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Home My WebLink About4056-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. UPDATED CERTIFICATE OF OCCUPANCY No Z-20325 Date NOVEMBER 6~ 1991 THIS CERTIFIES that the building. NEW DWF3J,ING Location of Property 2655 CALVES NECK ROAD SOUTHOLD~ N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 70 Block 4 Lot 42 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTE)9~ER 20, 1968 pursuant to which Building Permit No. 4056-Z dated SEPTEMBER 20~ 1968 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 DWF3,LING WITH ATTAt~I~u GARAGE & WOOD DECK AND PATIOt STOOP & PLANTERS* The certificate is issued to I<ATHRYN S. HILDI~JETE (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED MAY 1, 1969 BY R. N/A *NOTE: THIS UPDATES CO Z-3500 DATED JUNE 6, 1969./.---% Building Inspector Rev. 1/81 FOF,.M NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT fi.HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 4056 Z Permission is hereby granted to: ~L.Re.e~..&..~s~ ..;Lt~L ..A~,..l~.er. aea..~, li~l.~etJa ................. /~ .a..t,.t~ Lt,~k ......................................... to ....r,.~,~..~,#~...~a~,...~a,~Ll,~'...';l~.~].-]-~,ag ................................................................................. at premises located at .....~....~...?..e..?....~....~....~...~ ................................................................................. I~,thol ~. lit o¥ ° ............................................................. pursuan¢ to application dated ............................ ~t ....... 20 .......... , 19~..., and approved by the Building Inspector. Fee $..'l..0...,...~... ........... Form No. 6 TOWN OF SOUTUOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY · \. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building 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 from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. :3. For existing buildings '(prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date NOV. !79 . :~ew Construction ........... Old Or Pre-existing Building ................. 2655 CALVES NECK ROAD SOUTHOLD, N.Y, I.ocation of Property .......... .-~ ........ ,. . House No. Street Hamlet p PIERSON R I L D R .E.T.~. Onwer or Owners of roperty ................ R. . ......... County Tax Map No 1000, Section... 70 4 42 ........... Block ................ Lot ...................... "ubdivision '~ .... Filed Map Lot Permit No. 4056Z 9/20/68 ..... Date Of Permit .... Appli Health Dept. Approval .................... ...... Underwriters Approval ................. Planning Board Approval ................. ?,eqoest for: Temporary Certificate .... Final Certicate ........... !'ce Submitted: $....5.0. %.09..(.U..P.I}.A.T.E.D.. p.O.)... FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy THIS CERTIFIES that the building located at ~S' ~[~' ~ ........ Street conforms substant~lly to the Application for Building Permit heretofore filed in this office dated ....... ,~1~ ...... ~9" 9.~ pursuant to which Building Permit No. l~.. dated ....... ~....~ ..... , 19. ~, was issued, and conforms to all of the require- ments of the ~i~plic~ble~l t prowsions of the law. The occupancy for which this certificate is (owner, lessee or tenant) of the Ii · S-9 SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH Date May 1, 1969 Bldg. Permit No. S TO WHOM IT MAY CONCERN: The sewage disposal facilities for a structure located at Southwest si~ of C~lves~Naek Road. ~ m~lA ~,,th ~e ~,~. ~5 (Give'deed locaii~n) have been inspected by this department and found to be satisfactory. MAY 1 1969 Dlstrlot ~gineer District Engineer Disapproved a/c .............................................................................................. (Building-Inspector) APPLICATION FOR BUILDING PERMIT IN$i;KUCTIONS 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 descriptic~n of layout of property must be .drawn on the diagram which is port of this application. c. The work covered by this application may nat 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 Qyailable f~r inspection throughOut the progress of the work. e. No building shall be occupied OK~used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the BUl~dinJl 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 .o.f Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulati.o. ns, for the construction of buddings, additions or alterations, or for removal or demolition, as herein described. The apphcant agrees to comply with all applicable laws, ordinances, building code, housing 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. .................. : .............. . ............................... ........................................ Nome of owner of premises ....................... L~.P......~?.)~.{~.~i~c~.I~......~.~......H.I.~.~..~,..~..~ ................... : ........ If applicant J~'a corporate, signature_..,of duly authorized of,ricer. (Name and title of corporate officcG~' 1. Location of land on which proposed work will be done. Map No.: ........................................ Lot No.: ........... ~ ............ Street and Number ................ .C.~I..I,.~.~,~......~L~C~..~....~G.~.~.. ...................... .~)~.q~..'~._t~.. ' Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ............... ...~.~P~.~#~I~.~.....3~A}..'~'.. ......................................................................... b. Intended use and occupancy .............. ..~.LI~L~......~..~...~..~..~....~.I~,,~L~..~/~I.~,~ .................. 3. Nature of work (check which applicable): New Building ..~ ..... Addition .................. Alteration .................. Repair .................. Removal .................. Demolitio.~ .................. Other Work (Describe) ........................................ 4. Estimated Cost ........ ~ ........................................ Fee .......................................................................................... (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 .................. ..".~.V~.~ ................................................ ~ .............................................................. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ...... ~ ........... I~l~Dimensions of existing structures, if any: Front ............................ Rear ................................ Depth .................... Height ........................ Number of Stories ................................................................................................................. Dimensions of same structure with alterations or additions: Front .................. t~ear ...~m~..-m.. ........ Depth ...~ .................. Height ....~ ........... Number of Stories ..... ~ ............... ~ 8. Dimensions of entire new construction: Front .....~.2,....~. ................. ~,1-~:) Depth ... ~'(,~ .............. Rear ............................ Height ....~.~. ......... Number of Stories ............... .~..J~,.....~......~'~l.~'J~.~. ......................................................... Size of lot: Front ...I.~.~'../. ............ I · Rear ...... J.~t.~. ..................... Depth ....~..~...~. ............... Date of Purchase ............................. '.: ......................... Name of Former Owner ~ Zone or use district in which premises are situated ..................................................................................................... Does proposed construction violate any zoning law, ordinance or regulation? ............ J~ ......................................... Name of Owner of premises )..k~...~....~...N...~J.L~l~.l.~.'CH.Address ..... L~t~.l~..~.!..~..t,.~ ........... Phone No ..................... Name of Architect ...C/:I~I,,...~..:.....~....'T.~..~'.~. ........... Address ........ %.~.~.~..!..~...~ ............ Phone No ..................... Name of Contractor J~,~.l.~g.~..~....~,..~..~..l~.%.L~.~.Address .......~. j(~.'~...I..~.?...¢..l~, ............. Phone No.~,.~.J~..'...~..~..I.~ 11. 12. PLOT DIAGRA~ Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW_YORK, ~ S S OF ....... ............... H.~.L~..N,.~.....J~.,....~.~..~...~......~../~.t ............... being duly sworn, deposes and says that he is the applicant (Name of individual signing application) above named. He is the ................................................... .~.~,J~.~,,.l~.~l~.~......~..~...l~...'1~..1~.~.1[~, ........................... (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 of 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 /,~2 ~ , 1Cg~tt.~~,~K~,~~~~~ ........ Noto ............... · · ' ............. OTARy PUBLIC, Slate of New Yor~ RESIDING IN SUFFOLK COL,NTY No. s2-$$95900 / {,I \ 5 IN STREET,,, O0 ~AI~4T P~ 'bAS EMEJ,qT f::' L A ,ki f' ,O' CARL II. STOY£ & ASSOCIAT[$-ARCIlITECT$ 40 MAIN STREET, SAYViLLE L. i,, NEW yORK TEL. I~t~} cT 9-ao!o,n q- ~- :,] ' 5GU~_DUL~ ~ 1 kLTg-PAO P- P_O0~ ~LL VIA?L Vl~ g PAINT ~TO~. CLOSET VINYL YJNYL PAINT FA I kiT ~ ' GflEST ~. W¢oO W¢O0 WALbFAPEK ~ _~VI~ ~ W~O~ WO~ WALLPA F~ j PO~C~ VINYU VINYL FAINT FAINT ~TCHEM VINYL ViM'fL FAINT FAINT j LkUN~D~ VI~L ~l~'k ~AIUT flAINT _ : ' CL'R5 5T 5H'~.LVIklG .... 5C'H~¢)U Lg -' ' I ' : % ,',', :, __l , ~ ~ -' '~ - Uf~ LEV=~, LW~< ~LAIW . -,z,, " "',' ' '' '' ': ' 5OUTH9 L ~W Y~" ' CARL B. STOLE l ASSOCIATES- ARCHITECTs , ' : '", ~ ' - ,, , ' , ' : 40 MAIN STREET, ~AYVILLE, L.I., NEW YORK 11~82 ~ ': t h,J 0 FqT H ~ L r-VATI~I,,,I GUTTEK , L LI ~.KT~KI~K WOO0 COb~. ~. b&A~ :MIL, ¢ MRS. ?IEKSOki FC HILDKF-TH 50UTHoLO, b,l,, t,,IP-W YOKK .y w~sl- &T' KITCHE_kl':'' , FAF, TJAL ELF. k,': ~ ~E. CTIOt,.,I ,I .s E. C,.~/.:,.¢ a L_ SOLITHOLO, L.I., klgv¢ "(oF.K, 5LBVATi,.2M~ 6 ~ECTI~ki,c "5' ~ ECT, "A' AT C~LIq .-4-. __~. AF.T I A_L_ D_TAi L ~ op I ~ SECT, THF-.U DETA" R,~ ~ 1 DBIqC F-.. . MR, ~ Ml~, PIF-R~Okl ~,' HI'LOt~ETH SOUTHOLf), L. l., WP-.W YOF, K W~LL ~CTiOkI~'6 OETAIL~ . CAfiL il. STOVE & ASSO~IAT.~S-ARCHTTECTS ~1~ ~AIN STREET, SAYVILLE, L.I., NEW YORK 11782 TEL {516) LT 9,3~0-11 . ~-5'~ , TY?. W i !,J ~C~ W L i '$ p ;' ]--4 ii H~AF9 KT MULL t- JAM~ 5 IDL.. E×TEKIOP,, I 3',o"x 7Ld" ~' I~Aj' ~ q" ~"x 7'.0" x I~~' F~U~H 17 ~'I"G'X q"O" x' q5 G.W' x 7'-0' x FLUSH MOTE. .OULr~ MOR~AM ~ M ~' M' 4~q4 ~ M. 4~¢~-5lq (LOOV~O ~ M ' 45~4- ~ M ' 45'7.4 S M. 45'Z4- ~ M. I # M - 4-FO- ,Si,z (kopv~ao) g M - , rI K, HILOKETH NEW YOKK. ~; D~'FAIL5 DBAWFNG 7 ~:!LL A.Z il ~t ,& :P ET;q L. 'eF 15uILT-It,.t' 1,4,(Olcikl~ cAD. E. LBV_A_ TlOq "~ p F...'T A l L f ,of c L ¢ ~, ET f 15 q-"4" ~ T-ON x FLU2H , .' ~,II~CH 1','7.'* X '?"O:~ x I~"~," LoU~,EAE;~ pi~4E -]'-o'~, "/'-0" x lye," F*I-?,'~'.z~,'I~4~ pt*4~ ?~1 -FoLor4~ }fl '20 'ZL&'' x 7:~"" x 1¥4,!~ 'FLO~H blKcH '7.? ~4 '?.5 q7 '28 ~o ';Z-I'-5" x 1LO" X I}~'~ FLUSH ~M' iool &5 AT , pINE, ~t M-~.5~4 ;~ 1'4 - I Ool MA~T~K II WEfT WALL P_.L~VA CARL B. STOYE & STREET, SAYVILLE, LJi,, NDW YORK 11782 D F. AW I~C~