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Home My WebLink About7535-zFORM NO. 4 TOWN OF SOUTBOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. UPDATED CERTIFICATE OF OCCUPANCY No Z-25441 Date DECEMBER 18, 1997 THIS CERTIFIES that the building Location of Property 2145 ~AYWATEHS RD. House No. County Tax Map No. 1000 Section 111 Subdivision DWELLING Street Block 7 Lot 3 Filed Map No. Lot No. CUTCHOGUE, N.Y~ Hamlet conforms substantially to the Application for Building Permit heretofore filed in this office datedlO/~7/57,11/5/58~9/12/74 .pursuant to which Z145, ZSll & Building Permit Nos.7535Z dated 10/17/57,11/5/58 &9/12/74 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 & 14' x 22' BREEZEWAY & AN ADDITION TO EXISTING DWELLING * The certificate is issued to RITA M. BOSS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A * TH~E CZRTIF~CATE OF OCCHP~CY UPDATES CO Z-163 DATED 7/29/19BS CO Z-?6~ DATED 11/B/88, a CO /~/ing Inspector Rev. 1/81 FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL CQMPLETION OF THE WORK AUTHORIZED) N? 7535 Z Permission is hereby granted to: RObt. $~all A/C ..Fm.~cLa..]K~..J~0.s.~ .......................................... ....... ~.~0~ .~ .... t.{~at e ~.s.. ~d .............................. ................. ~la~s~u..~.oin.~ .................................. ~o ~..q. ~. Z~.. ~....a.~.L .d..~..t..i..°...n....~ .n.....e..x..~ .s..t..~.n..fL ...d.~ .e. ~-~ ~ ................................................................. pur~t to application dated ........................ ~'1~ ....... J.~ .......... , 19~..h:..., end approved by the Bui~;dihg Inspector. / . / I ' ' Building InspectorJ ~ovi~ o~ sovmlo~ BU~Dl~qG DEPARTm~'T Somhold, N. Y. Certificate Of Occupancy No.. ;~63~.. .... Date ............]~ar~h .... 1;~..., lg. 25 THIS CERTIFIES that the butldin~ located at .... Har~ater. s .aoaA ....... Street 8O6 Map No.l/ass., .Vt,.. Block No ........... Lot No, . 376.. G'utehoi~e...1/.¥.- ....... contorms substantially to the Application tot B~ilat-~ Permit heretofore tiled in thi~ office dated'. ........ 3~pt...t2..., 19..7~ pursuant to which Building Permit No..~.~. dated ............ 8. e.p.~....13., 19.?~., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which t~i, eertili~ate is issued is . .Pr£v. ate..one. £~u~i~..dwelling ...................................... The certiticate is issued to . ~.ra~z~is. Ii,. l~xss ....... .~m,~ ....................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval ' UlqDERWRITERS CF_~RTIFICAT~ No ............................................. ....... ............. APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This..a~pljcatian _.m.~t be completely filled in by typewriter or. n ink and submitted in triplicate to the Building r~ector, with 3 N(~ of la4a~s, accurate plat Plan to scale. Fee Qccord,ng to schedule. b. Plot p, ran showln~ location of lot andof buildings on premises, relationship to adjOining premines:o~ public ~treets or areas, aha giving a deified description of layout ofproparty must be drawn on the diagram which is part of thin application. c. The work covered by this application may not be commenced before issuance of Buil~iag Permit. sL_d;, L U,pan.app..mval of ~is appl!,ca, ti, on; th.e Buil~..ng I,nspec.tor will issue a Building Permit'to the aPPlicant. St4efl permit nan ae ~opr.,o~.. me premises av~.naom tar mspsct~on mroughout the work. ~ shaeil h~N~ I~ielnd!prantSl~I I~y ~eC~ile~i~ t~n~t, orW~. °la or in part for any purpose whatever until a Certificate o6~l~upancy APPLICATION IS HEREBY MADE to the Building Department for the issuance of .a Buddi.ag Pmmit ~ to the Building. Zone Ordinance of the Town~ of. Southold,. Suffolk County, New York, and omar applicable or RT~a_t_i,.a?, .for the c.onstruct!on o..f. bu~!dmg,s., .ac.E.I. ,tions or alterat,ons, or for removal or demollti~n, ~ e apl~T, am agrees to comply w~tn an appncaom laws, ordinances, building code, hous ng code, and re~alill~,~ t~ admit authorized Irmpacto~s on premises and in buildings for mlcessary inspections. ' -~ State whether applicant is owner, architect, engineer, general contractor, electrician, plumber or builder. Name of ~er of premises 5.~*ff~S ~:.~{e~ ~' If applicant is a co,orate, signature of ~riz~ off,er. (Name and title of ~:'~'q~;;;'~'~"~;'~ ......... Builder's License No ..................................................... Plumber's License No ....................... ; ......................... Electrician's License No ............................................. (Signature o.f applicafit, or name, if a ~-.~'~i~) .... ' ' ............................................ a .................... .f. ...... ...... (Address of applicant) Other Trade's License No ............................................... ~ ~ .......................... Location of land on which proposed work will be done. Map No.: ............................... Lot No. ~ Street and Number ~~., ,~.,,~,Z~7~5 ~ /TZ ~ ~O/~T /~ ............................ .~ . ~.;~£,~:.. - ~ ~ ~/~ MuniciPality State existing use and occupancy of premises and intended use and occupancy.of proposed construction: a. Exisiting use and occupancy ~°~74,~,~ .~....~..d'~,c (.~..~. oa/~-' ~'~.,,~,~,~/ b. Intended use and occupancy ........................................... .~ ............................................................. 3. Nature of work (check which applicable): New Building.. ................. Addition........./ ...... ... Alteration ................. Repair .................. Removal .................. Demolition .................... Other Work ..................................................... (Description) 4. Estimated Cost ....~...Z~]....~....~...O..~ .............................. Fee (to be paid on filing this application) 5. If dwelling, number of dwelling units ............ .2 ............. Number of dwelling units on each floor ..... /. .............. If garage, number of c~rs ............................................................................................................................................. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ............................ 7. Dimensions of existing structures, if any: Front .........7..~..~ ........... Rear .......~.n~..f. .................. 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 ............. .~..~ ................. Rear ........ ..~....?. ............ Depth ..... ../...~.. ............ Height .................... Number of Stories ...... ./.. ............................................................................................................. 9. Size of lot: Front ............. /..?..?.....~. .............................. Rear ........... ~...O....O.....~ ................ Depth ...... ~.~O..: 10~ Dote of Purchase ........ .~....A....~.....~...~.~.....?....,(>.~./,.~..~..~...Nome of Former Owner .,,~.~. ~'...L........~..~..~.,~.~..~,..~,~'~.~...~..../~.. ..... 11. Zone or use district in which premises are situated ..................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ........... ..~....~...:. ............ ~ ...................... 13.~ Will lot be regraded..................,.,.......~/O Will excess fill be removed from premises: ( ) Yes ( ~)~No 14. Name of Owner of premises .~...~..~.cz.~.../../:...~..°..5.$ ....................... Address ~..~..~.~...~.~./...~'..ffl~orm No.~..~..~..~.~.~..Z Name of Archite~t .............................................................. Address ................................ Phone No ....................... Name of Contractor ~..~..~.~...C..~..0...O.....~o...C..~ .............. Address ./..~.~....C..~...0~...~..~.4..~...~..Q. Phone No..7.~.~..o..~../.~ PLOT DIAGPJkM ~r~N~, ~.y. 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 whether interio(' or corner 10t. STATE OF NEW' Y~RJF./'. ~ ~ ~ S S ' ' COUNTY OF ' · ............/ '-~ ~-'---~..~.-~Z ............... ~Z~.~.~ .......... be ng duly sworn, d~s and says t~, he is the applJcam (Name of individual signing c~trac~ above n~. He is the ..................... ~..~..~.~..[...~.~ ................................................................................................................ (Contractor, agar, corporate officer, etc.) of ~id ~ner or ownem, and is duly aut~rized to perform or have performed the said work and to ~ke and file t~is application; t~t all statements contain~ in this application are tree to the ~st of his kn~ledge and belief; and that the work will be performed in the manner sat fo~h in the application filed ther~ith. Swam to ~fom me this .......... .... ~~. ~ Not. ................ .................................... JUDITH ~. ~O~EN (Signa~re of applicant) ~ola~ Public, Stole of New . ~p~res March 80, '1 FORM NO. 6 TO~V~N OF SOUTHQLD Building Department Town Clerks Office Southold, 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; 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 disposel--(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. 8. 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 o certificate. C. Fees": 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 Date . .~.../~...~.~ ~::~. ~. ~/..... ~..O.?../.. ~.,'.7.,. ~.. New Building ................ Addition ...... ~ ...... Old or Pre-existing Building ................ Vacant Land .............. Owner Or Owners Of Property .....~T./.~Z~..~..C.t.~ ....../..'~.:.....~.f?.-.~..:~ ............................................................... Subdivision ................................................................ Lot No...~..'./..~. Block No ............. House No ............. Permit No.....~7...,~'.~.~i.~. Date Of Permit .~i~./.~.../~../.~.?A'-/pplicant .._~.f~.~.~/~.~.....~..:..~?.(?.~.~. .................... Health Dept. Approval .............. :~.. .......................... Labor Dept. Approval ........ L.'ZZ. .................. ~. ................ Underwriters Approval .......... ~.~....~?.~i.~....~.~..?.. ........... Planning Board Approval ....... --~ ................................ Request For Temporary'Certificate ........................................ Final Certificate :.......~.. ............................... r Fee Submitted $ ~:~ Construction an above described building and permit meets ali applicable codes and regulations. App cant ~...~.;~. ~ ~.. ~.~¥~...~ .~./. ....................................... Sworn to before me this ....... ~ day of ' ,~....~..."~/,~'~ ;~'P~OVfD AS NOTED ..NOTIFY BUILDING DEPA~RTMENT ,~ ~ 765-2660 9AM TO 4PM FOR REQUIR. ED INSPECTioNs: I, BEFORE BACKFILLING FOUNDA- TION OR s~ART ~RAMiNG 2~ BEFORE COVERING PIPELI~ ~ FINAL WHEN JOB COMFLET~D ~ & _$; LL APPROVED AS NOiED NOTIFY BUILDING Di~PA~TMENT AT ~. BEFORE I~ACK,~iLt.~G' /