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Home My WebLink About9599-zTOWN OF $OUTItOLD BUILDIN(I DEPART~RNT Town Clerk's Office $outhold, N. Y. Certificate Of Occupancy No. Z.C)t~0./~ ... Date .............. ./~. ?..~.~. .... .~.., lg~..~. THIS CERTIFIES that the building located at ~.~.0. [.'3..1,.~...N.t?..~'....]~..~?... Street Map No... ~. t~. ¥. F" Block No ........... Lot No .... ~. ............................ conforms substantially to the Application for Building Permit heretofore filed in tJais office dated ..........-I~.-~....~'~., 197.']. pursuant to which Building Permit No..~..ff. ?.?.~'~ dated ..........~]~d ....~'t', mW.7., was issued, and conforms to all of the requL~e- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is ..~....t~ t ~t.A .-T.[ ..... 0~/.E.... g~/'~; ~,'.~'.... D~q-~ .~.q! .r,J..~. .............. The certificate is issued to ..~T~ V.h ,~/.- .~....~. t.~.O.l.~.l.~.....~! .~..~..q ?..~..~..B..~. ..... (owner, l~r/t, etami~ of the aforesaid building. Suffolk County Department of Health Approval . ./Y/0.. ¥...~.. ?..7..~. Y" .~....~...7.-.~°. ~ .,.,~ um~,~WmT~,as CSRT~'IC,~ ~o .... ~.. $. g..~..~..9.~] ........................ HOUSE NUMBER ...... 5.6.0. Street ......... .~.! .?.~.~.....~/..~..~.~.....~.~..~..~. .... .................................................... ¢~..-r..c.. ~ £..~. ~ .~; ....... Building l~spector TOWN OF SOUTHOLD IUIL~ING DEPARTMENT TOWN CLERK'S OFlilCE ~OIJTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PI~EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 9599 Z Permission is hereby granted to: ....~..~.~._.......~.~~......~ ~ ~o. ~...~ ~~";'iiii'i~. ............ pursuant to application dated ............................... ~..~...~.../...., 19...~.~, and aPProved by the Building Impector. Fee $.._~...~ ..........'~'?-. .... ~~.~.~.~.~~' "~-~'~ - ...... 5¥~ ........... Building Inspector FOF,3i NO. 6 TOWN OF $OUTHOLD , Building 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: I. 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. B. For existing buildings (prior to April ]9,57), Non-conforming uses, or buildings and 'pre-ex'sting" land uses: ]. Accurate survey.of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner os 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 Date .......... ~ ............................... J New B~ilding ..... .~... ...... Addition ................ Old or Pre-existing Building ................ Vacant Land .............. Location Of Property ..... .~'.?.....~../...7'~.~/~/~...../?.~.~..~...~?......~...1~.,......~.~..~.......,~.~..~.../~'..~t,~...~ZL Owner Or Owners Of Property .....~..'.~...~..~.~F.....~....~/.~(.~...(~(,~f./~.....,~,~...~../~/~.~ ............. Subdivision .~/.~.7...~Z'~Z../'u~.~.~.~...,~:/,~/..~.~.~/.~,~.~..Lot No...../.~...... Block No ............. House No ............. Permit No...~...~..~..c~..... Date Of Permit/.~ .//./~./../.'~.~.AppJicont ........ Health Dept Approve .~..'~...~.. ~...1~. ...... Labor.Dept. Approval ..................................... / ........... Underwriters Approval ,.~BIII[~I~IIII~ ................. Plart~ing Board Approval ........................................ Request For Temporary Certificate ........................................ Fincd Certificate ........ ...~..~.-~.. Fee Submitted $ ......... ~o..~.... ........... Construction on above described building and permit meets~le codes and regu at OhS Sworn to before me this ................ day of ............................................ Notary Public .................................... County (stamp or sea!) THE NEW YORK BOARD OF FIRE UNDERWRITERS pm BU~AU OF ELECTRICITY ~- 85 JOHN STREET, NEW YORK. NEW YORK 10038 ,~,, ;,pr. tx xg. 't;18 .,,.,,,,c.,o. No.o.~,. 95~6~.o N382904 THIS CERTIFIES THAT ate~e M~z~ua~dtS n/s LIt~Xe Neok Rd. ~00 v/o Eugene D~o, Cutehoa;ue, FIXTURE 18 ~10 20 18 DRYERS PUEN&e= MOTORS DISH WASH~IS EXHAUST FANS I~El14RS TIME CLOCKS UNIT HEAtlES MLqJI.OUTtlT E)NI4M~RS SYSIIMS NO. 41~ NaT ~R~CEmSCONNECT S E R V I C E 1 1/0 1/o [,lo.733 ~* This certificate must not be altered in any m~nner; return to the office of the Board if incorrect~ Inspectors be COPY ~ BUILDI~ DiPAIITMIMT. ~ COPY OF. CBRYII'ICAT, : BUILDING DEPARTMENT/ ..... / ~ ~ERK'S ~FI~ ~ ~'~ .~ ........ ....... ....................................................... Di~pprov~ a/c ........... ~ .................... ~ ............... ~ ........... ~ ~,, ,~ ..................... ......... .............................. "7 .................. APPU~ FOR BUILDI~ PE~IT ' ~te .~.~C~..~i., ................. , 19...~....° INSTRU~IONS o. Thi~ ~pplicotion mu~t b~ compl~l~ fill~ in by ~p~writ~r o~ in ink ~nd ~mi~ In~p~or, ~ith ~ ~t* o~ plum, ~umt~ pl~ plan ~ ~1~. ~ ~eco~in~ to b. Plot plan ~howin~ I~ation of lot ond o{ buHdino~ on pr~mi~*, relationship to ~dloinin~ premise~ or public oreos, ~nd oivin~ a d~t~il~ d~ription o{ I~ou~ o{pr~ mu~t be drown on th~ dio~mm which c. Th~ work cowr~d by thi~ ~lic~tion m~ n~ ~ commencnd b~or~ i~uonce d. Upon ~pprov~l o{ this ~pp~ic~tion, ~ Buildin~ In~ctor will i*~u~ o Buildin~ ~rmit ~hall b~ k~pt on the pr~mls*~ ovail~bl* {or in~p~tion throuoh~t ~h* work. e. ~o buildin~ ~h~ll b~ ~eupi~d or u~d in whol~ or in pa~ for on~ pu~ose wh~*ver until shall have been granted by the Building Inspector. APPLICATION IS HEREBY ~DE to the Building Department for the issuance of a Building Permit pu~uont to the Building Zone Ordinance of the Town of ~thold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the constru~ion of buildings, additions or alterations, or for removal or demolition, os herein described. The applicant agrees to comply with all applicable la~, ordinances, building c~, housi~ c~e, and r~ulati~s, and to admit authorized inspectom on promises a~ in buildings ~r n~e~a~ i~tions. S~-Ark Const~ctionInc~ (Signature of applicant, or ~me, if a co~omtion) ~A Celverton W~.emoton Rd., Celverton (Address of applicant) State whether applicant Js owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ...................... ~ld.e~ ............................................................................................................................................................ ~ame of owner of premises Steven & Virgini~ Nerqusrdt If applicant is a corporate, signature of duly authorized officer. Secretary & Treesure~ (Name and title of corporate officer) Builder's License No ..................................................... Plumber's License No...?...8..~......~......i ........................... Electrician's License No .... ~.5.Q..~. ............................ / O~O - ~V- -7- ~,~/ Other Trode's License No ............................................... Location of land on which proposed work will be done. Mop No..~,~..~.~.l..,e...~..c.~...~.?,.o.,P.... Lot No....~,...4. .............. Number .Liit;~Le..Ne.ck..i[Qs.de...~e~zl.d,~......~.~. ............ :~ o.~.th D~I ~1, ..... Street and Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: o. ExisitJng use and occupancy ..V~t~,azL'J;.."~f~rL~' .................................................. One Family Residence b. Intended use and occupancy ................ ~ ............................................................................................................... 3. Nature of work (check which applicable): New Building.. ...... .~. ......... Addition .................. Alteration ................ Repair .................. Removal .................. Demolition .................... Other Work ..................................................... r -~ ~..o~, _ ~,~__0 (Description) 4. Estimated Cost .......... ~z...~;~.~.~2.~.?...'. ....................... Fee .......................................................................................... (to be paid on filing this application) oz~ one 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 ............................ 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 ..~.9.~ ........................... Rear ...... ..~cp.! ............... Depth ....2.6.?. ............. tWO Height..........24 .......... t, Number of Stories ...................................................................................................................... ' 1~0' 286' ~ 9. Size of lot: Front ........ ..~..~,~. ........................................ Rear ......................................... Depth ................................ 10. Date of Purchase ........ 12.~.2~/..~.7 ............................ Name of Former Owner ....P...~....~..e~.'~ur.e~..,Iz!.c ............. 11. Zone or use district in which premises are situated ..................................................................................................... ]2. Does proposed construction violate any zoning Iow, ordinance or regulation: ................ ~.O. ................................... 13. Will lot be regraded ...y.,e..~. ................. Will excess fill be removed from premises: ( ) Yes ~ ) No 2 8-5 80 14. Name of Owner of premises .....~...~..e...~..e...~.....~.fl?..?.z.~..~..~...'~. ........ Address~..~,~L...A..~....e.a ...........Phone No. ;.~ ........ ~. ........ .... ~ul j.Stei~ez Seldou Ixlome o1' /~rcnitect .............................................................. Address ................................ Phone No. 3553 Nome of Contractor ..~]X~..-.~.~...~.0.D~q..~.LO. JL~,.q,zl..~22~Address ..~.a%~.e.~.~f~D. ........ Phone No. ~¢.~.-..~..2.'..0.3... ~65-1882 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, COUNTY OF ................................ ...................... ~fl~!..~....~fl~.¢. ..................................... being duly sworn, deposes and says that he is the applicam (Name of individual signing contracf) above named. (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 ore true to the best of his knowledge and belief; and tha~ the work will be performed in the manner set forth in the application flied therewith. Sworn to before me this Ilo. 52,4643721 Suffolk Cou~ [xp res March 30, LITTLE "VACANT" .~, 14 °06 '37"~' /40. O0 ' ' ,44/4 °06 ' ~ 7 /40,0o "THE COzWMONS AND OMEN "VACANT" ~OAD ~ DATUM ASSUMED NEARE.~ T ~NAT'~I~ ~AIN IN EXCESS SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES FOR APPROVAL OF CONS~IffUCTION ONLY AP ROVED__ __ . _ THE WATER SUPPLY & SEWAGE DISPOSAL FOR THIS RESIDENCE WILL CONFORM TO THE STAND- ARDS OF THE SUFFOLK COUNTY DER . OF HE~)TH SE VICES~__ _H~ JOB, NO 77-~4~ FILE NO.LITTIEN~'CI4 SURVEYED FOR: STE~/EN, MAP OF ZITTLE NgCK P~OPERTIE~ TOW~ O~ ~OUTHO~D-~UFFOL~ GUARAA~TEED ONLY TO $OUTIfOLD ,gAVING.~ BANK E6~UITY ASSTA~ACT /NC. ,STEYEN P, d VIt~GIZVI,4 A. JWAR(~MABDT HAROLD F. TRANCHON JR N.Y. LIC. NO. 048992 PENN LIC NO. 21115- E F~OOK NO. PAGE HAROLD F. TRANCHON JR PC LAND SURVEYOR SUCCESSOR TO WILLIAM G, MEIER NORTH COUNTRY ROAD- WADING RIVER NEW YORK 11792 (516) 929~4¢a95 ALT. 473-3626 "VACANT" LITTLE /~ /4 °o6 '~a 7 /40,00' COIV}MONS ~NZ~ OPEAI SPACE" "VACANT" 9WE'L~ UNDE~R, CoN,ST. SUFFOLK COUNTY DFPARTMENT OF HEALTH SERVICES FOR APPR©VAL OF CONSTRUCTION ONLY DATE. .HS REF APPROVED THE WATER SUPPLY & SEWAGE DISPOSAL FOR THIS RESIDENCE WILL CONFORM TO THE STAND- ARDS OF THE SUFFOLK COUNTY DEPT OF HEALTH SERVICES NAME ADDRESS TELEPHONE GUARAAtTg'£D OA/Zy 7-0 SOUTPIOLD ~AVING5 ~gAIVI< USZ/,~£ T/FAA- //VSU/FANCE CO/~PANY ~TEI/EAI P. ~ I/IRGI/VI.,,7 ~. ,4/IARECU~RDT 4AROLD E TRANCHON JR NY LIC. NO. 048992 PENN LAC NO 21!15- E JOB NO. 77-64q FILE NOZITT/.EN~C/4 P,'q O PER T/£ SURVEYED FOR: STEVE'IVY. Yl///PG/YV/A A LOT NO 4 MAP OF ZITTZE /VEc~ PROPE, A~TIE5 SITUATED AT TOWN OF ,¢OO'7'-HO/.D -..S'UF, rO/A'' COUNT~ /V)< SCALE 1" = 50' DATE FIL~D MAp NO. ~o,~ DATE FSOOK NO. PAGE HAROLD ~ TRANCHON JR. PC LAND SURVEYOR SUCCESSOR TO WILLIAM G MEIER NORTH COUNTRI:' ROAD- WADING RIVER NEW ,YORK 11792 (516) 929-4695 ALT. 473-3626 · , i 1,~11) , f