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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~