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Home My WebLink About4925-zFORM NO. 4 TOWN OF 80UTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. UPDATED CERTIFICATE OF OCCUPANCY No Z-17415 Date OCTOBER 14~ 1988 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 6880 NASSAU POINT ROAD CL~fCHOGUEr N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 111 Block 15 Lot 51 Subdivision M/o Nassau Point Filed Map No. 156 Lot No. 130 Club Properties conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 22r 1970 pursuant to which Building Permit No. 4925-Z dated AUGUST 26~ 1970 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 DW~.TJ,ING WITH ATTACHED GARAGE UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED The certificate is issued to ARTHUR V. JUNGE (owner, of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 8/30/71-R. Villa N/A Building Inspector Rev. 1/81 FORM NO. ~ 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? ~925 Z Permission is hereby granted to: ~lb, ess:.~ r...C',t.~,~.'~ a $I....../,.JO...ga'.~ ,,,..,AJ,Jilaaa JeelJ to ..... ImL~d...n~..e~,,..~.~..~.;f--<[,,/e-~.~.~.~g ............................................................................... at premises located at ........... ~t....l.3¢,..&...p.t~...~.....lie.2~e~..J~..~'"~,.[~l~ ............................ .................................... "i~s~ .'Pci=:'"~.~ .............. ."~l~h~i~e ......... 'll'~'Ji, .......................... pursua~¢ to application dated ............................ 11.~.' ......... ~J~ .......... , 19...~..., and opproved by the Building Inspector. Fee $.'Jg-..-Q ........... ' ~'~" Building Inspector '~ ........... ~...~.~,.',.~....~. ...... .~.'.....=: ............ FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted m~ to the Building Inspec- tor with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposel-(S-9 form or equal). 3.Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5.Submit Planning Board approval of completed site plan requirements where applicable. R. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of pz'operty showing all property lines, streets, buildings and unusual natural or topographic features. 2.Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: Additions $25.00 POOLS $25.00 ALTERATION $25.00 1. Certificate of occupancy New Dwelling $25.(10, Accessory '$~0.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ I00. O0 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4.Vacan~c Land C.O. $ 20.00 5.Upda~ced C.O. $ 50.00 Date ...................... [0/.[4/8.8 NewC°nst;ructi°n ...... Old or Pre-existing Building Vacant Land Location of Property 688~i Nassau Point' Road Cutchogue, New York House No. Street Ham/et Owner or Owners of Property ARTHUR JUNGE County Tax Map No. 1000 Section I I I Block 15 5 ] M/o Nassau Point Club Prop. ,.. 156 ~30 Subdivision ................................. ~led Map No ........... Lot No .............. Permit No. 4925Z 8/26/70 .... CHESTER ORLOWSKI · . Date of Permit .......... ~ppucan~ ......... Health Dept. Approval ........................ Labor Dept. Approval . .. Underwriters Approval .............. Planning Board Approval UPDATED Request for Temporary Certificate ..................... Final Certificate ....X~. · .......... ..... .. Fee Submitted $ 50.00 Construction on above described building aK perm~it meets all applicable ced~s and regulations. FORM ~0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy THIS CERTIFIES that the building located at . ]UU~ P.e:l~t .R~ ...... Street Map No.~ms. .Pts.. Block No ........... Lot No.. conforms substantially to the Application for Building Permit heretofore filed in this office dated ............ .A~...~.., 19..~ pursuant to which Building Permit No...1~. dated .......... i,~' · · ~'", 19.?0., 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 .. 'l~iV&t,e' '~®' fa~tl,y 'd~l'l~,l~ ..................................... The certificate is issued to . M~Ss. &~inda. R~he ....... 0~mel' .................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval a~use ~ 688o · A~.. 30...1971...by. a. .... i.i ............. ~ '' Building Inspector SCHD SUFFOLK COUNTY DEPARTHENT OF HEALTH Date Bldg. TO WHOM IT MAY CONCERN: The sewage disposal facilities for a structure located -(Give deed location)/ have been inspected by this department and found to be satisfactory. AUI~ 30 1971 ........................................ , 19 ........ Permit No .............................. BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Application No. Disapproved a/c ......... ~ .... ~ APPLICATION FOR BUILDING PERMIT 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 applica- tion. 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 applica,nt. 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 pa rt 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, alterations, or far removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances and regulations. (Signature of applicant, or name, if a corporation) ......... .................... (Add'ss of applicant) / State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of pramS'....I/~ ''~ '~..~,c.~ ...... ~..,~ ................................................... ..... '" ...... '"'"(Name' ............ and title' .............. of corporate' ................... officer)"" .............. "' 1. Location of land on which proposed work will be done. Map No.: .../....~..."~...~.. .................... Lot No.: --- Street and Number ..~__~...~.....~...A.~.~. ............ .~.~. '...~... ~..f~.....'T~... . /~'/~- ~ ~' ~ 0 Municipdd~ty / ......... 2. State existing use ~nd occupancy of premises and intended use and occupancy of proposed construction, b. Intended use and occupancy 3. Nature of work (check which applicable): New Building ..... ~, ........ Addition .................. Alteration .................. Repair .................. Remova! .................. Demolition .................. Other Work (Describe) .................. 4. Estimated Cost .......... .,~.....~./..I:ZTTfCT~. ......................... Fee .......... /.....(J......,...~ ......................................................... (to be paid on filing this application) $. If dwelling, number of dwelling units .........../. ................... Number of dwelling units on each floor ............................ If garage, number of cars ............................................................................................................................................ 6. If business, commercial or mixed occupancy, specify nature a:nd 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 ........ ..~.....~.. ........... Depth ....~.....L ................ Height ...../..~..../ .............. Number of Stories ...... ~ ........ 9. Size of lot: Front ...... [....~.....~'..../'. ....... Rear ......... /.....~... ............... Depth ....)m.....~....~. ........... 10. Date of Purchase ...... ............... _No,me of. Former pw.er ......... 11. Zone or use district in which premises are situated ..... 12. Does proposed construction violate any zoning law, ordinance or regulation? ....... ~......~. .................................... 13. Name of Owner of pre~..mis~es ~.:....~.~ ..... Address ....~~ ........ Phone No ................... Name of Architect ..~..~ ...... Address ............................ .~ ................. Phone No ................... Name of Contractor .~.~.-~'ddress .. D(~....~:..r...~......~...~ Phone No'7.~..~.~.(~..~ I~LOT DIAGRAM Locate clearly and distinctly ali buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block numbers or description according to deed, and show street names and indicate whether interior or corner lot. -67 STATE OF NEW YORK, ) COUNTY OF ............................ ) S.S. uxlame at inaiviaua! signing application) above named. He is the .......................................................... ~.:...~z....~......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 oil statements contained in this application are true to the best of his knowledge a,nd belief; and that the work will be performed in the manner set forth in the application~f~led therewitj~ Sworn to before me this ........ .,~...(~ ........ day of ...~ .......... , 19-.?....~. Notar Publi~.~ -' ~ ~j -'~ '~'~l~r0N~'"'~~~': .............. )li~"J~"j~['4~'~-~' '-"~'"'"I'~'~t~POBLI¢, State al Ne~ ,. (Signature of applicant) "' j' [ ~JO. 52-3233120 Suffolk Count~ ~,/ ~.8r11~ [xpires [v~rch 30,. 19"]'~