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Home My WebLink About10856-zFORM NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy Date October 1, 19~ THIS CERTIFIES that the building qn..e. f.q r.n .i.i.z .d. ¥.e.l.l.~..n.g. ?. ~ .t.h..d.? ?.~ .............. Location ofPro-'ert' 8050 Nassau Point Road Cutchogue, N.Y. House lye. Street ................. Itl[~/nie~ 118 5 p/o 2 County Tax Nap No. ! 000 Section ........... Block ............... Lot ................. SubdivisionS/Q..N .a.s.s.a.u.. FP.z.n..~. .C.5.u..b. ?.p.O.[Filed Map No ........ 156A .............. Lot No. 105 conforms substantially to the Application for Building Permit heretofore fried in this office dated £.q p .~.e.m.b.e..p..~., ........ , 19 .8.0. pursuant to which Building Permit No. 10856 Z dated ...~ .ep.~.e.m..b.e?.. ! .~., .......... 19..8.0, 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 deck The certificate is issued to Frances N, Frzsbie ..................... /oh;.'o;, ................... of the aforesaid building. S ff lkCo ntyD of HealthApp al 30-SQ-56 u o u epartment rev .......................................... UNDERWRITERS CERTIFICATE NO N 522436 Building Inspector Rev. 1/81 FO~ NO. T°wN o~ BUILDING DEPART/~,I iN TOWN HALL SOUTHOLD, N~. Y. BUILDING Re¥. (THIS PERMIT MUST BE KEPT ON THE PRE/~ISi~iS UNTIL ~ULL COMPLETI°N OF THE WORK AUTHORIZED) N°. 1085G ~ormission is hor~b~ omntod to: .................. ~0 .......................................................................................... ~ ~' ......... ~ ........................................ ..................................... L...~..~ .............. ; ........................................ Coun~ Tox Mop No. 1000 Section ........... ,. Bloc~ ~,...~..~:} .......... Lot No ............ ~ ....... pursuont to oppllc~tion doted ................................ ~,.:~.~....~.~..:, 19Z.~:, ~nd opproved by the Building Inspector. ; ~:,?~ ~...; ~, ........ FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y, 11971 Instructions This application must be filled in typewriter 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 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 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 p~operty 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- tion required to prepare a certificate. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling 3. Copy of certificate of occupancy $1.00 4.Vacant; Land C.O. $5.00 $15.00 Date '...~-~-~'..~.~. '.~.. New Building . o~. ......... Old or Pre-existing Building ............ Vacant Land ............. Location of Property ~O ._ ~'~ \~.~ )~.~.~ ~ .~. House No. Street Ham/et Owner or Owners of Property .~..~. ?~.%.~'. ~ .~. ~...~.~. ~.~..~.X~. ~\ .~. ............................... County Tax Map No. 1000 Section ............. Block ..... ~ ........ Lot ............. Subdivision .\~_~.'L~_.~(~.~.~.~..~.~ .~...q.~.~z ...... F.led Map No. \.~..~..~. .... Lot No..\~.".~. ....... Permit No. Date of Permit [ ~ .Applicant Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ~ .~ .~.. ~.~.~. ~...~Q ........ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ..... .~. ................ Fee Submitted $ ~'-%'~ .~i~ ~ 01 Construction on above described building and p.cTnit meets aJJ.applic.able codes and regulations. Applicant ,. , ..................... Rev 10-10-78 30 l l Regulatory Affairs Bldg. 40g S~,Sf - lkx~n 219 Stony Brook~ New York 11794 (516) 751-7900 August 26, 1980 ~BL~T~. FIAC~E Commissioner Frances N. Frisbie Clearwater Lane Cutchogue, NY 11935 Re: Construction of one-family dwelling on Lot 2, Nassau Point, Cutchogue Dear Sir: As a result of your inquiry concerning the above referenced ,parcel, %his ,Dept. U~.nt has conducted an on-site L~sDect/Ono ~pro]ect) to be above 10'above mean se~ level. ~ !lave found the parcel or Therefore, pursuant to Part 661~ Official ConDilation of Codes, .RUles and Regulations of the State of N~.~ York~ Sect/on %61o4(b)~ no permit under · %rticle 25 (Tidal ~'~tlands) of the Environmental Conservation Law is r .equire~h Permit Administrator ~Application Received 19 Disapproval Issued Permit # 19 APPLICATION FOR DEVELOPMENT PERMIT In the Town of Southold Type of Development Proposed: Addition and/or AlterationS] New Structure (including storage tanks~ Flood Proof Below Base Flood Elevation~ Other (specify) Elevation Data in relation to above mean sea level of: "" inoh~s floor elevation, including basement ~ feet a) Lowest lb) In a V ttom of lowest structural me~er //_ feet inch~ Z°ne 'V ~° C ~d~ ~.~ ~' 0o~ Tsx Map No., Dis~c%, 1000, S~c%ion //~ Bloc L I---~Under Contract]~ Lessee~ I Contractor Approval from other%s) before Permit is issued: ~ ~/+r~ f /~/~ /~'~ I DEc ~Z~.~.~_,, ~r~,~_~_L,_~ ~,Z~,~,~_~.~,~,~J,W~'L~DS ( To~ ~o~d)~/~ HEALTH SERVICE~ ~/O~O~ZBA / ~r~e%or~, and ~gr6~' ~o eompl~ wi~h ~11 applio~ble ~eo%ion~f bhe Code of ~he ~o~ of Sou%hold~ ~o~ ~nd S~e ~d %o ~i~ ~u~horized in- 8peo%or~ ~o premises 8uthorized ~o perfo~ or hs~e performed %he s~id work ~d %o m~ke and file ~hi~ ~pplio~ion, ~he~ ~11 ed in ~his ~pplia~ion ~re ~rue ~o %he bes% oF m~ knowledge emd b61ier ~nd the~ ~he work will be p~rfo~ed applio~ion filed ~horewi%h. - S~gnature NO. 52-81258~, Suffolk Cou~ . ~. Term Exp~r~ March ~0, ~9~ ........ Applicant's ma~ng address ~d phone~ ....... 4/8o 09/ (SeeMs s%qS jo ~oeq eMS uo u~oj eSS Suo IIt~) pLre ; 'peAo~dd~ eq u~o Ednoqo ao esn o$ I~aOgdd~ eS% e~oJeq pe$$ymqns eq ssnm ~uo~qe~eIe I~UIJ eqq oj uo!q~oij!qJeo pe~Iube~ eq~ ~uo!seId~OO uodd i~ eq os emUS ~ pe~j~qou eq II.MS ~osoe~su~ eMS ~uo$3ou~qsuoo Su~uG /dI 'Gq0HAG0g 14611 CVO~ ~IVN " XN 'G~0H~q0s ~qVH NMO& 9~4 XO~ 'O'J ~09t-~9L (9t5) OT '0~ NH0~ FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Examined ......... L., 19~ ~ Application No../. .............. Approved ......... 19 ¥ermit Disapproved a/c ...... ,T~-, ,-, ,Z. h .... ' ' ' '~"9/ 'i In~ APPLICATION FOR BUILDING PERMIT Date..~.~.../~...Z/. ....... 192~ INSTRUCTIONS a. This apphcation must be ~oifipletbly filled m by typewriter or in ink and submitted in triplicate to the Building Inspector, with 3 sets of plansjaccurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the &agram which is part of this appli- cation. c. The work covered by th~s application may not be commenced befor$ 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 budding shall be occupied or used in whole or in par~ 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 Bmlding Permit pursuant to the Building Zone Ordinance of the Town of Soutbold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buddings, 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. (Sig~e~ap~l?a1~lo~l~e, if a corporation) · .C.l.e.a..~.,.a.~. e. r...[~.n..e,..qU~;0ho.~....~o~.o. 3,1935 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder· Owner Name of owner of premises . ...P?~..N'.q$.S. ?:, . .P.~.!~B. ~.E. ................................................ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No...~g. .................... Plumber's License No. 5.&4.-P ................... Electrician's License No .... &cf~j~. Ig ............. Other Trade's License No .................... 1. Location of land on which proposed work will be done. . . .L.o.~...1.0.5.....Ig,.a.~.~.a..u..~.g..:..i:1.cl... ~....Qqg..o..hpEu. e' :... · ........... . ................................ ...... House Number Street Hamlet Conntv Tax Map No. 1000 Section ....... t .(. ~.. .... Block ...... :~. ........ Lot..~.'.'~.'...~..~.~7--:... Subdivision....N.a..s.s.~.u..~.g.o..q.l.u.b .?.rgp....I..n.e .....Filed Map No. ~5.6.... A. .... Lot . 1/).5 .......... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .... FO. ea12t;. Y,al2cl .................................................... b· Intended use and occupanoy ... ........... ....................... 3. Nature of work (check which applicable): New Building X~ Addition Alteration Repair ........... ~./. RemOval .............. Demolition ............ ..~. Other Work ............... O]/~, ~_I~'/ ! (7~4~ ~b,,.~.~___ (Description) 4. Estimated Cost.... ~2. dt.eg.~.!.O, ....................... Fee.. ~..J. ................................ (to be paid on filing this application) 5. If dwelling, number of dwelling ~tnits ...............! Number of dwelling units on each floor ................ If garage, number of cars N.o. gal'age ............................................................. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structureS, if any: Front .... ~4,..' ....... Rear ...2~+! ........ Depth. d+l.~? .......... Height ............. Number of Stories ~ Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth .................... i.. Height ...................... Number of Stories ........... 8. Dimensions of entire new construction: Front ..... 2.~! ....... Rear...2./{..~ ......... Depth . ?../k?i i ' ' i i .... Height ............... Number of Stories .... O.129 ................................................. 9. Size of lot: Front ...... .1.~.8...ap/R.~.9.x.o..' Rear .... .8.6.'...ap~.9.x.. ..... Depth ...................... 10. Date of Purchase . .~.a.~..1.5.~...~.7.0. ............. Name of Former Owner .D.O. iY. 9.I:D,Y...J..o.h.n.~.t;..o.n. ......... 11. Zone or use dmtnct ~n whmh premmes are situated A Residential 12. Does proposed construction violhte any zoning law, ordinance or regulation: .i~1~ ............................. 13. Will lot be regraded ............................ Will excess fill be removed from premises: Yes No 14. Name of Owner of premises .~.l?.a.n.o.e. ~.. ~1.,?.~. $ .~.b.~ ~,ddress . ~.u.g..qh~gl~O,..~ ..... Phone No..7.~."5.~65 ..... Name of Architect . !I~?..~y.o.y....B.e.~.~qJ ........... Address . .~..~.~..1¢.1.o.,.~,.~.o.. Phone No..7..~.lk.-.5.1~q'~ ..... Name of Contractor .G. O9~'.g~ .i]~Orl~,130 ......... Address .¢ll, t~OhO~¢ ~. N.o.¥o Phone No..7.~q,.-.5128 ..... PLOT DIAGRAM Locate clearly and distinctly all! buildings, whether existing or proposed, an& 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 cbrner lot. , STATE OF NEW>z~RI¢,/ a ,~ ~ ...... Y.~~f....~,. .......... being duly sworn, deposes and says that he is the applicant (Name o individual signing contract) above named. e is the ............................................................................ (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 cont0ined 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 to before me this .............. ~.day o .......... 19oc~d) Notary_Public, ...... ~. ~,, .... ,,~j,s3 ...~/~.. County, _....._, . j I~01~R¥ p0~UC.State of New ~ork,/, (Signature of applicant) ' i ~No 52-8125850, Suffolk C0u~ ~ lerm Expires Ma~ch 30, 19~-~'~