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Home My WebLink About5649-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building~Inspector Town Hall Southold, N.Y. UPDATED CERTIFICATE OF OCCUPANCY No Z-22970 Date APRIL 28, 1994 THIS CERTIFIES that the building Location of Property 465 TOPSAIL LANE House No. County Tax Map No. 1000 Section 79 Subdivision DWELLING SOUTHOLD, NEW YORK Street Hamlet Block 7 Lot 50 Filed Map NO. Lot NO. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 8, 1971 pursuant to which 6544-Z & Building Permit No. 5649-Z dated NO%q~BER 29, 1971 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 DWELLING WITH ATTACHED GARAGE & WOOD DECK * UNDERWRITERS CERTIFICATE N6. PLUMBERS CERTIFICATION DATED The certificate is issued to BAR~A~AMcELROY (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL i MAY 23,1972 - R. Villa N-132722 DEC. 12, 1973 N/A *THIS UPDATES CO Z-4639 DATED MAY 2~1971 a~d CO Z-5853 DATED /// Building In spear FORM NO. 4 TOWN OF SOUTHOLI BUILDING DEPARTME~ Town Clerk's Office Southold, N. Y. r¸T Certificnte Of Occupahcy THIS CERTIFIES that the building located at .. ~Sat.~..~11~ .......... Street conforms substantially to the Application for Building permit heretofore filed in this office dated ......... I~O.V.... I~..., 19~.~.. pursuant to which Building Permit No... ~9~ dated ......... 1~O.~.. 29 ...... , 19..~, was issued, anti conforms to all of the require- ments of the applicable provisions of the law. The occupancy for Which this certificate is issued is ...]~.'~'~e. one. fatuity..~twelt~l~lll.. ·, ·., ~ - ............................ The certificate is issued to . C~La.~.ol't .~. ~,~¢lPtl,~.~iOl~..~,~ .... '.~. .............. (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval UNDERWRITI!RS CERTIFICATE No ..................... ~. ......... ........ i .' .......... FOK~ NO. ~ TOWN OF SOuTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE pREMIsE~ UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NV 5649 Z Permission is hereby granted to: ........... ~;L~.~X..~:a~.~;[~_ ~.~p....-..( ~ne~, ~l~er ) ......... ~: ...... :.~em.......~,~;,.....~.....~ ................ to .... ~..~..~..~..~e~ ...................... ~: ........................................................ at premises I~ated at ....................................... .~a~..~ .............. oo~.~,....~,X~ ......................................... pur*u~ to opplicotion dined .............................. ~0~.~.,....~;....~--, 1~.~~'~., ond ~pproved by the ~uildln~ In~poctor. [** *...~,~ ......... Building Iinspector/ ' TOWN OF $OUTHOLD PROPERTY-,, I~CORD ~ CARD OWNER STREET ~,,.::,. ~- .,~' ' VILLAGE DIST. ~ SUB. LOT~_~F/~,~ F~ER OWNER N ,~ ' S W ~PE OF BUILDING .~. ,~ "S~S. VL / FARM CO~. CB. MICS. Mkt. Value ~ND IMP. TOTAL DATE R~RKS liable . ,, FRONTAGE ON WATER '~1~_. FRONTAGE ON ROAD ~ DEPTH ~ -Plat BULKH~D COLOR M. Bldg. P kh Patio O.B. ~'~al .,5'0 kasement :Ext. Wails ;ire Place type Raof Floo~s Interim' Fin~ Heat Roorns Ist Floor Roams 2nd Flcx~ Dr~-way S-9 SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH Bldg. Permit No. ~.J~ TO WHOM IT MAY CONCERN: at The sewage disposal facilities for a structure located have been inspected by this department and found to be satisfactory. LOT ~$ OF LEEWAI~D ACRES CM Approved Disapproved a/c ....................................................... ) TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE ~UTHOLD, N. Y. 19 ........ Pemit No. M...~ ........ APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date ......-T~. I:-...Z_°_ ........................ , 19~7/ 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 F areas, and giving a detailed description of layout ofproperty 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 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 all applicable laws, ordinances, building cede, housing code, 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. Nameof ofpremises C~.A../~...~. ~'~',-/ ~/~,~ ~ ~ owner ................................................................................................................................................. If applicant is a co~orate, signature of duly authoriz~ officer. ~, ~ ~ / 1.L~ation of ~:~:;wh c~5~;~~ :l~b~ne Map No' No ~ Street and ' ' ................................................................... Municipal J~ 2. State existing use and occupancy of promises and intended use and ~cu~ncy of p~osed construction: a. Exisiting use a~ ~cupancy ....... ~~ ......... y ............................................ 3. lqature'of work (check which applicable): New Building '// Addition .................. Alteration Repair ....... : ........... Removal .................. Demolition .................. Other Work (Describe) ........................................ 4. Estimated Cost ....~.~..'..~...~...~..'..?....~. .............................. Fee .......................................................................................... (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 ................................ 8. Dimensions of entire new construction: Front ...... ~7.~. ....................... Rear ...,~... .................. Depth ....~....-~.. .............. Height .......x..~..~ ....... Number of Stories ............./.. ................................... 9. Size of lot: Front ..... ./~...~. ............. Rear ...../.~..g ....................... Depth ....~...~./. .................... 10. Date of Purchase z~.¢/'".e~... ..................... ~. .......... ~ ..... ................................................... Name of Former Owner .~..~-,~..../~...~...~...~..~...~, ~'~ ,4, 11. Zone.~r use district in whict~ premises are situated ..................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? ......~.~.~.. ................................................ 13. Name of Owner of premises CL.~.c~.e;..~..~...~..~...¢~....~.Address:~.~.ev.,~..~..-~..~.~/~ne No..~.~1.~...~....~. Name of Architect .............~-.~'...../~ ........................... Address ............................................ Phone No ..................... Na~ne of Contractor ........ ~..~....'~..~'.. ............................. Address ............................................ Phone No ..................... PLOT DIAGRAM Locate clearly anddistinctly all buildings, whether existing or proposed, and indicate all set-~ack 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._ /:Z7 STATE OF NEW YORK~ . I I~= ~"~z~ $~-/~,/~,,s/,~i;~' COUNTY OF ....e.~.~. ~//......$~'~ -- r · '-- ~' ........... · ~.~.~..~.~11~'~.~...4~....~'~''~'~'! -~ -P' ............................................. being duly sworn, deposes and says that he is the applicant '(Name of ihdividual signing application) t~e above named. He is .... ~..~.~;~j[~.~`~.~(~`~`~."~/~~r~ ../~.., ................................................... (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 thaz the work will be performed in the manner set forth in the application filed therewith. Swam to before me this .................. o, ............... .......... , ,,.-W .... Notary Public,. ........................................................... County ............. 7' ....... ~ %~'c;'1~;;;)' .............................