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Home My WebLink About9317-zTOWN OF $OUTHOI.r~ BUII,DING DEPARTME, NT Town Clerk's Office Southold, N. Y. Certificate Of Occupency No...~. 9~1 · · · Date ........... Auq.ust. 9., ..... , 197 8.. THIS CERTIFIES that the building located at . 3575. Hor.~;on6 .Lane ...... ~]/I]~g~iX Map No .... X.Y,X ..... Block No ...... .xxxLot No ..... xxxx .XX ...................... confo~-i~s substantially to the Application for Building Permit heretofore fi/ed in this office dated ........ June. 20., .... , 19.77. pursuant to which Building Permit No. 93.175.. dated ........ June. 2D.r ..... , 19~7.., was issued, and confox-ins to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is . .PR.IVATE .ONE. FAMILY/.DW~-?.LING ..................................... 'I"ne certificate is issued to . WVV.LIAM .F .. S2J.~4Olq ............................. (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval luly..3, 197.8 ...... 7.-S.~-.83 ....... UNDERWRITERS CERTIFICATE No .... N37~1680 ................................. HOUSE NUMBER . .3575 ...... Street . . Ho~:~6~/..Lan~.,..SoRth~rl~ .Ne~..York . FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTH'OLD, N,. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 9317 Z Date ......................................................... 19......:. Permission is hereby granted to: William & Darline Salmon .........................................................:...................... Southold .....................................................................:.......... ................................................................................ build new on(? family dwelling to ........... ......................................................................................................................... ................ ................................................................................................................................................................. at premises located at ..WI.C'...Hgrtol �+a1 ............................... .......................................................AQjttihpld..... ................................................................................ ................................................................................................................................................................... pursuant to application dated ........................°'�........20................, 19?7.., and approved by the Building Inspector. Fee s.64t.79.......... . .................................................. .......... Building Inspector TOWN OF $OUTHOLD Building Deportment Town Clerks Office Southold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY I n structions A. This application must be fdled in typewriter OR ink., and submitted in triplicate to the Building Inspector w~th 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 cerhficate of Code comphance from the Architect or Engineer responsible for the building. §. Submit Planmng Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to Aprd 1957), Non-conforming uses, or buddings 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. Date of any housing code or safety inspechon 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 dwelhng or land use $5.00 ,3. Copy of certificate of occupancy $1.00 Date ...... . .~...-.~..~'.~..~.. ......................... New Building ..... . ..~... ........ Old or Pre-existing Building ............................ Vacant Land ............................ Location Of Property ..~.~..~..~...~./~9~ ....... ..//~..~.~..~..~.~....,~....~......~..~..~..~....~..£.../,.~.. ........................................ Owner Or Owners Of Property ...... ~...42... ........ .~.......~..~.....,..~...(..~...~.. ........ .....~./~../.../~....o....~.. ......................................... Subdivision ................................................................ Lot No ............. Block No ............. House No ............. Permit No...~.../.~..~... ..... Date Of Permit ~'..'.~..0...'.~.7.....Applicant ....~'..,~.~.~.. ............................................... Health Dept. Approval ................ ~ ....................... Labor Dept. Approval ................................................ Underwriters Approval .............. .../... .......................... Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Final Certificate ................ .~ ................... Fee Submitted $ ...... ...~. ;...e.~./..x..~. ............... Construction on above described building and permit meets all applicable codes and regulations. · ................................... Sworn to before me this ................ dayof ............................................ (stamporseal) ///~ Notary Public .................................... County TOWN OF SOUTHOLD Building Inspector's Office Town Clerk Building Southold, N, Y. 765-2660 TOWN OF SOUTHOLD Building Inspector's Office Town Clerk Building Southold, N.Y. 765-2660 !//~'/7 ~ THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ! 85 JOHN STREET. NEW YORK. NEW YORK 10038 ,a,.. Ja,uary 30, w978 ~,,~.,,~.,o.~¢,,~ ~,~ :~N 373880 THIS CERTIFIES THAT William Salmon, Horton's Lane, North Road & Soundview Ave.,South~ld,- L.I. m thefoltowmg location; ~ Basement ~ Ist FI. ~ 2nd Fl. 0 U t S I d e ~t~,,, at~ was examined on January 26. 1978 and found to be ln coznptlnnce with the requlremenrz of th~ H~rd. nXTURE LE~..T .....I ...~T .... I eXTURES i eAN~Es iCOOK,~OOECKS f OVE.~S . JmS~ WASa~RSl EXHaU~ ~A~ DRYERS FURNACE ~O~O~S mTU.~ a~mA~C~ ~O~.S S.~*~[.tC'~*j ~C[OC~S i ~tt U~* HEATERS 1 gUL/I-OUTtET ~ DIMMERS -- '[ [ I' ' ~j ~TRANS ~~ ~STE~S ~ * I ~l ~ ].~ ~' [ SERVICE DISCONNE~ ~NO. OF I S E , R V I C ~ 'E ....... I OTHER APPARATUS: I G.FoC. ! . i 10 AMP Vacuum Unit Richard D. Gwydir Vanston Road 1Ths Cutchogue, N.Y. 11935 Lie. 2002 GI~NERAL/V~N~ cerhflcote must not be oltered in any manner, return to the of{ice of the ~oard ,f incorrect Inspectors may be ,dentff~ed by~e~r credentlols. TOWN OF SOUTHOLD /,~ BUILDING DEPARTMENT_,~j~ _ TOWN CLERK'S OFFICE (/"~ $OUTHOLD, H. Y.,,~"~' .... .................. ........ , ~oprovec~ ........................................ , I'~ ........ ~errntt r~o ........................ .~ ......... D,sapproved a/c ............... ..~.-~.,.a.~ ............................. ~ ............ ;..?.~5~ ......................... (Building nspector) / Date INSTRUCTIONS a. This application must be completely filled in by typewriter or' in ink and submitted in triplicate to the Buildi[ Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing Iocahon of lot and of braidings on premises, relationship to adloining premises or pubhc streets, areas, and giving a detailed description of layout ofproperty must be drawn on the diagram which is part of this applicatio. c. The work covered by this apphcation may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will ~ssue a Building 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 Jn part for any purpose whatever until a Certificate of Occupan, shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of o Building Permit pursuant to t} Budding 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 demolition, as herein describe. The apphcant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and admit authorized inspectors on premises and in buildings for necessary inspections. (Signature of applicant, or name, if a corporation) ..... (Address or appdcantI State whether apphcant is owner, lessee, agent, architect, engineer, general contractor, electricmn, plumber or bu,lde .......... ................................................................................................................................................. Name of owner of premises ..~. ~.:..~....~..Z.:~ ..... ..~.......~./~.....~...~..(:...'~.....~.......~..r~......~....,~?..~.~ .............................. If applicant ~s a co~orate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ..................................................... Plumber's License No ................................................. Electrician's License ~ro..g....?~..~.~...: .................... Other Trade's License No ............................................... Location of land an which proposed work will be done. M~p No .................................... Lot No ...................... Street and Number ...................,Z~..~..~...~....O....~:~.....~.....~--~.~...~T... ....................... ..'~....~....q~..~..~....d..C<. .................... Municipality State existing use and occupanc~ of premises and intended use and occupancy of proposed construction: a Exisiting use and occupancy ....... ~..~.~...7..¢...~...../.. (. ( ..c.;~.. ~'.~. ~Z.~ .................. b. Intended use and occupancy 3 Nature of work (check which oppllcable) New Building ..... .V........ Addition ................. Alteration ............... Repair ................ Removal .................. Demohhor ............ Other Work ................................................. ~...~....~.~ (_.ac( 7cO~ (Description) 4 Estimated Cost ..................... .~....~....(~).. ................... Fee ................................................................................... (to be prod on fihng th~s applicahon) 5 If dwelling, number of dwelhng units . .~2...~...~_.. .... Number of dwelling umts on each floor .......................... If garage, number of cars .... ~ ............. 6. If bus~ness, commercial or m~xed occupancy, specify nature and extent of each type of use .......................... 7 D~mens~ons of ex~stmg structures, ~f any Front ...................... Rear ................................Depth .................... Height ....................... Number of Stones ............................................................................................................ D,mens,ons of same structure w,th alterat,ons or add,r,ons Front ........ ..'~JJ~...~. .......... Rear ....-~.....~. .... Depth .- ~-'~ ~.~ .... Height ....................... Number of Stories ............................... - i I i~lj 8 D,mens,ons of entire new construct,on Front ....... .~..~... .................. Rear ...... ~.~.-. ........... Depth.."~...~.....~..[ .... Height ............... Number of Stories ...... /. ................................................ d ................................ ~ ............... 9. S,ze of lot Front .... ../..~.~.....f. ......................... Rear .../...~...~...~..~.~.. ............ Depth .?.....'-~..~... .~ c,J ~ ~-c,' ~ ,~.' ~ c'g';g'L~';~' ..... 10 Date of Purchase ..~.....~...~.., .... ../.c~.. ...... ~. .............. Name of Former Owner ..z.,,J ..... ~.~../r..c,.,zl.m-......~..o.~.M...~. 11. Zone or use d,str,ct in which prem,ses are s,tuated . ./.~...~....~..,~.~.~rT....~.....~...~.'...~..~.. ........................................ 12 Does proposed construchon wolate any zoning law, ordinance or regulation ..... ~ ........................................ 13. Wdl lot be regraded ...,(:~-~.. .......... Will excess fill be removed from premises: (v-')~Yes ( ) No 14 Name of Owner of prem,ses L~., ..~..C..,..,¢?:..¢/!....k..~...~.K.~,...~..-¢. ...... Address ../..~/°.....-~--Fe....~.~..~.../...~...'?....~?. Phone No. Name of Architect ................................. Address ................................Phone No ...................... Na~e of Contractor ......................................... Address ................................Phone No ...................... PLOT DIAGRAM Locate clearly and dmtmctly all buddings, whether ex~stmg or proposed, and indicate oil set-back d~mens~ons fror property hnes Give street and block number or description according to deed, and show street names and indicat whether interior or corner lot STATE OF NEW....YOR, K/* IJ IS,. COUNTYk%OF./¥___,,~. -~ , ~ ..... ~,.'v...~..4~-~..2,~.¢~¢~.....~,..~z. 4C-/.c-'~.c.;~..z'../7-?~...'-~... ................ be,ng duly sworn, deposes and says that he is the apphca (Name of indiwdual s~gnlng contract) above named He ~s the ............ (Contractor, agent, corporate officer, etc ) of sa~d owner or owners, and is duly authonzed to perform or have performed the said work and to make and this apphcahon, that that the work will be performed m the manner set forth m the apphcahon filed therewith. Sworn to before me th,s (/~ // .... day ........... Cou. .... ..... ................... (~ature of applicant) ~//~ ]~//~/~ ~ ~/~ NOTAAY PUBLIC, Stale of New York FORM NO. Y TOWN OF SOUTHOLD BUILDING .DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ...... ..... ............................. 19.. r� Application No. ..... .......... Approved 7 3 ................... �...... ....., 19.2.: Permit No. .. ................................. Disapproveda/c ........ ...................... ...................... ................ ............. .................... ............... ......................... (BuildingInspector)* APPLICATION FOR BUILDING PERMIT ll Date ....... .. .... ..... '.. ., 19.2�.. . INSTRUCTIONS a. ..This application must be completely filled'in by typewriter or in ink and submitted in triplicate to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property 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 permit 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 Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the 'Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal; or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to odmit authorized inspectors on premises and in buildings for necessary inspections. ................................................................................................. (Signature of applicant, or name, if a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. a u> n/lfc-1 .................................................................................................................................................................................................. Name of owner of premises .. (l1� �1�....�:..,.�..p4 1 L`�0 n.................... ........................................................... If applicant is a corporate, signature of duly authorized officer. ........................................................................................ (Name and title of corporate officer) Builder's License No. .................................................... 01, Plumber's License No. ....................:9.......................... Electrician's License No. .................(.......................... OtherTrade's License No. .............................................. 1. Location of land on which proposed work will be done. Map No.: ......................................... Lot No. ......................... Street and NumberQ.... i4 eJ........................................................................................ ...... .............. ........ Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ................................ ....f..n.0�.........../. ....... '?.... ........ .l ..r............,......................... b. Intended use and occupancy .....�`�y� �/,..G..AA�� ......A........(>,CC;r/�. ........A.a122.0 ........ . ~~~ 3. Nature of work (check which applicable): New Building- Addition .................. Alteration................... Repair -.----- Removal ------ Derno|�i�n--�-.�.�-^.. Other Work ----.-----------' ,- ' '� ��{] (Description) 'r-~ , Jn � /� 4. Estimated Cost _-----�7�!�^.1�J��}-.---..�-..Fee -.��.l--.-.---_---__-_-_-------------. ' � (t be paid on filing, this application) �/ ��- -.-NunborofdweUinQ units on each floor ............................ 5. If dwelling, number of dwelling units -. ��..�-- If garage, number of cars ---c�� .. ......................... 6. If business commorciol o, mixed occupancy, specify nature and extent of each type of use ............................ 7. Dimensions of existing structures, if any: Front .............................. Rear ................................ Depth ..... Height ----.---- Number of Stores -----------------_-.--------.-.------.-------. Dimensions of some structure with alterations or additions: Front .................................... Rear -.-.------ Dopth ................................ Height ............................Number of Stories ................................ / ^, ' 8. Oirnonuinnu of entire now construction: Fron� -.. /, -�- �eor .- - Depth ..=2�F~.�»_-' Haight ------- Number of Stories ------_-----_--------------_-----.---.-~- / / � 9. Size of lot: Front --- �� -------.--.-- Rear - .�^ --.---. Depth -'~�'.�-��-'�. l Oota of Purchase --. -r�..~/ u�-----.Non�e ��'� .--. ll. Zone or use district in which premises are situated ----- ................................................. 12. Does proposed constructionviol te any zoninglaw, ordinance |od ��/ ^x ~...-.---....-.. 13. \Ax U lot be regroded.- from prenisms:,(k1 Yes � ) No 14. Name uf Owner ofpremises Address .~ Phon ,No. ..7�Ar.-. .�� Name of Architect ---------------------./\ddraom -'-�"�''~',~�^ `~-.~. .Phone No. ...................... Mon`n of Contractor ............................. Address ................................ Phone No. .........'............ PLOT 0/\GR/\M r' Locate daor|y and distinctly all buildings, whether existing or and indicate all set-back dimensions from prope�y lines. Give street and block number or description according' to deed, and show street nonnos and indicate whether interior orcorner lot. ' ^ ' . _-. STATE OF NEW,. ss COU ___.. ...... ------'bning duly sworn,. deposes and says that he is the oppkcon, (Name of individual signing controct ' above named. He is the ........................... .��/�.�%��.'5��------..--------------_~------_____._______. (Contractor, agent, corporate offico�.mtc.) of said owner or mxnns, and is duly authorized to perform or have performed the said work and to nnoka and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will he performed in the noonna, set forth in the application filed therewith. Sworn to before me this �� ............�"�� .......-..` l9^'''�. - ......... .--.x\~�' .: .��. .'..��-��.....-........n »pN ' Public, Count� (Sign 000nt)"- lMURIeLMmUS" � 7�~ woT�nYpunuo. s�+ "f New York ~ ~' ' � oo----- - - No. s2'4souz6 ' s�R"/ /' Commission Expires M..r.h 30. /m.-a r I..r• I'. !�F`r.».`.ri�'a Pl�t .tie A�i ava� ! .' ,too, -,� f•.v-x FiC'v l+Fl �.x"}Pvic�.� t:r�vr?� _ t='tcirsr�� = t � __ ------ _�`• �...._ male ditoofoi 04.tfamloj, r � �revatf ¢ sa�iru�hrnrc ;,,te l:'sa tde>yl 11 t.a. ' vK•1 Hi .Y i ift" Witt cP+—fi -fo +ko 'Olvn rc 1 TT .� f'�1� ' i �{�r '. » iZd ►! ►'AiCi'f`{/YGat".f: `d r� 4� ��_SD` '3 ';"�t�6.' ` s - js 77, ,+ - � ,.+. '�i�i��i"1.�tS'�° :. �'y -. ( � H��+�.t<''�l '0�' ::. ..,_.._....,.- 1- �.3:�......f�.�'�a�..TYr.+f�'�,S.�C'..�� '• S}M �I'd .., �¢!„+�• a • 4 r- r ♦4 r < ,F"M. c:.a1.,.c., -,a,-n•-nt. _ .. , d- ,Y , _ _. ^r.� '< 4-� yF.,� n1.tf., x `d 4 j r Z y t V�"-i.'r-:.i:�k--4+-•..+f t ,J c �/ !!• E F� . , I. 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"...s-,b' •fi tr :r ��dS`'i.'x s '`C,E`k3-d'[tstT•� - THE ASS:fi•�EES CF 7Y.:iE:e:):::G NM TO . •* TU7iON.C_UARAri'TES A>E P_*OT:T1A.tiSFFBABIfc- �.. rvi,�/' `Y rv"G� Lah'f:; 1r :6•i4 Yw w l �j ~ ', �: t J: "x��% t�� 'i;cif ra+ rTlorcAs LT�ir+Tpt+olas on suasc4U C-+.t"�6, t-;t;vti a"i Me V..., `° { P C:4 [-AND Services r I F � F Fp �{ 7 } AP OVED AS NOTED DATE: A FEE: 7, BY: VOT!FY BUILDING DEPARTMENT AT i 65-266© 9!,t.A to 4PM FOR KEC U.R- E-) INSPECTIONS: 1. BEFORE BACKFILLING FOUt,,!DA- VON Ori START FP f4,UNG ^. F7,ZAhA.I1NG INISF'cCT!G14 EFO!?E COVE^ING P:r,S CF ANY 4. FiNAL WHEN J03 COMPLETED < . NOT RESPONSIBLE FOR DESI'GN OR CONSTRUCTION ERRORS 5. ALL CONSTRUCTION MUST MEET REQUIREMENTS CF N.Y. STATE CO,E AND TOWN HOUSING CODE & ZONR,!G I � R Ar i , , f 7 1 }�} • � t i t t R; r „ 1 rr r� I - - ____ fli�,�,,l ,,�,_,�-;�- _-�,,,---� - _� ..---= ---------I �-� -_ , W�Z7 "", - _v, I ,�_"-0 YI -!"w"71mr- j." -Y.-, - - 1". 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