The URL can be used to link to this page

Home My WebLink About9640-z~NO.& TOWN OF SOUTHOLD BD~,~)ING DEPARTMF,,~ Town Clerk's O~ice $outhold, N. Y. Certificate Of Occupancy No...~9.~7 .... Date .......~.~-lY .... :~5 .......... ,19..7.1~ THIS CERTIFIES that the buildi-g located at ...6~0. ~0k01~,~. ~.o.~ ......Street Map No ............. Block No ...........Lot No, ' . ....... conforms substantially to the Application for Building Permit heretofore fried in this office dated ....Plarcl~..2/~ ....... , 19.78. pursuant to which Building Permit No....9.~.~..Z dated ....Marcla..2/~ ........ , 19.78., was issued, and conforms to an of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is ........ Pr.£vate .One. Eamll.y..Dwell t rig ................................ The certificate is issued to ........ Tarus. Homes ................................... (owner,~l~) of the aforesaid building. Su/folk County Department of Health Approval . .. 8-S/)-,'~ .'1...~ru~y..25 ,..'1975 ...... mmn~we~s C~mT~C,~T~ ~o ......... ~e ........... ...~ ............. / ~ousg N-UM~ ..... e~ ..... s~, ..... .,~o~o~..eoe~./.. .............. / ......................................... ............ TOWN OF BUILDING TOWN CLERK'S OFFICE' SOUTH'OLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF: THE WORK AUTHORIZED) N? 9640 Z Permission is hereby granted at premises located a~ .................................. ~ ......................................................................................... - (/} 'F H~.' L, lb pursuant to application dated jW/1 ~i~ 2 Y 19~?.,., and approved by the Building Inspector. FO~M NO. 6 TOWN OF SOUTHOLD Building Deim~tmunt Town Clerks Office Southold, No Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY instructions A. This application must be filled in typewriter OR ink, and submitted in triplicate to the Building Inspector with the following; for new buildings or new 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 compl once 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 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 3. Copy of certificate of occupancy $1.00 New Building .................... ~/'~OId~ or Pre-existing~ z/. //, ,,,,,,,,,,,,,,,,,,ZO oBuilding ;. .......................... Vacant Land ............................ Locat,on of Property Owner Or Owners Of ;;~;'~;;';"iiiiii:.i~.~'~/~.......~.~,~.''~''.¢-~'~ ........................................................... Subd,v,s,on .............................................................. ........ ............. Permit No....~.4~....~z(....~Date Of Permit ....... ?.~./~..~.~.,~pl,cant ~...~.. ............................................ Health Dept. Approval ~I.~.//~_...~..?./...~.. ~.~.~:;nO: nDeP:oaAr:(l~AA~alro-::; .......................................... Underwriters Approval /...c~.. ...... 7......~ .......................g PP Request For Tempor__ary Certificate ........................................ Final Certificate .......................................... Fee Submitted $~....."...~. ................. Sworn to before me this Appiicant ....~-.~.~.(//~....t~,A~~ :~.....: /'1 ................ day of ............................................ (stamp or Notary Public .................................... County / THE NEW YORK BOARD OF FIRE UNDERWRITERS Is BUREAU OF ELECTRICITY THIS CE~IFIES THAT was examined on and found to be in compliance with the requirements of this ~rd. FIXTURE LECEETACJESI SWITa. IES J IqXTURES O(JT~TS r' I J,'~"'~"'l.,,u~:~'~ I ~ 8 j ~ 20 8 t 2 Id RANGES SERVICJ DISCONNECT J NO. OF J S E t METER I tO CB ' x I R V I C J OF CC. CONO. EXHAUST FANS ~T. 2 "~' I Smoke detector I ~,F.C,I, Ne?hen&&l BonaparYe 2 Pelm PI. North BAbylon, L.I. 11704 LIc. 1400E This certificate must not be altered in any manner;, return to the office of the Board if incorrect. Inspectors may be identified by the~r credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY~IR. TOWN OF $OUTHOLD BUILDING DEPARTMENT TO~VN CLERK°$ ~UTHOLD, N. Y, ................... ~.~ ............ ~ ........ No ................................ Examined .................. ....... .................... ................................ (Buildin~ Inspoctor) APPLIGATION FOR BUILDING PERMIT ~/ . .4/~ oo. ........ ....................... 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 Tar 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 co.,~e~ and regulations, and to admit authorized inspectors on premises and in building~ for necessa?:e_ctions. // /? ~-- ~/~/~C'///CX~(S'gnoture of applicant, q~.~ome, ~ a corporation, ~/~'4x4)4~/tjX' ~,'v~ ......... /' .................... ...... ? ................. State~vj'hether applicant is owner, lessee, age~tT,)architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ..... ~., .~'.f.]..~.~....~'.'.~.:...,~.....,'~....~: ......... ~>~....~........ ~ ..~..~....?. ......................... ~,,// (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 Droppsed work will b~ do~e. Map No.: .......................................Lot No .............. Street and Number ..~..~..~...0.~.../.~......~'.~:.:7. ...... ~...O...~....~.~.~..~.....q.~...~'..~.. ...... .~...~....~...~..q...~......~.....~..~?~.. / /Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ~.~ / 3. Nature of work (check which applicable): New Building'. ................. Addition .................. Alteration ................ Repair .................. Removal .................. Demolitior ..................... Other Work .................................................... (Description) 4. Estimated Cost ...... .~.Z...~ ............................ Fee ~ .~, / ~/~' · (to be paid on filing this application) 5.If dwelling, number of dwelling_ units ..../...~.J~.../....4Z~.L.Number of dw_,~g units~ 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: F~ont ....Z...i'i'. ............... Rear ................................Depth .................... Height .......... '--: ............. Number of Stories ................................................................................................................ Dimensions of same structure with alterations or additions: Front .................................... Rear ............................ Depth .......................... Height , .Number of Stories ................................ ...... ,- ~'- I~ ' Rear Dimensions of entire new construction: trent .,.~ ............... , ............................................ _ ........................ kJeight .................... Number of Stories .............. /..-. ................................................................................... 7'/ 9. Size of lot: Front ............ ../..,..~.....~.. .............................. Rear ........../....~7.....?... .................... Depth ..,...~....../../.. ................. 10. Date of Purchase ........................................................Name of Former Owner ........................................................ 1 1. Zone or use district in which premises are situated ................................................................. .~/ ............................... ]2. Does proposed constructi~n,h violate any zoning law, ordinance or regulation: ....... .~.7..~..~ ............................... ....~.')J .~.... ............. Wi~excess fill be removed from premises: ([-~) Yes ( ) No 13. Will lot be regraded i4. Name of Owner of premises'~..~.~..f(.~ ~?',c ~..~.... Address ................................ Phone No ....................... Name of Architect ..................... ./. ............. .~ ...................... Address ..... ./'.v ..................... Phon~ No ..................... Nome of Contractor ./.¢~.' ....... '.v.'.:.~. .................................... Address .~/..~ ............... ;. Phone No ....................... L~c~te clear~y ~nd ~istinct~y ~ bui~ings~ whePt~n ~er~e~At.J Gn Rg A~rMpr~p~se~ ~an~d i:)n~di~t~a~ set.back dimensi~s f~m property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner Io~. ,/ COLJI:xFI~/././ // ./OF ........ ~ .................. ~' ' , .... ~..~.........&~ ....................................... being duly sworn, deposes and says that he is toe applicon, ///J (Name of individual signing contract) He is the ...~~. ...... -.~7........~%~.....~....f';~.-.-.~ .................................................................................................... (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 tha~ the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ~ ~ ..... C~...~.~..~..... day of ../~J~.~...~/~ ....................... , 19' '~"~'C-/~/~.~ //~ ~ .... X~ Notary~Public, . ................................................... County ..... ~...,.~~ .................................. .~. , ~, ~ ~ / (Signature of applicant) ilo. 52-464372[, SuffoJ~ gaunt Term Expires March 30, [9~ THE WATER SUPPLY AND SEWAGE DtSPOSAL SYSTEMS FOR THIS RESIDENCE ,WIlly,CONFORM TO THE STANOARDS OF THE SUFFOLK COUNTY DEPARTMEN1 APPLICANT:_ ADDRESS TEl amd water slopply now or formerly Henry W. Drum & Joseph. Solond N. 85' or formerly $ont~lo G. ~ HiAwATHA'S NOTE: · = MONUMENT THERE ARE NO DWELLINGS WITHIN I00' OF THIS PROPERTY OTHER THAN THOSE SHOWN HEREON WATER SERVICE-PRIVATE WELL REVISIONS JU£Y II, 197~ ·,I = 40 ] ~' JUL Y g, 1978 ' 78 - 400 THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES FOR APPROVAL OF COI~STRUCTION ONLY NO TE: · = MONUMENT THERE ARE NO DWELLINGS VI/THIN I00' OF THIS PROPERTY OTHER THAN THOSE WATER SERVICE-PRIVATE WEI.~ nov/ or formerly Et joseph Henry W. Drum So/and N.85 Area nov/ or formerly Sa~t~/o G. H w TH 'S UNAUTHORIZED ALTERATION OR ADOITION TO TH~$ SURVEY IS A VtOLATION OF SECTION 72~9 OF THE NEW YORK STATE EDUCATION LAW COPIES OF THIS SURVEy MAP NOT BEARING THE LAND SURVEYOR'S INK[O SEAL OR EMBOSSED SEAL SHALL NOT BE CON$1OERED TO BE A VALID FRUE COP~ REVISIONS YOUNG & YOUNG 400 OSTRANDER AVEh!UE, RIVERHEAD, NEW YORK ALDEN W. YOUNG HOWARD W, YOUNG PROFESSIONAL ENGINEER AND LAND f~URVEYOR SURVEY FOR: TAURUS HO,All.S, /NC. AT SOUTHOID YowM DE ~ $OUTHOID SUFFOLK CO., N.Y. / m,'= 40 ,' JDATE: GUARANTEED TO: · _~ 77 - 804 NOV. 18, 1977 N~, -t 1' APPROVED AS ~OTED DATE= "~/~ ~ ~ FEE: ~' ~ BY,~ NOT~FY BUILDING D~PARTMENT AT 7~5-2C~0 9AM to 4PM FOR REQU[R-~ Ii,. -y