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Home My WebLink About2234-zFO~M TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPAiNCY THiS CERTIFIES that the building located at .......... ~/S.....~.~O~t...R~,~ .............. Street Map No....~SO~ ....... Block No .......... ~... Lot No ...... X~....~.ti.~ue~s.....N,.~f~ ............ conforms substantially to the Application for Building Permit heretofore filed in this office dated ........................................... 0(~.t, ....... ~...., 19.~3.. pursuant to which Building Permit No ..... dated ..................... 0~l~e~'. .......2~ ...... , 19..~.~., 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 ........ ..~.iV~t e.. o~e...~mt:~¥.. ~ 1.1~,~ ............................................................................................... The certificate is issued to ..... De~c],..~tf~t, la~ ........................ ~w~J~lt ............................................ (owner, lessee or tena,nt) of the aforesaid building. H.D. Approval April by R, Villa TOWN OF SOUTHOI~D BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ~U!LDING PERMIT (THlS RERMIT,~ST BE KC:PT ON TH~ PREMISES UNTIL FULL COMPLETION .OF THE WORK AUTHORIZED) 284 Z permlss!en is- hereby granted ..... :..: ........ Cu~h~...~ ....... , ............................ to ....... ~ .~. · .o~e.. l~J~il~.. 4~i~ ........................ _. ........ .~ ............................................ at premises located at ,~.~/~....,l~alr,il. lLo'~te~...l~a& ........... : .............................................................. ...................................................... ~t~t~kt..,,~..~, .................................................................... pursuant tO application' doted ........................ JlCLt:;t)helE, ....... ~ ........19;,~.~., and, approved by the Building Inspector Fee $..tD.DO ...... Building Inspector S-9 SCHD SUFFOLK COU[@Y DEPAJ,T'~NT OF HEALTH Date April 6~ 196h Building Permit No.~. 223~Z TO ~0M IT MAY CONCERN: The sewage disposal facilities for a structure located at e/s Mayflower Rd, ~attituck ' (Give deed location) have been inspected by this Department and found to be satisfactory. District Engineer FORM NO. 6 TOI~/N OF SOUTHOLD Building Department Town Hall 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 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 peoperty showing all property lines, streets, buildings and unusual natural or topographic features. 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: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 ~opy of certificate of occupancy $ 1,00 Date. ~'~//~,~-'~.. ............. New Building ............. Old or Pre-existing Building . /.~.. ....... Va'cant Land ............. Owner or Owners of Property ~;;;~. ~~/z~ .~ ..... County Tax Map ~o~ 1000 Soction ~ ./~. ~ ...... alock .... ~ ......... Cot .... ~_ ~ ....... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........... Date of Permit .......... Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ........................ Undbrwriters Approval ........................ Planning Board Approval ...................... Request for Temporar. r.r~ Certificate ..................... Final Certificate ....................... Fee Submitted $... ~../.: ...................... Construction on above described building and permit meets all applicable codes and regulations. Applic .... . ............... F- TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined Approved ............................ !~. ........ , 19 ........ Permit No .............................. Disapproved a/c ................. ~_~' (~uilding Insp~tor) Application No. ~_C~ ~ c( APPLICATION FOR BUILDING PERMIT 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 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. e. The work covered by this application may not be commenced before issuance af 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 buitding 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 M~DE 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 regulations. .............................. ........................ StaCe whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ...................... If applicant is a corporate, signature of duly authorized officer. .................. ................... ]. Location of land on which proposed work will be done. Mop No.: ........................................ Lot No.: ...................... Street and Number ..'~~:~.'.~.......~...~.~.~...~.......~......~.'?..~'.~.~.~-~...~....J./..~.. ...................... ~ ~! Municipality ~ ' 2. State existing use and occupancy of prerr~ises and intended use and occupancy of proposed construction. o. Existing use and occupancy ...... .~ ........ . .......................................... ~ , .................... .~ ...................................... b. Intended use and occupancy ...~.......~.?.?.n~..~..:.~...~.~....(..~.....~..:.~..~...'.~;..'~...~ ............................................ 3. Nature of work (check which applicable): New Building ...... X ......... Addition .................. Alteration Repair .................. Remove! .................. Demolition .................. Other Work (Describe) .................. 4. I=stimi:ted Cost ....~.~.../...~ .................................. Fee' .,..../...~..../..f(?J (to be paid on filing this application) 5. If dwblling, 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 eac}~ type of use 7. Dimensions of existing structures, if any: Front ....;; ...................... Rear ............................ Depth Heigb, t ............................ Number of Stories ................ Dimensions of same structure with alterations or additions: Front ................................ Rear DeptE ................................ Height ................................Number of Stories ......... ; ...................... 8. Dimensions of entire new construction: Front ......... ~,,,,~,,:z..~ ...... Rear ....... ~..,~..'=..~...:;..., Depth ...;.~...,~..:....~.... Heigl~t ..........J. ................... Number of Stories ..... ~.~ ............... 9. Size of lot: Front ...... ../...d...,~.,....~ ........... Rear ........../..~ ............... Depth ..... ./....~.....~.. ............ 10. Date of Purchase ....... /..'...~...~...~ .................................... Name of Former Owner ....~i.~..~ 11. Zone!or use district in which premises are situated ....... /t~..~....~.. / 12. Does proposed construct on via ate any zen na law, ordinance or reou at on~ ~ - 13. Name Owner of Address .4..~.,...~..:.~..,.~.~. Phone No. Name of Architect .................................................... Address ....~.....~....~...T...~..:..~..~..: ..... Phone No. Name of Contractor ~.~~..:..-~.'. ....... Address ..~r~.~:..,.:..b..:.~. ...... Phone No.~)~,.~.&..~ PLOT DIAGRAM kece,t,e clearly and distinctly ail buildings, whether existing or proposed, end indicate all set-back dimensions fn property [ihes. Give street and block numbers or description according to deed, and show street names and indi~ whether interior or corner lot. COUNTY OF ..~ ~'~' .~.~.~(~-x~,'~.~:-~ being duly sworn, deposes and says that he is the opplicc (Name of individua! signing qNplication) a,bove named. He is the ........................ ..~....~.....~.....- (Contractor, 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 all statements contained in this application are true to the best of his knowledge e,nd belief; that the work will be performed in the manner set forth in the application filed therewith. Sworn to b~fo~9~e me this : ............ ........ ......................... : ............... Notary ubl'c '~r~ ~S~~',l~, o~,,~l~Y,~/~ (Signature of applicant) Commission Expires Marcll 30, TITLE GUARANTEE- NEWYORK Southold Building Dept. Main Road Southold, N.Y. Gentlemen: 8/9/79 Re: 1206775 TM$1000-107-8-29 E/S Mayflower Road 325' N/O Brower Redd Kindly furnish this Company with a copy of the certificate of occupancy for the above captioned premises. Enclosed herewith is a check to cover the enclosed is a self-addressed~ stamped envelope in replying. cost of same. Also~ for your convenience Thanking you for your anticipated prompt reply, I am enclosure Very truly yours, THE TITLE GUARANTEE COMPANY The Title Guarantee Company 400 West Main Street Riverhead, New York 11901 516 727 2300 A TIC. OR COMPANY THE TITLE GUARANTEi~ COMPANY e,',d PIONEER NATIONAL 'TITLE INSURANCE COMPANY Policy No. 1206775 Amended 8-13-79 SCHEDULE A The premi~el in ~iCh the insured h*s the e~l~te or infer~st coveted by thi~ poJlcy ~LL that certain plot, piece or parcel of land, with the buildings ' ~nd improvements thereon erected, situate, lying and being in the ~rea known as Westview, at Mattituck, in the Town of Southold, County )f suffolk and State of New ~ork, and more particularly bounded and ]escribed as follows: 5EGINNING at an iron pipe on the easterly line of Mayflower Road, ~25.0-feet northerly-along said easterly line from Brower Road, ~aid point of beginning being the northwesterly corner of land of ~chaaff; from said'point of beginning running along said easterly Line of Mayflower Road North 11 degrees 17 minutes 20 seconds West, L00.0 feet to an iron pipe; !HENCE north 78 d~grees 42 ~inutes 40 seconds east, 150.00 .ron pipe; 'HENCE south i1 degrees 17 ~lnutes 30 seconds east, .ton pipe and said land of Schaaff; 'HENCE along said land of Schaaff, south 78 degrees ~est, 150.00 feet to the point of BEGINNING. fee%~to an 100.00 feet to an 42 minutes 40 seconds