 5. if d~;elling, number of dwelling units ............. /. ................ Number of dwelling units on each floor ........................ If ga~rage, umber of cars .................................................................................................................... 6. If bul, siness, commercial or mixed occupa.ncy, 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 .......... ~.~..~...f ....... Rear ........ ¥~.'~..~:~..!. ......... Depth .....,~....."Z. ............ He,ght ...... ~.(,~. ................. Number of Stories ..... ~ ............ · / ! ~, 9. S,ze pf lot: Front ........~...~. ............... Rear ........ ~....~/. ................ Depth ....~....~...~.....'~ ........ ~ ,~' Date of Purchase /.. ~ ~.. Nom~ of Former Owner or use district in which premises are situated ....... ~.~.~~:~..'. .................................................. t 1. Zone ]2, Does proposed construction violate any z~ning law, ordinance or regulatipn? ~....-. .7.. Name of Architect .................................................... Address .... ~) ...... }...! ............................. i '' ' '' ~'~,~ .J2.' Phone No .........~.. Na~'e of Co,t~octor ~*~.... ......... Address ................... y... Pho,o No./.~...~ PLOT DIAGRAM Locat, e clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions f property lines. Give street and block numbers or description according to deed, and show street names and indi~ whether interior or corner lot. STATE OF, NEW/FYORI~., ~// ) __ ~ -- COUN..1-~ ;OF ~..~ ...... ..,), '' ~ (~ame of in~aFsigning aDplica·~) , of s~id owner or owners~ and is duly outhorized to perform or have performed the sold work ~nd to m,ko ond filo t~ s oppHc~tio~j that oll statements contained in this o~plicotion ~re true to the best of his knowledge ~nd beliof; ~d that the work will be performed in the manner set forth in the application filed therewith. [ Sworn to ~efo. re me this ~ /'~ ~. ~ ............. /~ ....... ~ of ............ ~ ................ , ,~. ~// ~ ~ ~ .. ~ II ..... ~.. ~, .,,~~_~j.._3 ~4~....~ ......................... ~L... INoTa y Yu~uc ,.,~~p~~..,' ~ou6ty Lb~gnature of applicant) ~ ~ F~0 52-g~,1963~ SuJfolk Countyjz~ ~ ] Corem s~on Expires March 30, 1~) j~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Exom,ned ............ Approved ........................................ , 19 ........ Permit No .............................. Disapproved a/c ......... ............................. Application No...~....0..,..~...( ............ APPLICATION FOR BUILDING PERMIT l.,..-,7 /.o ....... Date .......... ; ............................... INSTRUCTIONS o. 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 an premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drown on the diagram which is part of this applica- tion. 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 applica,nt. Such permit shall be kept on the premises available for inspection throughout the progress of the work. e. No buitding 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, alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances and r~aulations :' :,4; .: ........... .~.,..~.... ~.~. ?.~..q~.~r.-r:~ ................................ (Signature,~f~applicant, or name, if a corporation) ....................... ~::~:~: ............................... (Address of Japplicant) State whether applicant ~ ow,~et~, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. . Nome of owner of premises ..... ~M ............ .~.z/:: ............. 41....'~: ...~:..~ ................................................................................. If applican~ is a corporate, s~gnature of d~ authorizad officer. (Name and title of corporate officer) ' 6.)¢u.,.~ 1. Location of land on which proposed work will be done. Map No.:~.~.....~.:.....l../..~.~: ....... Lot No.: ..~..~.. ............ Street and Number ..J(b.~ ................ .~....~../..../~..Z' y ................. _ .~.~.~.· ........ ~.(~:>~....r.~_.. ................... .):Z......~..,' ................. :. Municipali~ 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction. a. Existing use and occupancy ......... .../)~?.;<:~..~q.l.....~'~.!:~ ................................... , ................................................. b. intended use and occupancy ~ ~z..~-~ :~( ~r ..... 3. Nature of work (check which applicable): New Building ...... ~ ......... Add,ition .................. Alteration Repair .................. Removal .................. Demolition .................. Other Work (Describe) .................. 4. Estimated: Cost .......... /.~..~....~.'Z..~%~. ....................... i. Fee ............. ~..~.,~..~:;h~. .......... ~ (to be paid on filing this application) §. 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 Dim'ensions of same structure with alterations or additions: Front ................................ Rear Dep!h ................................ Height ................................ Number of Stories ................................ 8. Dimbnsions of entire new construction: Front .......... .~...~ ........... Rear ........ .~...~, ............ Depth Height ....... /'1~'"':' ............ Number of Stories ..... ~c;~,.x~x....--,~-... ......... 9 ......... Szeof at' Front-- .~...~/_' : .......... Rear ./...~./ ....................... ' Depth ,,~ ~ .......... ~,..~, ~., ~ ~"/~ 10. Date of Purchase ............. /(....~..~,~. ............................ Name__ --at Former Owner 11. Zon? or use district in which premises are situated ....... 12. Doei proposed construction violate any zoning law, ordinance'~-- -- --or regulation? .~..?....L~Xc~r~..?....~,n~...~t~j~,~' 13. Name of Owner of premises~.~.,.S~.,..,~J.~,~P~.l~ ..... Address ..~'~C .~':~, .~.m.-~...~..:...~., ...... Phone NameName of°f ContractorArChitect .................................................... z'-~r' ~ ,~r .~~ . ·// · Address iil]'~"~iii'~Zii~iii'i'~'']ilu ! Phone No ........../1 '." ~.~:~F ':' · ./,u~ ~¢..,~¢:~ .~,. ......... Address Phone No.l.~.~..... PLOT DIAGRAM Lace.re clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions property I',mes. G~ve street and block numbers or description .according to deed, and show street names and indk whether ir~terior or corner lot. COUNTy ' ' ....... ~:..~..,..~-,~'.,..../~..~'..~4.(~.~,~/i~./. ......................... being duly ,war deposes and soys that he is the '--(Name of inc~T-dd'a~igning appfica~;~' n) above named. He is the ' ', agent, corporate officer, etc.) of said owr~er or owners, and is duly authorized to perform or have performed the said work and to make and file application~ that oil sta.tements contained in this application are true to the best of his know edge and belief; that the w~rk will be performed in the manner set forth in the application filed therewith. Sworn to before me this,