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Home My WebLink About9811-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. UPDATED CERTIFICATE OF OCCUPANCY No Z-22439 Date JULY 8~ 1993 THIS CERTIFIES that the building. DWELLING Location of Proper%y 1100 PRIVATE RD. House No. Street County Tax Map No. 1000 Section 50 Block 1 subdivision Filed Map No. SOUTHOLDt N.Y. Hamlet Lot 10 Lot No. conforms substantially to the Application for Building Permit.heretofore filed in this office dated JULY 20t 1963 pursuant to which 9811Z, lll13Z, & Building Permit No. 1828Z dated JULY 20, 1963 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 ONE FAMILY DWELLING WITH ADDITION & 1ST & 2ND STORY DECKS & ACCESSORY GUEST COTTAGE WITH DECK. * The certificate is issued to RIAL REALTY CORP. ( owner ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 6/20/63- R. VILLA UNDERWRITERS CERTIFICATE NO. N-402347 · THIS CERTIFICATE OF OCCUPANCY UPDATES BP #lll3Z-CO Z-949 ISSUED FOR ONE FAMILY DWELLING, BP #9811Z-CO Z-9346 ISSUED FOR ADDITION TO SAID DWELLING & BP #18228-CO Z-1638 ISSUED FOR AN ACCESSORY GUEST COTTAGE +~' E n~ I~s~eo or Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector. Town Hall Southold, N.Y. ~PDATED CERTIFICATE OF OCCUPANCY No Z-21170 Date NOVEMBER 20, 1992 THIS CERTIFIES that the buildin~ DWELLING Location of Propert~ 1100 PRIVATE ROAD #18 House No. Street County Tsc4 Map No. 1000 Section 50 Block i Subdivision Filed Map No. SOUTHOLD, N.Y. Hamlet Lot Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 20, 1963 pursuant to which 9811-Z, ll13-Z & Building Permit No. 1828-Z dated JULY 20, 1963 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 ONE FAMILY DWELLING WITH ADDITION & ACCESSORY GUEST COTTAGE * The certificate is issued to of the aforesaid building. RIAL REALTY CORP. SUFFOLK COUN~f DEPARTMENT OF HEALTH APPROVAL 6/20/63 - R. VILLA UNDERWRITERS CERTIFICATE NO. N-402347 *THIS CERTIFICATE OF OCCUPANCY UPDATESBP #1113Z-CO Z-949 ISSUED FOR ONE FAMILY DWELLING, BP ~9BllZ-CO Z9346ISSUED FOR ADDITION TO SAID DWELLING, BP #1828Z-COZ-1638 ISSUED FOR AN ACCESSORY GUEST COTTAGE. Building Inspector Rev. 1/81 FORbl NO. 4, TO~N OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office $outhold, N. Y. Certificate Of Occupancy THIS CERTIFIES that the building located at . ~..P~..~:..R.d. ?. ?/-..~..5 ..... ~ Map No ............. Block No ........... Lot No .................................. conforms substantially to the Application for Building Permit heretofore filed in this office dated ...... ~.u~..e.....2.9. ..... , 19.7..~. pursuant to which Building Permit No.........9811Z dated J'une 29 ,.., 1978 ........................ , was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is Private One Family Dwelling with Addition The certificate is issued to Betty Parsons (owner,~ of the aforesaid building. Suffolk County Department of Health Approval N/R UNDERWRITERS CERTIFICATE No .......... .N.4.0.2.3.47. ........ d~/;; ..... ' ............ HOUSE NUMBER .. ??..~.~ ....... Street ...... .~.~.v.a.t..e..~.4.... #..~.~./.. ............ / County Tax Flap Number 1000-050-1-10 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? 9811 Z Permission is hereby granted to: .... ~.~v~..~.~ ........... .'.~..Au.~--...~. ................. ...... ~......~/~:'.~ .......... :~.~..-~.:~.. ....... ~..~.~ s' ~ ^ ) to ............ 7~'~'~ ........ ~fv.~.~ .......... .,A. ...... '~'N ~: ......... ~.~,~.,~.L.~f. ....... ..~ ~ ~.~..~..~.~r.~. ....... ~t premises located at ................. ~ ...... ~jx.7 ....... .j~?~.~..,~......~.b~ ........ ./.~.~,,9.~....]~?.~.)~b ................ ; ............................................................. .~ ¥) t y. . .Tr. l. .t ~.+_. ..~. .. .~ ................................................. pursuant to application dated ................................ X~/.//.t~z....~, 19..~.., and approved by the Building Inspector. Fee $....../..~ ............. TOWN OF $OUTHOLD , Building Department Town Clerks Office 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 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-0 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 1057), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey,of 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 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 $].00 New Building ................ Addition ................ Old or Pre-existing Building ................ Vacant Land .............. ...... '., ' ' ......... :?z.,.' ............................................................................. Location Of Property Property ....~.~J.~..~ .............. Owner Or Owners Of 7 Subdivision ................................................................ Lot No ............. Block No ............. House No~L~.J..~.'~ Permit No .................. Date Of Permit ~. phcant .................................................................. Health Dept. Approval ............................................ Labor Dept. Approval ................................................ Underwriters Approval i~....,~..0...~.~',..~...~., ........... PI(inning Board Approval ....... ,~ ...................... Request For Temporary Certificate ........................................ Find Certificate ......... ~. ............................... Fee Submitted $ ..~.,..ff...~.. .................... Construction on above described building and pe~J~,~ meets ali appJic~Je~ocJes and regulations. Applicant ,...~~?.~.~,~ ~,,~, .~,..,~.,,.~,~.U,~,~,./..~'~ .................... Sworn to before me this ................ day of ............................................ Notary Public .................................... County Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building 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 from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences ahd similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: i. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant, If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date NOV. 16, New Construction ....... .... 01d Or Pre-existing Building.................UPDATHD CO Location of Pr perty I 1.0.0..P.R. Iy.A.T?..R.O.A~.. # 1.8 SOUTtlOLD, NEW YOI~K House No. Street Hamlet Onwer or Owners of Property RIAL REALTY CORP. County Tax Map No 1000, Section .... .5.0.. .. Block I Lot IO Subdivision ............... Filed Map Lot 981IZ, BP Z]828, BP ~13 Permit No ................ Date Of Permit ............. .. . Applicant ........................... . Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate..U~DAT~D.CO Fee Submitted: 50.00 ¢o ZglI?O APPLICANT ~gO~ NO. ~ TOWN O~ $OUY~OLD BUILDING DEPART~I:NT TOWN ~LERK'S OFFICE SOUTHOLD, N. ¥. xamined .............. ~... ?..~..Z.., 19 ........ pro ed ............ .......... (Building Inspector) Application No. APPLICATION FOR BUILDING PERMIT Date ........ ~T~,~,e.. 2~9. ......................... , Ig.7~ ....... INSTRUCTIONS a. This application must be completely filled in by typewriter o~ in ink and submitted in triplicate to the Building Inspectgr, 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. Th_e 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. (Signature of applicant, or name, if a corporation) ............ .~.d).,...~....~..0..8.~ ...... .S..~.S. ~.~;~.,.. ~..~....X.~.~, ............. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ............. .~$,~.~.~ ........................................................................................................................................................................ 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 ............................................... 1. Location of [and on which proposed work will be done. Map No.: ........................................Lot No ......................... Street and Number ........... ~9~.~.~.1..~..~.~.$~.t ............................................. ~,.....~..~ ...................... Municipali~ 2. State existing use and occupancy of premises and in~ended use and occupancy of proposed construction: a. ExisiHng use and occupancy ............. .~.[~..~9.~* ......................................................................................... b. Intended use and occupancy .............. ~.~. ........................................................................................................ 3. Nature of work (check which applicable): New Building'. ................. Addition ...,,~;.~.~;~.... Alteration ................ Repair .................. ,Removal .................. Demolit~or, ................:z./.. Other Work ................................................ .... ~ ~ ~ (Description) 4. Estimated Cost .~0(~0.00 ...... ~.~s ...................... Fee .... ~ ................................................................... (to be paid on filing this application) 5. If dwelling, number o~ dwelling units ............................ Numbcr of dwelling units on each floor ............................ If 9arage, number of curs ........................................................................................................................... 6. If business, commercial o~ mixed e~up~ncF, sptx:i[y ndure and extent of each type of use ............................ 7. Dimensions of existin9 shuctures, if any: l:~u,,t . ~[~...~?.......~.0.~... Rear .... .3.~...~. ...............Depth .~.~]...~) ....... Height ........................ Number of Stories .... ~ ...................................................................................................... Dimensions of same strudure with allerations or uddii~ons: I-rnn~ -.~ ......................... Rear . .........~ .......... Depth .... ~ .................... Height ~ ................ Numher or Stories ........ ~.~ ................ 8. Dimensions of entire new construction: Front ........ ~q~ .... . ............... Rear ............................ Depth ...~.~ ............... Height .................... Numbe~ of Stories .~ ........................................................................................ 9. Size of ~o~: F~ont ....~P.~..~.~. ............................... I~ne,r~ ......... Z~ ......................... Depth .~.~..~.~.~.9 ......... 10. Date of Purchase ...~.~.~1~ .............................. 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 ..... 14. Name of Owner of premises ..... ~.~.~..~.~.~ .................... Address ......... ~ ....... Phone No...~ ...... Name of Architect ..................................................... Address ................................Phone No ....................... Nome of Contractor ..... ~.~.m~.B..~. .................. &ddress ..... B~ ........... Phone No. ?.~ ...... PLO~[ DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-~ck dimensions from property lines. Give street and block number or description accordin~ to deed, and show street names and indicate ~hether interior or comer 2...,'3 O' RSr2" STATE OF NEW COUNTY OF .......... ~....~ ..... / .............. ~.~.e ....... ~~ ........................... ~c~,~,~ d,~ ~wo,'n. d~oo~ ~.d ~ey~ ~k,~, h~ i~ ~h~ ~pp~ic~., (Name of individual signin~onlrac~)" above named. H~ ~ ~h~ ....................... (Contractor, ag~corporate officer, etc.) of said owner or owners, end is duly authorized to peFforrn or have performed the said work and to make and file this application; that ~11 stqtements contained in this application are true to the best of his knowledge and belief; and the~ the work will be performed in the m~mner set fo~h in the application filed therewith. Sworn to before me this ~ ~L; -~~ - ~.~ do of 2. ...... ::::::::::::::::::::::::::::::::::::::::::::::::::::: ................... " ~ ~ . ~ (Si~noture o{ opplicont) t o ~ '~