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Home My WebLink About9889-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy No ....Z97.7.~ ........ Date ..... .I). eO.~.l~bO.~..fi ............... 19.79 T~(~RTIFIES that the buridlng.. ..... Location of Property $t3bs~io.bt.~5...~.e.~.:?t Lane ~O~ltho~d, ........................................ · Street County Tax Map No. 1000 Section .... .65. .....Bloc~ ..... ? ......... Lot .... .2.~ ........... Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore fried in this office dated .... ~,'Og'O~.~ .2 ....... ,19 .~.~. pursuant to which Building Permit No ....... 9.. 8. .~.Z. ......... dated .... Allgtl~.'g .7. .............. 19.7.1~, 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 ......... .............. ~.a~.e~e..end..s.t~r.age.. &o.e.e.a. ~.o..~...-. Nq.a.h.a,~ .t~.a~z..e ............. The certificate is issued to ........... 0'.~hl~. 8~.ql?R.'o.~g~. ............................ (owner, of the aforesaid building. Suffolk County Department of Health Approval ............ .~./.R. .......................... UNDERWRITERS CERTIFICATE NO .................... .}~./.R. .......................... Building Inspector Rev 4/79 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL cQMPLETION OF THE WORK AUTHORIZED) N? 9889 Z Permission is hereby granted to: .O..~..,...u.. ........ !.. .......... ~.0..~./..u ~..;_:..~..r: E~-( pursuant to application dated .~ ......................... 19 ...... i., and approved by'the Bu'ilding Inspector. Building IhSPector TOWN OF $OUTHOLD Building Deportment Town Clerks Office Southold, N. Y, 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted Inspector with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, in triplicate to the Building 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. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey o'f 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 premlses, or other pertinent in- formation required to prepare a certificate. 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 . .5 .................. New Building .................... Old or Pre-existing Building ............................ Vacant Land ............................ Location Of Property .............~..~....~....~..~ ......... ~ ............................................................................ Owner Or Owners Of property ....................................... ~ .......................... .~: ....................................... Subdivision ................................................................ Lot No ............. Block No ............. House No ............. Permit No...~...~..~..?. ..... Date Of Permit ..(2t>./..Z/~..C~...Applicant .....O...%.f:L~ ....Z:.....?..~....~.[..~...~.....~...~.~./.~.~.' ~' Health Dept. Approval ........ ..~.A ........................... Labor Dept. Approval ................................................ Underwriters Approval ......... ..~..¢/t~.. .......................... Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Final Certificate ~ Fee Submitted $ .................................... Construction on above described building and permit meetA all agplicable codes end regulations. Applicant Sworn to before me this ................ day of ............................................ (stamp or seal) (~ ~L) Notary Public .................................... County VICTOR LESSARD EXECUTIVE ADMINISTRATOR (516) 765-1802 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 October 3, 1988 Mr. & Mrs. Arnold Blair 425 Terry Lane Southold, New York 11971 Dear Mr. & Mrs. Blair: It has been brought to the attention of the Building Depart- ment that you are in the process of selling your property and have it on the market. Two real estate agencies are promoting it as a one family with separate guest cottage. There is no evidence, in the Town records, to indicate the guest cottage was legally constructed or approved. Town records show only that a one family dwelling and detached accessory garage, with storage exist on your property. I trust these agencies will be so advised by you, and legal action will not be required. Very truly yours, . ~THOLD TOWN/~ILDING DEPT. Victor L~ss~rd, Principal Inspector VL:gar TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ~proved ........................ ~/~'7-" Ig'?'""~Permit No ...... ..~...~..~.~._- (Building Ifispector) Application No..~...~ ................ APPLICATION FOR BUILDING PERMIT Date ............. Z ...................... ..,, 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. Plat 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 ofproperty 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 admit authorized inspectors on premises and in buildings for necessary inspections. ~ (SignatuJf'e of q~licant, or r~ame, if a corporation) .................... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ~/~t ~' .~O~14/o ~',~.~.,~ If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. ~ Plumber's License No ........ ./..~.:.../~..: ............................... Electrician's License No. °'~"-¢~ Other Trode's License No ............................................... Location of land on which proposed work will be done. Mop No.: ........................................ Lot No ......................... Street and Number ...................~..~..~........~...~41...~ .................... ...~...?..~.~,,~....~../..~.. ................................................... Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: a Exislting use and occupancy ..................................................................................... b. Intended use and occupancy ~' ~ ~'~ ~ %¢~ 9 .~"'~'~/"~ ~ 3. Nature of work (check which applicable): New Building....~ ...... Addition .................. Alteration .............. Repair .................. Removal .................. Demolition .................... Other Work ................................................ .... _~ 0 00 ~,~ f C) (Description) 4. Estimated Cost ............................................................ Fee .......................................................................................... (to be paid on filing this application) 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 ......... .~ ....... , ................ Reor.....~. ...................... Depth ........................ I-bight ..... ( .............. Number of Stories ! ................... 9. Size of lot: Front fr*o' 1'~,2' ~qO' .................................................. Rear .......................................... Depth ................................ ]0. Date of Purchase ......... /../.~..: .................................... Name of Former Owner ()~'CI;L fcll~l 11. Zone or use district in which premises are situated ............. ~'.~.~i.' .............................................................................. ]2. Does proposed construction violate any zoning law, ordinonce or regulation: ................................ ~.~ ................ 2 f Il b re oved fro remlses ( ) Yes (~") No 13. Will lot be regraded . ........ f.~'." .............. Will excess i e m m p ' : ") }~ ~ ~T. b i> ,.r~,~:~('~'~AHH.~ .!~,,,.:>.!:~,...~:].~..0.. ....... Phone No. 14. Name of Owner of premises ..... . ....................... z' ................. ~' ............................... Name of Architect .............................................................. Address ................................ Phone No ....................... Nome of Contractor ............................................................ Address ................................ Phone No ....................... 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, COUN FY' OF ....... :,...A;.., ................................ ,'"t,"*.'~","~,:'"r'-'-:""*'~,~-~ ...... being duly sworn, deposes and says that he is the applicanl (Name of individual s~gning con}racf) ' above named. He is the .. , ,..,,~d~ ......................... (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 are true to the best of his knowledge and belief; and tho~ the work will be performed in the manner set fo~h in the op~.~cation filed therewith. Sworn to befor~ me this ......... o, ....... ......... 1,...:h, /// / / Nota~ Pub c,. ............,,,,.,fi'..}.,,,i~,,.,.,,~.~... Coun~ .... ~ ..........~.-.~ ........ ~ ........................................... ' ' ~ ..... ~ M(~ture of applicant) ,.,, :(