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Home My WebLink About9214-z ! ~ FORM NO. 4 T~WN OF SOUTHOLD BUILDING DEPARTMENT Office of the Buildin§ inspector Town Hall Southold, N.Y. Certificnte Of Occupancy No...~12224 ........ Date .... JANU2LgY. 2.6 ................. 19 8A THIS CERTIFIES that the building . .ti .w.e.l.l.i..rig..&..g.r.e.e.n..hp.u.s.e. ..................... Location of Property ...3.5.3.9...C.O~Z..-...~..C.K...Rp... ............ .M__~. ?.T.I.T..U.C.K. ................. House No. Street Hamlet County Tax Map No. 1000 Section .. ].;]..3. ...... Block ..... .3. ........ Lot ....... 3 ..... :. ?:-" Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore ['dod in this office dated ·../5P;g%L. Z8 .......... 197.7.. pursuant to which Building Permit No. 92.1.45.-.-.-..922.5:5 .... dated . ~.R.%L. ~ 19 77 - ~ .................... , wa~ issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... ...F.O.R...A..S.E.A. ~Q.~A.L' .G..U~. $.T..C.Q .T.T.A. qE., .W%..T..H..AN...A.t.t~qb~.~ .gr~.q~b9~ .......... The certificate is issued to BILLY JOE & CATHLEEN CARPENTER ..................... ...................... of the aforesaid building. Suffolk County Department of Health Approval ....N/.~ ................................... UNDERWRITERS CERTIFICATE NO ........... .M/.~. ................................... Bmld~ng Inspector Rev. 1/81 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 duplica'ce to the Building 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 unust natural or tooograohic features. 2.Final approval of Healtl~ 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 ~0uilding~ and instal tions, a certificate of Code compliance from the Architect or Engineer responsible for the buildir 5.Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957i, Non-conforming uses, or buildings ahd '°pre~xistln land uses: I. Accurate survey of peoperty showing all property lines, streets, buildings and unusual natural topographic features. 2. Sworn szatement of owner or previous owner as to use, occupancy and condition of buildings. :3. Oate of any housing code or safety inspection of buildings or premises, or other pertinent infor~ tion required to prepare a certificate. · x C. Fees: 1. Certificate of occupancy $5.00 t ' ~. / 2. Certificate of occupancy on pre-existing dwelling c~r land use ~)/5/$5.00 3. Copy of certificate of occupancy $1.00 [ Date.. January 24, 1984, x /Vacant Land ' New Building Old or Pre-existing Building(Z) Location of Property Cox Neck Road, Mattituck, New york 1195'2 Hou~ No. Street Ham~ Billy Joe Carpenter and Cath~ee~ V. Carpenter Owner or Owners of Property ................. .~-,,. County Tax Map No..1000 Section .... L_13.-.... ...... Block ....3. ..... . . ... Lot~.~.,~,,~.. Suboiv,sion .... ~/.~. ......................... Filed Map'No...N;/.A. ..... Lot No..N../.A ....... Permi£ No..9.2. .1 ~4Z .... Data of Permit 4. ~/.2.8./.7..7..Applicant .B.i..1,17..J. ;..C.a.r.p.e..n.t.e.r.: ......... Health Dept Approval ~/.~ ' Lal~or Dep; Approval ~./~ ' Underwriters Approval .... .N./.~, ................ Planning .Board Approval .N./?. .............. ~. Request for Temporary Certificate F{nai Certificat~ .X. . Fee ~ubmitted S 5.,CL0 ........................ Construction on above described building an. dl~ern~it'mep;t~ al~'appl~cable~cgdes and regulations. . .. -'~ / / , , /, ~ ~, . /-xppllcant ,'... ,~-'.... ;..~'- ~'.' . ........... -. .Bill~ J. Carpenter Re~. 10-10-11 TOWN OF SOUTHOLD BUILDING DEFARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. ¥. Application No..~..?,..!....~'. ........... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Build(, Inspector, with 3 sets of glpns, accurate plot plan to scale. Fee according t(~ schedule. b Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets , areas, and giving a detailed description of layout ofpraperty must be drawn on the diagram which is part of this applicatio, 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 Budding Permit to the applicant. Such perm shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupanc shaJl have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to th Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of buildings, additions or alterations, or for removal or d&molition, os herein closer(bec The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and admit authorized inspectors on premises and ir~ buildings for necessary inspection~ [31gnOtu~ ~ pplicaj~r, or name, I? J rp .......................... (Address of applicclnt) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder OWTIel~ Name of owner of premises ..~..~..]:.,.1.~....,~.~.....C.,.a..?.~.,e..n...~..e.,.~. ................................................................................................... If apphcani is a corporate, signature of duly authorized officer. (Name and htle of corporate officer) Builder's bcense No. self Plumber's License No Electrician's License No. ~el~ Other Trode's License No....~...e..1..~ .................................. Street and Number Cox-Neck Rd., ~attituck MunicipaJJ~ State existing use and occupancy of premises and intended use and ~cupancy of proposed construction' a Exmitmg use and ~cupancy ..... ~,~.~.~.~,~...~.~.~.~ ............................................................................... b. Intended use and occupancy ~e~o~[ 3 Nature of work (check which applicable). New Building ................ Add,hah ....~. ............. Alteration .............. Repmr ................ Removal .................. Demohhon ............. Other Work ............................................... (Description) 4 Estimated Cost $8,000 ........ Fee c~"-~ (to be pa~d on filing this application) orte -- - .5 If dwelhng0 number of dwelhng umts .......................... Number of dwelling un,ts on each floor ........................ no garage if garage, number of cars ......................................................................................................................... 6. If business, commercial or m~xed occupancy, specify nature and extent of each type of use ......................... 7 Dimensions of ex,st,ng structures, ,f any Front ..... ~ ..8....~..~... ...... Rear .....~...8....~..~.: .............. Depth ~.0.....~..~.... ...... Height I[ ft. Number of Stones one Dlmens,ons of structure with alterations or addJt,ons' Front 20 ft, Rear 20 ftc ~a. me 46 f 10 ft, oue Depth .............................. Height ....................... Number of ~tones .............................. 8 Dn'nens,ons of ent,re new construction' Front ............................... Rear ............................ Depth ..................... Height ................ Number of Stones ...................................................................................................... 9 Size of lot' Front 206 ft. Rear 225 ft. Depth 189 ft. 10 Date of Purchase Sept. 1971 .... Name of Former Owner ltl. Pausewatn_g 11 Zone or use distr,ct in which prem,ses are s,tuated Residential 12 Does proposed construct,on wolate any zoning law, ordinance or regulation' ...~..o. ............................................ 13 Wdl lot be regraded ....~..e.~. ................. Wdl excess fill be removed from premises. ( ) Yes (x) No 14 Name of Owner of prem,ses Bill~'. J' Ca.v!q. enter Address Cox-Neck Rd,, PhoneNo298 9667 ................................................. ~'~ ~'~ T'~'~ ~i~'" ~':t"~) ~' ................... Name of Architect ............................................. Address ................................ 'Phone No ................... Name of Contractor ........................................... Address ................................ Phone No ................... PLOT DIAGRAM Locate clearly and all buildings, whether ex~sting or proposed, and red,cate all set-back dimens,ons fr~ ~ock number or description according to deed, and show street names and indic property hnes Gwe ~er interior or lot STATE ~ NEW YORK, ~. ~ ¢ c ........ :~...../..J.J %%,.~-. ~--~- ~ COU..L't~t?~.~__~. ~ J.-....~~.~.)(~.... ........ be,rig duly sworn, deposes~ and says that he,s the apph (Name of md,vidual s,grfing contrac ) ~ ~ above named. He ,s the .................. ..~.....sr~d.....~....~.. ~. ....................................................................................................................... (Contractor, agent, corporate officer, etc.) of sa~d owner or owners, end ~s duly authorized to perform or have performed the sa~d work and to make ant th~s opphcat~on; that all statements contained in this opphcaticrn are true to the best of his knowledge and behef. tha~ the work wdt be performed in the manner set forth m the apphcation filed therewith/~"~ Sworn to before me this __ /7 / / // ......... ..... .... ........... Notary Public, .....-~..~.../..~---~.....~.....~ ............ County ..~~.~...' ......... ~~ ...................... / /s (S~gnatu of applicant) t*qtLIAM F, BL,:l~t,t itu/r~l' of applicant) f o r~erly G & YOUNG W. Pau$~wang ~ no~ or formerly C~rpenter ,, ?0 THIS SURVEY IS A VlO~TION OF SECTION 7209 OF THE NEW YO~ STAT~