HomeMy WebLinkAbout9413-zFOIL~ NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No.. Z8927 ..... Date .. Februa.l~y ..... 9 .......... , 19.78
THIS CERTIFIES that the building located at . 1~0 .l~la.~ine. -P. liee ........ Street
Map No. 3~21 ....... Block No ........... Lot No ...... 1~ ..........................
conforms substantially to the Application for Building Permit heretofore filed in this office
dated ...Augtls~c ..... 18 ....., 19..7? pursuant to which Building Permit No .... 91~l.~.Z
dated ...AUt~Ust ..... 18 ..... , 19.77., 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 . .Pt.tl.V. ag.E. ONE. F.ANIL.~..9~LLtI~IG ......................................
The certificate is issued to ...... Ro. bel-t. ~. }la~.gal'e.t .Salarl~ .......................
(owner, ~~)
of the aforesaid building.
Suffolk County Department of Health Approval ...... .7.. $0. .... .ti6 ...............
UNDERWRITERS CERTIFICATE No ..... ~37.23Y3 ................................
HOUSE NUMBER .... 190 ....... Street ..... .Na,;[.rle.. ]p~..a. qe. ......................
........................................... .qr .e.~.n.p..o?.t.~...N :.Y.~ ..................
Building Inspector
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE P~,EMISES UNTIL FEILL
COMPLETION OF THE WORK AUTHORIZED)
N? 9413 Z
Permission is hereby granted to:
..8.::~.~.~.~..~..C.~e...d.a.:...~.~./.~.?.~?...~Z.~.e.~.~.A"/...C...~..R..~.bt & Margaret
B 888 Southamp. ton N.Y.
Sarma
at premises located at ...LQ.~....~....Q~I,.e~Y.P.~q...?.~...p.?:.9...~.~ ...........................................................
.~l:~nC r~.~ee ($reenp. ort
pursuant to application dated ............................ A.~'.~..-...1..~- ........... , 19..~?.., and approved by the
Building Inspector.
Fee $...~ ~.~.~. .........
FOBM NO. 6
TOWN OF SOUTHOLD
Building Depmtment
Town Clerks Office
$outhold, N. Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted in triplicate 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--IS-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 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey aT 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. 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
3, Copy of certificate of occupancy $1.00
$5.00
Dote ....t ............ ~../. .....................
New Building ....~.~.~. ........... Old or Pre-existing Building ................ '~. ........... Vacant Land ............ ~,,..i ..........
Owner Or ~ners Of Prope~y . ..~.~. ~.~.~ ~.~
Su~ivisio, C~5~ ~1~ ~c ~ Lot No ..~.~. Block No = House No...-- o
................................. ...... ..... _ .... . ....
Permit No..~.~.~.... Date Of Permit~.~...ZZAppllcant ~:.~:~...~.~..~?~. ~.
.............. · ~//asa
Health Dept. Approval .~.~.IL~. ...... ~.Z~.Z~..Labor Dept. Approval ..............................................
Underwriters Approval ..~.~..7~..~.~ ................ Planning Board ~proval ........................................
Request For Tempora~ Ceaificate ........................................ Final Certificate ....................................
aa
Fee Submitted $ ...~.~ ...................
Construction ~ above described building and~,meets.~ ~'~~all ~icable c~es~and regulati~s.
.......... .......................
(stamp or seal)
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
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 Inspec-
tor 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-iS-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 installa-
tions, 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-exlsr. ing"
land uses:
1. Accurate survey of peoperty showing all property lines, streets, buildings and unusual natural or
topographic featu'res.
· 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 informa-
tion 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
Date December 28, 198.1
New Building ......... Old or Pre-existing Building '.~, · Vacant Land .............
190 Marine Place East Marion
Locatio, of Property ...................................................................
House No. Street Hamlet
Owner or Owners of Property ...~.O.~.E. ,~?. ?.=..S.A,~.~..A..a.q .d..i~..I~..G.A.R.~.~...L....S..A.N.N.A. ~ . ~.i,s..~_~.~ .
County Tax Map No 1000 Section 3_5 Block ,6 ...... Lot ..... ~5 .....
' .3.521 Lot No L~.4
Subdivision ............................. ....FiledMapNo. . ........... . ...... . .
Permit No ........... Date of Permit .......... Applicant .... ~ .............................
Health Dept. Approval ........................ Labor Dept. Approval ........................
Underwriters Approval ........................ Planning Board Approval ......................
Request for Temporary Certificate ..................... Final Certificate .......................
Fee Submitted $....1...0. 0 ..................... ,/~/" , /~
Construction on above described building and permit m~2~l/~~-~';(~e~ and regulations.
Applicant ..... ~ ......... ?,,.~ ....¢ ............................
,o~.m-~o.?a ROBERT E. CURTIS and SIRKKA-LIISA CURTIS
BY: ROE, CARMAN, LCERKE, BERKiMAN & PEDDY, P.C.
~ .
'.' ' J~nuarv ,18, 1978
'
12 36 23 I2'
51~RV1C~ DI$CON~
1~9~e ~,1 Thomas
11'4 Peconid~ ,Ave-/
Ned'ford, t.l'~'
APFUCATION ~ ~UILDING I~RMIT ~
INSTRUCTIONS
a. This application must IN completely filled in by .typ~_v/ri~t~r,. or. in ink ~ ~.d~mitted in triplicate to the Building
b. at p, a.n ~ho~v~_l._ng.,_ ~ ,~ ?~.~ ~a~.'of bu!~ on premi~is,.relatkm~hip to adjo!ning premises or public streets o,
areas, and giving a eeta~secl ~ et .layout ofpraperly mmrbe~drawn o~ the dial~mm which is part of this appliCation.
c. TL-te work c~ered by ~ ~applieatk~ ma~ not be commenced before issuance of Building Permit.
d.. U.pon app .r~d...o.f~ff~l ~, the. Building I~tor will issue a Building Permit to the applicant. Such permit
shall be Impt on me premises available for iml:mctlan th~ file work.
e..No,building shel!.be ~or reed in whole or in part for any purpose whatever until a Certificate of Occupancy
shall nave oeen gmntea Dy me ouilding Inspector.
~.h~eU_,u_~_,,..~? jar me c.onstrucn, on o..t, I>u,~,~amg~,: ,a~??m or altermmns, or mr re .mov~ or demolition, as herein descr bed
.e .a. pp~l.c, an.t a~,r.~ t'o.comply wire .al~ app!~c.a?e., ..m~, .mdlnances, building code, Ftousing code, and regulations, and to
aamlt aumonzea inspectors on pmm~ses ariel In mam!ng~ tar el~.p~a, ry imp~lon~, i ,.~ c~.
.-. (SI _ana_tur* O~ae~e6nt, or name,q~ a comoration)
applicant)
State whether applicant is owner, lessee, agent, amhitect, ~ngineer, general contractor, electrician, p umber or builder
Builders License No....:~..~.~..~. .................................... - , : ,~- _
Other Trode's License 1%1o..~ ....................................... /'~ ~ .~- F,- ~ ,/Y*Z~/~-':~c- ?-_~o- M ~
w,. be ~a .o $$2/ ~
1. Lnca,on o~ ~ond ~ ,~, ,~.p_r~o~ ,~ ' do~. P .** ..._*...:....: ........ ,....: ............ .Lot ~,.'~.
Street and Number ~~..~.~'~.~--.....C~.g~*.~*.~.~.~.~...~.~*~.*`~>-..~..~:~.G~::~I
2.State existing use and occupancy of premises and intended use ~nd'oc~upanc¥ of proposed construction:
a. isiting .and ....... .......................................................................
b. ,n.dedu. ondoc ...... ........... , .............................
3. Nature of work (check which applicable): New Building~:~..,..~ ...... Addition .................. Alteration .................
Repair .................. Removal .................. Demolition.....;..,,.,.;:.... Other Work ................................................ . ....
! / ~-/30 ~) ~------.' Z ~ ~ (Description)
4. Estimated Cost .............. ..'~.....~....~. ................ , ........ ;..;.....Fee ...u~....;C.. .................................................................................
: (to be paid on filing this application)
5. If dwell!ng, number of dwelling units .......... '~. ................ Number of dwelling units on each floor .......... ~ .................
If garage, number of cars ...........J ................................................................................................................................
6. If business, commercial or mixed occupancy, sp,ecify nature and extent of each type of use ....~[~J ................
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
I .....................
8. Dimensions of entire new construction: Front ........ ~..~.....~ .................. Rear ........ ~...~.. ........... Depth .....~..'7, ............
Height .....,~...~. ........ Number of Stories .............I.~.~.,.. ................. ~ ......... r ................................................. ~ ............
....... IZO,O Rear
Date of Purchase ..~d.~'~..~t.~.~.~....-/. ...................... Name of Former Owner ~...~.t.l~/m~/~,..J~.l~.,/;~, ............
Zone or use district in which premises are situated ..................................................... .~.~ ............................................
Does proposed constru.ction violgte, any zoning law, ordinance or regulation: ......... I~1..O. ..........................................
Will lot be regraded ....~r, dl~ ........... Will excess fill
( )No
be removed.fro~pe~ses~(~) Yes . [i.84..c).109.
Name of Owner of pre~le~l~ii~.a..i~.~.a~, ............................ ~ .~.,~o~ r~o. .....................
Name of Architect '"'~..*.?...'..~...'...~.-~t......~..~...~..~..-~.....~;.G.a Addre.~
~k~ ,az&&~oo28a_a~2~
..... ~.D.~. Oed~ Bld~s,~nc ~ ~ss .......,........... ............. ~No ................
~ame ot uomrcctor ............................................................ A re ~0 BOX ~ ~ ~ ~...~ .
Bo~t~pton,~Y
PLOT DIAG~M
L~ate clearly and distinctly all buildings, whether existing or proposed, and indica~ all ~t~k dimensions from
names and indicate
10.
11.
12.
13.
14.
property lines. Give street and block number or description according t_o deed, and sh°w street
whether interior or corner lot.
STATE OF NE'V~YORK. ~ c c
COU~L..T'~' OF .m~l.~.,~..~.l,,~ ......... )' "'"
....... .....................................
-- ... e. (Name. of .individual signing contracf) ·
duly sworn, deposes a says that
he is the applicam
above named. ~0
He is the ............................................ ~...~ ...........................................................................................................
(Contrac'tor< agent, corporate officer, etc.)
of said owner or owners, and is duly authorized rio per~orm or have performed the said work and to make and file
th s application; that all statements contairupd in this application are true to the best of his knowledge and belief; and
thaz the work will be performed in the manr~r set forth in the application filed therewith.
Swam to before me this I ' ~t~.~
..... ...... ..... ..................
Notary Public, . ...... .~I.~..~I[I.L,,I(~,..../c) .............. County ....... ~ · .-- ................
C~i ¢It~R~L ~.,~~ (Signature of applicant)
~o~r.A. eYZu~uc, Stot~ of New v~
· =2-4,~D021-QuaL In Suffolk Co.
I!
:?
///
't
O'
POll AI~PROVAL OF CO~'PRUC~JON ONLY
(/'/-I~" THE WA~ IMPLY AND ~A~
~"~')~ DATE: DII~L