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Home My WebLink About2006-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. UPDATED CERTIFICATE OF OCCUPANCY No Z-22578 Date SEPTEMBER l0t 1993 THIS CERTIFIES that the building NEW DWELLING Location of Property 945 LIGHTHOUSE LANE SOUTHOLD~ N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 70 Block 6 Lot 32 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 20, 1963 pursuant to which Building Permit No. Z2006 dated MARCH 21, 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 BREEZEWAY & TWO CAR GARAGE The certificate is issued to BESS A. PULITZER (owner > of the aforesaid building. SUFFOLK COUNTY DEPARg~4ENT OF HEALTH APPROVAL J~3LY 22, 1963-R. Villa UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A~ * THIS CO UPDATES CERTIFICATE OF OCCUPANCY Z-1772 DATED NOV. 15, 1963 . / ~ldlng'~nspector Rev. 1/81 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? 2006 Z Date ........................ ~a~t.....~t ............ 19.63.. Permission is hereby granted to: Kwasneski & Powell - Leo Xwasne sk~.. ~. C.. Ralph ..PuL~ ~er ...................... ....... ~outhot~l ..................................................... to ...B~.td... tie,,,..o~e...f.,l,.l$.t¥..~lvet.tit~ ................................................................................... at premises located at ..t~vt...Reat¥...N/8..i~ime...Neek...Read...(.lig. ht...House...la~e.). ........ ...................................... 8o~hot~ ~...N.,.~, ........................................................................................ pursuant to application dated ........................... ll/al~l,t ....... ~0 ............. 19..~r~., and approved by the Building Inspector Fee $',~O~ OO .......... Building Inspector ~ Form No. 6 TOWiq OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~65-1802 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 ~sed 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 Occnpancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 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 Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $i0.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date SEPT. lO, 1993 New Construction ........... Old Or Pre-existing Building ............. Location of Property 945 Lighthouse Lane Southold, N.Y. House No. Street Hamlet 0nwer or Owners of Property BESS A. PIILITZER County Tax Map No I000, Section .... 7.0. ........ Block. 6 .3.2 Subdivision File~ Map Lot Z2006 3/.2. !/.6.3. RALPH PULT~ZER Permit No ................ Date Of Permit. . . Annlican~ Dept Approval ..... Underwriters Approval ............... Health ................................ Planning Board Approval.........; .... Request f~r: Temporary Certificate........... Final Certicate......~P.D. ATED. .... CO FOI~,NI 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,O,1~/.,...o~e~...N/~q...~.i~e...~fe~k ~(~et Map No ......~ .......... B~ock No ....... ~ ......... Lot No. ~Y-~ ..........~.O.~.~f~,~.~......~,~. ............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ....................................... ~'~Z~(~h ....... 2.0.., 19.6~... pursuant to which Building Permit No....~20.C~. dated ........................... ~B,~'.Ch. ...... .2~...., 19..~.~.., was issued, and conforms to all of the requirements of the applicable provisions of the Iow. The occupancy for which this certificate is issued is ........ .......... Rrl~at~...c~e...~amil~...d~.el~l~ ...................................................................................... The certificate is issued to ....Rsl~h....~itize~. ........................ C~z~zt ........................................ (owner, lessee or tenant) of the aforesaid building. H.D. Approva~ ~uly 2~ ~ 1963 by R. Villa ........... ........ ................. ~uilding Inspector [ FOP~M NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y., Approved ........................................ , ]9....~..Per~i~ ~o .............. (Building Ins~/ector) APPLICATION FOR BUILDING PERMIT Date ~ ...... ~.~ .................. , 19..~...~-~ ........ ' INSTRUCTIONS o. This application must be complete,ly 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 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 shall be occupied or used in whole 0r in pa rt for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspectorf' / APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Budding Permit pursuant to the Building Zone Ordinance of the Town of Squthold, 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) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder, Name of owner of premises '"'~'~'~<~'""~t ~ ~f'1 '"'"~'~'~'~'~'~1" ethoJ(/' '' ............................................................................. If applicant is a corporate, s~gna ureo du y au nzed attic r. (Name and title of corporate officer) I Location of land on which proposed work will be done Map N94 ............................................ Lot No: .................... Street and Number .~.....~ ............. ~~ ......... ~...~ ............................................... 2. State existing use and occupa cy of premises and i tended L~e and occupancy of proposed construction o. Existing use and occupancy ................................................................................................................................... b. Intended use and occupancy ...................................................................................... : .......................................... 3. NaCure of work (check which applicable): New Building ...X ........... Addition .................. Alteration .................. Repair .................... Removal .................... Demolition .................... Other Work (Describe) ........................ 4. Estimated Cost .k~.~ .~...,.~,.~ ................................... 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 ofentirenewconstruction: Front......~..2~.~... ............. Rear ...~.~..../'. .............. Depth ..~.3..I...~..../..x. ...... Height ........ /~.....~ .......... Number of Stories....~,./'· ............... 9, Size of lot: Front .....~.~"~..~...(. .......... Rear ...~...,~...~..;~...~.~.... Depth ....... 10. Date of Purchase ................... /i.~...~...~.. ..................... Name of Former Owner .~..:.....~...~ .................... 11. Zone or use district in which premises are situated ................................................................................................. 12. Does proposed construction violate any zoning law, ordinance or ~eguJation .... ~.~ .......................................... 13. Name of Owner of premises ...~..~..Z./'~,./.]......p~z~t~'~'s~...~~..~, .......... Phone No ..................... Name of Architect ..~~..~...~....,.;.Address/~7..~,~...~,,... Phone No ..................... Name of Contracto~.~...~..~Address ..~..~ .............. Phone No..~.~..~.~...... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and black numbers or description according, to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW COUNTY OF being duly sworn, deposes and says that he is the applicant ( of individua[ sign?g ~cation) (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 file this application; that all statements contained~Ll~T~thts ~lt~l~ication are true to the best of his knowledge and belief; and that the work will be performed in t~"r~t~t"f~Y~ the application filed therewith. Sworn to befor me th s Notary Public,~.~.~~.....~C¢~fy (Signature of applicant) F j RICHARD 1'. LESLIE ' I ABCHITEGI'S 't q t 1 WALTER L. WATSON RiGHARD T. LESLIE ARCHITECTS ,oil I I Jl - ' .1 'P--%_.F-,V'__AZ]. o ~ s RICHARD F. ~ LSL1E A,~ClqlT EC FS t 5 F'~C_ I FIC A,T ~ O1~5 ~: RICHARD LAU~Okf DEN LOC ~"F Io ~.~ ,," ~ICHARD i ; F_3LiE ACCHI1 LC, 1 ~