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Home My WebLink About4244-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. UPDATED CERTIFICATE OF OCcu~-'ANC"Z' No Z-23026 Date JUNE 2, 1994 THIS CERTIFIES that the buildin~ STROu-ruKES Location of Property 400 SU~ERLANE House No. Street County Tax Map No. 1000 Section 78 Block 9 Subdivision Filed Map No. SOuTuOLD, N.Y. Hamlet Lot 22 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEE NOTE BELOW _pursuant to which Building Permit No. SEE BELOW dated SEE NOTE BELOW 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 OWE FAMILY DWELLING WIT~ ADDITION & ACCESSORY BUILDINGS * The certificate is issued to JOHN S. RAGSDALE & SUSAN NEVE~S (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R. VILLA- J~LY 1969 UNDERWRITERS CERTIFICATE NO. N-748719 - JULY 30~ 1969 PLUMBERS CERTIFICATION DATED N/A *NOTE: THIS CO UPDATES CO Z-7141 DATED ,.JUJ.,~' 28, 1976 FOR BP ~ 4244Z - (DWELLING & ACCY BUILDING) BP %4891Z - (ACCY BUILDING) - BP ~6991~. - FO~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's O~ice $outhold, N. Y. Certificste Of Occupnncy No. Z.7.! ~.1 ....... Date .............. Jul.y. .... 2.8 .., 19..7.6 THIS CERTIFIES that the building located at . .Summe.r.. La.ne ............. Street Map No. Bay. side..Teffi]~cle No ........... Lot No, 23 ..... Sou,;hold...I,~ ,~., ......... conforms substantially to the Application for Building Permit heretofore filed in this office dated ...... see..no.t.e..bel.o.¥ 19 .... pursuant to which Building Permit No..~..b.~low dated ........ .soc. - bolow..., 19 .... , was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is . Pr. iya.t.e..Q.n.e..f.g.m;i.l.y...d.w.e.%$.i.ng,..~. ~.dflfi...t.ip.n..~..a.c.c..e.s.o.r.y..b.l.d. g ..... The certifiqate is issued to .. Th.as.&..~erri .Slak .. O~e. rs ....................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .. R....Villa...7~69 ................. UNDERWRITERS CERTIFICATE No... N..7),87.1.9 .... 2~uly..30. · .1.969 ............ HOUSE NUMBER...¥.0.0. ....... Street...S.u~.e.r.. I~ar~e. ..... ~Q~.t.l~o.~,~l ............ .. ~.o.t.e. ~...cZo...c.o.v.~r~ ........................................................... B.P. ~891Z 8/7./70 accessory building (shed) 5 /~ B.P. 6991Z tl/16/73 Addn & Acce~r.y.. shod ...... ~.~..' . ~.~/'~] Building Inspector / TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Yo BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Ne 4244 Z Permission is hereby granted to: ................... ~ee..~t...~a~. .................................. .................. ~ma.~..~a~b~,..~oaat .................... ..................... ~Oat, J:~;~ ....................................... to .............. b~L~cl.. ~e.~.. ca~.. l'~.~,~...d~. 2...! .g .................................................................. at premises located at .................. ~:~t,..2~....~.:[~...~9~.~,~ .................................................. ....................................... ~/~ .....a~z....La~.e ................. ~o~tb~ ............................................. pursuan,t to application dated ................................ ~,~.~,~......~.~....., 19..~., and approved by the Building Inspector. Fee $...J.O,.(~r~l .......... Bui ding Inspector J Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 ~PPLICATION FOR CERTIFICATE OF OCCUPANCY ,t4AY 2 3 1994,,j BLDG. DEPT. TOWN OF SOUTHOI.D 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. 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. O Certificate of Occupancy on Pre-existing Buildin~ - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy.- $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date New Construction ........... Old Or Pre-existing Building .... ~. .......... Location of Property ......... .~...~...~ ........ 1 ................ Rouse No. Street Hamlet Onwer or Owners of p y ............. ~ .............. ~ ............ County Tax Map No 1000, Section ........... Block .............. Lot ...................... Permit No .... J.~.7.7.%.Date Of Pem~t .... ~.~.q).~..Appl~canr ................. Health Dept. Approval.' ......................... HnderwrSters Approva~ ......................... Planning Board Approval ....................... . Request for: Temporary Certificate ........ Fin~Cert~cate ........... q L~,-r 2.4 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARtTMENT 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. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and Ppre-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 Buildin~ - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy.- $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date .... .~...OT~.~.~.?!.~.~.~J.~!~~... .............. . ... New Construction ........... Old Or Pre-existing Building.. ~ ....... Location of Property..~)~ tYx~.,.o:.:~..~.V:;.:.,..,.. .................................................... House No. Street Hamlet Onwer or Owners of Pr~per~y...~..~.b.~...~.~..~.~.~.~..~.~..~;..~.~.~....~..~.~.~...~....~..~.~.~ ......... County Tax Map No 1000, Section·...:J. ....... Block....., ........... Lot ...................... S bdi ' 'on ,~q~[~O-) "~f4'-C(~C~i Permit No..~..?.J.|.~'~ .... Date Of Permit'.. Health Dept. Approval ..................... ..... Underwriters Approval ........................ . Planning Board Approval ........................ Request for: Temporary Certificate ...... · . ]Oo, oo ' Fee Submitted: $ ........................ · . Fin Certicate ........... -' TOWN OF SOUTHOLD 2/o ~~~ SO"-'-~LD, N.Y. ~/7~~s ) ~ Examin~ ...... ~., 1~. Application .................... , ................... ............................................. . . ....... APPLICATION FOR BUILDING PF~MIT' Date .. . .Ap?.~.]:...1~., ............ 19~9.. 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 k~t and of buildings o n premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property mu~t be drawn on the diagra~ which is part of this application. c. The work covered by this application may n~t b e commenced before issuance of Building Permit. d. Upon approval of this application, the Building In spector will issue a Building Permit to the -applicant. Such permit shall be kept .on the premises available fo r inspection throughout the progress of the work. · e. No building shall be occupied or used in whole o~ in part f~r any purpose whatever until a Certificate ~ Occupancy sh~li have been granted by the Building Inspector. APPLICATION IS Id~BY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building ~.Zone Ordinance of the Town of Soathold~ Suffolk O~unty, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for ren~oval or demo- lition, as h~retn described. The applicant agrees to corn ply with all applicable laws, ordinances, building code, housing code, arid regulations. (Signature of ~icant, or. name if a co .r.poration) .~! State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder owner Name of owner of premises Th~nae John E..1.a.k. ............................. If applicant is a eorporate, signature of duly authorize d c~fficer. (Name and title of corporate officer) 1. Location of land on which proposed work will b e done. Map No...2.0.~?. .......... Lot No .... .2? ........ Street and Number .. ~.hr~..~V.L~r~e.~ .Bayvie~..Tery~ce~ ........ So~tho~ ~ .~?rk ................... ~/ ~ ~ O mumclpm~W 2. S~te exiS~g use and occupancy ~ p~mi~s ~ d intend~ ~ ~ ~cup~ of p~ ~m~cfion. vac~t l~d a. ~is~nE ~e ~d ~cup~cy ........................... : .................. ~,.,. .................. In~d~ u~ and ~cup~cy residence--h~ ~..~%~ ...~..~.~.. 3. Nature of work (check which applicable): New Building ....X.... Addition ........ Alteration ......... Repair ......... Removal ........ Demolition ........ Other Work (Describe) ..... ~ ................ 4. Estimated Cost .... IM~.. l..OJ.~..-~... Fee . .$~.0. ........................................... (to be paid o~ filing this application) 5. If ,dwelling, number of dwelling units ...1 ....... Number of dwelling units on each floor ... o..n.e ........ If garage, number of cars .......................................................................... 6.--~I~d~ncs~ commercial or mixed occupancy, specify nature and ex~. of e~type ............ 7. Dimensions of existing structures, if any: Front .............. Rear, ........ , ................. Height ................ Number of Stories ........................................................ Dimensions of same structure with alterations m' additi0~s: Fr~n'£ , ...... i] ..... Rear ............... Depth Height NUm'b~ ~-~S '. A..~ ~.... ;~,..-7~.;.. ~ 8. Dimensions of entire new construction: Front .... ~. ~.e.~.. .... Rear . A~ .~/; ..... Depth , .2fl Height . ~1. ~q~ . Number of Stories . oqe --/L' ,' ~ ,' · ' ,, ,,,,~'~'",.'~'zc':~, .... ~' ~' j~'~'~ t ' ,.~'; .............................. Size of iot: Front ... J...O.?. ...... Rea~ .~./.'..~...'~.: fY... ~)~l~tl~:[.?..O.~. ~ ....... Date of Purchase ...D..e.q .em.b. 9.r..]+~..~.c2~..8 ...... ~... Name of Former Owner .B. ~ .A.~. ~..~v...T.h...u~n. ......... Zone or u~e district in which premiaes are situated...A....r.eA~.d.e.n.t..~.a./' ................................. Does proposed COnstruction violate any zoning law, ordinance or regulatkm? ........................... Name..of 0~er(of premises ~ .4~1~. ~... ~ddress . ~p.v,%~q~O~. ~Aw..~QVk. Phone No. Name of A~hitect ............................. ,~ddress ...................... Phone No ............ Name of Contractor ............................ Address ...................... Phone No; ........... 11. 13. PLOT DIAGRAM Locate _e~!Y and distinctly all buildings, whether existing or proposed, and indicate all set-b,o.l~ from prop~ - ,:~..Give street and block number or description acoording to deed, and show indicate w~/interior or coener iot, Suffolk County Clerk' s office on March 11, Interior lot on Stm~er Lane. STATE OF ~ YORK, COUNTY OF . .SUFFOLK .... ) Lot n~nber 23 on Map of Bayside Terrace, which map was filed in 1~5~ as. Map ........ A .......................... being duly sworn, dopo e says that he Is 'the appll- {Name of Individual signing application) cant abovo named.. Ho i~ th~ owner (Oontractor, agent, eorp~ate officer, etc.) ..... :- · ~ - ~; and.is .duly authorized to perlorm or have periormed the said w~k and to make and file this application; that ail statements oontalned in this application are true to the best of his knowledge and belief; .and that the work will be p~ed in the mann er set fort~ in the application filed therewith. Sw°~n to before me this 14th 14th April . 19 6.9. Not~l~ Public, ................ ~... county ,~ T1 . (Sig~_ ute of applicant) / / / ~ ~ /~ ~/ . , ~ nomas oohn Elak ~ ' ' No. 52-2093890 Qualified In Suffolk COUB~ -w ·