HomeMy WebLinkAbout8103-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
UPDATED
CERTIFICATE OF OCCUPANCY
No Z-19151
Date JUNE 15, 1990
THIS CERTIFIES that the building
Location of Property 725 TERRY LANE
House No.
County Tax Map No. 100Q Section 65
Subdivision
ONE FAMILY DWELLING
SOUTHOLD, N.Y.
Street Hamlet
Block 1 Lot 17
Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 24, 1975 pursuant to which
Building Permit No. 8103-Z dated JULY 24~ 1975
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate is
issued is oNE FAMILY DWELLING WITH ATTACHED GARAGE & DECK WITH
PORCH BENEATH AS APPLIED FOR.
The certificate is issued to
of the aforesaid building.
PHILIP BARTH
(owner)
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 1/8/76 by R. Villa
UNDERWRITERS CERTIFICATE NO. N-260026 - DEC. 10, 1975
PLUMBERS CERTIFICATION DATED N/A
NOTE: THIS CERTIFICATE OF OCCUPANCY UPDATES C.O. Z-6847 DATED
JANUARY 8, 1976.
~ding Inspector
Rev. 1/81
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
$outhold, N. Y.
Certificate Of Occupancy
No. II68~.~. ..... Date ............. .~.itlltlal~r....l~., 19.
THIS CERTIFIES that the building located at ~5. T~. L~ ........... Street
lot
Map No. ~e~t ~ .... ~locK ~ o ........... Lot No ..... 80~hO~.. ~,,X ~ ............
conforms substantially, to the Applicaion for Building Permit heret0iore filed in this office
dated ........... ~uL~: ·. 2~. ~, 19 ;7~. pursuant to which Building Pe~it No..810~.
dated ............ ~.. 2~., 19.7~, was issued, and conforms to all oi the require-
ments oi the applicable provisions oi the law. The occupancy for which this certificae is
issued is ... P~lvate. O~ .f~mily. awellin~ ....................................
The certificate is issued to ,.. Yt~ilip...Ba~th ..... ~r ...........................
(owner, lessee or ten,t)
of the aforesaid building.
Suffolk County Department of Health Approval . · ~a~: 8. $~6. · .by. R...Filla ......
UNDERWRITERS CERTIFICATE No.., N~0~...Dee..~0. ~5 ..................
HOUSE NUMBER .... 7a5 ...... Street.,..Te~r~ .La~ ..........................
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No..ZJ .fl.c~80 ......... Date ........... 0c.~.aber..6 ........... 198.~.
THIS CERTIFIES that the building., .ADZLITIOE ...................................
Location of Property ,....7.2,5. FRerry..I~a]ae ......... ,-qo~t,h. old .........................
i~ouse No. Street Ham/et
County Tax Map No. 1000 Section .... .0~.~ ....Block .... Ci~, ........ Lot ....... 0d 7' · -'- · - :
Subdivision ............................... Filed Map No ......... Lot No ..............
conforms substantially to the Application for Building Permit heretofore filed in this office dated
.... PI..a.y..9... 2 ......... 198..3. pursuant to which Building Permit No. q..2.3.~.2..Z ...... . ........
dated ....~.a..y..3.'1. ................. 19.8..3, was issued, and conforms to all of the requirements
of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... An Addition to an exis~in~ one £amil~. dwellin~
The certificate is issued to PHILIP & IDTTIE BAR2~I
.................. [o~n'e'r, 'l~'s~de'dr't;t~'n'tJ ......................
of the aforesaid building.
Suffolk County Department of Health Approval .................................. , ......
N~.q.868J
UNDERWRITERS CERTIFICATE NO ...............................................
Rev. 1/81
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N.. Yo
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
No. 8103 Z
Date July.
Permission is hereby granted to:
t,,.~?... ;,.;.......,~.?~.,t,~...., :.',,./..q?.~.$ .z. ,$_r......~:-~ ~.t,..b. ............
Sautho!d
to Buzl¢t new one family dwe±linE
pursuant to application dated ......................... ,J..~:~.,]:.,,~. ....... ?..~. ......... , 19...Z~~, and approved by the
Building Inspector.
....... ............ ............
Building Inspector /
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NEW YORK
765 - 1802
11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
NEW CONSTRUCTION ....... OLD OR PRE-EXISTINC BUILDINC ...... VACANT LAND ........
Location of P~oper~y 725 Terry Lane, Southold New York
HOUSE NO. STREET HAHLRT
Owner o~ Owners of Property Philip Barth
County Tax Map No. IOO0 Section ..~sQOBlock .0L~0~.. Lot ..~12o0Q~.
Subdivision ....................... Filed Hap ........ Lot...~X. .....
CO # Z6847 Date of CO: 1/8/76
Permit No.8[q3~ Date of Permit Applicant Phili~ Barth
Health Dept. Approval .................. Underwriters Approval ..............
Planning Board Approval ................
Request for Temporary Certificate ... Final Certificate X--PLEASE UPDATE
THE CO TO SHOW THAT THE ATTACHED GARAGE AND DECK WITH PORCH BENEATH WERE PART OF THE ORIGINAL
CONSTRUCTION.
Fee Submitted: $... 5~.05 .............
rev. 10/14/88
SURVEYED FOR -
LOCATED AT
LOT
SCALE 1" ~ ~'
SUFFOLK CO TAX MAP DATA
DIST /~ SEC
BLK ~/~ LOT
SUFFOLK COUNTY N Y
FILED
WILLIAM R SIMMONS JR
~ 0 BOX 377
JAMESPORT U t N V
GRiD~'.~'~--~
EMBOSSED SEAL SHALL '0¢ BE CONSIDERED
TO BE A VALID T[~UL CC'PY
=, ~[i [ ~i THE, NEW ,YORK BOARD
;1.! i III ~' ' ' ....... ' BUREAU 'O~"E~I=r~T~ C TY '
Date t' ~tl ~lI
, December, l0 975
II, .;I Phili"- o_;,~-c ,~...:~..,~.-~.,;.,~,_ IlI/S~lrnO,.;~ ~1~ 1~.~1-*'.]1S0,,~61.~ J WI :111::I : ::SI1£
iii
(Name and title of corporate officer)
~ Disapproved a/ ~ .............
APPLICATIOH FOR BUILDING P~IIlMIT
INSTRUCTIONS
a. This application must be completely filled in by typewriter or, in ink and submitted in triplicate to the Building'~
Inspector, with 3 sot~ of pk~s, accurate plot plan to scale. Fee according to schedule.
b. Plot Plan showing location of lot and of buildings on premises, relationship to c~joining premises or public streets o~'~
areas, and giving a detailed description of layout ofpraperty 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 permitrt~,
shall be kept on tho premises available for inspection throughout the work.
e. No bu[!ding shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy
'1
sna I have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the B-dding Department for the ~ssuance of a Budd,ng Perm,t pursuant to the
Building Zone Ordinance of the Town of Southold, DJffOlk County, New York, and other applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions or alterations, or for rqmoval or demolition, as herei.n described.
':.The applicant agrees to comply with all applicable laws, ordinances, bull.cling code, housing cede, and regulations, and to
:~admit authorized inspectors on premises and in buildings for n~iessary inspections.
~ (S1g~b!ure of applicant;'or.,name, if a corpo, ration)
pplicon
i~, S, tate whether al~licant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
...........
...................... ...........................................................
i; .ame of owoer o* p~mises ............ ~..-..~...:;~.....~...~..: .................................................................. : ......................
If applicant is o corporate, signature of duly ou~ori~ed officer.
Plumber's License No .................................................
Electrician's License No .............................................
Other Trade's License No ...............................................
Location of land on whV, b4;m~osed ,work will be~ne. Map No.: .......... ~ ............_.....~.. Lot/~4o....~. .................. ~
Street and Number ..~ ~..~ ......... ~'"~'"'J~i~i~Ji~ ........ :
State existing use and occupancy ~ ~le~ ,n~en~~a.n.~ ~ f proposed const r~ction:
Examined
...... lo 7_.-.
Approved ....Y....:.!......:......~....'.~."iiiiii 19.2.~.-"~rmit No...~.- .............................. Application No. ~...../..~....'~ ...... i .....
3. r~ature of work (check which applicable): New Building.. ..... ,~:~dJtion .................. Alteration ...........
Repair .................. Removal .................. Demolition .................... Other Work .................................................
~.~o~ (Description)
4. Estimated Cost .~......~... ............ Fee ~
..................... ..................
/
5. If dwelling, number of dwelling units ......... ./.........L ....... 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 ....... '/"~"~'/e~' -~_ -~i ............................. Rear ..~..~....~.....O.....rormer t'" ~ner ....... .....~..,..,~.,......Depth ~
10~. Date of Purchase ........ ~.-.~'....~'.~.6~.? ......................... Nam.eo ~.~ .-...~-.%-.-.-.--,.-...-
premisesl
11. Zone or use district in which are situated ....... .Z~..J. .......................................................................................
12. Does proposed construction,,vJolatel/.,~ ~ an~/zoning law, ordinance' or regulation: ...... ./....~.....~... ............. ~.~ .............
13. Will lot be regraded ..... J...~...:... Will exce~s~fill b~_ removed frorjvprem[s~s:[ ). Yes-'-'(//).~N°
14. NameofOwnerofpremi/ses.~...~~Add~.. Phone No~..d.~7....~..~.
Name of Architect ..~ ............................ ~.?.....~ ......... ,z .......... Address ...... Phone No .......................
~1_O1 DIAGRAM
locate clearly and distinctly all buildings, whether e~isting or proposed, and indicate oil .~tJ~:k dimensions from
property lines. ~iYe street and block number or de~ription a~cording to d~'~l, and show street frames and indicate
~hether interior or corner lot. ~...~ ~ ~
................................................................... , ............................. b*ing du~y sworn, deposes ~nd says that he is the opplicam
(Name of individual signing ~ontrac0
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 to the best of his knowledge and belief; anc~
tha~ the work will be performed in the manner set forth in the application filed therewith.
Swam to b~f~ere me this ~.~ ~ / - /~ ~
........ ........ .
,oto , ............................ ......... ..............
// ' JUDIT~ T. ~O~ (Signature of applicant)
~ ~l~J~ State of New
No. ~g~9,6:~ Suffolk County
~ne~ ExpJ~e~ ~arch 30,