The URL can be used to link to this page

Home My WebLink About3356-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23356 Date NOVEMBER 17, 1994 THIS CERTIFIES that the building ADDITION & ALTERATION Location of Property. 51400 MAIN ROAD SOuTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 70 Block 2 Lot 3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 13, 1966 .pursuant to which Building Permit No. 3356-Z dated JANUARY 13, 1967 was issued, and c~nforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ADDITION & ALTERATION TO EXISTING DWELLING & ~uN~RAL HOME The certificate is issued to DAVID DeFRIEST (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 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) N? 3356 Z D~e ............................ ~J'a~.~il~ ....... ;1.3 19-67. Permission is hereby granted to: ............. gawl~.. I .,...~e~. rAe~t .......................... ................................ ao~ttl~]~l. ............................ Build .~...d ~..~m..o~..,e~ #ddn on ~x.$,st~ dvell~n & ho~e to ......................................................................... g .................... g ....... ~e.X'.{¥~ ....................... at premises located at ..... J~l,:Jd:~..~t,~e~ ............................................................................................ ......................................... ~.~ut~ ................................................................................................... pursuance to application doted ...................... OetOb~Z'.....~.~ ........... , 19.(~.., and approved by the Building Inspector. Fee $.5.,Q0 ............. ~c~/ . ¢ -- ~' mLJisaing r~p~Cfor "/ Form No. 6 TOWN OF SOUTHOLD 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. 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 inspent signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. " Fees I. 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 $15.OO November 10 1994 Date ...... ' lew Construction. A4~$~qu Old Or Pre-existing Building ................. 5]400 Main Road Southold .ocation of Property ......................................................................... House No. Street Hamlet )nwer or Owners of Property.. David DeFries% :aunty Tax Map No 1000, Section.. 70 ..Block. 02 03 ubdivision .................................... Filed Map ............ Lot ...................... Garret% A. S%rang for ermit No .... 3..3,5.6,Z. ...... Date Of Permit .... !/..].3./.6.7. .... Applicant .... D?. .v .i .d. . ~. .e .F .r . i. e. .s .% ......... ealth Dept. Approval .......................... Underwriters Approval ......................... lanning Board Approw~l ........................ equest for: Temporary Certificate ........... Final Certicate. XX ee Submitted: $..2..5:.0.0. ................... .~. · · .~ ................ FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Exami,ed 7 Approved ................... : ............ : ....... , 19..~..~.Permit No. 33 3'~ Z-~ Disapproved a~ ................ Application No. '~ ff'~ APPLICATION FOR BUILDING PERMIT October D- 19.H.u. ....... ate .................................................... ~......, 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 part ~or 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. David I. DeFriest (Signature of applicant, or name, if a corporation) Southold (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ......................................................... ............................................................................................................................. Name of owner of premises ......D..a:.~.~...~..:....D..9..~.z~.e...s.~. ........................................................................................................ 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: ............ ~ ........................ Lot No: .,~-~ ......... Street and Number ..... ]~/.~..~.~,~,D, ~.~ ~g.g,~.~.9,],~ ......................................................................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ........ £.ur~e~-~.L..Hc~e...&..Re.s&c~e~e. ................................................................ b. Intended use and occupancy .............. name...~c'i.t~..n'l~,,ztnti~:~'t..~c..nd~.'l.~O~ ........................................ 3. Nature of work (check which applicable): New Building .................. Addition .................. Alteration .................. Repair .................... Removal .................... Demolition .................... Other Work (Describe) ...................................... ~ Estimated Cost ............................................................ Fee ..... ~.g0 ............................................................................ (to be paid on filing this application) 5. If dwelling, number of dwelling units ...... .9.~.~ ............... Number of dwelling units on each floor ............................ IT garage, number of cars ........................................................................................................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of 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 Stories ................................ , ...... 8. Dimensions of entire new construction: Front ........... 20. ............ Rear ........... 2.0. ............ Depth ......3~, ................. Height ............................ Number of Stories .... ¢~e ................. 9. Size of lot: Front ............................ Rear ............................ Depth ................................ 10. Date of Purchase ................. ; ..... Name of Former Owner ........................................................ 11. Zone or use district in which premises are s~tuated ...... .4~......ql.~.t;;. ......................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? ............ ~...O. ..................................... 13. Name of Owner of premises ~..q~.ftl~.:l::;k~.S.t~ ............... Address .......... ~.0.11.tJ~tD,],gl ............... Phone No ..................... Name of Architect ............................... Address ............................................ Phone No ..................... Name of Contractor ...W.o...S~rI.t21.....' ......................... Address ............ 84~'o, th~:],d, ............ Phone No .................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate oil set-back dimensions from property lines. Give street a~d block numbers or description according to deed, and show street names and indicate whether interior or corner Iotl STATE OF NEW YORK, ~ COUNTY OF ..... S.uf£olk ..........f S.S. ........ l)/~.wlcl..Zle~,.lg-las.l~ ................................ being duly sworn, deposes and says that he is the applicant (Name of individual signing application) above named. He is the ........................ 0,~meI, ..................................................................................................................... (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 oil 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 applir~tion filed therewith. Sworn to before me this ~ ~/x ~ , ~L ~.3 day of .... 0.gl.t~b.e.l' ...... 19...Q~. L~--.'- j/ y, l'} ~/'~ A_.AJo~ ....................... /', / ,' / ~_./...:...M ~..7 ....... x, ..................... Notary Pub c~ (-~' ./.~oun,ty~ ........... ~ ~. (Signatu~;e of applicant) q N~o. 52.3Z~AZO Sm;a!: ~au~t~