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Home My WebLink About6853-zTOWBI OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office $outhold, BI. Y. Certificate Of Occupancy No..Z.6. (~97 ..... Date Sept 9 19 THIS CERTIFIES that the building located at l~t Road N/ Ba~rle¥ DX, S~eet ,~6a~, Bay ~ ~.. Map ~ ............. mzocx ~o ........... Lot No. 71 ~ ~ ga~ conforms subst~ti~ly to ~e Application for B~l~g Pemit heretofore ffl~ ~ ~s office aat~ ........... ~?~... ~0.., 197~. p~su~t to which B~l~ng Pemit dat~ S~t 10 19~P was issued, ~d co~orms to ~ of ~e req~ ments of the applicable proMsions of ~e law. The oecup~cy for which ~ ee~ieate is issu~ is Privat~ on~ f~il~ dw~ll~g with The certificate ~ ~.~ ,~ ........................................................ (owner, lessee or ten.t) of ~e afores~d b~ldMg. S~olk Co~ty Deponent of HeM~ ApprovM .................................... v~.~w~s C~T~CAT~ No. ~..~.~'.:'.:...Mr .P.. ~.~P ................... ~OUS~ ~U~..~7.~..?P..~ .......................................... Building Inspector FORI~ NO. 2 TOWN OF SOUTHOLD BUILDIHG 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? 6853 Z Permission is hereby granted to: M en~_~r...~e_S ~_m_ey.e r...& ..wl re. .......................... ....... .~a~ ~....k~r .~ca~ ............................................ to bttild an addition on existing dwellin~ at premises located at ....... ..~,.O,.,~.,s. ..... .?.1.....~....~..2,......O..~...~,~.~.e,.,~,~...~.~,.,~...,,~,~,.~. ...................................... ..................... ,~.~.c..e,...~..o.~.~ ....... ~..~..s.,k..¥.~.~o..~ ............................................................. : .............. pursuant to application dated ...................... ~e.g.t ......... .1.0 .......... 19.~.., and'approved by the Building Inspector. Fee $'~ .~...9..O.Q ............. FOBM NO. 6 TOWN OF SOUTHOLD Building Department Town Clerks Office SouthoJd, N. ¥. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY instructions A. This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspector 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 disposal--(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 installations, 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. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property 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 in- formation required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelHng or land use 3. Copy of certificate of occupancy $1.00 $5.00 Date .. ~1~. · ·....~..~.. · ./..~....?....~... · · · New Building .................... Old or Pre-existing Building ..~....~'..~.... Vacant Land ............................ ,oeo, on Pr e, Owner Or ~ners ~ Prope,y .~.~.~.~/.....E~...~.~.~.~......~..~.,.~.~....~.. Su~ivision ~.~.~,..~,.~Lot No. Z]Z~~ Block No~T&mouse No ............. Permit No..~.~.~Z Dote Of Permit~<~.~.~Applican, ~.~.....~.~..~.~.~.~7~. ..... Health ~pt. Appr~al ............................................ 'abor ~pt. Approval ................................................ pprovo, ..... ...... .,ann,...oor ..rovo, .............. ......... Request For Tempom~ ~cate ........................................ Final Ce~ificate .......................................... Fee Submitted $ ...~ ......................... Construction on above described building and permit meets _a. II ap~icable codes and regulations. Sworn ,o~ before me thais A~;Ij;ant ..... .~ .......~....,..., ~~,.,.~,~-~,/~/~ ........... ?. day of ....~...~.~f.,...~. ......... (stamp or seal) _~Z THE NEW YORK BOARD OF FIRE UNDERWRITERS SW BUREAU OF ELECTRICI'T~f o . ~ as JOHN STREET, NEW YORK, NEW'~fOF~K 10038. THIS CE~IFIE5 THAT o~ly the e~t~ ~uipment ~ ~sc~b~ ~ a~ ~nt~ by t~ ~i~t ~ on the a~ appl~at~n numar in t~ p~m~s o~ 2er. H.F. Ressmeye~, Pvt. Rd. (Parsons Blvd.) Gardniers Bay Est.~ & B~yvie~ Dr., Ea~c Maricm. L.I. in the following loca~on; I] Basement L~ lst FI. ~2'nd FI. Section Block was exarnined on ~*,~arch 4, 1~74 and found to be in compliance with the requirements of thls Board. FU!NA .OT!.S RJTURE'PlLI'NCEFlll)IES ,pA~EC~I~LIII~i~T AMT. K,W. OIL HIP. GAS H.P. A,~T. ~. A.W.G. SERVICE DISCONNECT NO. OF S R I C .F.I. TIMECLOCKS BELLIUNITHEATERSUNITHEATERS MULTI-OUTLET ~TI ~lI TRAHS. ~ SYSTEMS V I C E OF CC. COND. 31o NO. OF HI-LEG 1-3.0KW, 1-2.5~,~, I-2.0KW, ~-I.5KW, Paul E. Burns Town }{arbor Lane Southold, New York 11~?1 Lot EXHAUST FANS DIMMERS OF HI-LEG OF NEUTRAL 1-1.25KW, ~-. 75KW Per 11 ; ,, COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. Examined~ "';"~/ ....... ~' ~ ~ ............ IJ,.~... ~OI.D,N.Y. ~,.,..~ication N~ ....... , ........ ~....... ~ per.,,,,o Approved ........................................ , 19 ......... ~.~ .......... ~ ~ '__~' ,C..)'"","~'- "-~"~" Disapproved a/c ................................................................ ~--~ ., ........................... .... APPLICATION FOR BUILDING PERMIT ! ~ Date sopt INSTRUCTIONS a. This application must be completely filled in by l~mwrter o~, in ir~, and submitted in triplicate to the Building Inspector, with 3 set~ ofr plons, accurate plat plan to scale. Fee according to schedule. ar_b.._ PI? p..~n sho?~.r~., I~ .ation~o.f. lot a,n,d of buildings on ?remi.ses,.relationshiP t,o. adjoii~;~,, premises or public streets o, ~=, a__na g,w~,ng a aera,, ,ma ..a~. npn ,o~. ot tayout otprapertY~nust be drawn on the diagram wh,ch is part of this application. ~. j,ne wor~ coverea Dy mis appncat~n may not be cd~menced before issuance of Build ng Permit. · upon approval of this application, the Bu Iding In~j~t~,r will issue a Building Permit to the aPPlicant Such permit shall be k~p.t on the premises available for inspection ~ ~ work. , e,.,, No ,building shall .be occupied.or used in whole or ~t~l~'rt for any purpose whatever until a Certificate of Occupancy snan nave ~een granted by the Building Inspector. ~, . , B...A,~P..P_LIC~A_TIO~hI~!S HEREB. Y..MA_DE to .thee B.,uil,d!ng. ~rt.~tn~t for. the issuance of a Building Permit pursuant to the ~_-,_,...i~ ~on,e_~.,mlnonce. or .t.r~ ~. ,?n.,oZ ~oum?.a,' ~ut~.~ ~ :uo~/, r~,w York, and other applic.able Laws, Or~es o~ ~,~,~s, .,or rne c.o~rruct~on o..~. ouj~a,ng?., .a~. it~om O, ?t.~ions, 07 ?or removal o; demo,t.~, ,~ herein ~ribe~. j~i~p_p. ~a_n_.r a_g~ .roes ro.comp,y wire.an app~.ca?e.~ .?s, ~lnonces, bud.drag code, housing code, and regulations, and to uu.~ ~u~n~rlz~ InSpectors on premises aha ir~ DUIl~lngs s'or necessary ins~tiol~. ' ~1~en~.~. Raw ~me:~e r (Signature o~ appficont, or name, ff a co,option) ~.. East Marion .;*' , .................................................... V ..,,~ .................................. ~.., . (A~lress of ~ppl.cant) State whether applicant is owner, lessee, agent, a~chitect, engineer, general contractor, eleCtrician, Plumber or'bmilder. Name of owner of premises ....-Pl~-rtA'.~..&..~f,J:l..JJll&smaNe,. .............................................. If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ..................................................... No..~..:...~.~. .......................... Plumber's License Electrician's License No. '.~.:.¥..~.~ ..................... Other Trade's License No ............................................... Location of land on which proposed work will be done. Map No.: Gardiners Bay Lot No. 71 & 72 Street and Number ....... e~fr.t.,~D, oe~ ....... H/f~r~:Le~..l~l~ ............ E...Ma~.l~ ................................................... Municipalit~ State existing use and occupancy of premises and intended use and occupancy of propased canstruction: a. Exisiting use and occupancy dwelling b. Intended use and occupancy ~.ezne ~l'ch ddttion 3. Nature of work (check which applicable): New Building ':,: .............. Addition ........ ~ ..... Alteration ....Z~... ....... Repair .................. Removal .................. Demolition ................. J" Other Work ...................................................... (Deecription) I~0 lO00 ~ .......................................................................................... 4. Estimated Cost ........................................................ Fee lJ~',O0 (to be paid on filing this application) 5. If dwelling, number of dwelling units ........ .o..~...e. ............. 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 ................................ Height .................... Number of Stories .....O.~,~. .......................................................................................................... 9. Size of lot: Front ......... 1.00. ........................................ Rear .......................................... Depth ...... .1..~..~9.Q ......... 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated ......... ~.....rl~ &t .......................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ...... ~.(~ ............................................. 13. Will lot be regraded .~,~. .................... Will exceSS fill be removed from premises: ( ) Yes ( ) No 14. Name of Owner of premises ...He~.J;..~ll~h....~ss~t3~lross ................................ Phone No ....................... Name of Architect ...................................................... ~ ....... Address ................................ Phone No ....................... Name of Contractor ............................................................ Address'. ............................... Phone No ....................... PLOT DIAGEAM :' Locate clearly and distinctly all buildings, whether ~xisting or proposed, and indicate all set-back dimensions from prc~erty lines. Giye street and block number or description according tO deed, and show street names and indicate whether interior or corner lot. see file plan STATE OF NEW COUNTY OF ..... I~.~?..b..~... .......... I~.-~ .......................... .~...e...~...~'......~-e...s.~...~..~..G...~. ........................ . ........ being duly sworn, deposes and says that he is the applicant (Name of individual signing contraclO above named. He is the o~ner (Contractor, agent, corporate officer, etc.) of said owner or owners, end is duly authorized to perform or hove performed the said work and t° make and file this application; that all statements contained in this application ore true rathe best of his knowledge and belief; and that the work will be performed in the manner set forth ih the application filed therewifh. Swam to before me this .................. ...... ¢ . Notary Publi~~.~.. County ....... ~ ............ :......I.~~ ........... Natal? Public, State of New York No. ~J2-0S44963 Suffolk County..~ (~.ommis~ielt ~L