The URL can be used to link to this page

Home My WebLink About4621-zFORM NO. 4 TOWN OF SOBTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. UPDATED CERTIFICATE OF OCCUPANCY No Z-20476 Date JANUARY 15~ 1992 THIS CERTIFIES that the building NEW DWELLING Location of Property 1300 LONG CREEK DRIVE House No. Street County Tax Map No. 1000 Section 55 Block 4 SubdlvislonYENNECOTT PARK Filed Map No. 5187 SOUTHOLD r N.Y. Hamlet Lot 12 Lot No. 16 conforms substantially to the Appllcatmon for Building Permit heretofore filed in this office dated FEBRUARY 24r 1970 pursuant to which Building Permit No. 4621-Z dated FEBRUARY 24~ 1970 was issued, and conforms to all of the requmrements of the applicable provisions of the law. The occupancy for which this certificate is issued is ONE FAMILY DWELLING W~TH ATTACBM~ TWO CAR GARAGE AS APPLIED FORm The certificate is issued to LOUISE S. HARWOOD ( owner ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL MAY 13~ 1971 - R. Villa UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *'1.'.£S UPDATES CO Z-4244 DATED,~/'~"~'~'~-5/21~71~/'~ %---B~ilding Inspector Rev. 1/81 I~OP~M~ NO. ~ TO~N OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLDo N. Y. BUILDING PERMIT (THIS PEI~v~IT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No. ~1621 Z Permission is hereby granted to: ............... .J~m~...~..r~t~.:l~m~tL ........ ................. .t......~.s'..e.~..~..~ ................... ~...., ................. ~.,...~.:U~.....1~.,~7,., ............................. to ..... J~l.~ ..l~J~.. 4mi ..~.,a,~___~..~l,,m~..~ ............... ~ ............................................................... ot pre,~ses lo~oted ot ............ ~.~...16_ ..... .~m~t..~:~ ............................................... '...'. ...... :. pursuant to application dated ............................... ~[J). ......... [~r ....... , 19...~, and approved by the Building Inspector. r~ ~...t~,41e~. ....... FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. Z l+21d+ .. Date .Eay 21 , 19 74 THIS CERTIFIES that the building located at Jong Creek Dx' Street Map No. Mann. Pk · Block No. Lot No. .]6 3outhol~l .. conforms substantially to the Application for Building Permit heretofore filed in this office dated · Feb 2~+, 1970 pursuant to which Building Permit No. dated ~'eb 2~ , 19 70, 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 P~iva.te or~e family ~,wet.l&ng ................... The certificate is issued to - T-h~ma-s .4. Louise. qiarwoca5 {)whets (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval 1, ay . .13 1971 . . Ly t~.... Villa SURVEYED FC~:- LOCATED AT ~IC:3~-~:;~ /--/'~ LOT SC~E 1 '= ~ hereon ~rom ~he ~lru~ur~ ~ / P~y hn~ are for ~it~ ~~7 Z~ lend,ng ,ns:,,ut,o~- Guarantees or cemf, catlons ~e not . tra~s'e'ab~e to ad~moqal ,ns.'tu ,o~s or s.b~qoeqt owne~. /ca, Z (4 / SURVEYED /~,~--~,, WILLIAM R SIMMONS III 70 WEST MAIN STREET EAST ISLIP, L I, N. Y. PAGE G/:JlD BY Form No. 6 TOWN OF SOUTI~OLD BUILDING DEPAIC~MENT TOWN 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This applzcation musg b,' fzlled in by gypuwr~.ger OR ].~%k and ~uhmztt~:d to ~h~ huzlding 1. Final survey of propergy with accuraga locagion o~ all buildings, propergy lines. sgraetn, and unusual natural or topographic fca~ure~. 5, Approval of elecgrlcal in~tall~uion from Board of Fzr~ Undurwr~gers. less than 2/10 of 1% icad. responsible for the building. 6. Subml~ Plann~ng Board Approval of compleged s~e plan r~qu~remen~s. For ex~st~ng buzldings (prmor to Aprml 9, 1957) non-aonformzng uses, or buildings and "pre-existing" land usus: unusual ~acurai or topographic features. 2. A properly aomplegad applzca~on and a consent to in~pecg signed by ghe applicang. 1. CerLi£ica~e of Occupancy - New dwcll~,ng $25,00, Addlcio~s to dwelli~[; $25.00, 2. Curgzfzcag~ of Occupancy on Pre-existing Buildi~%E - 5. Temporary Ccrtzf~c~te of Occupancy - Re~ld~nglal $15.00, Commercial $15.00 Date ...~anuary 13, 1992 XX ':ew Construction] ........... Old Or Pre-ex~:'tz?J, ~uildi~lg 1300 Long Creek Drive Location of Property ................................... Southold ' O of Pr arty Louise S. Harwood )llWe r or w~l~rs Op ,..,.';.... ~. ......... .......... ........ .......,....., ..... ... .... ~ubd iris xon.. ~DAq~gp~ .~9[~. ................. Filed Map ........... o~ ................... 4 6.2.1 Z Da,' 0£ Appl lealrh DepE. Approval .......................... Underwrzters Approval ........................ Board Approval ........................ Updated fo~: Temporary C~rglficate ........... Final Cercicate., ~ ...... qS Jf · - S-9 SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH Bldg. Permit No. ~ Y~ TO WHOM IT MAY CONCERN: The sewage disposal facilities for a structure located Give d~d location) have been inspected by this department and found to be satisfactory. Chief of General Engineering I~A¥ 1 3 1971 - - LOT. S7 ROI:IH · DRiv£ ,, ...... LOUIS[ 5. H{3~tV00D $[TLI ~,'J E I~T SOUTLtOLI? TONI'{ OF GUQ Rat4'T¥ COLkPi~IdY SUKVEYE_{~ * ~UC, t/ST Z7, TOWN OF SOUTHOLD ,~. BUILDING DEPARTMENT ~/~'/"/~ TOWN (:LERK'S OFFICE ! /..7~-.. ,~ / ~ ~ ~ \'~ Examinml ~ c>~ '~) ,~(~ ~ A~o....i..~.~...~....~./. Approved ........................................ , 19 ........ Permit No ........................ Disapproved a/c ............................................................................................ .-"~~ .................................................................................. APPLICATION! FOR BUILDING PERMIT INSTRUCTIONS o. This application must be completely filled in by typewriter or in ink and submitted n dap cate to the Building Inspector. b. Plot .pi.an s ~ho. win~ I.oc.ation. of. lot and of bu_ildings on premises, relationship to adjoining pm. raises or public streets or amos, cna g~vfng a amailed descr~phon of layout of property must be drown on the diagram which ~s pGrt 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 impection throughout the progress of the work. e. No building shall 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 Perm t pursuant to the ~Build!ng Zone. Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ord nonces or Kegumtions, ?or the construction of buildings, additions or alterations, or for removal or demolition, as here n descr bed The applicant agrees to comply with all applicablei laws, ordinances, building code, housing code, and regulations. Thoams ~ar~ood (Signature of applicant, or name, if o corporation) (Address of applicant) State whether applicant is owner, lessee, agent, omhitect, engineer, general contractor, electrician, 'plumber or builder. .................................................. Ov ez. ..................................... Name of owner of premises . ...'~g.~..a..s...&...L.,.q..u~..,se Eaz~ood If applicant is o corporate, signature of duly authorized officer. (Name and title of corporate officer) ~-- / ~. ~ 1. Location of land on whlchproposecl work will be done. Map ,o .~.~.I:I.,.,D..i}..~...~...a.~.~.'. ..... Lot ,o' 16 l- /3 o Street an8 'Number .............Leag...C~.eek.. Il ~.t. ve ......... .qou, tl:~ll[ ......... .q,Y, ................. ~ ............................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: n vacant land a. Existing use and occupa cy ................................................................................................................................... b. Intended use and occupancy ............... .o..~...e.....~...s~...~.....c[..~...e.~..~..~ ............ . .... 3. Nature. of work (check which applicable): New )Building .,,3C1:3~ .... Addition .................. Alteration Repair .................. Removal ..................Demolit on .... ... Other Work (Describe) ........................................ 4. EStimated Cost ...... 2,2~.QD.Q .......................... i;; .......... Fee 10.00 (to be paid on filing this application) 5. If dwelling, number of dwelling unif$ ......O..~.?.....: ............ Number of dwelling units on each floor ............................ . ' . two If garage, number at cots ..................................................................................................................................... ........ 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 ........................ Nu .tuber of Stories ................................................................ ; ............................... ; ..... · Dimensions of same structure with alterations or additions: Front ....................................Rear ............................ Depth ................................ Height ............ ;i .............. Number of Stories 8. Dimensions of entire new construction: Front ..... .~.~',,~....~ ....... ......... Rear ....~.~ee.8 ............... Depth ....... -~O. ........... Height .................... Number of Stories .:~..;~ ........................................... ~ ................................................................. g. Size of lot: Front ................. '~&a.... Rear. .......... 1.~ .................. Depth ......... .],,~)+.../....1.~...Q. 10. Date of Purchase ........... 1.C)~69. ................................... Name of Former Owner ...... ~..:......~l~...t...~..°...]:.1. .......................... 11. Zone or use district in which premises are situated ItA~ 12. Does proposed construction violate any zoning law, ordinance or regulation? ............ ~qO ........................................... 13. Name of Owner of premises .....T~s..~a~'.QOCJ ...... Address .... ..~..e...~..S.~,~. ......... Phone No ..................... Name of Architect $.~I~...~...~..q,~1~'.. ............ Address .....~...:...~S.]:..~.~. .................... Phone No. Name of Contractor ..... $~ae ...................................... Address ......... ~,,,...Ts~.~L~ ............... Phone No ..................... '~ PLOT DIAGRAM Locate clearly and distinctly oil 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 NEW COUNTY OF (Name of individuol signing applicotion) being duly sworn, deposes and say~ that he is the applicant above named. He is the .......... ~....i .............. (~/~,e~. .................... ........................................................................................... (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 all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in'~he manner set forth in the application filed therewith. Swam to before me this .................... · 2..~. day of ....~ ...... .F...e..b....L~..~a.?.~'.. ............. , 19..?..0... /~ ~)~,~ ~ N°ta rY Public,~. ~ .....~...:./~-~Coun~ . ~ ....... M^RION A. REGENT NOTARY PU~ILI0, State of r~ew Y0r'~ H0. 52-3233120 Suffolk County ~ Term Expires I~rch 30, 19..~ I I ,I I, KIT-CLI~.,q ,LIVIKIG P~DOM t ~TL4 ®AP~A~m