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Home My WebLink About2524-zFOR~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. UPDATED CERTIFICATE OF OCCUPANCY No Z-18693 Date JANUARY 5~ 1990 THIS CERTIFIES that the buildinG Location of Property 650 BLUE MARLIN DR. House No. County Tax Map No. 1000 Section 57 Subdivision SOUTHOLD SHORES ONE FAMILY DWELLING GREENPORTr NEW YORK Street Hamlet Block 1 Lot 28 Filed Map No. 3853 Lot No. 7 conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTFlUfBER 18r 1965 pursuant to which Building Permit No. 2524-Z dated APRIL 27{ 1965 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 ATTAC~TED GARAGE; PORCH; AND CONCRETE PATIO. The certificate is issued to of the aforesaid building. WILLIAM & DORIS BRASBY (owners) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 4/23/1965 by R. VILLg UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A THIS CERTIFICATE OF OCCUPANCY UPDATES CO Z-2147 DATED APRIL 27, 1965. B-6ilding Inspector ~ Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No ...2L.:.q. lJ~ .......... Date ........................ A~T~,.iI_.....2]~ .......... , 1965... THIS CERTIFIES that the budding located at ..... J~i/~,~...,.J~tLt~..Ji~R]/?.I.:;J,~.,D~,;JL,Vt~. ........... Street Ma~thOl~..~.hol~.~ock No ...................... Lot No. "~'t' ......... Greer~pom. t~...H,.~[., ................ conforms substantially to the Apphcahon for Building Permit heretofore filed in this office dated ................................ ~e~e~,l~el~ .....~...., 19.6.~.. pursuant to wh,ch Building Permit No .... dated ................................ ~e.13~; ..... 3~..., 19..6.~., was issued, and conforms to all of the requirements of the applicable prowsions of the law. The occupancy for which this cerhflcate is msued is ........ ........ D~.~.v~,.e~e...f. amC~.l.y.. ~lw~l.l~.r~ ................................................................................... The certificate is issued to ..,T~.o~.,..J/~o~],-~ae&ux .......................... ~,t3.e:~ ................................... (owner, lessee or tenant) of the aforesaid building H.g. Approval April 23, 1965 by R.Villa 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) N9 2524 z Date ........................... aerte~e,~'"'-:~S', ~96~... Permission is hereby granted to: 1Jla. lB. 8m~,,~..-..~/4~.../,e-Se~'..i4o-Z.~.~ee'~ ............... ........ ~mat~hc~I~ .................................................... to .~.I~.. ~e~.. ~' 't'a~'~7'"d~e~,':l'~g ..................................................................................... at premises located at ...][a~ea..~lL..~l~ ..... I~1~]~.~-..~O~e~t ............................................................ ................................... ~.ue..l~L~.'~rei" 'O~eez~z, crtt'i'" W;,'Y;' ....................................... pursuant to application dated ........................... ~:p1~e~'"'4) ..... 19~.., and approved by the Building Inspector Fee $"1~)~ eo. .......... Building Inspect/r TO~ O~ ~O~T~OL~ TO~N HALL SOUTHOLD, NE~ 765 -- lB02 1197I BLDG DEPT TOWN C'F SO[JTHOLD APPLICATION FOR CERTIFICATE OF OCCUPANCY ~ATE ..... HOUSE NO. STREET HAMLET O~uer or O~uers of Proper~y ........................... C~unt~ Tax Map No. lO00 Sectio~ ...... Block Permit No ........... Date of Pcrmlt .......... Applicant ................... ...~=~ ~..~. ~.~ov.~ ..~/?.~.:.~?.... ...... .....~....~0..~ .............. Planmimg Board Approval ................ Request for Temporary Certificate ....... Final Certificate Fee Submitted: S-9 SCHD SUFFOLK COUNTY DEPART~NT OF HEALTH Bldg. Permit No. TO W~OM IT MAY (X~NC~RN: The sewage disposal facilities for a structure located at have been inspected by this Department and found to be satisfactory. District Engineer ]2:>E CO~l ~C MAP 01: LAND At TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Application No .................. .~. ........ Approved ........................................ , 19 ........ Permit No..~-....?.....~......~. ....... 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 adioining premises or public streets or areas, and giving a detailed description of layout of propertymust 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 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 or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code and regulati~j~. ~ (Signature of applicant, ~r;i ......... (Address ~ ............................. State whether applicant is owner, lessee~ agent, architect, engineer, general contractor, electrician, plumber or builder. 4 {do 7" e, c ........................................... ............ .............................................. ................. . .... Name of owner of premises ....................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which proposed work will be done. Map No: ............................................Lot No: ~7' Street and Number ~.~....~'..../~.-.E ~?~/~/./.~x ,~..~...,/'~'~" Municipality 2. State existing use and occupancy of premi~s~s and intended use and occupancy of proposed construction: a. Existing use and occupancy ......... ,..~....~......Cc....~,..~,...~.~ ..................................................................... b. Intended use and occupancy ................................................ / 3. Nature of work (check which applicable): New Building ~'Addition Alteration Repair .................... Removal .................... Demolition .................... Other Work (Describe) ...................................... 4. I~stimated Cost .......:~: ...... e,~..~..~ ................................ ~'ee ..................... 4...w..,~.m... ...................................................... (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 of entire new construction: Front .../.~.~.. ............... Rear ...... ........ Depth ............................ Height ............................ NUmber of Stories ............................ 9. Size of lot: Front ....... ./.1~.~. ........... Rear ........ ./....~....~. ......... Depth .......~n....~.....O......~ ....... 10. Date of Purchase ............~'..~.....~....~.~....~....?.. ............... Name of Former Owner .~..~.....~..J?/.,....~..~.....~..~'...~... ........... 1 1. Zone or use district in which premises are situated.....J~.'J ....................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? ...... ..~....O ....................................... 13. Name of Owner of premises~.~0/~...~..~...~...~'Z~/~/)~ddress ./..¥..6.....~...~'..?....A(..~'...~...~....~..X~. Name of Architect .....~,........~. ....................... 'i': ............. Address ~.~i~.~.i~.~ii~.~i~.iiii Phone No.: ............. T .... Name of Contractor ~..~.'.~...~..~.'..~.....~.......~....!...~.../~...(...7~..../~..Address Phone N .~.~....~.-..?...~....~.~ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-bock dimensions from property lines. Give street and block numbers or description according to deed, and show street names and indicate whether interior or corner lot. ~:::~CO/V; C 7~'~ ~/ STATE OF NEW YORK, ~ ~ ~ COUNTY/~ -m ,t ',4;~ ~ ----~., ,/ ,OF ...: ........................... ~ ~'t~ ' .... ~~.....?...~....-......~..~..,~.~ ........ being duly sworn, deposes and says that he is the applicant (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 file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in, the manner set forth i)) the 'application filed therewith. Sworn to before me this ~ .,___ ~ /I , ~ , -- ~' ............ z.z. ....... ,, ...... Notary Public,~.....'~~/..... Count~'~; of applicant) t T It