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Home My WebLink About2558-zFO~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No ..~..2098 ........... Date ........................... ~.ch....l& ...... , 19...6~ THIS CERTIFIES that the build,ng located at .W/~ .... C..ta:ve~..~ee~...~R~Da~ .................. Street Map No ..-H:;[,~I .........Block No .... ~ ...........Lot No. ~,Z .......... SOtt.t~c~d.~...N,.~., .................... conforms substantially to the Application for Building Permit heretofore filed m th~s office dated ......................................... 0C44~ ..... ~1" ' 19...(:~+ pursuant to which Building Permwt No...2~.~'~..~. dated ............................. Oc.t,. ..... ~ ........ , 19 ..... ~.[}was issued, and conforms to all of the requirements of the applicable prowsions of the law. The occupancy for which this certificate is issued ~s ........ .......... ~-i.~et~e..aide...~-e~..1.y.. ~we -~.l. it'~ ................................................................................... The certificate ws issued to ..... ~,.%~4.a~t.....~a~'~.l'e.~.t~.; ............ ; ........... ~'~e~': .............................. ~owner, lessee or tenant) of the aforesaid budding Budding Inspector FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFF)CE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE K[::PT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N.O 255~ Z Date .............................. O~t,f~l~e~..... e~,..., 19..(~,. Permission is hereby granted to: ~ht....TltfJ~Lll.....A/C.....!lla~.. ~a~tle ~t ........... to ....... ~t. ld...~ .. l~dd.~.t~ort..on., an.. ex&s ~ .~ng...d.~3,1~ ................................................... ~ premises located at ...... ~/~.....P,.,~e~.~leok---Re,~u~t ................................................................ .................................................. · ou~. _ ~,~d~.....,l~, ¥, .......................................................................... pursuant to application dated ............................... O~tO~.*...~]L .... 19..(~¥, and approved by the Building Inspector FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall · ~outhold0 N.Y. 11B71 ' APPLICATi~3N FOR CERTIFICA3'E OF OCCUPANCY A. This application must ba filled in tWpewriter OR ink, and submitted4a=~l[~:~to the Building Inspec- tor with the following; lot new buildings or new use: 1. Final survey of property with accurate location of all buildings, property line% 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 Coda compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval o! completed site plan requirements where applicable. B, For existing buildings [prior'to April 1057), Non-conforming uses, ~3r buildings and "pre-existing" land usc~: 1. Accurate survey of peoperty showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or praviou'{.ownar as to use, occupancy and condition of buildings. 3. Data of any housing coda or safety inspection of buildings or premi~% or other pertinent informa- tion required m prepare a certificate. 1. Certificate of occupancy $5.00 / 2. Certificate of occupancy on pre-existing dwelling/ land use --E'~,e-l~x is ting C. 0. $15 · 00 ;3. Copy of certificate of occupancy $1.00 Vacant Date . September 1.6. 1986 New Building ............. Old or Preexisting Building .... .x.x ...... Vacant Land ............. Calves Neck Road Southold Location of Property ................................................................... ~,~ Hou~ N~ Sr~aer H~ml~t Ownar or Owners of Propa~y Estate of Viola C. Bartlett C~unt%/Tax Map No 1000 Section 0.6..3 Block .0.7~ Lot 023 , ~ Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........... Date of Permit .......... Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ........................ Und0rwriters Approval '. Planning Board Approval ' Request for Temporary Certificate ..................... Final Certificate . .x.x...~.2.0. 7. 8 Foe Submitted $..L, (~ P ....................... Construction on above debcribed buitding and~~and regulations. ;' ................ ne~. 10-10.7e ATTORNEY AT LAW 828 FRONT STREET, P.O BOX E GltEENPORT, NY 11944 PXONE {516) 477-1016 September 16, 1986 Building Department Town of Southold Main Road Southold, New York 11971 Re: Premises Owned by Estate of Viola C. Bartlett 1000 - 063 - 07 - 023 Gentlemen: Enclosed herewith please find applications in dupli- cate for copies of the certificates of occupancy for the subject premises. Also enclosed please find my check in the amount of $2.00 in payment for same. matter. Thank you for your courtesy and cooperation in this Very truly yours, William H. Price, Jr. WHP:kk Enclosures FOI~I~I NO. 1 TOWN OF $OUTHOLD BUILDING DEFARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. .... ........ Approved '' 19...~'....Perm,t No...~...-~-~-0~- ~ Apphcation No APPLICATION FOR BUILDING PERMIT ...................... , I NSTRU CT IONS a., Th~s opphcotlon must be completely filled ~n by typewriter or in ink and submitted in duphcate to the BuJldi~ I.nspector. b Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets areas, and giving o detailed descnpt,on of layout of property must be drawn on the diagram which is part of th~s opplicaho, c. The work covered by th~s application may not be commenced before ~ssuance of Bu~ld,ng Permit d Upon approval of th~s application, the Bu~ld,ng Inspector will issue a Du,ldmg Permit to the applicant. Suc permit shall be kept on the premises available for ~nspechon throughout the progress of the work. e No bu~ld,ng shall be occupied or used ,n whole or in pa rt for any purpose who.tearer until a Certificate of Occupanc shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Bu,lding Department for the ~ssuance of o Bu~ld,ng Permit pursuant to th Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other apphcoble Laws, Ordinances Regulations, for the construction of buddings, additions or alterations, or for removal or demolition, as herein describec The applicant agrees to comply with all apphcoble Iaws, ordinances and regulattons (Signature of applicant, or name, ~f a corporation) (Adfiress~apphcant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or bu~lde~ ............ ............................................... Name of owner of premises ....~...~i.....~....~..O..~t ...... ../~....._~...~...,y/~..~....7'~... ............................................................ If apphcant is a corporate, s~gnature of duly authorized officer, (Name and t~tle of corporate officer) 1. Location of land on which proposed work will be done Mop No ................................. Lot No ............. Street and Number .~./~%f~.¢.~.~. Z~.C.~-/~. ~ .............. ..~.~.(,/..~.~.~/'~... ........................................ Mumc~pohty 2 State ex~sting use and occupancy of premises and ~ ntended use and occupancy of proposed construction a. Ex~sting use and occupancy b Intended use and occupancy ...... /~....~..~'?. ........................................................................................ 3. Nature of work (check which apphcable)' New Budding ................. Addition ............ Alterabon ........... Repair ................ ~Removal .................. Demolition .............. ~ _Ot~..her Work (Describe) ..................... 4. Est,mated Cost ...~......~'.....l ..5~......~ ........................................ Fee (to be pa~d on filing th~s apphcat~on) 5 If dwelling, number of dwelhng units .......... Number of dwelhng units on each floor ........................ If garage, number of cars ........................................................................................................ 6 If business, commercial or m~xed occupancy, speofy nature and extent of each type of use ' -- 7 Dimensions of existing structures, ,f any Front . ~'~ ' ,~'~' ....'~..~...../ .... Rear .~' ............ Depth ............. He,ght..~.~.~.'~. .......... Number of Star,es ..... ./~. ........................................................................ D,mensions of same structure w,th alterations or add,t,ons Front .. ~7'.~...~ .......... Rear ../'~.~.../. ............. , .... ......... / Depth ....... ~.. ............... Height ...Number of Stor~es ...................................... 8 Dimensions of enbre new construction' Front ..... ./~.~..,f ................ Rear .,, ,Z~',..~...,~. .............. Depth ..l.'~...~ ............. Height /~...L .~. ...........Number of Star,es ..... 9 Size of lot Front ..'~....~..~...(.....~ ........ Rear ../Z~. ...... Depth ./..~..~..~.~..~..~...O. ........ 10 Dote of Purchase. t,~.~../?..~-. .... L.~..~..'~. ......... Name of Former Owner ,~/,..?'~../~'c~4(..~/..'.A/..~. .............. 11 Zone or use d~strict m which premises are s~tuoted .................................................................. 12. Does proposed construction wolate any zomng law, ordinance or regulabon~ ....... ///~ .............................. t3 Name of Owner of premise~,~'.~:.t~..~.C~/~f .~./j4~/~? .7~ Address .~.~.'/- ./:~Z.~ ..................Phone No~..~7.?...~.~..~. Name of Architect ................................... Address Phone No ............... Name of Contractor/7~..~..~...~r~~... Address ~iiii iiii.iiii.iiiii Phone Nc~.T.'~...~...7'.~..Z-.. PLOT DIAGRAM Locate clearly and d~shnctly all buildings, whether ex~sting or proposed, and red,cate all set-back d~mens~ons fro~ property hnes Gwe street and block numbers or descr~phon according to deed, and show street names and mdicot whether interior or corner lot. STATE OF NEW YORK, ) COUNTY OF ............... ) S S .............................................. being duly sworn, deposes and says that he ~s the applican~ (Name of indlwdual signing opphcat~on) above named. He is the ......... //~/,~..~...~... ........................................................................................... (Contractor, agent, corporate officer, etc ) of sa~d owner or owners, and ~s duly authorized to perform or have performed the sa~d work and to make and this apphcat~on, that all statements contained m th~s applicahon are true to the best of his knowledge and behef and that the work wdl be performed ~n the manner set forth m the apphcat~on filed therewith Sworn to before me th~s ., · ...'"T..f.. .......... day of~g.T~~..~.~,~t.y ..... , 19 ....................... '.'. ....... Notary Public, ~,':~,.c~..~D.~Z~..~T.z ~ ...~¢::~r...../ County/~ ~/,~ ,,~ (Signature of applicator)