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HomeMy WebLinkAbout2533-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. UPDATED CERTIFICATE OF No Z-24640 Date SEPTEMBER 19, 1996 THIS CERTIFIES that the building DWELLING Location of Property. 60 GRANGE RD.&2070 M.BAYVIEW I~D. SOuTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 78 Block 1 Lot 5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 1, 1964 pursuant to which Building Permit No. 2533-Z dated OCTOBER 1~ 1964 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 ATTA~D GARAGE * The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED JOHN S. BUFFA & HENRY P. FRIEDMAN NOV. 9, 1964 - R. N/A N/A *THIS UPDATES CO Z-2068 DATED FEBRUARY 2, 1965. -' / ~Buflding Inspector Rev. 1/81 NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY -'~ r THIS CERTIFIES that the building located at ..... G~.&~g~,..~..&..]~¥...~,~e1~...~:~ad ..... Street ~outh Harbor Homes Map No ...................... Block No ....................... Lot No ..:~.~ .......... ,~o~tko~d~...N,~.~, .................. conforms substantially to the Apphcation for Building Permit heretofore filed in this office dated ..................................... .~.~,¢~?D.~t~ ..... ~...., 19.~.~... pursuant to which Budding Permit No..2~'~'3...~ dated ............................ 0~e~oh~r.....[...., 19..~.~k., was ~ssued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which thzs cerhficate is issued is ........ ...... ~.£v.~.t~..~...£,~mi~ ~..dw~,.~,.~.ug. ........................................................................................ The certificate is issued to ..~O~,r.~..~ .... 0~.t~,~ ................ O~:r-~..r. ................................................. (owner, lessee or tenant) of the aforesaid building H,D,Approv_~_~. Novenber 9~ by R, Villa .../..~::~. ~t.c.,... t, ....... ~.~az~ .............................. ' ' Building Inspeqtor FO~M 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? 2533 z Permission is hereby granted to: Retle..~e~dl~....~,t....~a~e~...P.~,...O~i;e~..~.r .................... Jame~<~ ..................................... to ...]~u~. I.d.. ~e.~.. m2e..£a~tl~r...(hee:h].~a~ .................................................................................... ct premises located at ..:[~t..~Lt..J~l~..TE~l~]3o]~...Iz,~]=~ .......................................................... ~.~U~. Jkl..&..~'J,,lr...~ie~..P~3ad[ ~ .......... 8cm~,ho~ pursuant to application dated ................................ 01~,~.....3~ ..... 19...6~, and approved by the Budding Inspector Fee $...1'0.0~ ........ TO~.W OF SOUTHOLD BU!LD ING D E? TOWN 765-!802 ~&PPLICATION FOR CERTIFICATE OF OCCUPANCY This appi!catzon must be filled zn oy typewrm~er OR ink and submltted to the buz!dmng Inspector wLth the following: for new building or new use: 1. F:nal survey of property with accurate location of all build,nas, property !znes, streets, and unusual natural or topographic features. 2. F~na! Approval from Health Dept. of water supply and sewerage-dmsposa!(S-9 form). 3. Approval of electrical instal!at,on from Board of F~re Unde~gr~ters. 4. Sworn statement from plumber certifying that the solder used in system contains less taan 2/10 of i% lead. 5. Commerc~a! building~ industrial building, multiple residences anc simllar buzldmngs an~-installat~ons, a certificate of Code Complmance from archmtect or engmneer responsible for the bumldmng. 6. Submlt Planning Board Approval of completed site plan requirements. For existing buildings (prior Co Aprml 9, i957) non-conforming uses, or ouild~ngs and "pra-exzstmng" land uses: 1~ Accurate su~ey of property showmng all property l~nes, streets, bumldmng and unusual natural or topographmc features. 2. A properly completed applicatmon and a consent to ~nspect smo~aed by the applmcant. If a Certificate of Occupancy is denied, the Buildmng Inspector snail state the reasons therefor zn wrmtmng to 5ha apptmcant. Fees !. Certificate of Occupancy - New dwell~ng $25.00, Additions Co dwelling $25.00, Alterations to dwellmng $25.00, Swimmmng pool $25.00, Accessory building S25.00, Additions to accesso~/ building S25.00. Businesses S50.00. 2. Certmficama of Occupancy on Pre-~xmstmn~ Eumldmn~ - $100.00 3. Copy of Certmficate of Occupancy - .25~ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Cartzfmcate of Occupancy - Resmdentzal $15.00, Connnercmal S15.00 ............. ................. ~ew Construction ........... Old Or Fre-existznE Buildzn~.. k ..... ................ ......... ~ouse No. StYeet ~amlet cou=~ z~ ~ap No ZOO0, Section. ........ '/~.. ..... .~lock.. ./ .......... ~ot ..~5 .... ..... ......... . Subdivision ....................................Filed Map ............ Lot ...................... ~erm~ ~o..~T.g.~ ....... ~ate O~ ~e=~t ................~p~ca~t ............................. Health Dept. Approval .......................... Underwrmters Approval ......................... Plann~nE Board Approval ........................ Request for: Temporary Cert3_ficate Fee Submmt:ed: $ .'37f7....~.~. ..................... Print Key 5738SS1 V2R3M0 931217 Town Hal4 53095 Mare Road Displ~yOL~9~itY~ . . · : Us~thol,d, N, ew,Yor~ 1.197.1 . : 473889 SOUTHOLD 78.-1-5 Page 1 09/19/96 14:52:01 Fax (516) 765-1823 Telephone (516) 765-1802 NYSRPS ASSESSMENT INQUIRY DATE : 9/19/96 SCHOOL SOUTHOLD SCHOOL ROLL SEC TAXABLE PRCLS 210 1 FAMILY RES TOTAL RES SITE OFFICE OF THE BUILDING INSPECTORTM COM SITE ACCT NO 08 60 GRANGE RD TOWN OFSOUTHQ/D ASSESSMENT DATA = OWNER & MAILING INFO T==:=MIBC ! ...... -- BUFFA JOHN S & ANO ~ !RS-SS ! **CURRENT** RES PERCENT PO BOX 688 ! 1 !LAND WINTER PARK FL ! BANK !TOTAL 6,70 32790-0688 **PRIOR** 6,70 ! !LAND 6,70 ! ! TOTAL ==DIMENSIONS ===! SALES INFORMATION ACRES .56 !BOOK 9179 SALE DATE 00/00/00 !PAGE 00111 PR OWNER 900 **TAXABLE** 6,700 COUNTY TOWN 900 SCHOOL 6,700 TOTAL EXEMPTIONS 0 1== TOTAL SPECIAL DISTRICTS 4 CODE AMOUNT PCT INIT TERM VLG HC OWN CODE UNITS PCT TYPE VALUE !FD028 !PK070 !WW020 !SW011 Fi=NEXT PARCEL 75.10- 03-016 F3=NEXT EXEMPT/SPEC F6=GO TO INVENTORY Fg=GO TO XREF F4=PREV EXEMPT/SPEC F10=GO TO MENU FORM NO. 6 TOWN 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 features. 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. 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. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1.00 $5.00 Date . .A~.~..~..2.2. ,...[.9.8.2. ........ New Building ............. Old or Pre-existing Building ...~. ........ Vacant Land ............. Location of Property .... c.o. ~F.e.~...o?..g.~..a.~.qe...~.o.a.~..a.~..~.ay.v.~ .e.~..~.o.a. ~ .... ~..op.~.ho..~~ ...... House No. Street Ham/et Owner or Owners of Property . ?.o.s. ep.h. ?..e~.e.~...a.~.~..~..a~.h.~e..e~..~.....o.a.~ .e.s .................. County Tax Map No. 1000 Section . .0.7.8. .......... Block . .0.~ ........... Lot....0.0,5. ......... Subd,vision.., .~.a.~...o?..S.o. ~.b:..~.a.r.b.o..r..~.o.m..e~iled Map No. ?.0..9.6 ..... Lot No, . .]: .......... Permit No ........... Date of Permit .......... Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ............ .~. ......... Fee Submitted $...]:: .0.0. .............. ....//.~ Construction on above described building an~~meet~l?ppl~ble~o~es/~o~egulations. Ap p licant/. ~.1~/: .~. ~ .......... R.v. 10-I0-78 ~U~O lph ~~ ~ s attorney s-9 SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH Building Permit NO. ~ Z TO WHOM IT MAY CONCERN: The sewage disposal facilities for a structure located at ' (Give ~eed lo6atto~) ............... have been inspected by this Department and found to be satisfactory. NOV 9 District Engineer 1964 FO~M NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Exam,ned.... .t ............ Approved ........................................, 19 ........ Permit No ................................. APPLICATION FOR BUILDING PERMIT 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 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 Deportment 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 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. ............................................. ~on~.ac.to~. ............................................................................................................................. Nome of owner of premises ....,I..os.e. ph..P.....Oa.t~ ............................................................................. [ ................................. 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: ..S. Qllt~.~Z'.bD~...l~omeSLot No: ...~ .............. Street and Number ....G.~.aD.&e...fi.o~c]...~...~&'~...~.~.ew...~o.~.t .......... .qozlt~'~ ~l ....................................... Municipa ity 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ....~.&~l.~t..'lo~ ........................................................................ : ............................... b. Intended use and occupancy ........ .G~e...~'.a~l.~.~l~...~lwe~].'~.~. .......................................................................... 6, 7. 3. Nature of work (check which applicable): Now Building ..... ~.... Addition .................. Alteration .................. Repa?: .................... Removal .................... Demolition .................... Other Work (Describe) ...................................... 4. Estimated Cost ...... ;JJ;;~.....~.O..~.~...O...O. .................... Fee ....,~Q. ................................................................................ (to be paid on filing this application) If dwelling, number of dwelling units ....gZtJ~ ................. Number of dwelling units on each floor ............................ If garage, number of cars ....... ..q~A ................................................................................................. If business, commercial or mixed occupancy, specify nature and extent of each type of use ................................ 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 ...... .6~. ................ Rear ....... L~- .............. Depth ............... .~.0. ....... Height ............................ Number of Stories ..gD,~ ................... 9. Size of lot: Front .,l~J~'~...~.g.Q ....... Rear ..i....,],~J~t. ............. Depth ...,1.J~1 ...................... 10. Date of Purchase ................ ..~.9,....6~.. .............................. Name of Former Owner ....... J~.t...~.~T..9~ ......................... 1 1. Zone or use district in which premises are situated ....... ~,."...~;J,,%~; ....................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? ................. J~ ................................ 13. Name of Owner of premises ...... ~',~la.1;e~..,T~. .......... Address ............................................ Phone No ..................... Name of Architect ...................................................... Address ............................................ Phone No ..................... Name of Contractor ....... .~.~...~.~113,(;1,~.9Z1 .................... Address .....~TJ~II'e'JU;)~ ................. Phone No ..................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions fram property lines. Give street and block numbers or description according to deed, and show street names and Indicate whether interior or corn~,~ot. STATE OF NEW YORK, COUNTY OF ..~:L1..~Z'.o-1~- ............ ~ S.S. .~..e..~.e.. G.~.~..l~..gX~ .......... being duly sworn, deposes and says that he is the applicont (Name of individual signing application) above named. He is the ......... ~,,Ot3.t,~'&o.to~' ........................................................................................................................ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or. have performed .the. said work and t.o make ~n.d ..file this app ication; that all statements c. ont.ained in this ap. plJ.cat~on_are t.m.e to toe. .De.st of his know~eage and verier; and that the work will be performed ,n the manner set torth n the app~ cat on filed therew th. Sworn to before'1 me this ~..~__1~. ~~ .......................... of ............ .......... , Notary Public,~.~l~a~,~.. County~"~'~.~'' (Signature of applicant) ........................ Gomm*ss~on [xp~res Marc~ 30.