The URL can be used to link to this page

Home My WebLink About8816-zFO~M NO. ~ TOWN OF SOWmOLD BUILDING DEPAIITMF_~T Town Clerk's Office Southold, N. Y. Certificnte Of Occupnncy No..Z, 7~.2.8. .... Date .......... Feb..1.(~ ........ , 19..77 THIS CERTIFIES that the building located at Long.v.t.e~ Lane ............ Street Map No. Terry Water~lock No ........ Lot No...60 .... So~Athol~l .~!..X, ....... conforms substantially to the Application for Building Permit heretofore filed in this office dated .... A.u.g. 2.~. , 19.76. pursuant to which Building Permit No..~SJ.~Z. dated ......... A..u.~...2.~..., 197.~. , 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 .Pr.~v.a.~e..qn..e..E.a.m..~.~..d..~.e.~.!Lug. ~.t..h.a.d.d.i.~.~.on..~. ~..3-.~.e?.a..t.~9~ ...... The certificate is issued to ~.II'...&..l~r.s..1~..u~..r.a.y...F.arb. e..~ ..... .0~..e.r.$ ................ (owner, lessee or tenant) c.f the aforesaid building. Suffolk County Department of Health Approval N ~R.,. ................... UNDERWRITERS CERTIFICATE No .... pen~l~ng ............................... HOUSE NUMBER .... Street . Long .¥~[.e.~. L~ ...... ~o~ho~ ........ B~ld~g I~pector ( I~OR~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE P]~EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) ~,,,-~_ Ne 8816 Z is hereby granted to: FORM NO, 6 TOWN OF SOUTHOLD , Building Depaffment Town Clerks Office $outhold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This apphcahon 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. Commercml braidings, Industrial buddings, Multiple Residences and similar buildings and installations, a cerhflcate of Code comphance from the Archztect 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 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 Dote of any housing code or safety inspection of buildings or premises, or other pertinent formation required to prepare a certificate C. Fees: ]. 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 ............. Nc'w B~dding ................ Addition .... ~ ........ Old or Pre-existing Building ................ Vacant Land .............. · a ot,on of ................ Owner Or Owners Subdivision (-J.~..~,~iL~...~......~... ................... Lot No...(-~...~. ...... Block No ............. House No .......... Pe, mi, No.~.~F.~./~.-~.].Date Of Pern~..:)~./~/~.~.Applicant ..~~.-,...~: ............ Health Dept. Approval ...... ..~...:.[~.~, .................... [...kabor Dept. Approval ...~..:.)~....-. ........................... Underwriters Approval .............................................. Planning Board Approval ....J2...:.[...~.....~. ..................... Request For Temporary Certificate ........................................ Fin~ Certificate .... ~ ......................... Fee Submitted $ .... .'~.~..4....~f~. ................ Construction on above described building and permit meets all applicable codes and regulations. Applicont ............. ~ ............................... Sworn to before me this ......... .... ...... .... Notary Public ...............~~'County (stamp or seou~ THE N~W ~J 1 BUREAU OF ~LECT~ICtTY [ THIS C~RTIFIES THAT only ~he eleclrical equlpme~t ~ descri~ below and ~n~roduced by the ~ppllc~nt na~ed on the abo~ application number i~ the premises of Murray Farber, n/e Corner Longview La. Southold, L.I. ., .......... ;,-.,l,,,, January lO FIXTUI~ES , RANG25 ~O0~NG DECKS~ OVENS ~DISH W~SHE~ ExHAuST FANS l0 22 15 l0 ~ ~ ~ ~ ' . DRYERS [~ FURNACE MOTORS ~ I ; SERVICE DISCONNECT NO OF ~ S E .... ~-~ ~ ~ ~TER ' W 1 ~ 150 CB ~ ' ~x *Special Receptacles: 1-30amp,l-20amp. Ruland Elec. Co. P.O. Box ~* GEN.~A. MAN~G~ ~s ccrt~ficote must not ~e altered in any manner, return to the office of the Board ,f incorrect Inspectors may be ,denhf~r ~edent~oJs. TITLE ? / BEATRICE I. FARBER GUARANTEED TO: THE TITLE GUARANTEE CO. SOUTHOLD SAVINGS BANK SURVEY FOr MURRAY FARBER LOT NO. 60 "TERRY WATERS" BAYVIEW TOWN OF SOUTHOLD SUFF CO., N.Y. SCALE ~ I"= 50' NOV. 2O, 1965 PROF E SS ION A L'"[ N G IN r~l~R AND LANO SURVEYOR, NX. STLiC. NO.I~84~ fllyERH£AD. co~$ M m si~w~' ma NM ll~HI NOTE; · :MONUMENT SUBOIVlSION PLAN EILED IN TNE OFFICE OF THE C'L~II~ COUNTY ON DeC. ~!~.~J~ ~P'~w~O! '! Approved ........................................ ~t~'~/ ~ , 19...~ Disapproved a/c ............................................... ~_ TOWN OF ~OUTHOLD BUILDING DE,P~RTMENT //"'~ ~,/~ TOWN CLERK S OFFICE~ / ~U~OLD, N.Y. ~/~ . APPLICATION FOR BUILDING PERMIT ~ '~ ~' ~'~, Date ...~.!......~X....~.. ................. , 19..z...?...,.~ ~ INSTRUCTIONS a. This application must be completely filled in by typewriter o~' in ink and submitted in triplicate to the Building% Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according 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 port 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 permitn~ shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used Jn whole or in part for any purpose whatever until a Certificate of Occupancy~ shall hove been granted by the Building Inspector. APPLIC^TION 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, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing cede, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. (Signatur%~of applicant, or name, if a corporation) (^d~'""res~ '(~"~'~'~g~t) X-' ............ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. owner of premises .....~6~..*...~.~...~......~.././..~'~ ~")~ ....................................................... Name of If applicant is a corporate, signature of duly authorized officer. ~ (Name and title of corporate officer) Builder's License No ...... ...~......~....~.........~...,~ ........... Plumber's License No .... ,~.....~....~.....'t.....~.... ............... Electrician's License No .....~..~...~.....~ ................ Other Trode's License No ............................................... T..~./~ ..~......~.~'. ..~... Location of land on which ~oroposed work will be donp~ Map No.: . . Lot No ..... ..O.. ........... Street and Number ..... ...... ~..ck~,~.... ................... ......... ~6.~..t..~...'. ......... State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ...,/~f~,ee~.~...~...-. ................................................................. b. Intended use ond occupancy ........... 3. Nature of work (check which applicable): New Building-. ................. Addition ......../~......7..Z AIt'eration ..~_....~.. Repair .................. Removal .................. Demolitior ..................... Other Work .................................................... (Description) 4. Estimated Cost ..... .~...~...~..~ ................................. Fee ~/....~...~. ~ ............................................ (to be paid on filing this.applicq~tion) 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 ....... ~...t~ ............ Rear ....... .~...O. ............... Depth ....~..'.~.. ......... Height ..'~..~..~.. ...... Number of Stories ..... 0:'~-~...~....,~. ....... ............................................................................ Dimensions of some structure with a tarot ons or-~add tons: Front .~.. 7~/..-.~..0. ....... Rear ...~...~...-../.O..~.. Depth ......... ~).~":. .............. Height .,(~,~:,e~-~,...,,~..Number of Stories ..... ~ ....... 8. Dimensions of entire new construction: Front .......... ~ ...................... Rear ........ ~ ................ Depth ....'~. ................... Height -- Number of Stories --- 9. Size of lot: Front ....... ./...~...~....~....: .............................. Rear ....~...~'.~. .......................... Depth ¢f.~.~....,~,~. ......... 10. Date of Purchase ...... ''~--./...?....~...~ .................................... Name of Former Owner /.~...~.,~/...~ 11. Zone or use district in which premises are situated ....~..~,~q.....~.. ......................................................................... i2. 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 ?wner of premises~..:.~....~..~me,¢~¢.... Address ..~.~.~.'.~.'Phone No ....................... Name or Architect [~t.....~..f~r~l~ ....... ./...~..;/~.!. .............. Address .~1~.,~.~...~ghone No ....................... ~1. ~,. ,,~td , Nome of Contractor .~.....~.~..~.~~ ................ Address .(~O-~,,~/~-~/%..~.~.'Phone 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 whether interior or corner lot. LOT/ 0. ¢0 " STATE OF NEW Y.~R~/~/~: ~ c c COUNTY OF .~,.....f"' :~' 1~+0 ................................................................................................. being duly sworn, deposes and says that he is the applicam (Name of individual signing contrac~ 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 and file this application; that all statements contained in this application are true fo the best of his knowledge and belief; and that the work will be performed in the manner set fo~h in the application filed therewith. Sworn to b~re me this ~( ~ ~ ~ ~ ~ ....... oto. ........................... ~ ~ ~/ _ ~..~ (Signature of applicant) A PLAN OF EC~,A~ENT 0 AIM' ROOF ,COLUN ~,PPRC~ED-AS NOTED NOIIFy BUlL NG DEPARTMENT Ar ~'65-,66J ~A., I0 4PM FOR REQUIR. L xI L 40L, J sc,,,L6 Sc-h~.a r~-} ~ BE~D,'I~OQb J (5) %'¸ / _zx~.i: v..-' ]. _~_; ........ /4? bS"' o" <-) _ 3.3, ,8 '(d,v ~utva Y) RLTEP. ATION5 & APP~TI O/~ $ TO lib E P..' ,,EES LD Et, ICE, ;Il b F_P I~oO~ T S, WALL OF LAUi4DP,¥ WALL '~ ,,, P ¸Il I 'C,,E [ L J N~ 'P LA N P I~TE: .9. 8!:z, : [_A!_T__ E,L t v A T i o N [ I - I, ST I Iq - prrcH To WIST ,i~of~ 5~C-FtON.c, L~b & h4-H~ s~.mpi~vu,~m, A-loF A 1A2', J ~,NP FLOOR Fnq. L~V~L ,f FIN, LIE V r-. L A- L'TE-P-.ATi o/~ 5 FAR[SEk / %HD FL FI~J L~x/ t~-- · .5 .~ I LO" SF_.CTION3 k- L, ?/-h 50 <)'t-}4'2L D, L,I,, ,1 ,TX¸ .z U , bE'/£L .I WITH KITCHE¢ PACr i ..' FILL UivD~I "H-H" -: q: ..... p-c "E- kS' "F- SC R LE~ V~= IL 0'l -- ~ETAIN SToop PLATFokM 1ST FOUNDATION ?LAN, 1 ~ .. ~,.~4D ] ...... _._ S-''r' i' u YLO~)k. F~_.A,,:lht IN~.._ PL~.....N_~. j F&mO~-TH M, ~'OUNG, A,I,A, A/~Cdl"CacT ~T p~$. Fo01: -q ? !i / 150N e_.. I'F~" .lc VI L ROOF F~..A/"/~I UC