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Home My WebLink About4880-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. UPDATED CERTIFICATE OF OCCUPANCY No Z-17765 Date FEBRUARY 15~ 1989 ONE FAMILY DW~-T.T,ING & INGROUND POOL THIS CERTIFIES that the building. Location of Property 925 LONG C~RRK DRIVE SOUTHOLD~ NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 55 Block 3 Lot 27 Subdivision YENNECOTT PARK Filed Map No. 5187 Lot No. 11 conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 29r 1970 pursuant to which Building Permit No. 4880-Z dated JULY 31, 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 FANILY DW~T~.INGWITH GARAGE & INGROUND SWIMMING POOL. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NOV. 19~ UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A UPDATES CO Z-4401 DATED 9/21/1971. BRIGIT'£~ GIBBONSrMARGAR~'rT~ & PAUL WILLMAN 1970- R. VILLA Building Inspector Rev. 1/81 ~0~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, bi. Y. BUlL. DING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N-0 4880 Z Dote ................................. ~ ....... ~.~.., 19..~. Permission is hereby granted to: _ . · .............. tl~,-~mm~ ......... ~,a;,~-.ll,l[.~ ........... at premises located Ot ....... ~..~ ....... ~-~ltllll~llt~"~ ............................................................. .................................... ....... ............................................... pursuanrc to' application dated .......................... ~1~ ...... ';J~ ........... , 19.~i~.., and approved by the Building Inspector. Fee $..t~(l~ .......... Building Inspector/ FORM TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. 7-i,l. bK)$ ...... Date .............. ~op~; ....29. - -, I9-71. THIS CERTIFIES that the building located at ... L~ug. Cxeek ~r~'m ..... Street Map No. ~lmo..Pko. Block No ........... Lot No... l:[ .... ~outholA · · I~.,Yo ........ conforms substantially to the Application for Building Permit heretofore filed in this office dated .......... Ju~y.. 2~.., 19-70 · pursuant to which Building Permit No.. dated ........... J.uly ....31., 19.7.0., 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 ...P. riY.~e..o~. £.a~lly..dW~l~ir~g ..................................... The certificate is issued to . Ronatd..]~us,h ....... ¥~mer ........................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval House ~ 925 · 1~o=~' t9' 19~0'' by 'Rv ¥21t~ .... / · ~' ~';;~"~' '"" '( .... ' ........ 1 ............ Building InspectOr TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NEW YORK 765 - 1802 1197l APPLICATION FOH CEHTIFICATE OF OCCUPANCY NEW CONSTRUCTION Updated ....... OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........ ~-~"e-*- 925 Long C~gk Driye.. Southold Locatlou of _..~ .L; .............................. HOUSE NO. STREET HAMLET Owner or Owners of Property. BriKitte Gibbons, Margarette Willman & Paul Willman County Tax Map No. 1000 Section ..Opp.. Block ..0.3.0p.. Lot .0t-1-000 Yennecott Park Subdivision ....................... Filed Map ........ Lot .......... Permit No ........... Date of Permit .......... Applicant ................... Health Dept. Approval .................. Underwriters Approval .............. Planning Board Approval ................ Request for Temporary Certificate Final Certificate Fee Submitted: $...~P..PP ............ APPLICANT.. ~~ · PAUL A. rev. 10/14/88 AF. xam roved ned ..... t/:"~"/~ ~iiiiiiii~ .................. ,19 ........ pp ....................................... ........ P,, it Application No. /-'/~'1~ Disapproved a/c ....~ ........... 4 ........... ._.,~:=-z.. ~ __ . . ...................................................................... ........ ................... ~.....~..- ~.~ ~-~ ~.~x~ '~."i~;~';~i ................................. APPLICATION FOR BUILDING PE//~;~/~ ~ Date ~:~ .~...7...~,~.. ............................. , 19.Z..~....~I 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, re at onship 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 th s app cation. c. The work covered by this application may not be commenced before issuance of Bui d ng Perm t d. Upon approval of this application, the Building Inspector will issue a Building Permit to the ppplJcant 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 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 to comply with oil applicable laws, ordinances, b,g~ng code, housing cgde, and regulations. ~ (Signature of applicant, or name, if a corporation) .... (Address of applicant) ~'- ................ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. 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.: ......~...../......~...Z ............... Lot No.: ...././.. ................ .~ Street and Numb~..~ ~ ........................ ~~_) ;~ - ,~'.,~ ~ ........... ~;;~;i~'i~'~i~' ...................................... 2. State existing use and occupancy of p~se~.?d/.intended use and occupancy of proposed construction: a. Existing use and occupancy ....~. b. Intended use and occupancy ...~..~ ............................................................................................... 3. Nature of work (check which applicable): Ne~ Built:fing ...I,~...... ....... Addition .................. Alteration .................. Repair .............. v~ Removal .................. Demolition ................ ..~her Work (Describe) ........................................ 4. Estimated CostX.~...~.c~.~...~.~..?....:~ ...................... Fee ...... ~./...4~...:....°Z~... ............................................................. (to be paid on filing this application) 5. 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 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 ................................ Dimensions of entire new construction: Front .......... .~.....~.... .............. Rear .....'~/..~.... .............. Depth .....~...~.. ............. Height . .,~....~...../....~.... Number of Stories Size of lot' Front .....,~.....~....~.. .......... Rear ....../....~.....~... ............ Depth . ..4~....~....~.._~.~..../....x~.....~... 9. 10. Date of Purchase'x~-, ~,-~ ~.~.~...,....~ .~..~...~.../ ............... No__me of F~rn_e~r Owner~N~'4r¢~-~ ........................ c~.: .......................... ?..~...~ 1 l. Zone or use district in which premises are situated ......................................................................................... 12. Does proposed construction violc~t~ gny~zonina Iow, ordinance or regula, tion~ ..... ~ ........................................... ]3. Name of Owner of premise~-' .~,~.." ........ Address~E..~.~..~ ....... ~ne No. Name of Architect ~...~......~...~ ................. Addre~.~...~....~....~.....~ 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 shew street names and indicate whether interior or corner 10t. 4.07 // /Tg ' STATE OF NEW~YQRJ~.,- COU~F ...~..~...~'--' / ~ ---- -- ..... ~~..~..~~ ........................ being duly sworn, d~es and says t~¢ he is the applicant ' ~ (Name of individual signing a~licati~~ above named. He is the ..................................~~~.~ ............................................................................ · · · (Contractor, ag~t, co~orate officer, etc.) of said owner or owners, and is duly authorized to perform or h~e performed the said work and to ~ke and file this application; that all statements contained in this application are tree to the best of his knowledge and belief; and that the work will be ?rformed in t~ manner set fodh in the application' filed ther~ith. ~oto~ Public~.~ ~..~.:..~ ....... Coun~ ................... N~ 5~95~ . LON~, DI:LIVE: MAP OF LAND :'' P-.ONALID E~. ¢'DOm~s C. Busch s-9 SUFFOLK COU~I~ DEPAFS~ENT OF ~%L~ ? TO WHOM IT MA][ CONCEPt: The sewage disposal facilities for a structure located at (Givb deed location) / have been inspee%ed by this Department and found to be satisfactory. rio V 1. 9 1970 ,/ '1 UR. & -- MBS. RO,,,,~D E, 57 14itlside ~]ilt James, Long hla~d ~ew~r~ )1780 T .I ~E, ~ MII$. RONALH B. BUSCH 57 Hillside Avenue Saint James, Long island Hew York 11780 ,t I, --I -I¸ I~,14 ¢.¢L4 ,, Island