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Home My WebLink About10115-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southoid, N.Y. Certificate Of Occupancy No. Z10232 Date October 31 ]9 80 THIS CERTIFIES that the building ................................................ Location of Property 1200 Leeton Drive Southold, N.Y. House No. Street Ham/et County Tax Map No. 1000 Section ...Q .~.9 ...... Block 01 .... Lot 001 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated dated ... ?.e.b.v.u..a?X .2..6 ............ 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 ......... A PRIVATE ONE FAMILY DWELLING (ALTERATION) The certificate is issued to JAMES MOLLOY of the aforesaid building. Suffolk County Department of Health Approval .~ ............ ~./.R. ......................... UNDERWRITERS CERTIFICATE NO ..................... .}{./.13. ......................... .... .... Building Inspector Rev 4/79 FORi~I NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, Iq. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is hereby granted to: ~'~.~-~ ...~...../..~..~...~z,~.. ....... ......... ~,~z~.~..:.../. ........... .......... ::~~.,...~..: .......... ,o~~...~~ ...~~~....~~~ ............... . .. ~ ......... Z... ............................ ; ........ : ....................... .............. pursuant to application dated~~..Z ......... , 19~.~:., and approved by the Building Inspector. 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 tVpewriter OR ink, and submitted in duplicate to the Building Inspec- tor 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 featu res. 2. Final approval of Health Dept. of water supply and sewerage disposel-(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. 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- lion 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 Date..~../..~.../. ~..o~..d ..... New Building ............. Old or Pre-existing Building ............ Vacant Land ............. Location of Property House ~1o. Street Hamlet Owner or Owners of Property .... ~'~.~. ,~% .... . .~/~...L~-- ........................................ County Tax Map No. 1000 Section .~. ~.-?,, . .~. .... Block . :~. / Lot.. Oi Subdivision ................................. Filed Map No ........... Lot No .............. Permit No. ~.~.[./..~-..~'. Date of Permit .~.~.... ~t(.-~)p~licant .................................. Health Dept· Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ..................... Fee Submitted $ ............................. Construction on above described building and p~it meets all a~l~icable code_~and, regulations, Apphcant ................. Rev. 10-10-70 l //-~ ~~ · TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTHOLD, N. Y. 11971 TEL. 765-1802 July 11, 1980 Frank R. Zaleski Applicant 97B Deep Hole Drive Mattituck, N.Y. 119~2 Dear Sir: ~his is to notify you that Building Permit No. . .!.0~l~Z issued ~b. 24, 1979 to Jim Mol~9~'' ......... will expire GU AuguSt 26, 19BO If more time is required to complete the Job and obtain a Certificate of Occupancy, you may apply, ~y lette~, for a six (6) month extension. If the work is not completed and the Certificate of Occupancy not issued after the six (6) month extension period, you are than required to apply for a new building permit. Very truly yours, GEORGE H. FISHER Sr. Building Inspector encl. · TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR. TOWN HALL SOUTHOLD, N. Y. 11971 TEL. 765-1802 July 11, 1980 Frank R. Zaleski - Applicant 97B Deep Hole Drive Mattituck, N.Y. 11952 Dear Sir: This is to notify you that Buildin~ Permit No. issued ....... Fpb_. 2~, 1979 to J~m Moll. o~_ ......... will expire on ..i.Aug~t 26~ 1'9b0 ..... . If more time is required to complete the job and obtain a Certificate of Occupancy, you may apply, by letter, for a six (6) month extension. If the work is not completed and the Certificate of Occupancy not issued after the six (6) month extension period, you are than required to apply for a new building permit. Very truly yours, GEORGE H. FISHER Sr. Building Inspector encl. Approved ........................................ I~UILDtNG DF. PA~TMFNT TOWN CLERK'S O~FI'~. SOUTHOLD, H. Y. 19 ........ Permit No .................. Disapproved a/c .............................................. .-//..~~.' ............. /9'2 ~ ~ ~, ~ .................... (Build~g Inspector) '~/ //U~u~ ~o/ APPLICATION FOR ~UiLDING PERMIT INSTRUCTIONS a. This application must be completely filled in by b/pewriter ar in ink end submitted in triplicate to the Building Inspector, with 3 sere of plans, accurate plat plan to scale. Fee according to schedule· ' b. Plat plan showing location o.f. Jot and of buildings on premises, relotlanshlp to adjoining premises or public streets m areas, and giving a detailed descriptmn of layout ofproperty must be drown on the diagram which is port 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 cz Building Permit to the applicant. Such permit sh~ll be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in v~hole or in p=rt for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Deportment for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of $outhoJd, Suffolk County, New York, and other applicable Lows, Ordnances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, os herein described· The applicant agrees to comply with oil applicable lows, ordinances, building code, housing co~e, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. 97]5 Deep g~Le~e ......... ...................................... (Address o~ applicant) State whether applicant is owner, lessee, agent, architect, en;ineer, General contractor, electrician, plumber or builder. Contrae to~ Nome of owner of premises ........ -.'~-~..---~- ...... (Name an~Z~"~'~'~te officer) Builder's License No ..................................................... Plumber's License No ................................................. Electrician's License No ............................................. Other Trode's License No ................ ..~....~-../. ..................... Location of land an which proposed work will be done. Mop No.: ...: .................................... Lot No. ~ Street and Number ....... ~.~.~g.~,..~.~.:Lv-e.,-~--,S~.u-t,~'~'y"-l~v'~' ........................................................................ Municipalib/ State existing use and occupancy of premises and in;ended use and occuponcy of proposed construction: b. Intended use and occupancy .......... ~.~zl~]..I,~z;~ ....... ~ ................ ~// ....................................... 3. Nature ~)f work (check which applicable): New Building .................. Addition .................. Alteration Repair .................. Removal ..................Demolition .................... Other V,fark ": . ..... (Description) 4. [stim*ted Cost ..... ..;...:'.y.,.,-'r'*"r ................. : .............. Fee~...~=... .......................................................................... (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 ................:t;:~t,~ ................................................................................................................. 6. h~ business, commercial or mixed occupancy, specify nature and extent of each type of use 7. Dimensions of existing structores, if any: Front ........ i.~ ................ Rear ............................... .~:, Depth ",~Z. He'gnt ......... Z. ij:. ......... Number of Stories ..... ~ .......................................................................................................... Dimensions of same structure with alterations or add;tions: Front ..... il~.~.'~; ..................... Rear ............................ Depth ................................ Height ............................ Numa r of Stories ................................ 8. Dimensions of entire new construction: Front ........ z~O~,~ ................. Rec, r ............................ Depth ........................ Height ...: ................ Number of -Stories .................................................................................................................... ·., Rear ....... t.~,,'~;~ ............................. Depth '~:"~3' 9. Size of lot: Front . ~,~,:a I0. Date of Purchase ........................................................ Nam of Former Owner ........................................................ 1 1. Zone or use district in which premises are situated .............. ~.~::~,.(~,~.~ ~.~.~ J, ............................................................ 12. Does proposed construction violate any zo.'dng law, ordinance or regulation: ...... .~',:¢ .............................................. 13, Will lot be regraded ....... ~,~¢. ........... Will excess' fill be removed from premises; ( ) Yes K ) No 14. Name ~ Owner of prem scs .t~. ~. ~,~,~.~ ........................ Address..,~...,..~..,;~,~,.~,,~.~,>..,.',~.. Phone No. ~;~:,,.L..!~,.¥ ..... Nome af Architect ...... Address,-;,.J,'.'~,~,~r~,..,,b~t;~...,~, Phone No ....................... Name of Contractor':~'-'..'-~,-v.',~-~~-,~-~-~,~..--:~.?.~; ....... .%g..,... Address~.~ ........ ~ .......... ~.,,. ~P~ane No. PLOT DIAGRAM ' ~ ...... '~: lac:ate clearty and distinctly all buildings, whether existing or proposed, end indicate oil set, back dimensions from property lines. Give street and block number or descrigtion occordlng to deed, and shaw street names and indicate whether nter or ar corner at , / t~ ,' tbove d~med. , ~ He is t'~e .......~~~ ........................................................................................................................... (Con,rector, agent, corporate officer, etc.) of said owner or owner~, and is duly authorized to perform this ~ppl[cafien; ~ha~ all that the w~r~ will be performed in the maoner se~ fo~h m thc ~pp.cahon ~'~ted tnerev,~tn. Swam to ~me this JH .............................. .......................... ,, ,