HomeMy WebLinkAbout3599-zFO~M NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
CERTIFICATE OF OCCUPANCY
No. Z-..~ ............. Date ........................
THIS CERTIFIES that the building located at [J~.....J3.~.~eJy.~ ....................................... Street
...... 3~ ........... Lot No..¢) .............. ~.tt.t~hog~e~...jCJl.~.~ ................
conform~ substantially to the Application for Building Permit heretofore filed in this office dated
........................... ~ept ............ ~ ............... , 19.6r/.. pursuant to which Building Permit No ......
dated ..................... ~O~p~; .......... ti ........... , 1 c2..6~., 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 ........
............ P.x~&.~a.t,e...one...f. am$t~..~%wel..l&n~. ............ ............................. ~ ....................... ~ ................
The certificate is issued to ....... ]~,'l.~...~rt~l~[~ .................. (}t~i~e.~ ..............................................
' (owner, lessee Vr tehdnt)
of the aforesa.id building.
H.D.Approval April
20, 1968 by R,Villa
......... ~ .........~d~g"'""~~'lnspector , ...............
FOF~ 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 TH~ WORK AUTHORIZED)
N? 3599
Permission is hereby granted to:
.............. lte~....~..:..~ ........................... i ....
........... ~...~3~e~ ...... :.~jb3~, .......... ..........
tO
pursugn¢ to application dated .............................. JJeJ3~..~,~....~ ....... , ]c)..~., and' apprdVed b the
< r .
ildi
Bu ng Inspector. ' , ,.. ,, ..
Fee $ ~,0~, ...... ;.:.. ·
SC~D
SUFFOLK COUNT~ DEPARTMENT OF HEALTH
Date~~
TO WHOM 1T MAY CONOEEN:
The sewage disposal facilities for a structure located at
(Give deed location)
have been inspected by this Department and found to ~e satisfactory.
1968
~tstriot Engineer
District Engineer
TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN HALL
SOUTHOLD, NEW YORK
U~DATED
CERTIFICATE OF OCCUPANCY
NONCONFORMING PREMISES
THIS IS TO CERTIFY that the
/-~ Land
Building(s)
Use(s)
located at 550 Birch Lane
~ C.O. #- Z-16095
Date- August 26, 1987
Cutchogue, New York
Street Hamlet
shown on County tax map as District 1000, Section 083 , Block
01 , Lot 04 , does(not) conform to the present Building Zone
Code of the Town of Southold for the following reasons:
Insufficient Total Area
On the basis of information presented to the Building Inspector's
Office, it has been determined that the above nonconforming ~ Land
/~ Building(s) ~ Use(s) existed on the effective date the present
Building Zone Code of the Town of Southold, and may be coBtinue~
pursuant to and subject to the applicable provisions of said Code.
IT IS FURTHER CERTIFIED that, based upon information presented to
the Building Inspector's Office, the occupancy and use for which this
Certificate is issued is as follows: A one story, split level, one family
dwelling with attached 2 level deck; an in foundation garage, outside shower;
Permit #3599Z/C0 Z3252 to construct house; Permit #9383Z, CO Z8048 for split level
addition & decks, all situated in 'A' Residential Agricultural zone with access to
Birch Lane.
The Certificate is
of the aforesaid building.
Suffolk County Department of Health Approval
UNDERWRITERS CERTIFICATE NO. N381569
issued to RICHARD & BRIDGET LARK
August 27, 1968
NOTICE IS HEREBY GIVEN that the owner of the above premises HAS
NOT CONSENTED TO AN INSPECTION of the premises by the Building Inspec-
tor to determine if the premises comply with all applicable codes and
ordinances, other than the Building Zone Code, and therefore, no such
inspection has been conducted. This Certificate, therefore, does not,
and is not intended to certify that the premises comply with all other
applicable codes and regulations.
Building Inspector
BUILDING DEP~RT[v~ENT
T0V~N OF SOUTHOLD, N. Y.
Location
Subdivision
HOUSING CODE INSPECTION REPORT
550 Birch L~ne Cutchogue, New York
(number & street) (Municipality)
Map No. Lot(s)
Name of Owner(s)
Occupancy
Admitted by:__
Key ~vailable
RICHARD & BRIDGET LARK
RESIDENCE ( ONE FAMILY)
(type) (owner-tenant)
RICHARD LARK Accompanied by: WIFE
Suffolk Co. Tax No. 1000-083-01-04
Source of request OWNER
Date
8/26/87
D¥~LLIMG:
Type of construction WOOD
Foundation CONCRETE
Total rooms, 1st. FI 6
Bathroom(s) 5
Porch, type
Breezeway
Type Heat
Fireplace(s) x
Domestic hotwater x
Other
Deck~ type.
Garage
Warm Air
No. Exits
Cellar
l/2nd. FI
Toilet room(s)
2 Tier
#stories
X Crawl space
2 3rd. FI
story split
~[~bx~x type. wood
Utility room
Hotwater x
3 Airconditioning. x
Type heater Qil Burner
ACCESSORY STRUCTURES:
Garage, type const. Under house
Swimming pool
Other
Storage, type const.
Guest, tl~pe const.
VIOLATIONS:
Location
Housing Code, Chapter 4~ N.Y. State Uniform Fire Prevention
Descriotion Sec.
& Buildin~ Code
Remarks:
Inspected by:
Victor Lessard
Date of Insp. 8/26/87
· Time start7:35 AM end 8:20 AM
~
O0 ~
~ 0
0
,LOT: t.0
,,,MAP
LOT- 6
OF' LOT_9_
.t
BUILDING DEPARTMENT
TO%'fN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location ~-~D ~--~C-c_~ ~4~
(numoer & street)
Subdivision Map No.
(Municipality
Lot(s),
Name of Owner(s)
. (type) ~ (own~tenant)
A~mitted by. ~
Key ~vailabl e ~ -
Suffolk Co. Tax No. ~n~- 0~-o~-o~
Source of request
Date ~/'~G / cS 7
D~LLIMC:
Type of construction
Foundation
Total rooms, let. FI
Bathroom(s)
Porch, type
Breezeway
Type Heat
Fireplace(s)
Domestic hotwater
Other
Cellar ~<
Toilet room(s)
Garage Utility room
Warm Air Hotwater
No. Exits _~ Airconditionin~
~x Type heat'er ~ ~
#stories;
Crawl space,.
3rd. FI
ACCESSORY STRUCTURES:
ype const, t.~.~l~a.~,~Storage, type const.
Swimming pool , Guest, type const.
Other
VIOLATIONS: Housing Code, Chapter ~5~N.Y. State ~nifo[m.Fire Prevention
~ & Buzlai~[ ~oae
...Location Description ]Ar.t.i Sec.
..
t
Remarks:
Inspected by:~_)~c~-~
Date Of Insp. ~l ~L[~]
-Time startS; ~,~4,end ~'. ~.o ~.~.
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
Examined ...... ~...~ ............. ,19..~...~...
19 7 Permit
Approved ........................................ , ........
Disapproved a/c .....................................................................
APPLICATION FOR BUILDING PERMIT
Application N o..~.....'~....~...? ............
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 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 shaft 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 t° c°mply with all applicable laws' °rdinances' ~'J~°d/'e.
(S i b r~ ;, ,'~u r e'j~'~l'i~n~-
Heather La Miller Place L.I.
(Address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
........................................................ ...................................................................
Name of owner of premises ....R..O...]...~.....~..~...LI:...I~.. ..........................................................................................................................
If applicant is a corporate, signature of duly authorized officer.
(Name and title of corporate officer)
Birch hills 9
1. Location of land on which proposed work will be done. Map No.: ........................................Lot No.: ........................
Street and Number ..~.~?..9..~.....~...~. .............. .0...~..t...e..h..°...g.~..e..t..~.:..~..: ...............................................................................
Municipality
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy .....¥.~.~..~..~..~.....1...~..~.~. ....................................................................................................
b. Intended use and occupancy .....Q~.~...~.fL~...i.~.~...d. 3~.e...1..1...i.~ ..............................................................................
3. Nature of work (check which applicable): New Building ...~... Addition .................. Alteration ..................
Repair .................. Removal ..................Demolition .................. Other Work (Describe) ........................................
4. Estimated Cost ...... ~0..~.~..0.O...~Z~4,, ............................. Fee ..'lO,,.O0 ............................................................................
(to be paid on filing this application)
oi'1e
5. If dwelling, number of dwelling units ............................ Number of dwelling units on each floor ............................
If garage, number of cars 2 OD.Z"
6. If business, commercial or mixed occupancy, specify nature end 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 ...... ~. ......................... Rear ......... 6.LJ:. .............. Depth .....2..~. ................
Height .................... Number of Stories .... .9..~..¢ ............................
9. Size of lot: Front ...... :],~,~) ............... Rear ....... ].,3.0 ...................... Depth 2.QD. ........................
10. Date of Purchase ......... ~,.~.1~.....,],9.~.~. ....................... Name of Former Owner ...... ~.~,~F.~.~..~J,~.,'L~..~..[.O,i~ ...........
11. Zone or use district in which premises are situated tt~.t~ 1~e$
12. Does proposed construction violate any zoning law, ordinance or regulation? ........ ~Q ...............................................
13. Name of Owne'r of premises?O...1.~....~.?...~...'fl-~... .................. Address ....... ~,~,~.,~.~'...~.,-L~.f~.~. ........ Phone No .....................
Name of Architect ...................................................... Address ............................................ Phone No .....................
Name of Contractor ........ ~.~,~ ................................... Address ............................................ Phone No .....................
PLOT DIAGRAM
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 NEVi. Y~,K. I ~ ~
COUNTY OF ..~..~.~..~.9.~.]~ ............. $~'~'
1~O~£ B]~zmt
................................................................................................. being duly sworn, d~oses and says t~t he is the applicant
(Name of individual signing application)
above named. He is the ................ O~e~...~...b~i~e~ .....................................................................................................
(Contractor, agent, co~orate officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to ~:ke and file
this application; that all statements conta, ined in this application are true to the best of his knowledge and belief; and
that the work will be performed in the manner set fo~h in the application~rewith.
Sworn to before me this / / ~ / ~ ~
.................. ~.... day pf ..................... ~.~.~. ............. , 19..~.. ~) ~~~
~o. 52-0618100 Suffolk Coun
Commission ~prres March 30, 19n~