The URL can be used to link to this page

Home My WebLink About2252-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. UPDATED CERTIFICATE OF OCCUPANCY No Z-22944 Date APRIL 14, 1994 THIS CERTIFIES that the building. D~LLIN~ Location of Property 600 ~q~%RVIEW AVE.&1050 GARDINERS LA. SOuTHOLD, NY House NO. Street Hamlet County Tax Map No. 1000 Section 70 Block 8 Lot 48 Subdivision Filed Map No. Lot NO. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 18, 1963 ~ursuant to which Building Permit No. 2252-Z dated NOVEMBER 19, 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 ATTAu~D FRONT PORCH* The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED FRANCIS J. KIERNAN, Jla. & ORS. SEPT. 2, 1964- R. VILLA N/A N/A *NOTE: THIS UPDATES CO Z-1917 DATED 9/3/1964. //~ ldihg Inspector Rev. 1/81 FOI~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No...~.,],9.~,.~. ........... Date ........................... Be.pt;~,~her..3.., ~9....6.~ THIS CERTIFIES that the building located at ...... (~l.~q,E~...&..~f~l.~.l[,~l,l~ .................. Street M F~airview Park ap INa ....................... Block No ....................... Lot No.....~ ................ ~O...~..~...~..O..~...~.~...~.:..~.?. .......... conforms substantially to the Application for Building Permit heretofore filed in this office dated ....................................... NQ.~.®[II]3¢~..."I 8., 10..~,~. pursuant to which Building Permit No, ,,~,~...~..~...~... dated ........................... NO.~.f)lll~)~,~.......~9., ] 9...,~.~., was issued, and conforms fo all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ........ ................. ............................................................................... The certificate is issued to ....GQ~.C],QI"J..J:~J~Q~ ...................... .O....'~....e.?. ................................................ (owner, lessee or tenant) of the aforesaid building. H.D.Approval Sept 2. by R. Villa ................... /~?~J...':,:..~..".~...~C,,:.,,,, .......... Building Inspector 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? 2252 Z Date ................... ~o~'"~;J~'""~ ...... , 19'l~2~" Permission is hereby granted to: G, W, S~.~-.&..,~e.. A/G~....Ge~e~en....,:~j:s~o~ .. ........... fjo~,~ho.~:ct.~ ............................................... to ...... .~o...bt~ .ld.· ~ew · .o~e.. Ta~Lt.:L,~ ..(iW~,~,~ ........................................................ ~ ................. ct premises located at ...Ga.~d.t.~e~'~-.- .T~..&.~.~az, v'l.e,~.-~,~, ................................ . ....................... ..................................................... ~O~hotd~ ............... : .......................................................................... pursuant to application doted .................. :~'~gJtl~b~ ....... J:~ ........... ~ 19.1~.., ,and approved by the Building Inspector Fee $.....'l Ov (~ ....... Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 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 '7pra-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 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, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildin~ - $i00.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy.- $50.00 , 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 t~RIn 1.4.,..199! Date ........................... New Construction ........... Old Or Pre-existing Building....IJ.P.D.A..T~.D. ...... 600 CL~ARVIEW A~rg.&1050 GARDIlqERS ~ SOIITHOLD, N.Y. Location of Property ..................................................... . . .................. House No. Street Hamlet Onwer or Owners of Property FRANCIS J. I(IERFIAI~, JR. & ORS. County Tax Map No I000, Section ..... 7.0. ....... Block ..... .8. .. ....... Lot....4.8, ................ Subdivision ............................. .... ... Filed Map .......... . . Lot 2252-Z ~ NOV. 19 1963 Appli G'..~!S~O .... Permit No ................ Date Of rermit ....... ' cant P Health Dept. Approval........ ................. . Underwriters Approval ...................... . .. Planning Board Approval . . Request for: Temporary Certificate ........... Final Certicate ........... SC}ID SUFFOLK COUNTY DEI~RT~'~I~T C~' HEALTH Date , 9/~64 , Building Permit TO t~IOM IT MAY CONCERN: The sewage disposal facilities for a str~.cture located Clearview Avenue (Bishop) .......... (ai .... ) va deed lacation have been inspected by this Department and found to be satisfactory. Distric{~.E--~gin-~e~ ' TOWN OF $OUTHOLD TOW~ CLERK'S OFFI~ ............ ...... Approved ........................................ , 19 ........ Permit No ........................... oi,o ov, .......... ................................ ........................ APPLICATION FOR BUILDING PERMIT 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 ~reos, and giving a detailed description of layout of property must be drawn on the diagram which is par} of this application. c. The work covered by this application may not be commenced before issuance of Bui!ding 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 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 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, os herein described. The applicant agrees to comply with all applicable laws, ordinances and regulatior~ (Signa ute o app icon , or name, ir o corporofionj ...............u (Address of app~ nt) ~ "~' "~' '"~". ~ '": ................... State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. If~pplicant is a,corporate, signature ofy~ul,y au~o~'ized officer. (Name and title of corporate officer) 1. Location of land on which proposed work will be'done. Map No: ~ Lot No: ' Street and Number ~.~..~`..~.~...~.~...~.~...~(`~..~....`~..~.~..~4~.~...~.~..~.~..~r~.~.`~`~..~..~..~Z..~.~.~..~~~ Municipality 2. State existing use and occupancy of ~re~,n~ and intended use and occupancy oF proposed construction: a. Existing use and occupancy ........ ,~ _C,,~ ,~..*~..C~¢.~L~.~kct.....~.~.~ ...................................................... b. Intended use and occupancy .............. .~..~..~...~.,i,~.~.~.....Cc....~,~.,. ........ 3. Nature of work (check which applicable): New Building ...]~......... .... Addition .................. Alteration .............. Rep'air ............... ;~, Removal .................... Demolition .................... Other Work (Describe) ........................ 4. Estimated Cost ....~....~ ............................................... Fee .......................................... ~/..~. (to be paid on f/llng 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: F. ront......~.~..~ ........ :... Rear ........................... Depth ........................ Height ............................ Number of Stories .................................. 9. Size. of lot: Front ..... ./.~Z..~ ..........Rear ......... ~,~..f.... Depth ....... Z.~...~ .................... 10. Date of Purchase .........~T ........................................... Name of Former Owner ..................................................... 11. Zone or use district in which premises are situated ............... ~.'. ...................................................................... 12. Does proposed construction~~~ ~~~_,.~ olate any zon ~g aw, ordnance or re~t on? ..~...~ .................................. 13. Name of ~ner of premise~~..~Addres~~~~.-'" Phone No Name of Architect .............................. ~...L'~...Address ...~......~ ............................ Phone No....'~ ...... ~... Name of Contractor ~..(ff~.~J~~.Address ~ ............. Phone PLOT DIAG~M Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions fr, property lines. Give street and block numbers or description according to deed, and show street names and indic~ whether interior or corner lot. J STATE OF NEW Y ,,, ) ~, ~'/4 I~ ~ ~ ¢/z)Cy'~ COUNTY OF ........ ) S.S. ~ ~ (Name of individual signing application) above named. He is the ...................................................................................................................................................... (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 f this application; that all statements ~i~e~0A~t~is application are true to the best of his knowledge and bell. and that the work will be perfoF~f~j~lj~Y~ forth in the application filed therewith. Sworn 'o before, me this Comm~ion Expires MarcP 30, ,9'~ / . _ __ -- ~ ~ ~ ............... ............. ..... .. , ........................................... .......... Notary Public, ....~.~.~~ .... o y (Signature of applicant) TOWN OF SOUTHOLD llUILID~NG DEI~ARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ,, , Approved ........................................ , 19 ........ Perm t No .......... Di sopp roved a/c ........... ~~ ............. , .......... Application No..,4~...,~....~..~... APPLICATION FOR BUILDING PERMIT Date ....................................................... , 19 ................ 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 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 drown on the diagram which is part 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 shah be occupied or used in whole or in part for any purpose whatever until o Certificate of Occupancy shall hove 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 or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, or din~es and regTiat~, _ ~ ~ ..~...~.. .... (Signature of applicant, or name, if a corporation) .............. ~,: .................... .'~, ~, . ?,~'z. .~ . . ,.+ ........... )~? ........................ ' (Address of applicant)// v State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ............................. ................................................................................................................................. Nome of owner of premises .............. .~.~d~C~J~-.~.~:'m:~. .......... .'TZ~ ........................................................................................ If~pplicant is a corporate, signature o~duly a~h~rized o~ficer. (Name and title of corporate officer) 1. Location of land on which proposed work will be done. Map No: .......... ?.: ...... X':'.' ..................... Lot No: Street and Number .(:.~ .~..~'~ ..A.(~ ./.j.~. ~'..._.~.~./.~../2'....~.,./. ~}:/, (C../>~ .6.....~....~.../..~.~...~.y.-...~..~...~7.?..~...~.:..~.../..~.~.:.//.~./....~../~.~?~'..~/~-' Municipality 2 State existing use and occupancy of pre~,~b~es and intended use and occupancy of proposed construction: a Ex st ng use and occupancy ~J..~ ~.!:~ -.&.: .?..-~ ..................................... b. Intended use and occupancy ~ ~ ~.~ ,~ .~.'~ ~.../.' .C.: ~ Repair ...~ ........... ~ Removal .................... Demolition .................... Other Work (Describe) ........................ .... / 4. ~s~mmea ~.os~ ...........,~ ............................................... ~ee .......................................... /.. ......................................... (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 ................... Z. ...... ~'. ............................................................................................................ 6. If business, commercial or mixed occupancy, specify nature.and extent of each type of use ............................. D~mens~ons of ex~stm structures if an · Front ~ Rear · ~' ~ De ..,~z~C-~z. 7. g , y .................................................... pth ........................... 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 ~L~.' j' Depth )'..?.. Height ............................ Number of Stories .................................. .. , 9. Size of lot: Front ......~/.~.'~...~.....~ .......... Rear //~'" ' Depth / ''~ O 10. Date of Purchase ........................................................ Nome of Former Owner .................................................... 11. Zone or use district in which premises are situated ............................................................................................. 12. Does proposed construction )/jolate/j~_ny ~r~io.g/la_w~, ordinan~,or~e~lzation~ ~.C..~ ................................. 13. Name of ~ner of prem,se~ ................ ~Add ess ...~~ ............ Phone No ................. Name_of Contractor ~....~..~.~.~.Address ~~ ..... Phone No.~.~.( ~ PLOT DIAG~M " Locat~ clearly and distincdy all buildings, whether existing or proposed, and indicate all set-back dimensions fr, property Hnes. Give street and block numbers or description according to deed, and show street names and indic~ whether interior or corner lot. (Nome of individuol signing application) above n~med. He is the .................................................................................................................................................... (Controctor, ~gent, corporote officer, etc.) of s~id owner or owners, ond is duly ~uthorized to perform or h~ve performed the soid work ~nd to m~ke and this oppli~etion; that oll sfa~emen~si~a~nfl~E~? ~)~ opplicotion ~re true fo the bes~ o~ his knowledge and bel and that the work will be perf~e~t))~o,,~t~E,~et~rth ~n the ~pplicadon filed f~erewifh. Swam to before me th~s ~ ,~ ~0. Ex~ires ~ct, 30. ~g~ ~ ~ /'~ // ' q J ~DWN Of- 50U'FNOLD h--5¢' 5UFF. CO, T,'~ MA~ ', ,~'