The URL can be used to link to this page

Home My WebLink About7076-zFORM ~o. TOWN OF SOUTHOLD BUr[,~)ING DEpARTME, NT Town Cle~'k's Office Sou~d, N. Y. Certificate Of Occupancy No ...... z62't9. Date ............. DsO... ~. ...... , lg. ~ THIS CERTIFIES that the building located at 8t~llva.ter. & .Tr&e~ .Avo · Street Map No.~,',:. oI~,,n4... Block No ........... Lot No.. ~. ....... gutahogu~ · · · I~,¥ o... conforms substantially to the Application for Building Permit heretofore filed in this office dated ........... Pob....8.., 19.~. pursuant to which Building Permit No. 707~Z. · dated ........... .F. qb. .... ~. ~..., 19.7..~., 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. rivate. ~ne. family..dweJ~in[, with. an .&ddttion ................. The certificate is issued to Rmv.. Jotm. LyncR ... 0~mer ............................ of the aforesaid building. Suffolk County Department of Health Approval (owner, lessee or tenant) ~,R. ............................... UNDERWRITERS CERTIFICATE No. pend~nf ................................... HOUSE NUMBER ..... 39~O .... Street .. St~llwa~er. kv~ ....................... 1~ Track Ave · OR~ NO. I~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK~r OFFIC~ SOUTHOLD, N~ Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL CQMPLETION OF THE WORK AUTHORIZED) N.o 7076 Z Permission is hereby granted to: iLe..v..:....~....~.......~.:~.m..~ ....................................... ....... :L.~..... ~r£ :i.~.~....~'-v.e..: ............................. ................... i.~i-r~e,o.~.& ............................................ to ~.~..A.n.....a.~..t.~.°..~......°.~....e...x.L.s.~.~ ~ ..:a.~".e..~.~ .............................................................. at premises located at ...~..°...te....~.......~...e..~..~...~..e...e.....l..J. ................................................................... ....... i ................................ ~.~ L~:~:.e...~ ~...~....~. ~.~.~.~...."..v.~. ............... .c_~.t.~.~.e. ............................... pursuant to application dated ........................ ~'..~!i ......... .~ ............ , 19~..b<..., and approved by th~ Building Ir~oector. Fee $.~l~.t.O.? ............ .......... ............ Building Inspector. ~ FORM NO. 6 TOWN OF SOUTHOLD Building Deportment 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 disposol--(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 formation required to prepare a certificate. C. Fees: 1. Certificate of occupancy $,5.00 2. Certificate of occupancy on pre-existing dwelling or land use $§.00 3. Copy of certificate of occupancy $1.00 / Date ......... '~ '"~ Z./~..../. J ~...~ ..z'~.. New Building ................ Addition .....~.. ......... Old or Pre-existing Building ............... //.~ Vacant Land .............. Locotio, of Pr erty ..... ........ ........ Owner Or Owners Of Property ...... Zd-~...~..'......~...~./ ....... ~..~..~....~..?....~... ......................................... Subdivision ..................................................../~"/""~'"L°t No ............. Block No ........... .~ouse No // Health Dept. Approval ............................................ Labor Dept. Approval ................................................ Underwriters Approval .............................................. Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Final Certificate ............ ~ ....................... $ ~ Fee Submitted .................................... C°nstructi°n °n above described ~., ~, d p~ e~/~~ons. ............... Sworn to before me this -- , ~/~'~, . ~ ~ / ~..~ Notary Public .........~J~JZ.~unty 155 Garfield Avenue ~1ineola, New York ~I a y i 9, 19 7 4 Mr. Howard Terry Office of Building Inspection Town Hall Southold, New York Dear Mr. Terry, I am writing to inquire about the possibility of a variance from the Southcld Town Building Code. I have put an exten- sion on my house in Cutchogue and in doing so one window was removed from the existing bedroom. There is now one window which is not the required size for the room. It would be a real difficulty for me at present to have that existing window enlarged with my present finances. Also it would delay obtaining the final Certification of Occupancy. Although I realize it does not meet the building code of Southold Town's requirements, I feel it allows sufficient air and light for the room. I am, therefore, asking your Office to grant a variance to the Code so that work may be completed at the house in Cutchogue, which is situated at the corner of Stillwater and Track Avenues. May I say at this time that I appreciate Southold's Code of Building. All the other violations of that Code which the Inspector, Mr. Hinderman, found have assisted me in telling the Builder that his final work has not been satisfactory. Mr. Stevens is complying with the Code and is correcting them. I am hopeful that the work will be completed very soon so that I may obtain the Certificate of Occupancy and be able to use the place especially for the summer months. Thank you for your consideration of my request for the variance. / 155 ~arfielb ~ll~enue 516- 746- 1223 February 6, i 9 7 4 Zoning Board Town Clerk's Office Southold, New York Dear Sir: Pursuant to our telephone conversation of Wednesday, February 6, I am making application for a Building Per, it. I wish to extend the property which I already own in Cutchogue on the corner of Stillwater Avenue amd Track Avenue. Enclosed you will find the sketch made by the Builder ss well as a sketch of the property which I made my- self. All of this is recorded with the Clerk's Office. The mortgage on the prope~$y originally owned by my parents is clear and free. I would like to start work on the extension as soon as this is cleared with your office. I appreciate your assistance in this and I wish to thank you for your help. /(Rev.!~ohn J L~ch / Builder: Roy Stevens 42 Lumur Drive Sayville, New York 589-3212 Examined E.~... 11 ]' '~ ' ~li ti n ...................................... , '/......,L /%op ca o ~o..~ ............................ ~ ov~ ........................................ , 19.....~(. Pe~ No ............................... ~.. D~mv~ a/c ....................................... ............................................................................... ...... ........ ~ 5~ / - iN~I~S a. This ~licmi~ m~'~ ~plet~y'fill~'~ ~r ~ in i~ and ~mi~ in tr~l~ I~, ~.3,~ ~, ~cu~ p~ plan m ~le. ~-.~1~1 ~ ~. b. ~n:~l~ I~otlon. of. lot ~:~f buildi~s ~ pr~i'~, ~lotionship to ~joini~ premi~ or~s, ~d giy~Q ~ ~r,pt,~ of I~ut of~ must ~ d~wn ~ the diog~m c. ~ ~ ~_.~ ~ ~lication may ~ ~comme~ before i~e.of B~ldi~ Pe~it. ~. U~ ~'~ ~ls ~,'~ti~, ~e Bull~ I~tor will iss~ a ~uilding ~rmi~ to ~e ~lic~. ~h shall ~ k~t ~ ~e ~i~ available ~r in~ti~ ~h~t ~e ~rk. ' ' e. No ~ildi~ s~ll ~ ~cupi~ or u~ in ~ole or in pa~ for any pu~e ~e~r until o Ce~ifl~ ~all ~e ~ gmn~ ~ ~e Building In~tor ~ APPLI~TI~ IS ~Y ~DE to the Buildi~ ~ment for~e i,~ce of a Buil~ Pe~it pu~ ~uild~ng Z~e O~i~ ~ ~ T~ of ~t~, ~1~ Count, New York, and other ~plic~ ~, ~, or ~u atlas, ~r ~e c~t~l~ of bulldi~s, ~iti~ or altemti~s, Or ~r mm~al or ~llti~, ~ ~ ~. ~e applicant ages to c~ly wi~ all a~licable I~, o~lna~,, .... buildl~ c~,~si~ c~, aamitaut~riz~in~pmm,,~in~i~l~ ~~~~, ~.~~ · ........ Stot~ ~h~t~r ~lic~nt i~ ~n,r, I~, ~ont, ~hit~t, ~noin*~r, O~n~ml c~tmetor, ~l~c~ricion, plumber or builder. . ~.~ ......... ~, o* ~,~ o* p~ ..... g~.~.~...~.~..~.~. .......................................................................................................... If applicant is a corporate, signature o¥ duly authorized officer. (Name and title of corporate officer) Builder's License No ..................................................... Plumber's License No ................................................. Electrician's License No ............................................. Other Trade's License No ............................................... 1. Location of land on which proposed work will be done. Map No.: ....................... ~........;... u~ N0. Street and Number ............. ~.1~,;L],WJII,.'~.~....~....~..I..~..k....~..V...I. .......... ..C~....~..I...h..~..~... ....... ..!.?..~..... ................................. Municipality 2. State existing use and occupancy of premises and intended use and Occupancy of proposed construction: · ....a..w...e.~!~ .... a. Exisiting use and occupancy .......................................................................................................... b. Intended use and occupancy sale w~.th t~ ~ · 3. Nature'o work (check which applicable): New Building .................. Addition ..... ~ ...... Alteration .................. Repair .................. Removal .................. Demolition .................... Other Work ...................................................... ·/4." /.~' ~ ~ '11~,00 (Description) · Estimated Cost ...................................................... Fee .......................................................................................... (to be p~id 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 .................................... Rear ............................ Depth ........................ Height .................... Number of Stories ...................................................................................................................... 9. Size of lot: Front ..... -~.....~.. .................. ....................... Rear ..... .~...~. ............................ Depth / 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ e 11. Zone or use district in which premises are situated ..... ~JL....(LI,~.~3:;L~.~. .................................................... 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 16.- 14. Name of Owner of premises ....~.T...*.....~.?...~.....~.*....L..~...e...~..... Address ...~..~.~. ............ Phone No~ ....... ~.. ....... ~..2 Name of Architect .............................................................. Address ................................ Phone No ...................... Name of ContractOr ..~g~...~.~.~.T.g~ ............................... Address ....... ~..~...~...~..~..I.. ..... Phone No...~..8..~..~.2..1..~. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-lx~k dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate tog I~' ~S'~ATE OF NEW ~01~1~,, I c c COUNTY OF ..... ~..e.~.. ..........~ "'" <) ~-R ~ ~ ~ ~ u ~ ~Y. ~e~ L~ch ' ' bein ..................................................... ~.= ........................................ g duly sworn, d~es and says t~t he is the applicant (Name of ~rvid~l signing '~trac~ ob~e name. He is the .............................................. ~. ....................................................................................................................... (Contractor, agent, co~orate officer, etc.) of said owner or ~ners, and is duly authorized to perform or have perfo~ed the said work and to ~ke and file this application; that all statements cont~in~ in this application are tree to ~ best of his ~owledge and ~elief; end · that t~ work will be performed in the manner set fo~h in the application fil~re h~~ Swam to before me this / / ~/ ........................ of ...... ...... .......... , ( / ....... . JUDITH T. BOKEN ~ Noto~ Public, Sta~ of New Yo~ / ~ No. 52-03~a963 Suffolk ~un~ ~ ~ ~m~sion ~pi~ Ma~ 30, I~ ~ t A