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HomeMy WebLinkAbout2331-zFOl~I NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY , /~fl Date ............................ No. Z[ i .......... THIS CERTIFIES that the building located at ~./.J~.....~O.l~f~*.~;,.~O~(~ ................................ Street Map No...:x~r~ ............. Block No...~.~c~ ............. Lot No..~'~7~. ....... ~.g~'l~}t~>[~.j,..;~.~[,.~..~, ..................... conforms substantially to the Application for Building Permit heretofore filed in this office dated ....................................... ~.:[T..~ ....... ~..., 19~.~.... pursuant to which Building Permit No. ~,3~...~.. dated ............................... .T:~F~.,~.~t.....~..., 19.6~.., 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 ........ ..,.P.r.~.~ .~.e....o~.e...~'~,.z~y....cl~e ,L1J, r~ .............................................................................................. The certificate is issued to ....~.~.(.~.~.~...~l~J~ ................. ~)?~/~G~. .................................................. (owner, lessee or tenant) of the aforesaid building. FORM NO. 2 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN GLERK'S OFFIGE SOUTHOLD, N. Y. BUILDING PERMiy (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL EULL COMPLETION OF THE WORK AUTHORIZED) ~ 2331 z Permission is hereby granted to: ~ob~..t..~!m't~.....AlC.....~.e~e~....,~h ....... ............ ......... So.U~ho~ .............. , ....... . ................ to ~...~u~i~,~..~d.~'o~,~..~...,,~L~..~e~,.,.:,.....:.;: ........ ~ .......... :-.?:... at premises located at ,W~.t~;...~O~.~..~e,~..] ............. ,....,.., ....... ; ....... :; .................................... ....... ..................................................... l~e~tt~[ .............. ,...... ....... ~ ................................ ~,. ................ .......... pur~uan;c t6 application doted .....,/. ............... [~Ja~..;...~.:,...,? ...... 19.~:, ~hd app~ved bY the' Building' Inspector Fee $.i~e.O0,....[. ...... FORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of' Occupancy No. Z10443 Date April 9 1981 THIS CERTIFIES that the,~q~. ?...- .............................................. Lo~tionofProoe~v 1580 Hobart Road ~ .S.ou~9~.,. N,Y, .. · County Tax Map No. 1000 Section 064 .Block 03 . .Lot Pt .002 S ~i~r Frederick P, Rich .Ffled Map No. .LotNo. #1 ubmmsmn .............................. ' ................... .conf6rms substantially to the applicable pr'o~isions of the ZoningS... Code of the Town of Southold. The premises are located in the ....... A. Re'sidential District and may be used.. for such uses as are presently authorized by the Zoning Code in such. district subject to, however, all of the. requirements of the Zoning.. Code. This Certificate issued Subsequent to C.O. #Z2516 Dated Sept. 6, 1966 for Dwelling Constructed under Building Permit #3044Z, Dated April 7, 1966. Division of Property, Board of Appeals Action #2776 Dated March 12, 1981. The certificate is issued to Frederic P. Rich ~ - ..................... joi(,,~'e~,'TJ-fs~Y $;'F~,7~'fl ...................... of the afozesi/id .idac, .. Building Inspector Rev4~9 FORM NO. 6 TOWN OF SOUTHOLD Building Department '[own I-iall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions 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. Comrpercial 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: I. Accurate survey of peoperty showing all property lines, streets, buildings and unusual natural or topographic featu res. 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 March 27, 1981 Date .......................... XX New Building ............. Old or Pre-existing Building ............ Vacant Land ............. 1580 Hobart Road Southold Location of Property ................................................................... House No, Street Hamlet Frederic P. Rich Owner or Owners of Property ............................................................ 064 03 002 County Tax Map No. 1000 Section .............. Block ............... Lot ................ Subdivision~/u'~(-..~./~-.. ~...~'...~.¥.~..7~.....Filed Map No ........ Lot No ./ .......... Permit No ........... Date of Permit .......... Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ..... -_ ............... xx Request for Temporary Certificate ..................... Final Certificate ..................... .~L. ) 5.00 Fee Submitted $ ............................. Construction on above described building and permit meets all app_Jjcable_codes and regulations. ~'~' Applicant .... ~~_.__~--_,/_~_.~_.: .................... ~J~'Xj\ WILLIAM H. P~CE~ JR., ESQ. Attorney/Agent e,v.~0-10-78 for Frederic P. Rich TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ^ppro ed ....... [.]. , 'I 1 19 ........ Permit No ................................. Disapproved o~/c (Building inspector) ~, ^pp icotion No. o)33 / APPLICATION FOR BUILDING PERMIT Date ...................... ~lt~aJ~, ......... ~ ........... , 1 g~.l+. ....... 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 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 dbmolition, as herein described. The applicant agrees to comply with oil applicable laws, ordinances, building code and regulations. ~ ~ignature of appficant, or name, if a corporation) .......... ~o.'ct.~ho~ ................................................................... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or bU}.~der. .................................. Go~'~ae&e.~ ....................................................................................................................................... Name of owner of premises ....F~d~z~.~..ek.....~.~e.h ............................................................... ~ ............................................. 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: ......... ~r,~-,~,,~ ......................... Lot No: ........... :~XX.. Street and Number ...~q/S.....H~b~.,.Re~d.t ........ ~,~ft~%he~ .......................................................... ; ................... Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ....... d.~]:]:.~ ........................................................................ '. ........ i ...................... b. intended use and occupancy ............. I! ............~"'."~,~"~"tz~'~ ................................. t ...................................... 3. Nature c~? work (check which applicable): New Building .................. Addition .,,,t~.~k ...... Alteration .............. RepJ~ir .................... Removal .................... Demolition .................... Other Work (Describe) .................................. 4. Estimated Cost .................. .3.~/O00..~./.~ ................... Fee ....... ~ ............................................................................ (to be paid on filing this application) 5. If dwelling, number of dwelling units ....... O~ .............. 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. Dimj~nsions of existing structures, if any: Front .......................... Rear .......................... Depth ........................ Height ............................ Number of Stories ........................................................................................................... Dim.~nsions of some structure with alterotibns or additions: Front ................................ Rear ............................ Depth .............................. Height .............................. Number of Stories ........................................ 8. Dimensions of entire new construction: Front ....~.~t .................. Rear ......... 2~ .............. Depth ........ ~ ........... Height ............................ Number Of Stories .... ~ ................ 9. Size:of lot: Front ......... ]~'7"~ ............ Rear .......... ~0 ...........Depth .....~9(~'~'~ .......... 10. Dot~ of Purchase ........................................................ Nome of Former Owner .................................................... ]I. Zon~ or use district in which premises ore si uated ......... ~.....~.~.8~; ................................................................... 12. Does proposed construction violate any zoning law. ordinance or regulation? ................. ~(3 ........................... 13. Name of Owner of premises ...].~.~.!~;..~,&~.?.~ .......... Address .....~.~t.~%tt4.~.C~ ................... Phone No ............... Name of Architect ...................................................... Address ............................................ Phone No .................. Name of Contractor ...]~o~.t...~.&t;~ ......................... Address ............... ~l.t.~o.'l..c] .......... Phone No ................. PLOT DIAGRAM L.oc.at~ clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions fr, property li~es. Give street and block numbers or description according to deed, and §how street names and india whether interior or corner lot. STATE OF:NEW YORK, ~ COUNTY OF ....... ~.~[t,.¢~ ........ / S.S. ........................... ]r:/~ir.'~..~F~.~; ........................................ being duly sworn, deposes aaU says that he is the opplicc (Nome of individual' signing app ication) " above nam~ed. He is the ................~' Ol'l~&e~O~' .......................................................... ,/!~.: ...... .~ ....... .............................. I (Contractor, agent, corporati~.l officer, etc.) ' of said owlner or owners, and is duly authorized to perform or have performed the gold work and to make and · this applicotion; that all statements contained in this application are true to the b~s~ of his knowledge and bell and that t~e work will be performed in the manner set forth in the ~licotion filec~it~erewith. Sworn to bbfore me this / ~i. . .................. ~.~... day of .................. ~z.&~,4~. Notary Pul~lic, (Sig~otu~,e ~licant)