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Home My WebLink About6544-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. ~DA~D ~RTIFI~ OF OC~P~ No Z-22970 Date APRIL 28r 1994 THIS CERTIFIES that the building Location of Property 465 TOPSAIL LANE House No. County Tax Map No. 1000 Section 79 Subdivision DW~Z.ING SOUTHOLD~ NEW YORK Street Hamlet Block 7 Filed Map No. Lot 50 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 8, 1971 ~ursuant to which 6544-Z ~ Building Permit No. 5649--Z dated NO--ER 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 * The certificate is issued to BA~BARAMcELROY (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL MAY 23,1972 -- R. Villa UNDERWRITERS CERTIFICATE NO. N-132722 DEC. 12, 1973 PLUMBERS CERTIFICATION DATED N/A *THIS UPDATES CO Z-4639 DATED MAY 25~1971 and CO Z-5853 DATED Building Inspe~6r Rev. 1/81 NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Cerli~icnle O~ Occupnncy No. ZS~ ...... Date ............ &PYJr]: ....~ ..... , 19.7~.. THIS CERTIFIES that the building located at TopsalZ .L. ana .............. Street Map No. LS PV~. ~?B~ck No ........... Lot No. ~3 ........ $09~q~d...~ ? ~.' ....... conforms substantially to the Application for Building Permit heretofore filed ~ t~s office dated ........... ~q~...~.~.., 19.~. p~suant to which Building Permit No...~. dated ........... ~qY...~ .... , 19.7~., was issued, and conforms to all of ~e req~re- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is .P~Y~. 9~e. F~V..q~.~ag .~.t~. ad~t~ ...................... The certificate is ~sued to E.~ge~..~e~9~. ....... ~gF .......................... (owner, lessee or ten,t) of the aforesaid bulldog. S~o~ County Department of He~th Approval .N ~.- ............................... UNDERWRITERS CERTIFICATE No..~. ]~7~ ...... ~.. ]?... ~97~ ............ ~ouss NU~S~ .. k~ ........ S~t .. ~).... ~? ....................... Building InspectoI I~OEM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PI~EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 6544 Z Building Inspector. Fee ~ ~.~.O.~ ............. Permission is hereby granted to: .................. l~ou. th~]:.d. ....................................... ......................... (~{~P~ X'.9.~.~..,.b Y...J~l,.. App.eals ~ ............................................................................. at premises located at ..... Lo:~...t~3....Le.w~=ct..Acx. e~ .................................................................... ....................................................... .~..y...~.o.~.~,a..~...~. ................. .s..o..~.~.o.:L~ ............................. ~ursbant to application dated ......................J/'~. ....... -t~J ......... '....., 19.~.~.., and approved by the TOWN OF $OUTHOLD Building Deportment Towtt Clerks Office Soutbold, N. Y. 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; far 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 farm or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Mulhple Residences and similar buildings and installations, o certificate of Code comphance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed s~te plan requirements where applicable. B. For existing buildings (prior to Apnl 1957), Non-conforming uses, or buddings and "pre-existing" land uses: 1. Accurate survey of property showmg 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 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 ................................................ New Buildmg .................... Old or Pre-existing Buildmg ..... .~ ...................... Vacant Land ............................ Location Of Subdivision ................................................................. o No ............. Block No ............. House No ............. Health Dept. Approval ............................................ Labor Dept. Approval ................................................ Request For Temporary Certificate ........................................ Final Certificate ......................................... Fee Submitted $ .................................... Construction on above described building and permit meets all apple codes and regulations. Applicant .............. ~ ................... ~ ............................... Sworn to before me this ..... day of (stamp or seat) ~ ~.~pl[es Murch ~:C, 19 Lot ,~ ~ONUMENT ]DIVISION MAP FILED IN THE OFFICE I'~E CLERK OF SUFFOLK COUNTY ~NE4,1971 AS FILE N0,5599, Lot ~ O O THE NEW YORK BOARD OF FIRE UNDERWRITERS fl~ BUREAU OF ELECTRICITY ~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 132722 THIS CERTIFIES THAT 1,. , ~97 3 ~ppt;~io. ~o. o.f~ 702~72 N onJy the e~t~M ~uip~nt ~ ~scd~ ~ a~ int~uc~ by t~ appti~nt ~m~on t~ a~ ~pl~atlon numar in t~ p~mises of E. ~eElroy, Top ~a~ L~ne, in the following location; ~ Easement w~ exami~d on De e emb e~ ~ 0 ~ ~ 973 ..d/o..~ to be in compliance with the requirements of this B~rd. DRY~RS FURNACE MOTORS FUTURE APPLIANCE FEEleRS A~T. K.W. OIL H.P. GAS H.P. ~AT. NO. A.W.G. SERVICE DISCONNECT NO. OF S METER t~ff2W 1~8~3W 3,ff3W 3,g4W NO, OFCC, COND. I~] OTHER APPARATUS: Elco.room heater~: 1-2.0kw, 1-l.5kw RANGES MT. K W ;PECIAL REC'I COOKING DECKS OVENS DISH WASHERS A~T, K. W, AMT, K.W. .*AT, K, W, TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET SYSTEMS ,~T. ~V.p$. TRANS. NO. OF FEET V I C EXHAUST FANS H. P DIMMERS A.W.G. I~O. OF HI-~G A.W.G. NO.OF NEUTRALS A.W.G. OF CC. COf4D. OF HI-LEG OF NEUTRAL Peter Bogovle~ Mnin Road~ Southold~ L.!. 119~.]. 11 Per r? COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. TOWN CLERK'S OFFICE ~OUTHOLD, N. Y. .... " ' ' , :,. , ~!~Tl~ ,FOR,BUILDIN~ P~IT ' IN~R~ONS a. This appli~tion must ~ .~mpletely fill~ in by ~writer or in ink and submi~ed in tripli~te to t~ Buildi~ linear, wi~ 3 ~ of plans, ~urate plot plan to scale. Fee a~rdi~ ~o sc~ule. b. Plot plan s~i~ tOCation of I~ ~d ef ~ld~ngS ~ prem~,f rel~ion~hip,.to ~joining premises or public streets or ames, giving a ~tail~ de,titian of layout of pro~rW mu~ ~ drawn ~n diagram which is ~ of this a~li~tion. c. T~ wo~ ~vered ~ this application may not ~ ~mmenmd ~fore issuanm of Building PermiL d. U~n approval of this a~li~tion, the Building Ins~ctor will i~ue a Building Permit ~o the applicant. Such ~rmit .shall ~ ke~t on~ the aremi~s available for ins~ction throughout the work. e. No ~ilding shall ~ o~upi~ or u~d in whole or in pa~ for any pur~ whatever until a ~ifi~te of O~u~n~ shall h~e ~an~ bY the Building Ins~or. 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 oonltrucl:ion of buildings, additions or alterations, or for removal or demolition, as herein described. The applicent agrees tO 0amply with III ai:lflllcable law~ ordnances, bu' d'ng code, hous'ng code, and regu at gna, and to adm't author zed 'nspactors 6n.p~ s~s end ~:~ui ~lin~-for rm~essary inspect ans. (Signature of applicent, or name, if a corporation) l~6~: ToPSa:L]. Lam 3oethold, II.Z. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ......... ~..~....,~........!~.....'~,.,,,'?.~. ................................................................................................... If al~plicant is a corporate, signature.of duly authorized officer. · ~ Name and title of corporate, officer) Builder s L~cen~ No ................................. ~ ....................... Plomber's License No ...................................... ~ ....... Electrician's LicenSe No ..................................................... Other Trade's L cense No ................... .~ ...................... 1. Location of land on which proposed work will be done. Map No ...... ..T~...e..~...a~..~.,,J~..[.~..a..;.... ....... LOt No .... ~ .......:... Street and Number ....J~:~./'o~aw~Ll..Z~lJ...;i ........................................ amt..Jill'. ........................................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...... ~LPgR. R~.~I~.~..,..~ .................................................................................................... Intended use and occupancy ...... .~.II:L~IUM~ ............................................................................................................ 3. Nature of work (check which applii v Building ....................... Addi~_..i.....~E .......... Alteratien~.~[..~... Repair .....................Rem°va .................... Demolition ........................ Other Work .................................... Description) ~'~ ~-o 0 ............. Fee /~-- ~ 4. Estimated Cost ..........~ ...................................................................................................................... ~' (to be paid on filing this application) 5. If dwelling, number of dwelling units .................Number of dwelling units on each floor ......................................... garage, numoer ut cars .............................................. 6. If business, commercial or mixed occuoancy, specify nature and extent of each type of use ..................................... Depth .......... t~. ..................... 7. Dimensions of existing structures, if any: Front ......~..."..~..~. ....... Rear ..... ~.t..2.. Height ..... ~ .................................. Number of Stories .................. ~ ......................................................... Dimensions of same structure with alterations or additions: Front ....~.~.Jl. ............ Rear ...... ~.~.~;~! .......................... Depth ......... ~l~.~[ ......................... Height ......... ~ ......................... Number of Stories ......... ~ ............................. 8. Dimensions of entire new construction: Front ...... ~&.~ .......... Rear ..... ~0~ ................ Depth ......~a.~.!.., ............... Height ............ .T~! ............................... Number ofgories ........ ~ ................................ ~ ................................... , ....... 9. Size of lot: Front ......:~...8..~..q.! .................... Rear .......................................... Depth .................................................. 10. Date of Purchase ...... ~..2..6.L .'~.- ................. Name Of I=n'~=r n~n', 01 ~aeeea 0°l~bA..0°' ............................. ~ ~. Zone or ,use district i~ which premises are situated ..................................................................................................... ~. Does proposed construction violate any zoning law, ordinance or regulation: ............................................................ ~3. Will lot be regreded ..... *'[Wtllk~..***-.**M~9** ........... Will excess fill be removed from premises: [ ] Yes [~] ~4. Name of Owner of premises ..... ~m,.~..~.~q....bS~..~opee~,X~&a~n~ ................... .'/6J~'~_.b.];8.~**..; ................ - (Address) ~rnone reoj Name of Architect .......................................................... (Address) (Phone No.) m , .65 .......... ............... 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 show street names and indicate wheth- er interior or corner lot. STATE OF NEW YORI~,~J/ COUNTY OF ......... ~...~.'~.~....('T.. .................. / .......... .E....~..~..~...~...~. ........ ~ ...........~1~....~,.~....~....~..~...~.. ...................... being duly sworn, deposes and says that he is the applicant above named. J (Name o£ individual signing contraVct) He is the ................................................................................................................................................................................................................. {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 the manner s.et forJ~ ~pJ~J~J~o~f[led therewith. Notary Public,,St~ o~ ~ew Ye~ ~ualified ~i~ ~u~lk County ............ tqo/52~:ei0.p~day of......~../..~':!.......'...N ............ ~.~.....~1~ ...~(,~'.. .... Notary Public,~~~..."...~. .......... ~....../~oumy- ......... ~.~.~ .......... ~.: ............ ',:'"-'",'.'""'y,'"~l ................................ ~/ / ; I . ~ (Signature o/applicant/