Loading...
HomeMy WebLinkAbout8733-zFORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate 01: Occupancy Date Dee 2~ 19..~.6 THIS CERTIFIES that the building located at . pe.a~..D.~.$.~.~. .............. Street Map No. Xx .......... Block No...XX ...... Lot No .... Cut~h~gue...lq.,~[, ............ conforms substantially to the Application for Building Permit heretofore filed in this office dated ............. j~... ~.1~ 19 .?~. pursuant to which Building Permit No..87~.~Z. dated ............. .J.u~y....~, 19.?.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.~.v. 6t.e..Q.n.e..~.a..m~y.. d.w.e.~...1], .~g ...................................... The certificate is issued to Robert. & Margaret. lhlSh~ora ..... 0~e~.a ............ (owner, lessee Or tenant) of the aforesaid building. Suffolk County Department of Health Approval .Dee...22.. A97~...by. R.. gl-~ ~a .... UNDERWRITERS CERTIFICATE No. N~ ] 67.~9 ..... Dee...] ~['.. ~$97& ............... HOUSE NUMBER ...... ~.].~... Street .... .Dea~..DI'O~ .... .Cutet~ogue .......... ........ Building Inspector ' ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE P~REMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No. 8733 Z Permission is hereby granted to: ~D~..~9~]...~.....~..~..~.....~..~a~e~ Rushmore Southol~ Outchogue N.Y. pursuant to application dated .........................~T.~L~ ....... .1.~ ......... , 19.~.., and approved by the Building Inspector. Fee $ ,.?. ?...0.,*. ,?,0. ........ ! ~ Building I'~spector TOWN OF $OUTHOLD , guilding 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 disposal--(S-9 form or equal). 3. Approva~ of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and insta~latlons, 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. Dote 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 Date ............... New B~tilding ,....~i ....... Addition ................ Old or Pre-existing Building ................ Vacant Land .............. Location Of Property ...... ~'~.~..f...Z~.r~,/./xf¢~. ................... ',~,.'.~..~.©.~.~.~. ......................... Owner Or Owners Of property ,., ./?.~..~.,~...~./..~.~.......,,~i~.~.. ......... ,~.~.~..~(../~.~:'. ................................ Subdivision ...~.~./J~c...~,:rzr~,~. ................................... Lot No ............. Block No ............. House No ............. ..... ' ' · - ............... Permit No....~.Z~..:~..i.~.. Date Of Permit .................... ~pp can~ Health Dept. Approval .~..,~..~.....~.~.~.~;.;.~.~..~.. ........... Labor Dept. Approval ...... ~/~ ................................. Underwriters Approval ~.~...~.,~../.~.'~,~.~..~ ...................... Planning Board Approval ..~.-K,~. ................................ Request For Temporary Certificate ..... ,(J.~ ............................. FinaJ Certificate ..... ~.~q~ ............................. Fee Submitted $ ..... :.~...~.~.~. ................... Construction on above described building and pe~i~eets/,91~ a~;~c~es and regulations. Applicant .~ ~.......~....~.~--~-~,~, ......................................... Sworn to before me thi~, ......... o, ............ (stamp or ' ~ ' YORK BOARD OF FIRE UNDERWRITERS BURBAU OF ELBCTRIC[T¥ 85 JOHN STREET, NEW YORK, NEW YORK 10038 - 'mb r ic 1976" ~ ,,.,,,o.~oo.j. 8~7~85 "' N 316739 THIS CERTIFIES~H~T,? : , ; ~ ' ; . ~.~eano~t~n~mberinthep~misesof .SPJJiai Receptacles: 1-30~p,l-S0amp, Elec 'Room Heaters: 2-2J~,5-l'5~,l-l'25~'5-~'0kw'3-'75~'3''Skw' 2-q.5kw. Hot Water Heabers 1,S~gke De~tegt~gr ?au! Burns Town Harbor Lane Southold, N.Y. 11971 Lic#2~ D t be o~tered In ~n~ m~nner, return ~o the o~ice o~ the ~oQr~ %~ %ncorrect ~nspec%ors moy ~d by ~ir credentio]s. SAMES E, D~AN, as ~e~ee ~e~ t~e 1A~ W~11 ~ ~e~ta~e~t o~ G. Downs, deceased , residing at (no number) New Suffolk Avenue, New York, party of the first ~.rt, and M. ROBERT/RUSHMORE and MARGARET/RUSHMORE, ~, both residing at 2 Springhill Road, Roslyn Heights, New York 11577, as tenants in comlnon without right of survivorship, party of the second part, / %¥11'NF--~SETH~ that the part), of th~ first part, in consideration o{ TEN ($10.00) ................................................... dollars, awful money of the United States. and other tawY{~l consideration paid by the party o{ the second part, does hereby grant and release unto the party o{ the second part, the heirs or successors and assigns of the part)' of the second part forever, P,J,.,L that certain plot, piece or parcel of land, with the buildings and improvemeots thereon erected, situate, lying and being :ic~xltaf at Cutchogue, Town of Southold, County of Suffolk, State of New Yor!~, which said plot is more particularly bounded sad described as follows: BEGINNING at a monument which is at the northeasterly terminus of Dean Drive and the southeasterly corner of Lot #8 as shown on the "Map of Downsview #5509" and RUNNING THENCE North 13 degrees 24 minutes 30 seconds West along the easterly side of lot 8, 11,5.· ~,B7 'feet to a monument; THEINCE North 76 degrees 35 minutes 30 seconds East along land of Dean 182.53 feet to a pipe; THENCE the following three courses and distances along land of giebell and land of Seaman 1) Sonth 13 degrees 24 minutes 30 saconds ]E. ast !85, ~9 feet; 2) South 02 degrees OS minutes 50 seconds West 99, 77 feet; ~) South 14 degrees 46 minutes 10 seconds East 130, 0 feet to the ordinary high water mark of the Great Peconic Bay; THENCE North 85 degrees 27 minutes 00 seconds West along a tie line 167.0 feet to a point; TtlENCE North 13 degrees 24 minutes 30 seconds West along land of "Downsvie Private Beach and passing thru two mormments 244.13 feet to the point or place of BEGINNING. TOGETHER WITH an easement for purposes of ingress and egress from the a- bove described premises over a 50 foot pr~ivate ~I~ad known as "Dean DriveP on Map entitled 'Subdixdsion Map of Downsview" at Cutchogue, Town of Southold, Suffolk County, New York, filed 8/11/70 as Map #5509 to New Suffolk Avenue, a public highway. Grantees agree to share in maintenance of same with owner~ in Downsview. parallel to SUBJECT TO a 25 foot right-of'-w~y runn}ng alonf~ and within the westerly line Of smd premises leading north to other lands of Dean, said easement being for SOU'THOLD, N.Y. /"' ' ..;..u_...?.../.../~_; "t. ~ ~ z- ~ ~-~ ,,,.,,,,,,~ ,,~.. ~,, ,o. ~ .............................. '~f~ ......................... ~.~ .......... ~ ~<~ c.o., ~'- ~m~ ~ "UImNG PE~IT ~ ~ ~/ ~..~/. ....... z.~ ............ .,,L~..~ b. PI~ ~ ~ I~mim o~?t o~ of ~lldl~ ~ premix, .relationship to ~joiniq~ ~r~mi~ o~1~ s~[~ o~ ~ a~, ~ g~i~ a ~ ~pfi~ ~ ~ ofp~ must ~ am~ ~ t~ di~mm ~l~ is ~ m ~ ~.cm,~. ~ ~ c. ~e~ m~ ~ ~k ~l~im ~ ~ ~ c~mm~ ~fm i~u~e of Buildi~ Pe~ff. i~ a Buildi~ ~it to the ~licont. ~ ~it ~' d. U~:~I of ~is ~limim, ~ Build~ I~r will shall I~ ~'~ ~ p~ ~ll~le ~r i~ ~t ~ ~ e. ~ Nil M ~ ~ ~ in ~eor in ~. ~ any pu~ ~r ~til a ~.tfic~ ~ ~my~ ~.h~e ~g~ ~ Bulldi~ I~r. ,.APPLI~ IS HE.BY ~E to ~ Building ~.m~t ~ ~e i~uan~ of a Bui~ Pe~lt pu~ ~ ~ T R~ul~i~, ~ ~ ~i~ of build~, ~l~s ~ altered, ~ mr m~a ~ ~ I I~, ~ ~ ~ ~. ~e ~1~ ~ ~ c~ly with all ~llc~le I~, ~i~, ~lldl~ c~, h~l~ ~, ~ ~, ~ ~ ~.~ ,~ ~s .~ ~ ............. (Sig~um of o~licont, or mm, if a co.retire) ~4~.~ ......... ~ ........ ~.~.~.~ ............. ........ ~.. o~ ~,c... I < ~ 7/ State whe~er ~llcant is ~r, Ieee, ~t, a~hlt~f, engin~r, general c~tmctor, el~trician, plu~r or buil~r. .................................................................... ~.~.~.~ ............................................................................................... ~.o,~,~,-....~...~ .......... ~.~.....~......s ........ ~ ................................... If applicant is a coq~o _rote, signatpre of duly authorized officer. (Name and title of corporate officer) Builder's License No ....... ~""'~'--"7 ................. Plumber's Ucense No...Z.~..SX..~ ................. Other Trade's License No ............................................... X Location of land on which prci?osed work ~ be.clone. Map No.: ................ %. ....................... Lot No ........................ ~ ...... -, ,.,.-,-- .../2~.4..~.. Z,e'..~.~ ........ ~....-'~..~....,~-~ ~,~ . °'"'"' °"'= ~ ...................... ' .... ~ ........ ~?' ' ':'""~iii;,; ...... State existing use and occupancy of premises and intended use and occupancy of propa~d construction: a. Exisiting use oral occupancy ................ ~d~'. .......................................................................................... /~// ~;6~ /-~x~//_., ~. ..................... ~. I~ ~ ~ occupar~ .......... ~,~..~ ........ ..-, ............... "7' ........................... "7' ............ " c~ \.~ ~ , 3. Nature of work (check which applicable): Ne~ Building.. ............ Addition .................. Alteration ................ Repair .................. Removal .................. Demolitio~ .................... Other Work ................................................ . (Description) 4. ~t,mated Cost ~'~'~ Fee..Z.~..O.....~ ............................................................ (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 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 Y~J~ Rear Depth- -- Height ~'. .... Number of Stories ..~ ......................................... .: ........................................ ./.....;.; ....... Dimensions of ~lp~e. st~Lmc_t~re with alteration~ ~r additions: Front ........... ~~.. Rear ~ ....... Depth ....... ~[{~ht ...~. ......... Num,ber o~Stories ......... ~ ..... 8. Dimensions of entire new construction: Front ........... ~..~..,.'T~ ......... Rear ........ .~..~.....~...~ ........ Depth ...~..~.~.'...~.....~...~... Height ..../.~.. .......... Number of Stories ...................... -'.//-~... ............................................................................... ~ ........ Size of lot: Front ................. ./..~..Z .......................... Rear ....... ./.~..~.. ...................... Depth ...... -~....~......~.. ........... Date of Purchase ........................................................ Name of Former Owner ........................................................ Zone or use district in which premises are situated ............................................................. ~.~. ................................. Does proposed construction violate any zoning law, ordinance or regulation: .......... ;....~. ........................................ Will lot be regroded. .......~/~.~.. ........... Will excess fill be removed from premises: ( ) Yes ('~ No Name of Owner of prem,se,...~.~.?~"~,.~....~'.~.~/~' .~/~-~..../..~ ....... 'ii'dress ~..~/......:l. ............... Phone No ..................... ................. Nome of Architect .............................................................. Address ............................. Hone No ...... Nome of Contractor ~.m..~.t~,.....~/~...~(r... A,~ress .F..qf~.!~..~A.... Pho~ ~o..~. ................. PLOT DIAGRAM Locate clearly and distinctly oil 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. 10; 11. 12. 13. 14. STATE OF NEW Y~/'/.., ~ ¢ c · ~'~- ~ bein deposes and says that he is the opplicom .... ,,~_.j~..,L.,~.;...~.....~..,/.,~,,~ .'~';~,'C, ....................... g duly sworn, (Nome o~ividual signing c~trac~ above name. , He is the .............. .~..;~/f.~.....~/~'.~; .............................................................................................................. ~' '/' (C~r,~ag~t, cor~rate officer, ~c.) of ~id owner or owners, and is duly au~orized to perform or have performed the said work and to ~ke and file this application; t~t all statements contained in this application are true to the best of his knowledge and belief; and tha~ the work will be performed in the manner set fo~h in the application filed therewith. Swam to ~fo~ me this ~ , ~ ................ ........... ........ . f l.. ~'"~~ ......... ~~g n otu r~'~' ;~";pplica nt~"~,~'~ ................. NO~Ry ~U~IC, ~te ~f New YOrk T~rm ~P~'March ~, 19~ ,,. , Il Z Il BA .I I ~7 _l ~hoh~ ~L4" - { ,/ ,/ J ,I I :1 ,/ [4',P~JY--'- ¢',.¢¢t,.'~ _ I¢... ?X [4,1,6' / I I / / 1 JIL~