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Home My WebLink About9903-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of ,Occupancy No....g.l.0.36E ........ Date ..... .,1'.8.~.~..~?.~..,27., ...............19.8.1. THIS CERTIFIES that the building ................................................ Location of Property ... ~13E10... Hobsz'~ .FLOIa~, ................. ~(~kz.~q~,. ~¥~ .... House No. Street Hamlet County Tax Map No. 1000 Section ., .6./* ....... Block . ~ ............ Lot .. ~.~Co..O.E..1 ..... Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated · .. Atlgnl~.~ .'1~ ....... , 19.7.8 pursuant to which Building Permit No...990~ .Z ............ dated ... Aggu,~'l;..'LB .............. t9 7111, 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 ......... .... ,P.z?..~y.a~e...0.~.e...P.a.m.~.l.7..g.v.e.$ .1.~.n.g ........................................... The certificate is issued to .... bI.e~.. ~B,11],. $I1l.:i,~.t¢...~. C]... ¥.e?.a...~.]..e..8.,KI. 9r' .S.l~..J..'I;.B: ........ (owner, ~ of the aforesaid building. Suffolk County Department of Health Approval . .8..:..S.0..-.. 9.~... ? ./ .'17. /. .8 .0 . .R. q .l).e?.~.. g..,:..~.J:.].. "1 a UNDERWRITERS CERTIFICATE NO....~../+7.2~.9.0. ..................................... Building Inspector Rev 4/79 FO~ NO~ 3 TOWN OF,$0UTH~I~D , · BUILDING DE,P~RTMENT TOWN CLERK S OFF~CE ~ SOuT~OLD, N. Y. (THIS PERMIT MUST BE KEPT OJq 'THE PREMIS~-S:UNTI[ F¢LL COMPLETION OF THE WORK AUTHORIZED) .- : ...... ~ '.~ ......... ~ .............. is Permission hereby granted to: et premises located at .....~ ..... 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. FinaJ 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 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, 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 Date ....S ? ?.A0.. New Building ...... :~ ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property ... ~.~.~.0.. ~.o.b..~.~.~..~.o..~,d., ............ ....~.o.~,~.t~..o.].~ ,.. ~...~... ............ House No, Street Ham/et Owner or Owners of Property ...~.e.~..~[. ?.~.ul and Vera Eleanor Sm:TL%h County Tax Map No. 1000 Section 6L~ B~ock 3 Lot Pt. o£ I Subdivision ................................. Filed Map No ........... Lot No .............. Permit No.. ,99.0~..~.. Date of Permit .8~. ! .8/.~.8..Applicant . ,~,e.~.r~. ?..a.~.l..~..~.e.~.a,. ~.l.e..8~..o.r..S?Q±th Health Dept. Approval . 8,-~S0,,.9.~ .-,9/.1.2/. 80 .... Labor Dept. Approval ........................ Robert A. Villa Underwriters Approval .. [~72.~cjO ............. Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate .. ,~ ................... Fee Submitted $.. ,~.~ (~P ...................... Construction on above described building an~m/~me~s all ap/~//ble~~_s:_ Rev. 10-10-78 ]~'~¥1;CC~'L ~* ~'< ].9~{0 85 JOHN STREET, NEW YORK, NEW YORK lO03e was examlned on ~':~r C ~l A O , 1~ 0 and /ound to be in compliance with tae require,nents of th is Board, FIXTURE FIXTURES RANGES %OOKING DECKS OVENS DISH WASHERS EXHAUST FANS SWITCHES SYSTEMS NO. OF FEET E E R V I C FER ,~' OF CC, CONO NO OF HI-LEG AW, G OF NEUTRAL ~/~ S Cont. ~ 215 1,t97]. nic. 57~.. This certificate must not be altered in any manner; return to the office of the Board if ,nco~rect. ~spector~s may be identified by COPY FOR credentials. TOWN OF SOUTHOLD OFFIOE OF BUILDING ~NSPEOTOR TOWN I~-LERK'S OFFIOE ~I:]UTHOLD, N. Y. 119'71 TEL, NEW YORK STATE DEPARTMENT DP ENVIRONMENTAL CONSERVATION ~ 15276--0278 SP WQ ~RM~T ~SSU~D TO PERMIT UNDER THE ENVIRONMENTAL CONSERVATION LAW ARTICLE 24, (E~eshwatet Wetlands) ~ ARTICLI~ 36, (ConslructJon in Flood ~azard Areas) ~S_mitb. ADDRESS OF lk~bin~onJ~ane, P~ek llgT'l : LOCATION OF PROJECT (Section of stream, tidal weHaod, dam, butlding) ii_ob art: T.ane DESCRIPTION OF PROJECT Subdivide parcel into 2 lots, approximately 28,000 sq. ft. and 41,000 sq. ft. long ~th flu&ting section 10' x 40.' at end. Pro,ecl si~e is located west side Hobar~ L~e, Southold, Suffolk County,___New Yor~ , COMMUNITY NAME (C~ty, Town, VilJage) ~ J TOWN Sou~hold J Southold COUNTY lEIA COMMUNITY NO. J DAMNO. J PE~IT EXPIRATION DATE Suffolk 9/30/80 GENERAL CONDITIONS 1. The permiUee shall file in the office of the appropriate Regional 8. That the State of New York shall in no case be I}able for any damage or injury to the structure or work herein authorized which may be caused by or result from future operations undertaken by the State for the conservation or improvement of navigation, or for other purposes, and no ctaim or right to compensation shall accrue from any such damage. 9. That if the display of lights and signals on any work hereby authorized is not othmwise provided for by law, such lights and signals as may be pre- scribed by the United Stale~ Coast Guard shali be ins~aiied uno malntalneo by and at the expense of the owner. 10. All work carried out under this permit shall be.' performed in accor- dance with established engineering practice and in a workmanlike manner. 11. If granted under Articles 24 or 25, the Department reserves the right to reconsider this approval at any time and after due notice and hearing to continue, rescind or modify this permit in such a manner as may be found to be just and equitable. If upon the expiration or revocation of this permit, the modification of the wetland hereby authorized has not been completed, the applicant shall, without expense to the State, and to such extent ar~ in such time and manner as the Department of £nvironmental Conservation may require, remove all or any portion of the uncompleted structure or fill and restore the site to its former condition, No claim shall be made against the State of New York on account of any such removal or alteration. 12. This permit shall not be construed as conveying to the applicant any right to trespass upon the lands or interfere with the riparian tights of others to perform the permitted work or as authorizing the impairment of any rights, title or interest in real or personal properly held or vested in a person not a party to the permit. 13. The permirtee is responsible for obtaining any other permits~ ap- provals, lands, easements and rights-of-way which may be required for this project. 14. If granted under Article 36, this permit is granted solely on the basis of the requirements of Article 36 of the Environmental Conservation Law and Part SOB of 6 NYCRR (Construction in Flood Plain Areas having SpeciaJ Flood Hazards - Building Permits) and in no way signifies that the project will be free from flooding. tS. By acceptance of this permit the permittee agrees that the permit is contingent upon strict compliance with the special conditions on the reverse side, 95-20~ (9/75) (SEE REVERSE StDE) ~ONDITION$ 16. Applicant shall be liable for any damage to adjacent waterWay resulting from any phase of the permitted construction. 17. Home is to be constructed at least 75' landward of edge of wetlands or above 10' contour. 18. This permit does not authorize any construction upbn northerly lot. 19. There is to be no removal of marsh fringe. Dock is to be at least 3' above grade of marsh to allow continued growth underneath. 20. There is to.be no dredging. -FER~IT ISSUE DATE ?/lairs PERMIT ADMINISTRATOR' ,. ADDRESS Daniel J. Larkin Bldg. 40, SUNY, Stony Brook, N.Y. 117' F SOU'THO'LD Building Inspector's Office Town Clerk Building Southold, N.Y. 765-2660 TOWN OF SOUTHOLD Building Inspector's Office Town Clerk Bulldlng Southold, N.Y. 765-2660 (:~,~ /~',/,'77~/ .. f FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Exom,ned ................. ZT -. Approved .......................... ~ ............. , ly.¢..~.o0 term z No ..................................... (Building Inspector) Application No. APPLICATION FOR BUILDING PERMIT Date ............ AU~Ua,t .,~L:~.~ ............ , 19..~ ..... INSTRUCTIONS a. This application must be completely filled in by typewriter o~ 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 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 Southeld, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, os 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 ir~ buildings for necessary in.~ections. / ~ / (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ..... .0.~/;9.~.;C., ................................................................................................................................................................................ Name of owner of premises ~enry. Paul S~lith and Va:re Eleanor Smith 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. ~[.~.~.../,~..o..b..9.~.t...,g[~.~.$ell°) Other Trade's License No ............................................... Location of land on which proposed work will be done. Map No.: ........................................ Lot No ......................... Street and Number ~..~.e.~?~.~.~.~..e.~.~.~.b~.~.~.~..b.~.~.Z~..~.~.~..~.~.h:.~.~.e.?.....~..~.~? ................................................. Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: o. Exisiting use and occupancy ..¥.D,.C,~... .............................................................................................................. b. Intended use and occupancy ..9.~.~...~.~1~..,-~.~....c1..~.C.~.--.L..~...~.~.: ............................................................................... 3. Nature of work (check which applicable): New Building' ....X ............ Addition .................. Alteration ................ Repair .................. Removal .................. Demolition .................... Other Work ................................................ ..., (Description) 4. Estimated Cost ...... :$.~.0...~..0..0...0..:..0..0.. ............................. Fee .......................................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ...o...~..e. ................... Number of dwelling units an each floor ...o_q.e.. ................... If garage, number of cars ..... %.~.~ ................................................................................................................................. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ............................ 7. Dimensions af existing structures, if any: Front ............................ Rear ................................ Depth .................... Height ........................ Number af Stories ................................................................................................................. Dimensions of same structure with alterations or additions: Front ....................................Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front .~..~.:.~...~.¢.fl~. ..............Rear ,?.g.,..~.....l'j..~..e.~ ...... Depth ...L.I;.~.:..~....~.e...e.~ Height .].L.~...~.C.q.~... Number of Stories ..O..~...e..: ............................................................................ 9. Size of lot' Front .~0.O_£.e,e~ .. Rear ~7.~ £.f~1~ Depth Y,,~./.. :!:..~.~.~..,~.9~ 10. Date of Purchase 1~,,,2.,5,~,..1,c~7~. .......................... Nome of Former Owner .E~.l;~.~,~L.o...I~,flh~.O,i¢.~.~.0,~.~,.~ ....... 11. Zone or use district in which premises are situated ..~.~9~t,b.O.].&..~.O.W~ ................................................................... 12, Does proposed construction violate any zoning law, ordinance or regulation: ...~fL. .............................................. 13. Will lot be regraded .....~..e.~ ......... , ....... Will excess fill,be remove~d f,rq,m premises: ( ) Yes lC]C) No t-Jenry Paul Smzth and Vera E±eanor ~m~_~_a ...... )¢ 6~^O ]4. Name of Owner of premises .................................................... Address ....~.Q~.I.~.>...~.,.~ Phon~ No. (..$..,.~...W.~) ....... Name of Architect .............................................................. Address ................................ Phon~ No ....................... Name of Contractor .~.~..n..~....~..~.g$...~..m..$.~...h. .................... Address ..?..e..a...a.~:~.a..,,...~:..~.... Phone No.Z..~..~..Z~.~..0. .... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions fram property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. SEE ATTAC~D MAP AND PT~ANS. STATE OF NEW_YORK ~- I S S COUNTY OF ..s.~...,~,~."J-,~,,~..~ ...... ............. .~..~...,~,.-,,,,~....~,..~..... ,~.,.-,..~.~.,/...,,/~,,../~,,, ...................... being duly sworn, deposes and says that he is the opplicam (Name of individual signing contract) above named. He is the ................................................................................................................................................................................ (Contractc of said owner or owners, and is duly authorized this application; that all statements contained ir thor the work will be performed in the manner set Sworn to before me this x/~) ..l&. ayof ';'ub,Z. ...... r, agent, corporate officer, etc.) to perform or have performed the said work and to make and file this application are true to the best of his knowledge and belief; and forth in the application jf,~ed J, lce-rewith. ,aunty ..................... .......... .] ,70' NOTIFY BUILDING DEPARTMENT AT 765-2660 9AM to 4PM FOR REQUIR- ED I~SPECTIONS: 1. BEFORE ~ACKFILLING FOUNDS- f