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Home My WebLink About2903-zFORM NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. UPDATED Certificate Of Occupancy No. Z},2083 Date November 25 , 19 83 THIS CERTIFIES that the building -- one- f ami 1 y dwe 11 in g Location of Property .6.70 Richmond Road Hous~'o[ ..................................... Southold str t ............ County Tax Map No. I000 Section . .0.5.1. ....... Block ...0.6. .......... Lot . .0.0.9., .&..0.1. 9' Subdivision .... X. .......................... Filed Map No..X. ...... Lot No...X ........... ~i~he-aPpHCab~-~rovi~- ¢-he-iffve. The occupancy for which this certificate is issued is ......... a private one-family dwell, ing* Th~ ¢ertificate is issued to EDWARD L. HOFFMAN & HIS WIFE of the aforesaid building. Suffolk County Department of Health Approval no.t applicable UNDERWRITERS CERTIFICATE NO. not .a/~.p_licable · B,P. 2903Z issued 10/15/65 for new dwelling--C.O. Z2399 issued 4/19/66 & B.p. 1~364Z issued 9/9/81 for screened patio addition--C.O. Z12082 issued 11/25/83, ......... ............ Rev. 1/81 FOI~H NO. ~ TOWN OF $OUTHOLI BUILDING DEPARTMENT TOWN GLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL coMPLETION OF: THE WORK AUTHORIZED) N? 2903 z Permission is hereby granted to: .......... Seathot~I .................................................. at premises located at ..;.~/~-....~{{~I~O~I~..~G~t~ .......... ) ......................... : ............. ;'"'; ............. ......... ................................... · ,. ~U,t~l~[.t ·, · · .,l~,y., ........... :..-.~:, ......... ................................ ~ ........................ ,, pursuant'to application dated. ............; ............ ~){~.~0~3~......~.~ ........ 196~*.i;, and approved-by the Building Inspector FOI~M NO, 4 TOWN OF SOUTHOLD., BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ..... '' CERTIFICATE OF ocCUPANCY ~'~'; "' Date .-.........-2 ...... :..April ]1,9...:.ii'.., 1966 .,,Z..2__~..R~, ........ :. . : ~.~., ,, . ..:., ........ No. THIS CERTIFIES that the building located at, ~/~....~i.~o~d..~o~d ...... : ................... Street Mop ~o ...... ~.:..:....:., ebck ~o ....... ~...:.:...:2 [o~ ~o~...'..}..'.;SoU~old~..~,~,,..._~. ........ ~:.~.... conforms subst0ntiolly t¢ the Applicotion foHBui[dih~ P~r~i(~he~etofore filed in this office doted ..................................... Be~Ob~...l%....~ 19.6.[.. pfirsuon* to which euil0in~ Permit Mo. doted ............ ~.:.}.' ........ '....O.e~.. ........ Zff...., ] 9..6.~., wos iss~ed~ ond confo[~s ~o~o~1 o{ th~ requirements of ~the opplic6b'le provisions o{ the Iow, The occupancy {or which this qertifi~e~e is issued ...... ~.~x~ag.e...aao...~.a~!g..~ng ........ .................. ....... ~ ......... ~ ................... . ............. ~ .............. The certi{icale, i~,~ is~d~i~ ..~..~-~..~..[q~B[~8.[~J ....... ~ ...... ~.....O~e~.e..}....':....:.....r ....... ': ' '~ ' ' ' I : ' ' I ' ' (ownbr, lessee or tenant) of the aforesaid building. ~ H.D.Appro-~al April 13, 1966 by R. Vt~la i Building lnspe~r '!' ' FO~M NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT T~VN CLERK'S OFFICE ~:THOLD, N. Y. CERTI FI CA'i' t,.:,,~' ~- : ,..,C.L~ ~'~A N CY THIS CERTIFIES that the building located at ~/8:....~[iehaond..Road .......................... Street Map No ...... :X~ ............ Block No ....... ~ ........... Lot NoX~ ..........SOu.thold.~...N.~f.o. ...................... conforms substantially to the Application for Building Permit heretofore filed in this office dated dated .............................. O.(~.e ........ ~.~....., 19..65.., 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 ........ (owner, lessee or ten~,nt) of the aforesaid building. H.D.App~ov~l Aprll 13, 1966 by R. ~illa FORM NO. 6 TOWN OF SOUTHOLD Building P~epar~men~ Town Hall Southo d, i~, 7, I ~ ~ APPLICATION FOR C2RTIFICATE OF OCCUPANCY Ag Instructions This application must be filled in typewriter OR ink, and subn~it[ad in duplicate to the Bu ding 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 ' naturM or toDograohic features. 2. Final approval of Health DepL of water supply and sewerage disoosal--(S.9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industr al build nos Multiple Residences and similar buildi ' ' . tions, a certificate of Code compliance from th~ Architect nr ~..;,~ ........ .~, .n. gs ~a~nd.m..st,a. lla 5. Submit Planning Board approval of compieted 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 prooerty lines, streets, buildings and ~nusual 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 Jnforma. tion required to prepare a certificate. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5,00 3. Copy of certificate of occupancy $1.00 Date ,. Octo.b. er '11, 1983 Ne B ildi Old P i ti S ilding(X) X .-: zV ' w u ng ............. or re-ex s ng u acant Land ........... Location of Property ..... ~&¢hmc~&. P,.oa, c~,. ~qt?.t;]~p,L.c],. :~.e.~..~'gr~ .~.[.9. 7,1 ..... .. = .. ........ HOUSe No, Srr~er ~arnie£ Owner or Owners of Property Edward L. Hoff, ma_~. County Tax Map No .1000Sectlon ..51 ...... Block ....6.. Lo~' 9 '& 10 Subdivision ................. .Filed Map No. Lot No Permit No ........... Date of Permit .......... Applicant . ~.c].wa,~'(;]...~...~Q¢.f.~a, 8. i ....... Health Dept Approval ' .............. Labor Dept Approval Underwriters Approval ........................ Planning Board Approval .................. Request for Temporary Certificate · Car tificate ~ - ..................... Final Fee SubmittedS... ~-.5,.Op .................. Construction on above described ou~lo~ng a~rm, i~.'j,~ee~ all ap~p~ca.ble~cog~ and regulations. · ,.~o.,o.~a Rud6lph I~.//Bruer, Attorn"' ~ ~y-~--o'~'~~'; ..... , ,,......,................ . .. .... :.'~.:;; ,.':;.~.~..-;.... . '..'j' .; :'' '-.. . ~ )WNER j STREET SEAS. LAND IMP. VILLAGE DISTRICT I SUB. ACR G; f TYPE OF BUILDING ,VL TOTAL i LOT ]COMM. i IND. [ CB. MISC. j Est. Mkt. Value DATE ~ REMARKS / j i AGE BUILDING CONDIT!ON N~'V NOP~V~L BELOW ABOVE FRONTAGE ON WATER Farm l Acre l!ab~e 1 iabJe 2 i~ab'e 3 'I 'ampiand ush[and Value Per Acr~ ~use Plot Va!ue FRONTAGE ON ROAD BULKHEAD DOCK DWN£R FORMER OWNER STREEI' V~LLAGE SUB. LOT W CODE DATE 0 F CONSTRUCTION LAND IMP. TOTAL REMARKS FRONTAGE ON WATER ¥oodland ~ FRONTAGE ON ROAD F~-adowl~"~d ~ouse PIct DEPTH BULKHEAD rotot $OUTHO~D STREET PROPERTY VILLAGE Es. / LA. ND NEW' FARM 'illabte i il[cbJe 2 iltable 3 /ood}and ~vampJ~nd rushla,nd ouse P!ot RECORD CAED D,ST.[ suB. ACR. [ TYPE OF BUILDING LOT IMP. TOTAL [ DATE r I REMARKS ~,/' / ~ / ~ NOR~L J BELOW ABOVE Acre ,[ ValuePerAcre Value i j i FRONTAGE ON WATER ~ ~ FRONTAGE ON ROAD ] i ~ DEPTH ' j BULKH~D ,~ ~ ~ SU~FOI~ COUlg~Y DEPAE~MENT OF HEALTH Date 1 290~Z TO ~HOM IT MAY COMCE~: The sewage disposal facilities for a structur~ located at ~6ive deed location) have been inspected by this Department and found to be satisfactory. -- l~istrict Eng%nee~ ,, District Engineer BUILDI!fG DEPAP, T,,~H T T0','~$[ OF SOUTHOLD, N. Y. HOUSU.~G CODE INSPEGTION REPORT (numoer & szreev} Locavion Subdivis ion Name of Owner(s) Map No. HoFF lw ~ ~4 (Municmpaiity ~ ot(s). Key ~vailable,, /~£~g~7~,'d' ~td£k L-t /'.t ~ l./,~ c_bM -~ ( owner- tenanz) Accompanied by:____~.,~ o tV/Z~ .Suffolk Co. Tax No.~/-~- q~lO Source of request D%'~LLI~IG: Type of construction Fotundation H~b~I~ Total rooms, 1st. FI Bathroom(s) ~ Porch, typq ~d'~ef~ Breezewa~ ~ Type Heat BA.~ ~ Fireplace(s),, ~ #stories,.. Cellar Y~-~ Crawl space,- .... 2nd. F1 ~ ~rd. F1 ~ Toilet room(s) Deck=,/_.type... /,yoO~ Patio, type. .Garag~..[ /~ ~t~ ) Utility room 'garm Air ~ Hotwat er /r/~/ No. Ex_t° ~ c{ffi Airconditioning. Domestic hotwater ~/~-3 G2%5 _Type heater Other ')~,.co .~.>/~ ~--~ ~ ~j ~__ STRUCTURES: Garage, type const. ~ Swi~ing pool ~ Other _- ~ Storage, type const. Guest, type const. / ~IOLATIONS: Housing Code, Chapter 52 _Location l Description I Art. Inspected by: ~/~¢' ~/---/~' Da. re of Insp. · Time start I~OI~M N'O. I TOWN OF SOUTHOLD BUILDING DEPART/~I~NT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ~×om~ned ...... .~....C~.~......./....~.... ...... , l*~ ^ppraved ................... !.~. .................. ,19..:.~.... Permit No..~.Z.~...~.....iZ-- Disapproved o/c ........................................................................................... ............. ................................................. (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ..................... ~:.../...~ ............... , ~9~..--..... 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 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 wiJ~ issue o 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 regulations. ........ .~. ~.~-~..,..~.....,..~../..~...~.~./..: ......... (Signature of applicant, or name, if a corporation) ....................... ~ ~/..-z..,.~.~.~...~ ~..: ../:. ..................... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contrdctor, electrician, plumber or builder. .... .~,.¢.~z~J~ .az. ~,....~ ..................................................................................................................................................... Name of owner of premises .......................................... ~ ........................................................................ tf applicant is a corporate, signature of duly authorized officer. ........ ~ ............. ~.~.o.~.,.~ ......... (Name and title of corporate officer) t. Location of land on which proposed work will be done..Map No.: ........................................ Lot No.: ........................ Street and Number .~,5: .~'.,....:~.,/.~.f~ ......... ~,../.c,~.~.'~,.../~..~.~./~,Z).,...~, ,~.~ ........ ,~r~ ~¢ 7~J" Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ................................................................................................................................... b. Intended use and occupancy ......... .~..~-Z~/~g'.~-Z¢.~./~.-~.. ...................................................................................... 3. Nat~re/ of work (check which applicable): New Building .../. ........ Addition .................. Alteration ............... Repc~ir .................. Removal .................. Demolition .................. Other Work (Describe) ..................................... 4. Estirhoted Cost ....... ..~...o. ................................. Fee ......t....'~.. ....................................................................... : (to be paid on filing this application) 5. If dwelling, number of dwelling units ............................ Number of dwelling units on each floor ........................ If gOrage, number of cars ....................................................................................................................................... 6. If kjusiness, commercial or mixed occupancy specify nature and extent of each type of use ...................... 7. Dim]'ensions of existing structures, if any: Front ........ ..'~..~..~.~.., ....... Rear ..... ~.~....~.~.~. ............. Depth Hei~tht ....,~}...~..~.'.... Number of Stories ....4 ................................................................................................... Dim~ensions 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 ....... /...~:~ ............. Rear ............. /.~ ............... Depth ...... ..~..'~;',~...~: ........ 10. Dat~ of Purchase ...~ ..................................................... N,a~rr~ of,Former O,wner 11. Zonle or use district in which premises are situated ........ gT'.~./.~./.C2~J.C ......................................................... 12. Doe~ proposed construction violate~ /o ~/'.~.any zonin~ law,, ordinance or regulation? ....~..~.,, .......................................... 13. Name of Owner of premises .,/2]~'.L.~..~.~..~...o'/./.~.?..Address ....~.i¢~...~.../.0.AID. .................. Phone No ................ Nam]e of Architect ...................................................... Address ............................................ Phone No ................ Nan~e of Contractor ~?.~i~,~....&~/./.:t/~...,..~5~Zf'./~L'~Z~.JAddress ,-~.~.ZZ-,~..~./.2 ..................... Phone No. OT.~2~.-g:.., PLOT DIAGRAM L.ocat,~ clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions property lines. Give street and block number or description according to deed, and show street names and indic~ whether inferior or corner lot. _ STATE OF NEW YORK, ~ c c COUNTY OF ................................ ~ .... ,./~.~. ,2~.,~'-~.. ....... .~. ff. ?~, ........ ~./. ~..,~ .......................... be,rig duly Name of individual signing application) above nan of said o~ this appli¢ that lhe ~ sworn, deposes and says that he is the applio ~ed. He is the ...~'~..~...~'.~.......~. ............................................................................................................. (Contractor, agent, corporate officer, etc,) net or owners, and is duly authorized to perform or have performed the said work and to make and arian; that all statements contained in this application are true to the best of his knowledge and belief; ~rk will be performed in the manner set forth in the application filed therewith. Sworn to before me this ~ ....... /.,~.......~,,day of ...... ~......, 19.....~.,,~ //~, / ,~ Notary Pu~li;~~....~...~~~ ~ (S~gnature of applicant) No. 52.3233120 8uffoH( Cou~ Term Explre~ Mar~h 3.1 t~ ~ 0 2~4.95 Z 0 27 ~4/,,P OF' PF4OPEI4TY AT I'iTLP2 NO,