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Home My WebLink About8461-zFORM NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No..Z.7.~..0~. ..... Date ............ ~.u~. y.... ~. ...... , 19.. 7.6 THIS CERTIFIES that the building located at ......... ;Btghi .~oa~L ...... Street Map No..pe.t.ty...B;~.t. eBlock No ........... Lot No, . ~ 2 .... 0r. ien.t.~ .N,~.~ .......... conforms substantially to the Application for Building Permit heretofore filed in this office dated .............. l~ia~... 2~ 19..~.(~ pursuant to which Building Permit No, , .8.~,(~lZ. dated ........... .M. ar.. ~l ..., 19.~.(~., 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.~ce..Q~e..~am~[lY..dweJll~,r~g ..................................... The certificate is issued to .. ,Bos~, ~ .Rand ..... Owner ......................... (owner, lessee or tenant) of the aforesaid building, Suffolk County Department of Health Approval ...~.t~. ~..2~...].9.~.6....b.y..P,.,..V..i.l.l.a.... UNDERWRITERS CERTIFICATE No...p.e.n.d.~.n.g .................................. HOUSE NUMBER ...... ] 27.~.... Street ...... .Bite. J~oad ......................... Building Inspector (THIS PERMIT '~UST BE KEP~ ON' 't~-[E PRt~I~S UNTIL FULL C6MPLETIO~ 0F THE WORK AU~HORIZED~ ;: :~: ~Z. ' ; ,} : :'~. ...... :..~ ....... .....-~ ....... ~ .............. '~ , ~ ~erm~ss~ ~snere~ygran~a f~: , ~, FORM NO. 6 TOWN OF SOUTHOLD , Building Deportment Town Clerks Office Sou,'hold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Jnsfrucflons 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 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. 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 end 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. 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 New Bqilding ..... ~...e.~.... Addition ................ Old or Pre-existing Building ................ Vacant Land .............. Location Of Property Bight Road; Perry's Bight, Orient Owner Or Owners Of Property R,o. se Rand Subdivision ................................................................ Lot No..,,..,,,..,,12 Block No, ,....,,.,,.. House No ............. Permit No....8z~61 ~'....... .... Date Of Permit ..3../..3..~../...7..6...Applicant.Inland Homes, Inc. Health Dept. Approval ..... .e...q.c...]-.9~..e.~ .................... Labor Dept. Approval ................................................ Underwriters Approval .............................................. Planning Board Approval ........................................ Request For Temporary Certificate no Fin(~l Certificate yes Fee Submitted $ 5. O0 Construction on above described building and permit meets all applic~ codes ~/~regulat App cant ~ZD.~3.~.~...~..o...m..e.,.s.¢...,Inc... ~ Sworn to before me, his ............ ?~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 June 30, 1976 ,~,vt~c.t~o,N,,.o,,/ife 853126 Rose Rand, 1275 Bight Road~ Orient, L.I. irtthefolh, wi,,glocatioa; ~ Ilasemet~t ~ l,s.tFI. ~ ~,~d f'~. outside 1 il00 i CB OTHER APPARATUS: Motor/s: 1-3/4hp I G.F.I. DIMMERS E~. R V I C E 2 ~ I L ..... Walter Finger, P.O.Box 991 Mattltuck, L.z. 11952 Lic. 1845E D Per__ ~ .Th~s certificate must not be altered in any manner~ return to the office of the Board if incorrect, Inspectors may be identified by their credentials, / / BUILDING DEPARTMENT~'/~ INSTRU~IONS a. This application must be completely filled in by typewriter or in i~k and submitted in triplicate to the Building Inspector, with 3 set~ of plans, accurate plot plan to ~ale. 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 detail~ description of layout ofpr~er~ must be drawn on the diagram which is ~ of this application. c. The work covered by this application may not be commenced before issuance of Building PeFmit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit shall be kopt on the premises available for inspection throughout the work. e. No building shall be ~cupied or used in w~ole or in part for any purpose whatever until a Ce~ificat~ 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, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. XNLANI~ HL~H£5~ XN[;. ",4 Jl6Sigr'~.~re of applicant, or name, if a corporation) 3.1.5 W mm tphm.I..'Lm (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ............................................... ............................................................................. Name of owner of premises ROll Rind If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .......... ..'. ........................................ ~IT-P Plumber's License No ................................................. Electrician's License No. 273-[ Other Trade's License No ............................................... ].2 Location of land on which proposed work will be done. Mcp No.: ........................................ Lot No ......................... Street and Number Right: Roed~ Pet~y~J B:Lght:, Oz':Lent, Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: Vacent a. Exisiting use and occupancy ................................................................................................................................ b. Intended use and occupancy ................... ~....F..o..m..~.~...?..w.~.~n.g. ..................................................................... 3. Nature of work (check which applicable): New Building .....X....X~...X. .... Addition .................. Alteration ................ Repair .................. Removal .................. Demolition .................... Other Work ...................................................... (Description) 4. Estimated Cost ................ ~<.....i .................................... Fee (to be paid on filing this application) 5. If dwelling, number of dwelling units ...1. ........................ Number of dwelling units on each floor ............................ If garage, number of cars ...1, ........................................................................................................................................ 6. If business, commercial or mixed occupancy, speeify 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 .........5..5. ............... Depth ....... .3..~. ............ Height ..... .~...~..f. ........ Number of Stories .......... .~. .......................................................................................................... 9. Size of lot: Front See Suz--ve~. ~ 158 See Survey ....................................................... Kear .......................................... Depth ................................ i0. Date of Purchase ......... -~../'..77..~../'...?.~.. ......................... Name of Former Owner ........................................................ 1 ]. Zone or use district in which premises are situated ..................................................................................................... ]2. Does proposed construction violate any zoning law, ordinonce or regulation: ........................................................ 13. Will lot be regraded' . ........................... Will excess fill be removed from premises: ( ) Yes (~'~) No Rose R&nd 14. Name of Owner of premises .................................................... Address ................................Phor~ No ....................... Name of Architect .............................................................. Address ................................ Phone No ....................... Name of Contractor~.D.....H...C~...~.....l..N...C..'. .................. BOX itl7 l¢~ttituck 2SS-gOD& Address ................................ P~one 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 whether interior or corner lot. STATE OF NEW YORK, I.S.S COUNTY OF ..._Z.....f,f.,~.~. ........... ........................................................... : ..................................... being duly sworn, deposes and says that he is the applicam (Name of individual signing contract) above named. Contr&ctor 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 rr~ke and 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 set forth in the application filed therewith. Swam to before me this ........................ day of ............................................ , 19 ........ i~'~ , ~ /'/ , ~ \ ' / Notary Public, . ................................................... County ............ ; ................ ........... ; .......... ~;.'..,....~ ......... ~ ......................... I (Signature of applic~,.~-~ ANN N£VIt LE NOTARY PUBLIC. State of New YorR No. 52-8125950. Sufioik County Term [xpires March 30. 19_,~2 FOR APPROVAL OF CONSTRUCTION ONLY APPROVED Lot I I 'v~C~flT ~80.~ NO ~MONUMEN; SUBDIVISION ~AP FIZ~'D IN TN~ OFFICE OF TH~' C&~IPK ~ SUFFOLK COUNTY ON dAN. 1973 AS Pl~ NO. 400 OSTRANDER AVENUE, RIVERI ~OSE t. RAND '.. , ~OY IVO 12 ' ~o~,~ o. ~.,~ ~u~ .~..o~ ~.J.~ '--~---~ BIGHT SURVEY ~S SUFFOLK N. Y. ,~T~'r,o~ 9~ S~U~NT ~WN~. . , I" - ' 60 ' MA~ I I 1976 TITLE NO. 76520702.3 THE LOCAT)ON OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD )BSERVATIONS AND/OR FROM DATA OBTAINED FROM OTHERS THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIOENCE W)LL CONFORM TO THE STANDARDS OF ME SUFFOLK COUNTY DEPARTMENT OFHEALFH ~ERVlCES APPLICANT .............. TEL ...... ~ ...... ~mter SUppt¥ . have been LO! I / VA CANT 280.51 vACANT LOt /5 NorE~ =MONUMENT $~)BDIVISIOA MAP FILED IN THE OFFICE ~NE CLg'RK ~FSUPFO&K COUNTY ON dAN. 26 197~ AS FIL~ NO, RE. VISIONS Lo/ Area = 44,4/S sq. fl YOUNG & YOUNG 400 OSTRANDER AVENUE, RiVERHEAD ALDEN W. YOUNG SURVEY FOR: ROSE L. RAND LOT NO 12 "r "PETTY'S BIGHT" I' AT ORIENT SOUTHOLD SUFFOLK CO., N.Y. SCALE: DATE: = ~0 MAR II, 197~ NEW YORK HOWARD W. YOUNO LAND SURVEYOR I ~'r /Z . Z hV? __ I ] ' LEFT SIDE ELEVATION PLOT PLAN FRONT ELEVATION APPEOVI~D AS NOTED NOTIFY BUILDING DEPARTMENT ~' 3, FINAL WHEN JOB COMPLETED ~US~ E~U~ logo o~ ~4O~E OF SHEET- I DESIGN- l'- 14§ TOTAL- 4 REAR WALL '1 SECTION FL ~~Lit RIGHT SIDE ELEVATION /2_ JV-!~I I I J~l~J I IJJ Jill I,-l~ll I I I~-J~ll REAR ELEVATION LJ SHEET-2 DESIGN-T-145 ~OTaL-4 ', .' ~ ~ ~ ~ BED ROOM SECOND FLOOR PLAN F SINK WALL REF'G. 8~ RANGE WALL KITCHEN CABINET ELEVATIONS. 5~,~z-~- . ,~'/,~'~ /~,~'" ~,~,~ " I~ '- o" ~"-~'* ~ ,_lln PATIO AREA ~ HEN ; ~ ~ ~ FAUILY ROOM ~ } ~'. ~' ~:"~ I- -- " ~ ~ ~ ., x: O 0 ~,;~. / ~ LIVING ROOM '~ " ~ ~ ~o/zp/~[~ ~'~ ~ DINING ROOM~ ~ ENTRY,, ~,,. , ~ ~ ~t~,, 7~ ~" 7~" 7:o" ~o" ~ ~" FLOOR GENERAL NOTES PLAN ~-/,.~.. ?,~'~ / ;o,, DESIGN-T-145 SHEET-3 TOTAL - 4 r .~/L o,/ BASEMENT PLAN /z .,'v'D f.~ , O/V /ILL £XT~-~D/O/~- STAIR DETAIL FRONT WALL SECTION ELEVATION SECTION #t DESIGN -T-145 SHEET-~ TOTAL- 4