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Home My WebLink About9926-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy No. Z9760 Date Novelaber 26 ,1979. THIS CERTIFIES that the building ................................................ 1050 T~umane Path East Marion, N.Y. Location of Property h~ds~ ~Jol ....................... County Tax Map No. 1000 Section ...~fi ........ Block ....'1.2. ......... Lot....~.o.O. OJ ........ Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated Auglls~ 28 197.8 pursuant to which Building Permit No. 9926Z dated Sep+~enlber' 6 19~8 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~ivato One P~mi!y Dwelling The certificate is issued to Wllliml and Pa'~rict[a Brennen ..................... ?oY.'dr. '~) ...................... of the aforesaid building. Suffolk County Department of Health Approval ...a.~. 59.-.~.9.~...9../? .a./7.?.. ~ :4.~..v%~..~ .... UNDERWRITERS CERTIFICATE NO ........... N..../4.~.~?..07 .............................. Building Inspector Rev 4/79 FOI~M NO. ~ 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) N? 9926 Z Date ........................................................ , 19 ........ Permission is hereby granted to: 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: ~I. 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. 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 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 $5.00 ~¢~. , h~ ~o~ ~ 1979 Date .......................... New Building yes Old or Pre-existing Building Vacant Land 10~0 Trumans Path~ East Marion, New York 11939 Location of Property ................................................................... House No, Street Hamlet Owner or Owners of Property . ,~ill~L~. 5~d. ~T$C;L~. ~'~ .............................. County Tax Map No. 1000 Section ., 3.1 ........... Block .. 3 ~ ........... Lot .... .~: .0.01. ....... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No.. 9926..~., Date of Permit 9/. /7 ....Applicant . William Brez~en Health Dept. Approval , ~.-..'~.'~...-'../.~-)..~.- ..... Labor Dept. Approval ........................ Underwriters Approval, ~../'/.~..2~.. ~,4~. t/. ....... Planning Board Approval ...................... Request for Temporary Certificate.. ~ .............. Final Certificate .. Y,~.~ ................ Fee Submitted $...~f.~?.~Z ................... Construction on above described building and permit meets all applicable codes and regulations. Applicant ~L~-~¢-,,~,.~ .~.:...~.~.7~....~,~.-..~ .................. NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION ~ 15278--0132 PERMIT UNDER THE ENVIRONMENTAL CONSERVATION LAW ARTICLE 15, (Protection of Water) [] ARTICLE 25, (Tidal Wetlands) ARTICLE 24, (Freshwaler Wetlands) [] ARTICLE 36, (Construction in Flood Hazard Areas) issued TO William H. Brennen ADDRESS OF P£RMITTEE 48 Spring Lane, Levittc~a, NY 11756 By: John Isnnc~e 703 Main St., Fa:mingdale, NY 117:15 LOCATION OF PROIECF (Section of stream, ttdal welland, dam, buHdtng) -~ East side of Marion Lake, West cf Trojan's Path, East Marion DESCRIPTION OF PROJECT Constructlc~ of a single family dwelling ~pprcr~mately 60' east of Marlin Lake and 1025' ~outh of Main State Road. Cesspools to be cc~structed no closer than 100' fr~ Marion Lake. COMMUNITY NAM£ (City, Town, Village) ] TOWN East Maric~ southold %OUNTY FIA COMMUNITY NO. J DAM NO. 1 Suf£ol.~ GE NIERAL CONDITIONS JPERMIT EXPIRATION DATE 9/30/79 8. That the State of New York shall in no case be liable 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 ?[avigation, or for other purposes, and no daim or right to compensation shall accrue from any such damage. 9. That if the disptay of lights and signaJs on any work hereby authorized is not other,vise provided for by Jaw, such lights and signals as may be pre- scribed by the United States Coast Guard shall be installed and maintained by and at the expense of the owner. 10. All work carried out under this permit shall be performed in accor- (9/75) (SEE REVERSE 51DE) SPECIA b, CONDITIONS 3.6. There shall be no disrupticn or despoilatic~ of freshwater wetland fringe ah edge of Maric~ Lake. PERMIT ISSUE DATE TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TEIWN CLERK'S OFFIC:E SF1UTHGLD, N. Y. 11971 TEL. 765-26~0 I 195t TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE'~,~,~,S, SOUTHOLD, N. Y. ................. ~proved ..............~~..., ,9.~Permit No. ~ ~- Disopproved o/c .............. ~ .................... ~ ..................................................... C ................................. ~.;; %~ ................... ~ ............. (Budding Inspector) Application No. ~/~'~ . APPLICATION FOR BUILDING PERMIT Date ....~...~...~. ................................. 19 ............ INSTR. UCTIONS a. This application must be completely filled in by typewriter or~ in ink and submitted in triplicate to the Building Inspector, with 3 sere 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 oF 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 oil applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and ir~ buildings for necessary inspections. ~.,~Signature of applicant, or name, if a ~corporation) (Address of applicant) State whether applicant is owner, lessee, c~rchitect, engineer, general contractor, electrician, plumber or builder. Name of owner of prem ses If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ......... /~.~.~ .......... ~./~..../..~Z.7...~.. Plumber's License No .................. .L ............................. Electrician's License No .............. : .............................. Other Trade's License No ............................................... 1. Location of land on whi.c.h, prgposed,work will be done. Mop No.: ....~..~J~.~(..~_z?.fl .~.. ............ Lot No....././..~. ................ Street and~ Numb~r~/~..~/~..~.~..~.../..u..;.u....Z...r~./~..~.....~...¢..~.~..C,~....../.'../.~..~ ~.~./.~ ..~..s.'./~z'/-~. 0~' /,~'//~ ,~' ~ t. ' ......................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy b. Intended use and occupancy { /-,~i~, j 3. Nature of work (check which applicable): New Building.. ........ ~.. ...... Addition ............ m.., Alteration ..~ ............. Repair Removal .................. Demolition .................. Other Work j~o ~ ~.o (Description) 4. Estimated Cost ....... 7' .................................................... ee .......................................................................................... (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 allerations or additions: Front ....................................Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front .......... ,~_.O...,~ ............... Rear ............................ ~ Depth ............... ...~..~, . Height ..../..'~.'~.. ........ Number of Stories 0.,~.~ ................... 9. Size of lot: Front ......... ?...~.. ....................................... Rea.'. ....... .~..¢~. ..................... ,~... Depth ....,~..'~'....~.~...~...~. ........ 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 .....,,~.o. ................. Will excess fill be removed from premises: ( ) Yes ( ~' 14. Nome of Owner of premises ..~.//ff'~'.~..../../.L...~'...~...~...~...~..~.,,~....,' '"'- -- ~ Address No ....................... Name of Areb4~ct ....... ..~..~..~ .......... :~,: ................................. Address ...2.~.~..*.~..~.~.K.~.....~..:... Phone No. ~-I'~.EI Nome of Contractor ........................ Address . .~.~..f2..,f/...~..~.~. ..... Phone No. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions frorn property lines, Give street and block number or description according to deed, and show street names and indicate ~hether interior or corner lot. ZqZ.o STATE OF NEW YORK, I ~ ¢ COUNTY ,OF,., ............................... ~'~" , ............... ,........:.: ................. ~ .......~ ..................................... be~n~ duly sworn, deposes and says that he is the opplicom (Name of individual signing contracf) named. He is the ...................................... ..~....'J~... ....... .~... ...... ..~....~....~,..~ ............................................................................ (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 afl statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ,,-~ o ........ .:...:.. ........ .......... ' .I Notary Public, ....../,b4~ ............ County ,-..~.../.~-~.....~..~ ......................................... ~' ~' ' // // (Signature of applicant) ~/-~, ~ BABETTE C. COR'ROY NOTARY PUBLIC, State of New Suffolk County -- j oi° /- / ? / ,.,' ?/ ," .';'~ I -' 0 /,,,//-- II I II II APPROVED A,S_ NOTED NOTIFY BUILDING DEPARTMENT AT 765-2660 9AM to 4PM FOR REQUIR- ED INSPECTIONS: 1. BEFORE BACKFILLING FOUNDA- TION OR START FRAMING 2. FRAMING INSPECTION 3. BEFORE COVERING PIP/S OF ANY KIND 4. FINAL WHEN JOB COMPLETED NOT RESPONSIBLE FOR Df:SIGN OR CONSTP, UCTION EKEORS GENERAl NOTES. l-,~" x 8" HEADERS OVERALL OPENINGS UNLESS OTHERWISE SPECIFIED. 2--ALL STRUCTORAL LII,MBER TO BE UIN. liD0 P,S.R DOUGLAS EiR OR E{~. :t-ALL FOOTINGS lO BEAR ON VIrgiN OR UNDIS- 1U'J~EP SOP OF TWO TONS PER SQ. fff. 8EAR- ING CAPAGIF~ 4 [eNIEACtO~ TO VEriFY ALE ~I~iENSlONS AND 5--ALL ELECrRtC V:OEK ACCORDIfI~ TO CODE. 6-DOUBLE J~tSTS UNDER ALL BEARING P~RTfHQNS. 7--NOTED DINiENSIONS TO lAKE PRECEDENT OVeR SCALE. CONTRACTOR ~O VERff~ ALE DIMENSIONS AND CONNFDNS A1 lHE BUILDING. FL F'<. roc .z.,. M t ,/ ,r-