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Home My WebLink About9920-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy Z9592 July 16, m , 19 79 No .................. Date ................................... THIS CERTIFIES that the building ................................................ Location of Property ,..85 q. Luptor~ '.s. Point. Road.,..?4at:t:.i. guek. t-rouse tvo. Street ............... County Tax Map No. 1000 Section .. ,1,15 ...... Block .... l.'t ......... Lot .. -1-5 ............ Subdivision ..... .X.X..X ................ Filed Map No. 7,~X.~ .... Lot No .... X_XX ...... conforms substantially to the Application for Building Permit heretofore fried in this office dated ·..kk.uSr.u.s..L..2.4. ~. ...... , 19.7 .8. pursuant to which Building Permit No .... 9. 92.0.Z ............ dated .......... /~..ug.~.q%..2.8. t ......197. I3., 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 ......... ............... ~. Pp.:r.~. 9.~{..qn. O..D.~C~3 ............................................. The certificate is issued to . ~.~/4L2~4vI. .and. ~ERNI.CE. ~g&RKEL ........................... (o~vner,~x~ of the aforesaid building. Suffolk County Department of Health Approval ... ~/a'~ ................................... UNDERWRITERS CERTIFICATE NO ........... .Iq.4.39. ~. ~J, .............................. Rev 4/79 Building Inspector FOEI~ NO. 2 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.. Y. N? 99 0 BUILDING~ PERMIT (THIS;,;;PERMIT MUST BE KEBT..ON THE PREMISES UNTIL FULL cOMPLETION OF T~E'WORK At)TEt0RIZED) Z Date ............. , ........ Permission is hereby §ranti~d to: tO ? ' at ~ei~isi~s .located at .- .. .......... : ................ ~...,.~ ......... ............ , .......~.....,.... ?.,~...~?.~,~,~.;~...,.~..,~?~.~ .................. tO( *~t~on date~ ................. , 19..,..,, and approved by the 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 fo[[owing; 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 featu res. 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. Commercia~ buildings, Industria~ 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 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 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 3. Copy of certificate of occupancy $1.00 $5.00 ew uui~aing ............. Old or Pre-existing_Building ............ Vacant Land ............. Location of Property . .~.'?.~....Z,.v..i..T'..~.~. ?:..~.P,/...~-?...~,~..~..~. ,)...f?.i°~, ?~,T.! !. ,1,'..6~..~.. .......... House No. Street Hamlet Owner or Owners of Property ~/J ~ ~'' ~,~'t ~/,¢~ t4~}~t'~~ County Tax Map No. 1000 Section ... ('./:. ~..~. ..... Block ..... /../. ....... Lot .... ~',. ~/~. ,-~T, .... Subdivision .................................. Map No ............... Lot No ............. .~, Permit No..~..vI ,~... ~ Date of Permit , ,I..../....Applicant ,/~'?..: .............. : ............. Health Dept. Approval ~" ~ ' . .Labor Dept, Approval . ~,, .... :... Underwriters Approval ........................ Planning Board Approval , , ,~, ,', .~.: ............. Request for Temporary Certificate ..................... Final Certificate Fee Submitted $~....'~-~.; ..................... Construction on above described building and permit mee~ all applicable codes and regulations. THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~--~, 85 JOHN STREET, NEW YORK. NEW YORK 10038 ~t. :une ~. l~?~ App,~.tionNo. on~,e 9907~3N 430 THIS CE~IFIES THAT ~. ~, ~. ~a~kel,s/8 Luptous Point Rd.sl200~ e/o,i.Iat~ltUOksL.~. in the follo~v;ng locatlon; ~ Basement ~ 1st FI. [] 2nd FI. Se~tion Block Lot ,~as e=.,.in~,~ o. June 21,19 79 o.d yo..d to be in compliance o~ith the requirements of this Board. FIXTURE ~ EPTA I I RXTURES RANGES ICOOKING DECKS I OVENS r~sH WASHERS EXHAUST FANS OUTLETS [~EC CLES SWITCHES iNCANDESCENT F£UORE$C~NT ~ARi~O~ ,*AT. K.W. ~T. K.W. ~,~T. K.W. ~MT. K.W. AMT. H.P. 7 ] 11 ~ 7 , DRYERS [ 'FURNACE MOTORS ] FUTURE APPUANCE F~EDERS ;PECIALRECPT TIMECLOCKS { BELL IUNITHEATSRS MULTI-OUTLET DIMMERS mT K W O H ................ P / GXS H P mT NO A W G ~T ~P mT ~p~ TRANS AMT H P NO. OF FEETSYSTIMS ~r. W*TT5 SERVICE DISCONNECT . METER . F N ..... OTHER APPARATUS: Elee. Room Heatez'3zl-l.25,2-1oO,1-.?5,2-eSKW Motors z 1-O~'oCoI. 1-Smoke Der 1-~.5~ Hot: water* heate~* Ruland Elect. Co. P,O, Box 1~3 Z1Wattituck,NeY. 11952 4~LMANA~R L1c,2~2 11 Per This ce~ifica~ must not ~ al~r~ in any. manner;, return to the office of the ~a~ if incorr~. Ins~Oors may ~ identifi~ ~ their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPy OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. APl ~OTI,~Y B~iLD~iG 11. BEFORE J BAC~FiLLIN~ TION O~ 2. FRAMING ION 4. FINAL WHEN JOB ', N~T oi ~UJl' A~ET CODE DEEP HOLE CREEK S u r vey for VALENTI l!~ CORSO MATTITUCK Town of Southold Surf.Co.,NY Dec. 26,195£ Scale:l": 50' GUARANTEED TO: iNTER-COUNTY TIT[.[ GUARANTY AHD MORTGAGE Co. LAND SU RVE YOR. N.Y.$.I. IC. 12~45 = R~ERH~D N.Y. FOKM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. APPLICATION FOR EUILDING PERMIT 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 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. ......... ........ (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or budder.~j Name of owner of premises ~ / ~ ~ / ~ ~ ' ~ ~ '~ ~ ~ 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 Trade's License No ............................................... Location of land on which proposed work will be done. Map No.: ........................................ Lot No ......................... Street and Number ........................................ Municipality State existing use and occupancy of premises and in.~ended use and occupancy of proposed construction: a. Exisiting use and occupancy //~! ;~/:""~'~"-- b. Intended use and occupancy ......................................~-..... ............................................................................... 3. Nature of work (check which applicable): New Building. ................. Addition ...~. ....... Alteration ................ Repair .................. Removal .................. Demolition .................... Other Work .................................................... /~ .~ (Description) 4. Estimated Cost .... i.~...O.,z..~....~.?. ..................................... 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 t~se ............................ 7. Dimensions of existing structures, if any: Front ......~.~,!. ............... Rear .....~....~.../. .................. Depth .:.~.....m../. ......... Height ...... /..~ ............. Number of Stories .......... / ................................. :..; ........................................ ;..,.../ ............... Dimensions of same structure with alterations or additions: Front ..... ~....~...: ..................... Rear ,...?..b.. .................. Depth ...... ~..2.~ ................. Height ....... /...~...! ............ Number of Stories ..... ~.. ........................ 8. Dimensions of entire new construction: Front ..../..~.!/*q..../., ................ Rear .../..~.!..~..~ ........... Depth .....~.-?. .............. Height ../..~...~ .......... Number of Stories ..... ,/ ........................................ ; ............................................... ~ ........ ~ ............ 9. Size of lot: Front ...... .~..0..~.' ........................................ Rear ...J..~..~. ............................. Depth/...~..ff...v-:../...'~.~..../. ....... 10, Date of Purchase .... /.~.....~.....~. ................................ Name of Former Owner~..~. ................................................... 11. Zone or use district in which premises are situated ..................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ....,~'...~ .............................................. 13. Will lot be regraded . ...... .~.....~.. ........... Will excess fill be removed from premises: ( "~es ( ) 14. Name of Owner of premises ~....~..:..~1....:..,~1..~..~...~..i~....~.. .......... Address ../~...~...~..!..~...C/...~.... Phone No.~.~.~..~..~..!.i~....~.. Name of Architect .............................................................. Address ................................ Phone No ................ ./~..~ ~ ~ ~tv~[ U ~' ............................ Phone No ...................... Name of Contractor ..~....~. ....... ~ ......................................... Address ,~.~'.~.~.~.~. b ~'~"-- 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, I c ¢ ' COUNTY OF ................................ f"'" ~ ......... ~ .................................................................................... oeing duly sworn, deposes ond soys thot he is the oppliconl (Name of individual signing contracf) obove nomed. He is the ....~.....¢~.....~...~.~...~.. ......................................................................................................................................................... (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 tV. ar the work will be performed Jn the manner set forth in the application filed therewith. Sworn to b~his ~ / ..... Nota~ Public, ............ ~~..~,~ ........... ~.~y' ,,..,~ ............. ~ ............... [ ~ (Signature of applicant) now or formerly Edmund R. Lupron ~ Others WoY ~ ), ~ TO cREEK cREEK NOTE' · = MONUMENT SURVEY FOR WILLIAM M, MARK£L AT MATT/TUCK TOWN OF SOUTHOLD SUFFOI.:K COUNTY, NEW YORK 'i~t'UNAIJTHORIZED ALTERATION OR ADDITION TO THIS SURVEY ISA VIOLATION OF SECTION 7209 OF THE NEW YORE ~TATE EDUCATION LAW ~ COPIES OF THIS SURVEY NOT BEARING THE LAND SURVEYOR'~S INKED SEAI~ OR EMBOSSED SEAL SHALL NOT SE CONSIDERED TO SEA VALID TRUE COPY. ~GUARANT~ES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOB WHOM '(HE SURVEY IS PREPARED, AND ON HI~ BEHALF TO THE TITLE COMPANY, GOVERN- MENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON,A~ID TO THE ASSIGNEES OF THE LENDING INSTITUTION. GUARANTEES ARE NOT TRANSFERABLE TO ADDITIONAL iNSTITUTIONS OB SUBSEQUENT OWNERS. ~DISTANCES SHOWN HEREON FROM PROPERTY LINES DATE : JUNE 7, 1979 SCALE: "= 50 ~ NO. : ~'9- $17 ySO w. a YOUNG 400 OSTRANDER AVENUE R,VER.EAD, NEW YORK mi ~m m HOWARD W. YOUNG, LAND SURVEYOR NO. 4589~