HomeMy WebLinkAbout10203-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
UPDATED
CERTIFICATE OF OC~3PANCY
No Z-25806
Date June 30, 1998
THIS CERTIFIES that the building
Location of Property 230
Bouse No.
County Tax Map NO. 1000 Section 30
Subdivision
New dwelling
The ~ree~way East Marion
Street Hamlet
Block 2 Lot 51
Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated May 1, 1979 pursuant to which
Building Permit No. 10203-z dated May 5, 1979
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 accessory garage. *
The certificate is issued to
of the aforesaid building.
Angela Murphy
(owner)
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ~9-SO-40 November 23, 1979
UNDERWRITERS CERTIFICATE NO. ~N457020 November 15, 1979
PLUMBERS CERTIFICATION DATED N/A
* This updates CO#Z-9776, dated 12-6-79.
Rev. 1/81
1998 12:11 5167~471Z9 PA~E 15
FO~,M NO.
TOWN OF $o~'r~oI.D
BUILDING DEPARTMENT
TOWN CLERK'S
SOUTHOLD, N, Y.
BUILDING ~EKMIT
(THIS PERMIT MUST BE KEPT ON THE p~.EMISES UNTIL FULL
COMPLETION OF THE WORK A(JTHORIZED)
No. 10203 Z
,o opolicotion doted J. ...... ~.:..,~----~"-'/' ......... i ................... 19Z.~..,'o, nd.approved by the
Building Inspector.
FORM NO, 4
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N.Y.
Certificate Of Occupancy
No. ...Z97.7.6 ....... Date .... .D.O. ~.~l~.b..~. 1~..~. ................19.79
THIS CERTIFIES that the building ................................................
Location of Property .... .~.~.0.. ?.h?...O.r.~.e. rl..,q.8~. ....................... ?.g .~.'1;..lVl.~..z,.:[.o.~. ~. Iff,Y,
House No. Street Hamlet
County Tax Map No. 1000 Section .... .O.~.q .... Block .... .0.~ ......... Lot ..... .0.~.'1. ........
Subdivision..P.e..b.b.l..e.. ~9.a.e.h.. F.a..r3~.. ........ Filed Map No...~..~.~.~..Lot No...'1.0.9.. ........
conforms substantially to the Application for Building Permit heretofore filed in this office dated
.... .lVl. a.y..'1 ..........., 19~9.. pursuant to which Building Permit No... ~. 0.~.O.~.Z. ............
dated ...I~.ay..5. .................... 19 7.9., 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 .........
............... Pr:tw~e. On~ .Fam~.ly. l~.ell:t~ ................................
The certificate is issued to ...Egtui~;abl.e..Ped.eral. S.a~t~iaga .&. h~an. Aasoct.a~cion...
(owner, ~
of the aforesaid building.
Suffolk County Department of Health Approval .... 9.-..~.0.-./4..0 ..............................
UNDERWRITERS CERTIFICATE NO ............ ~..../457.0.~..0 .............................
Rev 4/79
Building Inspector
OF 50UT[IOLD
765-[802
· APPLICATION FOP, CERT.i. FICATE OF OCCUPA[IC¥
This application' must be filled in by type*4riter oR ink and ~ubmitted to the bulldlt~g
~nspec~or wi~h the fol~owtng~ for new building ~r new user
[. F~nal survey of property yfth accurate location of all buildtngs~ prope~t~
2, Final Approval from llealth Dept*' of wa~er ~pply and ~ewerage-dtsposal(S-9 form).
3~ Approva~ of electriea~ fnstallati~ fram ~a~d of Fir~ Underwrite~a~
4~ Sworn state,bent fr~m plumbe~ certifying that the solder ~sed in system
less than 2/IO of 1% lead. "
5~ Commercial building, tudus, trtal buildtng~ m~lkiple r~sidence~ and sfiuilar bandings
and installations, a 'certificaes of Cod~ Compliance from; architect or eugieeer
responsible for the butldlBg,
6, Submit Planning Board Approval of completed site plan requirements.
For exlatin8 buildings (prior to April 9~ t957) non-conforming usefi, or build.ga and
~'pre-~xisttng" land uses~
1~ Accurate survey of property showing all property ltnes~ streets, building sad.,
unusual natural or topographic feat~res~
2. A properly completed application and a consent to inspect signed by the applicant.
If a Ce~tifieat~ off Occupancy ia denied, th~ Building Inspector shall state the
reasons therefor in writing to the applicant~
Certificate of Occupancy - New dwelling $25.00~ Addietons to dwelling $25.00,
Alterations to dwelling $23.00~ swtlmning pool $25,001 Accessory building $25.00,
Additions to accessory building $25.00~ BUsinesses $50.00.
dertificata of Oceapancy oft Pre-axlsein8 Boilding - $[OO.00
Copy of Certifica~e of Occupancy - $5.00 'fiver 5 years - $[O.00
4, Updated Certificate of Occupancy - $50~00
Temporary Certificate of Occupancy - Residential $13,00, CommerciaJ. $15.00
XX
New Constructions,..***..,. old or Pre-existing Building.**..*~.* ...... ~,
I{ouee No, S~reee th~et
Angela K. MurDhv
O3O
Fee SUbmit ted I $,50.00 ' /~~~ '
~illiim ~. Price, er., Attorney/f~ent
~5:_' ~ ?ngela ,~K' Murphy
WILLIAM H. PRICE, JR.
ATTORNEY AT LAW
PO BOX 2065
GREENPORT, NEW YORK 11944
TELEPHONE NUMBER' (516) 477-1016
FAX' (516)477-0130
June 26, 1998
Town of Southold
Building Department
Main Road
Southold, NY 11971
RE: ANGELA K. MURPHY
PREMISES AT 230 THE GREEN WAY, EAST MARION, NY
Gentlemen:
Enclosed herewith please find Application for Certificate of Occupancy, together with check in
the amount of $50.00, copy of existing certificate of occupancy, copy of existing building permit,
and copy of survey.
Please update the certificate of occupancy to include the detached garage which was built at the
same time as the house.
Thank you for your courtesy and cooperation in this matter. If you have any questions, please do
not hesitate to contact me.
Very truly yours,
William H. Price, Jr.
Wl-IP/kk
enclosures
Office Locataon: 828 Front Street, Greenport, New York 11944
F-i J,.f ,.~ /
~ iD, D I T'~ c..~xJ /-", L
TOWN OF SOUTHOLD
, Building Depai~ment
Town Clerks Office
Southold, N. Y. 11971
Log # t09
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted in DUPLICATE to the Building
Inspector w~th the following; for new buildings or new use:
1. F~nol 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 exishng 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
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 SK00
Date November ]Sth, 1979
New Building ....X. ........... Addition ................ Old or Pre-existing Building ................ Vacant Land ..............
Location Of Property ...W/.S The GreenwgT. 169.35' S/0 the S¢rand
Owner Or Owners Of Property Equitable Federal Savings and Loan Association
Subdivision Pebble Beach Farms
................................................................ Lot No ..... .]...0..g... Block No ............. House No ......fi.3.0..
Permit No z. ..... Date Of Permit ....... ...........
Health Dept. Approval 9-S0-40
............................................ Lobar Dept. Approval ................................................
Underwriters Approval ............................................. Planning B~ard Approval ........................................
......... Cert. of 0ccupancv
Request For memporary ~.ertificate ..................... ../~ ............... rin~ ~.ertiricate ..........................................
/!
Fee Submitted $ ....... ,%.0.0 ..................... i/
Construction on above described building and ~/J~d-ni/~n~ ~licable codes and regulations.
J~lJm,/inllad~,~FvYz'r~otil ,__ Inc.
Applicant ....... .................................................
~/Donal~ M. 'Eveffsoq )', President
Sworn to before me this
15th November, 1979
............... day o fx~/.-..-. ~ .................... (stamp or seoD
Notary Public ./~:,P:'~..../.~d~.,._.'2T..T...7. ........ County 4' JEANFTTE M. O01~IPTOlt
' ' ' ! ~IOT~.R¥ POBLJC, Stste 0f New ¥0d[
[ No 52-5774760
Qu~hfm¢l m Suff0[k County ~
Corem s~,0~ Explm~ ~l~ch ~, ~(~ L/
FORM
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
Examined ................
praved ..... ................... . ,erm,t .....
Disapproved a/c .............. .~7~; ........................................................
......... ...........
(Building Inspector)
Application No...~'.~.~...~..~..?.. .............
APPLICATION FOR BUILDING PERMIT
Dote ......... ~'..1., .. ~L~9.?.9 ................. , 19 ............
INSTRUCTION$
a. This application must be completely filled in by typewriter o~ in ink and submitted in tripllcote 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 o~ljoming premises or public streets o~
areas, and giving a detailed description of layout ofproperty must be drown 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 o Building Permit to the applicant Such permit
shall be kept on the premises available flor inspection throughout the work.
e. No building shall be occupied or used in whole or in port 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.
c~tfL I~N~,~ EVERSOLL INC.
,. ...............................................
(S'gnature of applicant, or name, if a corporation)
(Address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Name of owner of premises .....C.l,eme~t..and..Anne..~!u~y....and..Ange.~e~..tVkt.r..lahff .........................................................
If applicant is a corporate, signature of duly authorized officer.
(Name and title of corporate officer)
Builder's License No .....................................................
Plumber's License No. ..X~.Iv~oh~n~,aal. ...............
Electrician's License No. N~.~z~i~e..E~.ee~. .............
Other Trode's License No ...............................................
1 Location of land on which proposed work will be done. Map No .... f~26~ ........................... Lot No .&O9 .................
..................................................... .........
Street and Number ~he G~.eet~F ~~ ...........
2. State existing use and occupancy of premises and in.*ended use and occupancy of proposed construction:
a. Exisiting use and occupancy ........ .Va. ca,~¢..,~¢t, .................................................................................................
b. Intended use and occupancy ........ f~'t3~.~,~..~e~:le~.~ .......................................................................................
3. Nature of work (check which applicable): New Building ...... ~ .......... Addition .................. Alteration
Repair .................. Removal ~ .................. Demolition .................... O~/hze r Work ...................................................
~'~. ~ (Description)
4. Estimated Cost .......... $B2.~.~00 .................................. Fee ............. ~ ......... I ........ ~ .......... i'""i~'"t~ ...................
(to be po~d on fling t is appica ia )
5. If dwelling, number of dwelling units ....... I. ................... Number of dwelling units on each floor ..... ,..!. ...................
If garage, number of cars .....I ...................... 2 ...............................................................................................................
6. If business, commercial or imixed occupancy, specify nature and extent of each type of use ............................
7. Dimensions of exmting structures, if any: Front ...... .NvA~ ..............Rear ................................Depth ....................
Height ........................ NumBer of Storms .................................................................................................................
Dimensions of same structure with alterahons or additions: Front .................................... Rear ............................
Depth ................................Height ...........................Number of Stories ................................
8 Dimensions of enhre new cohstruchon: Front ..... 52! .......................... Rear ...~6:.~,I'. ................ Depth ..6..0. :. .8.1~, .............
Height ..... .%8 ........... Number of Stories .............. .], ....................................................................................................
9. Size of Ici: Front .... .7.7..'.26!!J ....................................... Rear ...... .~6.,26.t ........................ Depth .........
10. Date of Purchase ................ ; ....................................... Name of Former Owner ........................................................
I 1. Zone or use district m whichlpremises are situated ...A..~esiden.¢5-a3. ........................................................................
12, Does proposed construction violate any zoning law, ordinance or regulation: ...... ,~0 .............................................
13. Will lot be regraded ..... NO.....i .............. Will excess fill be removed from premises: ( ) Yes ( ) No
14. Name of Owner of premises C],e~ent,..and..An~e..~..~ ...... Address O~e..Bense~f~&e;.~.. Phone No .......................
Name of Architect .............. ................... Address ....... ..D..~.."....3.:..,,~.~.3;.];.:J;.Sl~o~ne N~93,~k~:~8 .........
Jerold] Axelrod 275 Bro~dHollow Rd. Melville ~
Nome of Contractor -.P3~ei~!'~"E~erso'l'l"Inu'; ................ Address 3..~,.Ve~%e:~b~.Zt,.... Phone N~&~.~.u..u, .........
PLOT DIAGRAM Pkwy. Haupp~uge
Locate clearly and dishnctly a!l buildings, whether existing or proposed, and indicate all set-bock dimensions from
property lines. G~ve street and blbck number or descnphon according to deed, and shaw street names and indicate
whether intenor or coiner Iol
STATE OF NEW YORK,
COUNTY OF ..-~..f¢.~..F.¢.~ ........... S.S
............... M..,Re, t,.e~..,Ele~n ............ ~ ....................................... being duly sworn, deposes and says that he ~s the opplicom
(Name of individual signing contract)
above nome& I
He is th'e ;
.......................... ,V. ie~e~,b e s ~,¢1, e ~ t ..........................................................................................................................
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is dgly authorized to perform or have performed the said work an.d to make and file
this application; that all 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 ta before me this../..~_~, ,¢~,, · , ' ' 19...7.~,.. ~ ~[f'*~
EVERSOLL
INC.
..... .............. day of .......................... ,
~.
Notary Public, ~/~' ~'""~. ......... (Signature:~of applicant) ............................................
MARy R. ~Z
NOtary Public He~.~N. DRICKsoN
~'onlrnls~lon Ex~': ,, ~uff Itt CC;un,-
/(ij$~JJO:l'
t~ Oo
KLEI/V ~ EYERSOLL, /NC
LOT NO 109,"PEE~tLE LF[ACH FARMS"
Ar EAST MAt~IOIV
TOWN Or $OUTHOLD
SUrFOJK COUNTY, NEW ¥0~
YOt..I~G a YOUNG
NO 79 - 215
400 OSTRANDER AVENUE
RWERH~AO, NEW yORK
Lot
i10
~4
LOt.. ~.,
~reO
scl.ft.
108
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
FOR APPROVAL OF CONSTRUCTION ONLY
,~,..OVEO ~ C" <'"-'--
HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT
ti NEAREST WATER ·AIN--MI -~ ff SOURCE~ OF WATER
pRIVATE
__PUBLIC
~ SUFF CO TAX MAP ~ST/~O SECTION ~ ~OCK
~THE~ ARE ~ DWELLI~S WITHIN ~00 FEET OF THIS PROPERTY
O~Hg~ ~H~ THOSE SHOWN HgREO~
*THEWATERSUP~YANOSEWASE DIS~AL SY~ RTHI5 ~EStDE~
~LLC~FO~M TO THE STAN~RDS OF THE SUffOLK COO~TY~D~EHT
OF HEALTH SERVICE5 ~
NOTE: · -' MONUMENT
SUBDIVISION MAP FILED IN THE OFFICE OF THE CLEBI¢
OF SUFFOL!~ OOUNi'Y ON dUNE I1~ 19;x5 AS PI&ENO. 6266
:A TH~ LOCATIOH OF WELL(W), SEPTIC TANK(ST)~ CESSPOOLS(CP) SHOWN HEREON
ARE FROM FIELD OBSERVATIONS AJ~D OR DATA OBTAINEO FROM OTHERS
SURVEY FOR
KLEIN 8 EVER$OLL, INC.
LO7' NO 109,"PEBBLE BEACH
AT EAST MAt?ION
TOWN OF SOUTHO£D
SUFFOLK COUNTY, NEW YORK
DATE AP/?. 2~ 1979
SCALE / ""=
NO 79 - 215
YOUNG a YOUNG
AND LAND SURVEYOR N Y_S UCENSE NO 12845
HOWARD WYOUNG~ LAND SURVEYOR
NYS LICENSE NO 45893
400 OSTRANDER AVENUE
RIVERHEAO, NEW YORK