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Home My WebLink About2700-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. UPDATED C.O. Certificate Of Occupancy No. Zi6517 Date December 18, 1987 THIS CERTIFIES that the building One family dwe 11 ing Location of Pronertv 2300 Rocky Point Road East Marion House No. Street /'l~r~/e~ County Tax Map No. 1000 Section ...3. ~. ....... Block 02 .Lot 6. ] Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore f'fled in this office dated .... .A.p.r..i.1..9.,..l.9.6. 5.. pursuant to which Building Permit No .... .2.7.0.@ .Z ..... dated . .A.p.r.i.l._..9 .,.. 1. 9. .6 .5 ............ 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 ......... Private one family dwelling with attached garage and an accessory ..... ......................................................... The certificate is issued to STANLEY J. ZULTOSKI AND ROSE V. ZULTOSKI ..................... ............... of the aforesaid building. Suffolk County Department of Health Approval ...... .S.e.p.t.:..6. ,.. J .9.6.6...b y..R.:, y.~ 1. .~ .a ...... UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED: Update of Z2605 Oct. 31, N/A 1966 Building Inspector Rev. 1181 APPLICATION FOR C£RTIFICATI= OF OCCUPANCY FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall $outhold, N.Y. 11971 765- 1802 Instructions This application must be filled in typewriter OR ink, and submitted m~ 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 featu res. 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. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property 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. C. Fees: Additions $25.00 1. Certificate of occupancy New Dwelling $25.00, Accessory '$|0.00 Business $50.00 2, Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $]0.00 4.Vacant Land C.O. $ 20.00 QUpdated C.O. $ 50.00~ Date .... ( .~f./'.7~ .g-.7. ............. NewCons truc tion Old or Pre-existing Building ............ Vacant Land ............. - 3,3 9 .... Location of Property .... House No. Street Hamlet CountyTax Map No. 1000Section ..... O..~...I ...... Block ..... .o..~ ...... Lot ~ · i ,Subdivision ................................. Filed Map No ........... Lot No .............. Permit No..,~.?.0..0..~.. Date of Permit ..... I:..Applicant..F'Z.'. .~.~.%~.aP..°..~.s.L'. i . ?../~..?':..~.~./.¢.o?. K, Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Tempor~y Certificate ..................... Final Certificate ....................... Fee Submitted $. f' O Construction on above described building and permit meets all applic,able comes and regulations. Applicant .................................................... Rev. 10-10-78 FOI~M NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Ne 2700 Z Date ........................ ~I~1, ....... .9. ............. , ~9..6.ff. Permission is hereby granted to: 1~..~...o.;l~.,...k$.......~...c......l!..,....~..~..~.~..~ ........... ............... ~ame~pa~ .......................................... to ~/I~L~ ~ ..new...one .. ~.emi ~... :lw~lLt~ ...................................................................................... ut premises located at ....~,/~.....JJeOJ~'~r..~O.~.l~.t~..jJJJ ........................................................................... .................................................... ~ s.t.. l~a~.~ol~ ~ ....-l~,..~., ................................................................... pursuant to application dated ................................... J~r~,~.....9. ..... 19...6~., and approved by the Building Inspector Fee $ ~,l~.e.~. ........... Building Inspector ~k FORM I~O, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD. N. Y. I~.£1~TIF'ICAT£ OF ocr. UPANGY No. ~ '~0~ .... Date .................. 0~' ' ~3~' .... 19. ~ THIS CERTIFIES that the building located at ~/~.. l~Oelt~' 1~'1~ '~ ..... Street Map No..~ ....... Block No.. ~[j[~ ...... Lot No. lgj~ ..... 111~ '~1~' ~Y~ .... conforms substantially to the Applicati.on for Building Permit heretofore filed in this office dated ............. ,~;11'"~'" 19~. pursuant to which Building Permit No..~. ~ dated ............ ~]~i~][l...~. ., 19.6[, was issued, and conforms to all of the require- ments .of the .applicable provisions of the law. The .occupancy f~or which this certificate is issued is 'P~*~.Va't~' ~10' '£a~.l.y-dw~l'l'tn~ .......................................... The certificate is issued t.o ...~.~. '~,].t~k~ ..... O~er, lessee or tenant) of the aforesaid building. .Suffolk County Department of Health Appeoval . ~p~.. $~. ].9~. · 'by 'R';~*~:I& ....... S-9 SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH Date SEP 6 1966 Bldg. Permit No. TO WHOM IT MAY CONCERN: at The sewage disposal facilities for a structure located ~ive deed location) have been inspected by this department and found to be satisfactory. Dietriot Engineer District Engineer AREA = 15,000 SQ.FT. CERTIFIED TO COMMONWEALTH LAND TITLE INSURANCE COMPANY. THEODORE VALLAS HELEN VALLA S 1000 ~ .Y..S [,IC.N0,49618 'JPECO~EYORS & ENGINEER$,P. C. (516) 765 ' 5020__ P.O. BOX 909 MAI N ROAD SOUTHOLD ,N.Y. 11971 SURVEY OF PROPERTY AT E A ST MARION TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. 0:51 ; OZ 6.1 SCALE I" a NOV. 19, 1987 "Prepared in accordance with the minimum standards for litle surveys as established by the L.h A.L. $, and approved and adopted for such use by The New York State Land Title Association, 8Z" 864 FO~ NO. ! TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ...... ~...<~ ................. 19[ ?...'~.. Approved ........................................ , 19 ........ Permit No................................. Disapl:roved o/c .....f ,, --------'"~"~'"'~Z'~ .......... .................... ................................. APPLICATION FOR BUILDING PERMIT INSTRUCTIONS o. 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 o Certificate of Occupancy shalt 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, os herein described. The applicant agrees to comply with all applicable laws, ordinances, building code and regulations. l~ank Tro Jano~k! (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. ....................................................... ¢o~t~'~a.tor ................................................................................................................... Name of owner of premises .......... ~J.,...~.lJ,~t~o.~.~.k..~ .............................................................................................................. If applicant is a corporate, signature of duty authorized officer. (Name and title of corporate officer) 1. Location of land on which pr~osed work will be done. Map No: ........ ~ ............................. Lot No: ..~ .......... Street and Number ..... ~.....~e~e~...~..~o~ .......... ~=~..~ ............................................................... Municipality 2. State existing use and ~cupancy of premises and intended use and ~cupancy of proposed construction: a. Existing use and ~cupancy ......... ~g.~..~ ............................................................................................... b. Intended use and occupancy ............. ~ ~$.~ .~e~t~g · ~.~g~e~ ~8~a~ ..................... 3. Nature of work (check which applicable): New Buitding .~.. Addition .................. Alteration .................. Repair .................... Removal .................... Demolition .................... Other Work (Describe) ...................................... 4. Estimated Cost ..........'1,3.t.~0~..[~/~ .......................... Fee ..... ']:0 ..................................... i ......................................... - (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 ......................... Q~L~I~ .............................................................. .' ............................................ 6. If business, commercial or mixed occupancy, specify nature and extent of each type ,~f 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 Stones ...................... /....~. ........... 8. Dimensions of entire new construction: Front ........... ~ ............. Rear ........................ !... [~pth ............................ Height ............................ Number of Stories ...... ~ ....... 9. Sizeof lot: Front ....... ~'~0 ............. Rear ............. ~](} .......Depth .~.~. .................... 10. Date of Purchase ......................... ~.9~ ..................... Name of Former Owner .......... W!~..~B~~ .......................... 11. Zone or use district in which premises are situated....~:m.....6.~g~. .................................. ~i:....:~ ............................. 12. Does proposed construction violate any zoning law, ordinance or regulation? ............. !~ ................................... 13. Name of Owner of premises .~.....~-13~O.~ ............ Address ....... ~,,...)J~,~£Ot~ .............. Pfc, one No ..................... Name of Architect ...................................................... Address ............................................ PHone No ..................... PLOT DIAGRAM ~' Locate clearly and distinctly all buildings, whether existing or proposed, and indicate al~ set-ba~cl~ 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. STATE OF NEW :I'OP~I~,. ~i~ffl~: TFO~q.O.~ be ng duly sworn, deposes and says that he is the applicont (Name of individual signing application) above n.amed. He is the ......................... Col~t~.~.:l;o~. ......................................................... ..~ ............................................. (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 bf :his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this