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Home My WebLink About8765-zFORM HO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N, Y. Certificate Of Occupancy Date .......... .Au.g .... 3 ........ , 19.7.6.. THIS CERTIFIES that the building located at . .~o.e.k2;. P.qi~..~..R. qa.~ ....... Street Map No. ~ ....... Block No ..... .x~.... Lot No, . .~x.. Eas.t...l~r~.Qr~...N.;Y., ...... conforms substantially to the Application for Building Permit heretofore filed in this office "~lated ........... July..2919.7.6 pursuant to which Building Permit No....8.7.6.~. dated . .irx3~.y .... 2.9..., lg 7.6.., 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.r.i.v.a.%.e..a.e.qe..s.sp.r:[..-..s. ~. 9.r.a.g.e..-...b.u. il.d.~.n.g...' .................... The certificate is issued to F.l.q.r.a.1' .P..en.a..~..J.a.m.?.s. ~.r.s..h~..1.1... ~.qn.e..r.s ........... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . N..R., ............................. UNDERWRITERS CERTIFICATE No. ~.:R: ................ ! ..................... HOUSE NUMBER .... ~.5%. 5 .... Street..R. oqk~..17. Oin~..R.o.a.d.i ........g.~,s.$..M.a.r.i. 9.n. 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 COMPLETION OF THE WORK AUTHORIZED) N°. 8765 Z Permission is hereby granted to: F. ?ena & $ Marshall ............. ..s.~..s.k.~..:..t...o..n.. ....................................... to build new accessory (storage & Tool)shed , East Marion -~. ~ ~;~ ................... c.7~ ..... ;: ........... ~ ....................... ; ......................................................................................... >~--" ~J~l~. 2.~. , 19..~6, and approved by the _to~ 9~plication dated ......... ~.~.~,..:.~...~...~... ..... 7'": '~ .............. Ins~ ~eFtor- Building Inspector NO. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupnncy THIS CERTIFIES that the building located at ...................... Rocky Point Road Street Map No. xx Block No. xx Lot No, xxx East Marion conforms substantially to the Application for B~ding Permit heretofore f~ed ~ this office dated J!']y 29 19.76, was issued, ~d conforms to ~ of ~e requ~ ments of the applicable pro~sions of the law. The occupancy for which ~is ce~ificate is ~ Floral ~ ~ James Marshall The certificate is issued to ................................................ (owner, lessee or ten.t) of the aforesaid building. S~olk County Department of Health Approval .......................... ~DERWRITERS CERTIFICATE No. N.R. Street Rocky Poin~ Roa~ East ga~ion HOUSE NUMBER FORM NO. 6 TOWN OF SOUTHOLD , Building Deportment Town Clerks Office Southold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This apphcation must be filled in typewriter OR ink, and submitted in DUPLICATE to the Budding Inspector with the following; for new buildings or new use' 1. Final survey of property with accurate Iocatmn 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: I. 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 dwelling or land use $5.00 3 Copy of certificate of occupancy $1.00 New Building / Addition Old or Pre-existing Building I Vacant Land ... .......................................... O ner Or O ners Of Prope. ..................... Subd,vision ................................................................ Lot No....~.. ...... Block No. ........ House No "~ '~ ~ '? I Permit No.~../.~...~.....zT.... Date Of Permit ?..~..~..~..~,.'~....Applicant ..~,..'(..~.'.~Cz~.A.....~.Z~.z~. ............................. Health Dept. Approval ............................................ Labor Dept. Approval J Underwriters Approval .............................................. Planning Board Approga ........................................ Request For Temporary Certificate ........................................ Fined Cert ficate ........................................ Fee Submitted $ ....~.. .............................. I Construction on above described building and per, mit m,eet~,x~ll applicable ,codes and regulations. Notary Public .......... ~..~¢~....., County z/j' ~ _~' .,~=~--~../~'-.~C~,, Z/~-~- / Noter~, PuHIc, stere of New-~Yerk / / v / 1977 Sorry for tke foulup~ please destroy the receipt '; ng ns ctor -- , ~ " ~ Gentle-enm ~ -- :-~ ,. ~ R~/t~i~ed herewith is t~e $ 5.00 fee which you paid ,. ~' ' ','yesterday 'for~/0 # Z7518 (Receipt, ~12~27).. , ~, .' I.Fo'm'~:~t~t you did have a certificate of occupancy for ' ~:. .~- . the accesser2~huild~g (~Z71~)m I~ was recorded ~der the builders "" " ~ ~. mi~t~e in~ o~ book~. We havo now c~rrected this item. ~UlLDING DI~pARTMENT TOWN CLERK'S OFFICE Ne Examined .~..~..~, ............ 19..?...~.* ~OUTHOLD, Y. . ...... ...A....:. .......... . ,,2...4. Disapproved a/c ~~. {Building Inspector)''''I .......................... APPLICATIOt4 FOR BUILDING PERMIT ~y~ Lr~////~_ /'~ "~ ,,. ..... ,,..:. INSTRUCTIONS a This application must be completely filled in by typewriter or' in ink and submitted in triplicate to the Building ~ InsPector, with 3 sets of plans, accurate plot plan to scale. Fee acco~ing to schedule. ~ b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets o~ ~ 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 ~l shall bekept on the premises available for inspection throughout 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, os herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and ~gulatiOns, and to admit authorized inspectors on premises and in buildings for necessary..~spections. ~ /// /(5'~ ,f a[~pJJ~o, or nan~e, i?"~' corporation, ..... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ......... ~:....~.. Plumber's License No ................................................. Electrician's License No ............................................. Other Trode's License NoNumbe '"""~~ ''~:~' ~'~ ............................................... ~~~ ...~.... Street and r .............................................................................................. Municipality State existing use and occupancy of pr~'s~ded use and occupancy of proposed construction: a. Exisiting use and occupancy ....~-.~,r.=.~...~ ..... b. Intended use and occupancy ............... "..~ ...... ~~....~..~..~. .............. / / / 3. Nature of work (check which applicable): New Building.. ................. Addition .................. Alteration .............. Repair .................. Removal .................. Demolition .................... Other Work .~.~.~..q~....~.........~.~..~.:d~.. ........ .~.....~.~.....~."7 O0 Fee /a ~ (Description) 4. Estimated Cost .................................................................................................................................................. (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 cam ............................................................................................................................................ 6. If business, commercial or mixed occupancy, speci~ nature and extent of each ~pe 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 .~.~..~...Z~. ..................... Name of Former Owner~.~f~...~.C~.~ ..... 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 ............................ Will excess fill be removed fro~ preview: ( ~Y~s ( ) No 14. Name of Owner of prem.ses ~.;..~.~..~.~f~.~/~re~ ..~~.~.. Phone No. Name of Architect .............................................................. A~re~ ................................ Phone No ....................... Name of Contractor .. ~..~ .............. A~ress~.~.~ ~.~.~... Phone No ....................... PLOT DIAG~M Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back di~ property lines. Give street and block number or description according to deed, and show street name whether interior or corner lot. rO J lensions from and indicate STATE OF NEW' Ya~RI~/ COUNTY OF~''f~'~ ................................................................................................ being duly sworn, deposes and says that he is the applicam (Name of individual signing contract) above named. 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 end file this application; that all statements contained in this application ore true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to befDre,rne this .......... ' Notar .............................. c~ L / /~gnarure o~ applicant) ,~ ~,,~y ~d3~[~