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Home My WebLink About9754-zTOWN 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? 975 Z Permission is hereby granted to: ..... .P.,..~.v...e..z:..s.~.~..e... ~.o.m .e.~.,. _ .Z..~.c .... ......... a/.c.....C~b er.~.. &.. ~adelin.e..~ichael is ~o ,...h~.J,.~,~...ft..~.r.$.v.atm.0n~...~...e~;ky......D~..~%%Ang ................................................................... at premises located at ........... ~.~-..~ '~'~'~...~¢~t ............................................................................. ............................................... 8.a~tho;~O,,...~.. York ...................................................................... t.n...B~ys.~.d~ ...T. eF.~ae~.~ ..... 1~..#20,.~ .............. .I~¢ ...#-...2~ ....................................................... pursuant to application dated ......... .~...a.~.......2...~. .............................. , 19~.~....., and approved by the Building Inspector. Fee $---55...60 ......... Building Inspector 1000-78-9-28 H8 7-S0-122 TOWN O[ $OUTNOLD , Building Depo~tment Town Clerks Office Southold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application ~-~ust be filled in typewriter OR ink, and submitted in DUPLICATE to the Building Inspector 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 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. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey.of property showing all property lines, streets, buildings and unusual naturo~ 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 in- formation 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 $1.00 New Building ...... .:f ........ Addition ................ Old or Pre-existing Building ................ Vacant Land .............. Location Of Property ..2~..~t~.t;..B~ ..................................................................................................... Owner Or Owners Of Property Gilbert and Madeline Michaelis Subdivision .... ~f~.X~..~..d..e...~.e.K~.a..e..e...~a.P...~.°.:.-.2..0..3.~._.Lot No ...... .2.?.... Block No ............. House No....2.~.0, .... Permit No. ~.2~.~..7, ........ Date Of Permit ...~/.,~.~/.2~]....Applicant ...,R.$.~.~.~'.?.~f1.~.~O.~tg,~.~...T.~.C. ...................... Health Dept. Approvnl ...... .7...~.0...~.2..2. ...................... Lobar Dept. Approval ................................................ Underwriters Approval..~...-~...~..~.:...~...~..-/~.. ........ Planning Board Approval .................. ,.~ .................. Reques or Temporary Certificate ........................................ FinoJ Certificate ......... ~ ..................... Fee Submitted $ .................. ~..,~ ............ Construction on above described building and~ m.~,~ all opplioabl~/codes and regulations. App cant ...~;~ .......................................... ~ ................................. Richard ~andolos~i~ Vice President of Sworn ~/3, before me ~ Riverside Homes~ Inc.~ applicant/builder · ...~. ......... (stamp or seal) 1000-78-09-027 10/24/84 (Bayside Terrace Lot #30): C.O. #12930, BP #13472Z, Acc'y building and bungalow 9~'~ along Summit Rd x 100' deep. Prior ZBA Appeal No. 2320~ 8/4/77, Set-off lo~ with existing building. Bayside Lots 29, 29A and 30~ Also grandfathered by Planning Board 9/.13/80. Bayside 1000-78-09-028 (Bayside Terrace Lot 29); 1984-85 tax bill combined #29A &29 1983-1984 and prior: Separate tax bills. 5/26/78 Building Permit #9754 for new dwelling on vacant lot size of lot: 96.86 along Summit Road by 99' deep. 8/4/77 ZBA Appeal No. 2320, set-off lots',.~29, 29A and 30. 9/13/80 ~ Grandfathered by Planning Board. 1000-78-09-031 (Bayside Terrace Lot 29A)[now part of 031.1 of CTM]: 19849~85 tax bill combined this lot (29A) with Bayside Lot #29. 1983-84 tax bill separate .from other lots in Bayside Terrace 8/4/77 ZBA Appeal No. 2320, set-off lots 29, 29A and 30 of Bayside. 9/13/80 Grandfathered ZBA action by Planning Board. 1000-78-09-033~4 (part of 33~2):(Bayside T~rrace Lot 30A): 98//74/~7~ Z.fi~'l ~ p~Oe ~ 10NSofi i ~ 3~9' others. set off lot with dwelling 1000-~8-09.-033.1 (described parcel with existing dwelling) aside from 302 6/9/81 8/4/77 6/23/77 Family Sale, GilBert to Edward Michaels tWas set-off from Bayside Lo~ 29A-ZBA Appeal #2320, 8/4/77) and set off' from eag~e~ty_tot 'in Appeal #2303, 6/23/77) 1000-78-09-33~3 Sold to Gloscia and others (9/7 /77) (Described lot) 9/7/77 Sale from Michaels to Glosia and others 6/23/77 ZBA Appeal No. 2303, set off this lot from 9/13/80 Grandfathered by Planning Board 30A. TOWN OF SOUTHOLD OFFICE OF BUILDING )NSPEICTOR TOWN I~-LERK'S OFFICE SOUTHOLD, hi. y. 11971 8"//~/?~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Disapproved a/c (Building Ihspector) Application No. 97J54 APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter o~ in ink and sdbmJtted in triplicate to the Building Inspector, with :3 sets of 4~lans~ ac~curc~te 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~ area~,'ond giving o detailed description ~f layout of property must be drawn-oncthe diagram which is part of this application. c. The work covered by~thi~ application may not be commenced before issuance of~ Building Permit. d. Upon epproval of this applicetion, the Building Inspector will issue~a Bu~ldlng 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 ar 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. r (Signatur~'of applicant, or name, if a corporation) PO Box ~74~ Riverhead~ NY 11901 (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. builder Name of owner of premises Gilbert and Madeline Michaelis If ap~ corporate, signatu)'e of duly authorized officer. ..~~...~:~::T,...~....~ (Name and title of comorate officer) Richard Wandoloski~ Vice ~President Builder's License No ..................................................... Plumber's License No. 412P Electrician's License No. ...~.8..9.].~ ................................ Other Trade's License No ............................................... Terr 1. Location of land on which proposed work will be done. Map No.: ~ot No. Street and Number ...B..g...u~...~.~...~..a.: ............................................................................................. Sou,thol~ ................. Municipality :2. State existing use and occupancy ofrpremi~es and"in~ended use ~¢~nd occupancy of proposed construction: e. Exisiting use and occupancy .....................v.a~ant..land ..................................................................................... b. intended use and occupancy ........... e~e..~.am~.y..d~.l.[.~g ............................................................................... 3. Nature of work (check which applicable): New Building .... .x. ............ Addition .................. Alteration ................. Repair .................. Removal .................. Demolition .................... Other Work .................................................. ..- (Description) OL00 4. Estimated Cost ..............~ .......................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ....... 2 ................... Number of dwelling units on each floor ............................ if garage, number of cars I ................................................................................ 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 ..... ~....R ....................... ~ear ....................... Depth ..~2.4.~. ............... 9. Size of lot: Front ............. 9.6o.8~6. ................................. Rear ......... 9.6.,.8.6. ....................... Depth ..... 99¢11!. ............... ]0. Date of Purchase ........................................................ Name of Former Owner ........................................................ I 1. Zone or use district in which premises ore situated ..................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ............... ~.o. ..................................... 13. Will lot be regraded' . ......... Y. flf~ ............ Will excess fill be removed from premises: (× } Yes ( ) No Nome of Architect ..Riuhar.a..Wgnau].aaki ....................... Address fio...CounJ;~..Rd....Phone No. Name of Contractor Riverside Homes. Inc. Riverhea~astp°rc 727-3395 ........................................................... Address ................................ Phone No ....................... PLOT DIAGRAM Locate clearly and distinctly all buiMings, 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. SEE ATTACHED SURVEY STATE OF NEW YORK, COUNTY ,OF .......... S~EEOLK ........ ' ...................................... ~,~.Q~,&~,D,.,W,4]~]]P. QT~Q~...~. ....................... being duly sworn, deposes apd says that he is the applicant (NUmb%f individual signing contract) a'bove named. He is the .............................. .Y.i.c...e....P..r..e.,~..i..4.e..n..t,...q.f....a.p,p..1.i..c.¢.~.~..~9'¥~.9~A~'s9'~ ................................................................... (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 thor the work will be performed in the manner set forth in the applicatio~ed therewith. Swornto' mcthis , 19~ .~ ,~ ~,) ]~ day .,~.. . ....... Notar, ~ounty /x ............ ~ ....................................................................... (Signature of applicant) ~0d~llY PU IR, ,~;tate ol ['~e Richard Wandoloeki II ~,~ ,~c~.3[¢. 0 s~ A v^ ~, r.u. ,:';Pr. ' ~+~- (~"~--~'t "'";~ ,:--';'~ I STAMP ~ Yv'i~?~ , ~0~ APPROVAL OF CON~TRU~ION ONLY ........ (s)~