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Home My WebLink About10059-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Cedificate Of Occupancy Date .... S.o~temher../~ ................ 19.7.9 THIS CERTIFIES that the building ................................................ 2850 Cedar Beach ~ h~ hid ....................... 's'Ee~i ............. 'S'°'u t b P ;k 4 hi~i,i Location of Property County Tax Map No. 1000 Section .... 9..'1 ...... Block .... 0.! ......... Lot ...... 3/P.~G, ..... Subdivision..C.°.d-..~r..B.°.8. 9.h..P.a.r.k ........... Fried Map No... ~O...Lot No .............. conforms substantially to the Apphcation for Building Permit heretofore fried in this office dated Dec ember 4 19 '/.8. pursuant to which Building Permit No, .100.5.~Z... dated . .D..e99.m.b.~?..6. .............. 197.~. , 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 ......... ........... .............................................. The ce~ificate is ~ued to .. ~}~. ~qr~. ~qg~}A~. ~P.q ~ ............................ ~o~r,~ of the afore~d b~lding. Suffolk County Dep~m~t of He~th Appro~ ... ~r.~Qr ~ ~ ............................. ~ERWR~ERS CERTIFICATE NO..N~}.69 ..................... : .................. Buriding Inspector Rev 4/'/9 FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) ~oo~ z Dote ...~.~.~....~....., Permission is hereby granted to: Q_('~/,. ,/ ............... ........... J~.,....:~.Z..~. ...... . . at premises located at .~/~.~..,....~...~:.....,~..~ ................. ~i ...... .................................................................................................. ~..?...:~ ~.., .................................. pursuant to application dated ............. , 19. , and approved by the Fee $...~....Z......~.. .... 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--(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 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. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peoperty showing ail 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 $1.00 V/// Date..~-~.~...4..*.. 1 .l~.lZ.f... New Building ............. Old or Pre-existing Building ............ Vacant Land ............. Location of Property ..... .~./~...~,~h~l~..~¢~r~..~. House No. Street Ham/et Owner or Owners of Property ~.~.~,..~.. 0~"...t~.O.~i..'"~.,~,~....'~---'. ~1 .~.* ................. County Tax~.~I4~Map No. 1000J~r~/j_Secti°n ' ' ' ~.']~1~ ....... Block .... I.......... Lot... 3. Subdivision..-~..,~.~.~,,,.%.. ~-~*~r~{~.. ~ .... Filed Map No...?0 ..... Lot No .............. Permit No./.~.~..~'.¢)..~.'. Date of Permit .......... Applicant ...... .~....l~.....~ .~.-~..~1~1 Health Dept. Approval ....~, .~.~,..1~.~. ........ Labor Dept. Approval ........................ Underwriters Approval...~.~,'~.~ ........... Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate .. ~. .................. Fee Submitted $..~.,~. ?. ..................... Construction on above described building and permit meet~,~ll applicable codes and regulations. Applicant....~.[.~....~ ...................... THE NEW YORK BOARD OF FIRE UNDERWRITERS Ob BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10Q3E THIS CERTIFIES THAT only the electrical equipment as described below and int~ b~ y t~ ~4)pRcqn.~ naln~d o~ the a~o~ a~p~a~pn ~b~rjn ~ pr~mls~s of Nox. th Po~'k ZquJ. tften. S/S Cedtt' ~Ee~ Rd.. ~ce6~ ~a~n) uo=tno~ ~.~. ~n the foll~ing l~atiofl; ~ B~ement ~ Ist FI. ~ 2nd FI. S~tlon Bilk ~t w~ exami~d on ~ Ug U~ ~ ~ ~ ~ 9 7 9 a~ found to be in compliance with the requirements of this ~ard. FIXTURE ~ ] FIXTURES A~UTLETS EC~EPT~ACLES SW~ThCHES ,,~C~CENT.FLUORESCEHT I ~q DRYERS,I FURNACE MO?ORS I FUTURE APPUANCE FEEDERS SERVICE DISCONNECT [ NO. OF [ S i 10 C~ (~) METER lC ~O~o~'E t 1--P RANGES 1 30 OF CC. CC)ND. TIMECLOCKSt~e~l ~ SYSTEMsBELL UNIT HEATERS MULTI-OUTLET s. .o. I C NO. OF HI-LEG A, W. G. EXHAUST FANS DIMMERS NO. OF NEUTRALS OF NEUTRAL John T. S&panano Ine, ~0~ Oak Ave. hirleyR N.Y. 11967 LIc:33~-E This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. T D Southold, N.Y. 11971 JOHN WICKHAM, Chairman FRANK S. COYLE HENRY E. RAYNOR, Jr. FREDERICK E. GORDON JAMES WALL · Janua~ 18, 1979 *.~.'::.Mr. Charles G. Lind, Chief planner '.:~Suffolk County Dept. of Planning Veterans Memorial. Highway .:.- Hauppauge, New York 11787 . Dear Mr. Lind: · - The following action was taken by the South01d Town Planning Board at a regular meeting held January 9, 1979. -- - RESOLVED.that the Southold To%.~ Planning Board override c~ndition #1 of the Suffolk County Planning Commission for ~he map of the minor subdivision of Margery BUrns. The condition of 'the Suffolk County Planning Commission states that "No sanitary disposal facility shall be constructed within 100 feet of the mean high water line". The override is based on the f611owing finding of the County of Suffolk Department of Health Services.' ,Based on the information submitted that the applications be approved provided (a) that the two wells be located approximately 10 feet from the common lot line and two feet from'the lot .lines~ ~""'~i~:L.fronting on Cedar Beach Road; (b) that the sewage system locations be designated by the General Engineering Unit, maintaining at L.~least 75 feet from surface waters. The override is also based on the request of the Southold To~a Planning Board that the number of ~iots be reduced from five to two. TELEPHONE 765- 1938 Muriel BruSh, Secretary' '.Southold Town Planning Board' Copies to Richard Cron, Esq. "- George Fisher, Building Inspector 765-1802 BUILDING DEFT, INSPECTION FOUNDATION IST [ ] ROUGH PLBG. FOUNDATION 2N'D [ ] INSULATION [ ] FRAMING ~ FINAL REMARKS: DATE/~. ~-3,/'~. //// INSPECTOR Application No .............................. APPLICATION FOR BUILDING PERMIT Da,e ........................ , INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building Inspector, with 3 set~ 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 o~ 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 Deportment 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, far the construction of buildings, additions or a~terations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinarices, building code, housing code, and regulatlons, and to admit authorized inspectors an premises and in buildings far necessary inspectiens. (Signatyre. o][~'app,l~ant, ~r nam/~-~if a corporatiop) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. If applicant is a corporate, signature of duty authorized officer. (Name and title of corporate officer) Other Trade's License No ............................................... // Location of land on which ~oposed war,will be don~ Map Nox~//~..~.~ot No ......................... 1. /'~ '/ // /~/ ~.... J-x~/~/,~' /7,/~/ ' / Street and Number ..... (~z~.,~<~.~~..,/J.~.~- ,.-.~'~../.~..~ ................................................... Municipality 2. Sta~e existing use and occupancy al~ premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ...... ~~....~./Z.. ..... -- 3. Nature of work (check which applicable): New Buildir~g ....-/.-, .......... Addition .................. Alteration .. Repair Removal .... Demol t on .................. Other Work ................................ : .................... ................. ,~'; ' -- ~ ~,~ m, ~',,~ ~ (D~cription,/ ,:stmoted Cost ..: .......... ............. 4 ...... (to be paid on filing this application) 5. If dwelling, number of dwelling units .......... : ............... Number of dwelling units on each floor ..... . ...................... If garage, number o/: oars ........................ /.- .................................................................................................................. 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 k ............................ Depth ........................ Height ...: ................ Numbe~ of St~ ..................................................................................................................... 9. Size of lot: Front ........ ..~......,,,~.........~...,.~--/~Y..~..~.,. ...... Rear .......................................... Depth ................................ 10. Date o¢ Purchase ........................................................ I Name of Former Owner ........................................................ 11. Zone or use district in which premises ore situated ..................................................................................................... 12. Does proposed construction violate any zoning Iow, ordinance or regulation: ............ .~¢ ................................... 13. Will lot be regroded ............... /~ ........... W, iII excess fill be removed from premises: ( ) Yes ( ) No 14. Nome of Owner of premis,e,s .X~..~r~..~ ............. Addres~zz...~H/~.,,~.,~.. ....... : ..... Phon~ No. Nome of Architect ..... ,~2~~'~,~.~.~ .............. Address~..~,~....4'.(..~',. Phone No ....................... Nome of Contractor ............................................................ Address ................................ Phone No ....................... PLOT DIAGRAM Locate clearly end distinctly all buildings, whether existing or proposed, and indicate oil set-b~ck 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. TY OF .. ' n I w ~.~~~~ ................... bei g duys orn, deooses andsa~//that he isthe applicon- above n~med. J / ~ ,~ ~ ..... ~...... ....................... ~ ................................................... : ............ ~ .............................................. ~ (Contractor, agent, corporate officer, etc.; oF said owner or owners and is duly authorized to perform or have performed the sqid work and to ~ke and this application; that ali : ~atements contained in this applic,~tion are true to the best 6f h~s knowledge ~nd be/ie~; that the work will be perfc ~edin the manner se~ forth inthejapplication filed therewith. Swo~n ~me this ..... .. .......... , Notary Pub ~ d ~ignat~e at ToWN O1~ $OUTHOI. D BUILDING DEPARTM;NT ' TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ......................................... 19 ........ Application No ................................. Approved ......................................... 19 ........ Permit No ..................................... Disapproved a/c ............................................................................................ (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ...~.~.~. ~,.~,..~..~ ....................... , 19.'0).-'~ ...... 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 shawing location of lot and of buildings on premises, relationship to adjoining premises or public streets or and ivJn a detailed description of layout ofproperty must be drawn on the diagram which is part of this application. areaS,c. Theg~orLgcovered by this application may not be commenced before issuance of Building Permit. ' d. Upon approval of this application, the Building Inspector will issue o Building Permit to the albplicant. 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 o Certificate of Occupancy shall have been granted by the Building Inspector. APPLICAT ON S HEREBY MADE to the Bu Iding Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southo d, Sulfa k County, New York, and other appl cable Lows, Ordinances or Regu at ohs, for the construction of bui d ngs, additions or afferations, 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 admit authorized inspectors on premises and in buildings for necessary inspections. ~- ..... k. ........ ( ture t,'f a rporot on) .~..q~..~.....~.,.q.,...L.~..o.m~gX~.,. ~.~.....L~.~..~ ..... · ' .' (~dress of o~piJca~) - State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ......................... . _ g~ ~ ~'~- , .. Name of owner of premises ...... ~'~0~,z..J....~......~..(,).~.~,,~......~.J~..., .LL.~) ................................................................................ .~- If applicant is ~-c~r4~orote, signature of duly authorized officer. (~ (~le\of d6~porate o~icer) Builder's License No ..................................................... Plumber's License No.... ............................. : ................ Electricion's License No ............................................. Other Trade's License No ............................................... work will be done. Map No.: ........ O.OL. -k::-Q'.~- ..-.:) .......... Lot No ......................... Location land on proposed and Number '""C"%'~{~'~'"""'~?R'9~'~'~'""~'~]"k"'~')rk~'L~~ -- ~' - .................................................................... /" Municipality Street State existing use and occupancy of premises and intended use and occupancy of proposed construction: o. Exisiting use and occupancy ....~-..--~.'.~-~. ................................................................................................. b. ntended u .e and occupancy .... ...... ....... 3. Nature of work (check which applicablei: New Building .... ~ .........Addition .................. Alteratio .......... Repair - Removal Demolition .......... ' .......... Other Work .......................... ~.. .................. ' ................. (Descrip! ion) 4. Estimated Cost ~ .O. ...Fee ......................................................... .... ' ................................ (to be paid on filing this application) 5. If dwelling, number of dwelling units .... ~ .......... Nu~be' of dwelling units on each floor .................. : ......... X'~,~L ....................................................................................... If garage, number of cars ..................................... 6. If business, commercial or. mixed occupancy, specify nature and bxtent of each type of use ..~.1..~.... ............. 7. Dimensions of existing structures, if any: Front ............................ Rear ................................ Depth .................... Height ........................ Number of Stories ................ Dimensions of some structure with alterations or additions: Front ................................... Rear ............................ · . k e ght .............. Number of Stories ................................ Depth ..................................... '\',, ' ~'1 ,-, t~ 8. Dimensions of entire new construction: Front ...~.~ ............................. Rear ....~,~ ..................... pep n ............. Height ~/(.~.~:,~.~..~.~Num~er of Stories ..~.:..~:..~.~C-~....: ................................................... .';': ........................ '"~ ant ~.~..~'. Rear ..~&.~ ....................... Depth .,~.q ...................... 9. Size of at: Pr ....................................... . 'O lo, Q, Name of Former C~,vner .~/L¢'.~....'~.~' '...'~':lkl~'""t ......... 10. Date of Purcnase m~..~.~ ~, \ ~ / ! 1. Zone or use district in which premises are situated ,....~,2,,~.x,}:~cv:>~.%~ ................................................................. ]2. Does proposed construction violate any zoning law, ordinance or regubtion: .... ~ .............................................. 13. Will lot be regraded X.'~,.~. ................Will excess fill be removed from premises: ( ) Yes (/No 14. Name of Owner of premises .~,~.~;~.~...~.q.~...X%.~3.~.~,.~.,.~Address ..~)~.-~r~.~y,~ Phone No..~. ~.~/.,~..~..~.~. .... Name of Architect .............................................................. Address ............................. ~.. Phone No ....................... Nome of Contractor ............................................................ Address ................................ Phone I% PLOT DIAGRAM · tinctl oil bu din s, whether existing or proposed, and indicate all set~bock dirnensions from prop~,a~neC~.eagiYveansdtred~ ondYblock number or description according to deed, and show street names and indfcole whether interior or corner lot. 5..L. O=k-'X ...... ~~~.being duly sworn, deposes and soys that he is the opplic~ . ............................................ He is the ................ ~,._~ .................... (Contractor, agent, corporate officer, otc.) of said owner or owners, and is dvly authorized to oerform or hove performed the said work and to make and this application; that oil statemehts contained in t~is application are true to the best of his knowledge and belief; thaz the work will be performed in the manner set fo~h in the application filed ~herewith. ........ . ...................... =...-- .... ................ f APPROVED A~ NOTED . NOTIFY BUILDING DEPARtMeNT A~ 765,2660 9AM te 4PM ~OR T~O~ OR START FRAMIN~ 2. ERA~I~G JNSPECT~O~ 3., BEFORE COVERING PlP~ O~ ~' ~ EI~:AL WHE~ JO~ COMP~E~ ~4OT RESPONSI~LE FOR: ~ES~G~ GR CONS~ROC~ION: ERROA~ ~5, AEL ~ON~TRUCTJO~ ~uST REQUIREMENTS OF ~,Y. ~T~ AND TOW~ ~OUSI~G COD~ & ',i , i _L