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HomeMy WebLinkAbout2200-zFORM NO. ~, TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town H~II Southold, N.Y. Certificate Of Occupancy No .... z-15518 Date ..... p.e.q e. ...... 7 ..... 19 .8.6 mber. 1 ............. THIS CERTIFIES that the building One family dwelling . Location of Property . 50 'Ruth Road ; ya. tt.~y.u.c.k.~..N...Y.: ....... House No. Street Hamle~ 106 05 36 County Tax Map No. 1000 Section.. ......... . Block .............. . Lot ... ........... .. . Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated September I, 19 .6.3pursuant to which Building Permit No. 2200Z dated ...September 1, 19 .6,3 ed dc fo all fth ..... _ ...................... wasissu ,an on rmsto o erequirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... One f. am!.ly d.wel, ling. MICHAEL R. & CONSTANCE KRESHON The certificate is issued to .................... (owner, ~,~XX of the aforesaid building. Suffolk County Department ofllealth Approval Approved by R. Villa Jan. 13, 1964 UNDERWRITERS CERTIFICATE NO ................ ~. {.~ .............................. . This updates CO z-1796 Building Inspector Rev. 1/81 FOP~ 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? 2200 Z Date ..................... Oo-~. O1~-.-...~. ............ 19.6.3- Permission is hereby granted to: E.~..W.. Ak$..~ r, ........ ~..~ _ ...~L .e.b,~,~.:k .. ~ ,... ~c~. ~hqn ............... t~a¢.~it, uo~ ........................................... to .. 'B~' t~" new...one...l~,-~l.l.y...~w~-~.l.~ ................................................................................... ~ at premises located at ..~LI.~;~,...&..~L~f,~..P-~oa~ ............................................................................... ................................................ ~.ti.tuo~ .......................................................................................... pursuant to applicatio~ dated ...................... Oc~.tO]:;~.....]L. .................. 19.~.3.., and approved by the Building Inspector Fee $~Q;..0.0. ........... FOKS! NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY Ti-IlS CERTIFIES that the building located at ..R~%,~,J~,.&..~.%l,,~J~e~..~)a~. ........................ Street Map No ..... ~ ........ Block No ......~ ....... Lot No, .~ ....... [~,~;.~'J,ll~k. ................................ conforms substantially to tlqe Application for Building Permit heretofore filed in this office dated ....................................... ~4~]~.t, ombe~.,.1, 19..~.~. pursuant to which Building Permit No ...... 2~q007, dated ........................ ~e~t~l~}:~.....~.., 19...6~ was issued, and conforms to oil of the requirements of the applicable provisions of the law. The occupancy for which this'certificate is issued is ........ ............... I?r.O.V~ Ze ..an~..family..d.wellirig .................. :: .......................................... ~ ................... The certificate is issued to .../~Lahael..R,..~eaho~ ................. O~nen ........................................ (owner, lessee or tenant) of the aforesaid building. H.D. Approval ~nuary 13 196% by R. Villa '"/ ..................... .......................... FOI~M NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at ..R.~at~..&...!a~tthe~..Rea~. ........................ Street Map No ..... ~ ........ Block No ......~ ....... Lot No..~ ....... /~f~.~;~Ol{. ................................ conforms substantially to the Application for Building Permit heretofore filed in this office doted ....................................... ~O]p.~',Olltbe.~...~l., 19..6.~. pursuant to which Building Permit No ...... ~.OOZ dated ........................ ~e.lo~;e~......~L..., 19...~o.~, 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.r.o.vata..one...£a.~£1:r...&~elltrig .................................................................................. The certificate is issued to ....}Ji(~haJS]...P~,..-'~T~fJhOD. ................. 0~/rl~l~. ........................................ (owner, lessee or tenant) of the aforesaid building. H.D. Approval ~anuary 13 196~ BY R. Villa Building }nspe~:~r .... FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall $outhold, N.Y. 11971 765- t802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A, This application must be filled in typewriter OR ink, and submitted m ~ 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 featu res, 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. 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 topograph ic featu res. 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 informa- tion required to prepare a certificate. C. Fees: I. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling $1 5 o 00 3. Copy of certificate of occupancy $1.00 4.Vacant Land CoO. $5.00 5.Updated C.O. $15.00 Date Dec. 17, 1986 NewCons truc tion ...... Old or Pre-existing BuiJding .U.p..d,a?.e.d...C.O Vacant Land ............. 50 Ruth Road Mattituck, N.Y. Location of Property ................................................................... House No. Street Ham/et. Michael & Constance Kreshon Owner or Owners of Property ............................................................ 106 05 36 County Tax Map No. 1000 Section ............... Block ............... Lot ................ Subdivision ................................. Filed Map No ........... Lot No .............. Janu'ar¥ 15, i964 Edwi.n Abitz Permit No. 2200Z Date of Permit .......... Applicant .... Health Dept Approval 1/. ! .3/.64. Labor D pt Appro ................... e . Va ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate xx Fee Submitted $ .... 15.00 Construction on above described building and permit meets all applicable codes and regulations. Applicant... ~o~Q-"~"c/...~,~..~-- ................ Constance Kreshon Rev. 10-10-78 SUFFOLK COUNTY DEPARTmeNT OF HEALTH Date _ January 13~, 1964 ~3ding Permit No. ~, 2.290Z TO WHOM IT MAY CONCERN: The sewage dispesal facilities for a structure located at Cor. N~W Luther Rd & Ruth Rd, Mattituck ......... (Givedeed'" loc~tion) have been inspected by this Department and found to be satisfactory. District Engineer Subdivision '\ "Coptain Kidd Estates" Lot / 19:5 I Lot, 195 i .60' Wo 91.50 RUTH, ~..~, ~,,.,,, ROAD MONUMENT SURVEY FOR MICHAEL R. & CONSTANCE KRESHON MATTITUCK TOWN OF SOUTHOLD' SUFF. CO., N.Y. SCALE, I',' = 40' OCT. 2 ,' 196.3 OCT. 26, 1963 MAY 19, 1964' GUARANTEED TO: SOUTHOLD SAVINGS BANK INTER -COUNTY TITLE GUARANTY MORTGAGE CO. PROFE~ION~GINEE~/~N LAND SLIRVE ~f~ N .Y. $-LI~,NO° I Z84'~ RIVERHEAD , N.Y. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUT.OLD, N. Y. Examined ............... J~/.../ ........., 19...~..X Approved ....................... ./...~./.(..., 19.....~...Z~ermit No ...... ...~.....~...~..~...~. ....... Disapproved a/c ............................................................................................ Application No ..... ..~... :~....¢~.. ......... APPLICATIOt~ FOR BUILDING PERMIT INSTRUCTIONS o. This application rnust 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 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 port of this application. 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 sh~ll 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 HEP, EBY 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) ........................ NAt.ti~uek ................................................... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ............................... C ~t~.r-ae.t ¢~r .......................................................................................................................................... Name of owner of premises .......... ~.~.hae'.J....R.,-..~..e~)-zo~ ............................................................................................... tf applicant is a corporate, signature of duly authorized officer. ................... ................... 1. Location of land on which proposed work will be done. Map No' ...~.~.~ ................. Lot No: .....~O.Q~. ..... Street and Number ...~¢~.~...~e~..~.O~ ........ ~.~¢&¢~. ...................................................................... Municipality 2. State existing use and occupancy of premises and intended use and ~cupancy of proposed construction: a. Existing use and occupancy ......... ~ ........................................................................................................... b. Intended use and occupancy .......... ~.,.~...~.~.~ ......................................................................... 3. NaCure of work (check which applicable): New Building .................. Addition .................. Alteration .............. Repair .................... Removal .................... Demolition .................... Other Work (Describe) ........................ (to be paid on filing this application) 5. If dwelling, number of dwelling units ......... .0..~..~. .............. 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 ......................................................................................................... Din'!ensions of same structure with alterations or additions: Front ................................Rear ............................ Dep.th ............................ Height ................................ Number of Stories ........................................ 8. Dimensions of entire new construction: Front ................ 6~. ........... Rear ...... .6..~. ................. Depth ......... .~..~'...~..~. ...... Height ............................ Number of Stories ...... .0~. .................... 10. Date of Purchase ........ ~..~.~3 ....................................... Name of Former Owner ............. .~..~....~.a..~.~..~.~ .......... 1 1. Zone or use district in which premises are s tuated ............ ,l~.....~.~ ........................................... 12. Does proposed construction violate any zoning law, ordinance or regulationP ........... ~.~. .......................... Name of Architect ...................................................... Address ............................................ Phone No ................. PLOT DIAGRAM L.ocat~ clearly end distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions fr~ property libes. Give s.treet and bock numbers or description according to deed, and show street names and indic whether inferior or corner lot. STATE OF NEW~'~. ) COUNTY OF ............................ ) S.S. ................................................................................................. being duly sworn, deposes and says that he is the applicc (Name of individual signing application) above named. He is the ........... (~O~:Z'~O.t~O:~. ................................................................. ................................................. (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 fi this application; that ali statements contained in tills application are true to the best of his knowledge and belie and that the work will be.performed in,~}~ ~_~ set forth in the application filed therewith. Sworn to b~fore me this N¢.~.~, ,hJblLc, Stale 0l ~]0w Y~,, %~ '~z ~ dnv of g~ Expires ~arch ~ ~ / ~ .... // _ / ~ ' / ///~ ........................ ~g ...... V'"=_~"~W'"'~ ...... '~'"",(/,,.~'~2:~( g:-.:, ,. ~./ ~'/~ ,.~ -L / ~ ¢. ·//. ~. t. ~/ ~ ~.)j..~.~ //. ~ ....................................................... ~ ................................ Notary Pubhc, .~ ........ ~...~ ................... County (Signature of applicant)