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Home My WebLink About10685-z fORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall South old, N.Y. Certificate of Occupancy Z13213 Date.. .... .F.~!;>(,!l.a.r::{. .1.5.... ... .. . .. ., 19 .8.~ No. ... ..... .... ..... THIS CERTIFIES that the building.. . . . )~E!y!<. .a.qc;l;L.t,:i,Qfl. .t.Q. ?)C.i.~ t!-P.g. c;l)'i.e.q~p.g. Location of Property . 7.0.Q . F.o.s.EJV P.o.c1 . Dr .i.\(E!. . . . . . . . . . .. .. . . . .. M.q i;t;i.t.4Q\<. . ... . . . . . House No. Street Hamlet County Tax Map No. 1000 Section .. .1.1.3. . . . . .Block ... .2. . . .. . . .. . .Lot . . . . .1? . . . .. . .. . Subdivision... !'.o.~'i'''9.o.cj. !I.s.t;~t!'.s........ .Filed Map No. ??4.Q.. .Lot No. . !?......... conforms substantially to the Application for Building Permit heretofore filed in this office dated '" .I':I?Y. .U.........., 19119. pursuant to which Building Permit No. .1.ql???,z.............. dated ...... t1i'.y. ,,,). . . . . . . . . . . . . . . 19119. , was issued, and confarms ta all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is . . . . . . . . . ... . Ds.c.k .Q.p.d.:i.tip.D. .t9. .e.'i(J.t.i,!)g. .d.I'!E!P.l,I)g................................... The certificate is issued to ....R. Q \;>? .r.t; . q .'. .11: . ~1?-.r.g~(' !'J.t; .1':1.. . .10 ~ ~ ~ P.t: ';' ~~. . . . .. . . . .. .. . . . (owner, ~~~J!>XI!?M<ib)()XXX of the aforesaid building. Suffolk County Department of Health Approval ........ )'1/.1\ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . . . . N.1.1I. . . . . . . . . . . . . . . .. .. . . . . .. . . .. . tJ~~r .... .... .... ....... ......... ........... Building Inspector Rev. 1/81 .j . ~ " FORIII NO. 2 TOWN OF SOUTH OLD BUILDING DEPARTMENT 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(} 10685 Z Date ...UA..y......d.I.......,.............., 19,J.b Permission is hereby granted to: ~ ...k/.AK.f)~)K.er.H:.. ....6a..):.//7#II(/1..1 ...70.o...i(OSEtMJ.Ob........iJr.G " '" '..... ....&.&7T.I.'Iii.'-i..~..t.uh~....'" ..'" . to ....eQM~.7/f(.!..~.r......J)Ec.k....AP./J.L. . ..e.fk....ZE.....E"M./:s.r.l.k;.fj... .. ~:.~;~::~~~.~~.;.:......:.~~;;;;~:::]k::~:::::H~i;~~:~::1. ................................................................................................................................................................ .............................................................................. .................................................................................. pursuant to application dated .Har......l$......... '.. .........., 1~..., and approved by the Building Inspector. Fee $/~;;........ .I " is, '" fORM NO.6 TOWN OF SOUTHOlD Buiiding Department Town Hall Southo!d, N.Y. i i97i APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. Th:s uool:catlon must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec. tor '.'Inn the following; for new buildings or new use: 1. Final \ur':ey of property with accurate location of all buildings, property lines, streets, and unusual n,l;:U f.j! 0:- tooograoh Ie fe3tu res 2. Flnol 2oproval oi Heaith Dept. of water supoly and sewerage disposal-(S.9 form or equal). 3. Appro'lol oi 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 buiiding. 5. Submit P!ar.ning BOure apprel/a! of cl,mp[eted site plan requIrements \-"here applicable. B. For eXisting buildings (prior to April 1957), Non.confor'11ing uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peoperty showing all property lines, streets, buildings and unusual natural or topogrJphlc features. 2. S,';orn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date oi any housing code or saiety inspection of buildings or premises, or other pertinent Informa. tion requited to prepare a certificate. ; C. Fees: 1. Certificate of occupancy $5.00 2. Certli,cate of occupancy on pre.exlsting dwelling or land use $5.00 3, Copy of certificate of occuoancy S1.00 Date.. . _. } .. No'.'; Building. .. . .. . . . . . , . Ol~ Pre.existing BuJiding(X) . k ._, {Vacant land '. . . . .. . ., . .. location of Property 7t?Q... l~!?f-. l<'.4'.(fJh... ./J.fI.(/.t(....../11 fl.. 77/T.L!.rff<-. o House No, ~;Ji'.fc3T ~ -1J!1;t '(.~~.,r I' e' ;am,et Own_r or Owners of Property .{;-'P...... ...... .-. ,,~,~.../;.f.. .1I<<<<....r counrVTaXj!;;No.1000Section .;;:-1'.'..'~~.. Block .......~....... lot ./1-:......... SUOdlvlslon... .~f.Wp.1?~,. Jt.#fl!T.0.. .Filed Map No.:.:s:~.'f.Q.... .lot No. ... (,}....... p,ormlt No. /t?4: f[ioJ!e of Perm;! '?>.(([~. ..';~;J;icant . ./0!?,f?(?T. .!->f~ f( (-( ?I..~... Health Depr. Approval. .. '" '" ... ... . " . .. . . .labor Dept. Approvai ..................... ... . Underlo'mters Approval. . . . . .. . . . . . . . . . . . . . . . . .Planning Board Approval. . . . . " . . . . . . . . . . .. ' ., Request for Temporary Certificate. . . . . . . . . . .. . . . . . . . . .Final Certificate. . , . . . . .-. . . . .. . . . > FeeSubmmed S....r.;; ,(?(......!................ Construc:ion on above described building a~d ?Jl;;J~ I mp ab ,~Od~S and/g~tions. Applicant. '" ..".-. '.' . '.' . .. .. ,/.~z;,/~. . . . . . . . . . .. .. . , . Re.... 10 1078 & '# ';{Src~J... ;J,!rt;j~s- . ,~~:";"',...,:.",_. '. . . C.O z /3<2/3 . '....... ." ~ " " , ,<, ,L ~ it :. FIELD I:JSP~CTION I:JATE I COM!'1ElJTS -- ,- ... - - - - - '"1:, 1 . I .. ~ ~ ~ -- 2:: I-'i p:; H 1------- -~-~---"---~-------' --------~----- ~ FOUNDATION ..J.1st) z - - --- --- - 0 . N I- I- FOUNDATION (2nd) b~~1 01 '\\ )10'1 (1)\':1 I 2. ROUGH FRAME & z~ 0" . PLUMBING . ~ 3. (j) ~, q~ - INSULATION PER N.Y. ~ 8 C+\I ~ STATE ENERGY (i CODE 4. ~~ S'\ - J-" (1) , c+ Ii/WIN elr fo,.- CrcJ FINAL IlliV - ~~ ::;" - CD ADDITIONAL COMMENTS: '1 ' \ ~ ~ ---. ~ "'I . Z"' 1-"" '1;;'- ",l., c+'" I-" o~ ::; , t - '~ (1) " ~( , t1 , ~ . c+ ! . ,c. ;) '*' 1 >_h. 'U- "1' '. -4- ,1..=,,% 6re:>S-+00.:l 6Janbs I.. slanb3 6Janbs 4:>a3 +--'--+-+-t.- -.- 99C _ I _ Hd\1~9 N\1ld ~OO-'d . I' . -t-l-+Ll_+-+- i; I r . .\ --i.- ~-t--- - __.1 I -- . j~. ~ " I ...,.<.~ "f . ";$.-~, " ,. 1-----,;;;...,- ~Ir ,"- '" I ! I .\. ~ ~s; __ .! j --e.. - '--1-,'. t-+- -~t-~ ~ ~--{- -~. I. 10;:), i I I I \.! I rttb: , ,-""'''' , .' .. IN i' ,~~.' .'- --s:.-~""" j . : " '1"- -.-. 'I I p I. i ,- J.._ ~r J ~~-~~,-. I I I I' !ft_i \ t L. \1 ,J, ~ .. . ' -.. , --f- .- - , -t I I ,_. j. i ' t " , - . -- I " ': 1 - T I r. '~ii j I,. - - - ..; ,.. :""'''' GI), .-~ '" ~,'~ '--'r' I _.. ,; )' :." L. _ .. : Ti' ,,~~:JC:~~~~ I, .1'1 ~..J. I, i ,~. Ii: ., .' ~.- "IJ E: r~' I r I ! . ; ..' \\~'i\ ' "Jl~ ' -- ~: "",,,' ;";"', ';" ""'" m. ,,"" + fi\.:~ I', , j 'I ~,,, ,..": 'e It" !',!\' , ,': ~ _ __ \ _ \_ ~ '" . ' _,'._ F'" -r--1- .. ~I' I" ,. ~_'J _~. .~n -h.~:? ..\ I: :~'.:'.",' l" '," "","",~""",' _~K) i ! ~ ' .. ", ' 0' ~. , \ ~j,j; .. I ' r" \ -i~!.. . \ ~~~]; ~J,r' ... ...: r-- -""'.;[""1'-" I,' _~_"'{J--"-..: :i.[;;:;~ ..... ....~,..' __ ~ .......1' I, 1 \!. ri ~"". .. .. __ __~_ ... -I--.. ' ' .:;" -- -- , 'KJ '1 I I ' .~ "';M"~!"" :=:1 \)$ f-- '~f' r - -.. .. I --r::~~ -- ~ ~f="= 1~ ! . __.~\._, 1:___ _ ,.. :: _ ".:,1:.. ~..=_L_; _ t._ _ . " ~\ .~_~ _:\..--r-- · ~ ..,... I I i ..", .,J..:.... ".. . ,- '_J. !:-I. , i/' ~J ,::::- : "" I'" ! -~ - --,- --r.;.L+)JI! t " .. -' t"'--~. .. -- , i~\. v N, "I '1"'- r\ -~+"-]\~r-- '\ ~ !K i ~ !~.- ~F ~: i"-l .,~ _: ~ -~ ~ . ,0\;1 - ~J\ ~ ~;. :; (), 1\1 '~~!.. ...... .....t..") N 01 ._-- - ..-~ ! r;\~r h ! ~ ~ ~ ~i (~ ~ . ,:..,~(->-. ' .. _ _ ""'.1 1 I .,.. I ! i " ^ .,j ~"" ~ , I FORM NO.1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined /L~(i. ,o{~,..., 19.f!:! Application No.IO( ~ , . . . . . . . ~ ' Approved H:'?Y.. rX(.. . ., 19 fCl. Pennit No.lQt.c?$~i;' Disapproved a/c . . ., . ........- . . ,_.... , " . . . . . . . . . . . . . ' '. .. .. ,~.. .... .. "f;g;;(",,,, 7)fi , , ..'..... '(fl.. ,Ul~C (Building Inspector) APPLICATION FOR BUILDING PERMIT Dat~t<. Ill. . . . ., 19J? INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted m 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 descnption of layout of property must be drawn on the diagram which is part of this appli- cation. c. The work covered by this applicatIOn may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Buildmg Inspector will issue a Building Pennit 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 purpo.se 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 Pennit pursuant to the Buildmg Zone Ordinance of the Town of South old, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildmgs, 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 inspectio~ ~ ~~;; ;;;;i";,, ;; ;;, : if :i;;,;;,;;;,) " 71t/. . . . . . .?f:-ffl~. .~,tllttt<<-t'!, % . (Mailing address of applicant) //,j 2- State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. t9.W. t1 ({'-F ,., .,.. .......,., ."... 'iZ'" '~,.,. j:'" "m~'~'~~~"" .~:. ',' )>/c;/;k;~""" Name of owner of premises .....(J .156J::::r.... ,....' . If.. .. ,~7. .. 11.. , ... ......",....,...... (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. .,.~,............ Plumber's License No. ,. ..,........, ........ Electncian's License No, ......,."". " ,_.... Other Trade's License No. "."." , . ... . I. Location of land on which proposed work will be done. .........................,..".....,.",....,.... ...". .1L?CJ,."...,..... , f4>SrJ:. .~OP?':>., ,P.t({!E.",.... lJ:!./]7T/( ,:,c;~<.... House Number Street Hamlet County Tax Map No 1000 Section ,..,./ !-? . . . . . .. Block ... .0: . . . . . . . . . .. Lot..... /? . ... -... Subdivision,. /4;,SE.f..IJ9.0?:;. , .E5.IrI/~ f? ,. . Filed Map No. ..5,;7 (0... .., Lot", / Z.. . ,_.. (Name) 2, State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy. . .01:~.f:. . C~r/tr. . .. N~r!.4?'f( ~ .. .. .. . . . . . . . .. . .. . .. . b. Intended use and occupancy ..,... ,S*1''!.4f:. . . . .. ....,.............,............""...... ... , k }, ",j, -"i.ljJ; , "'" '<.,.. 3. Nature of work (check which applicable): New Building . P. ~.C. (< Addition. . . . . . . . .. Alteration .......... Repair .............. Rempval . . . . . , . . . . . . .. Demolition .............. Other Work. . . . . . . . . . . . . . . <!:i7 (Description) 4. Estimated Cost. . . . . . . . . . . . . . . .C? ? . . . . . . . . . . . . . . . . . . Fee. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5. . . I . I yo b~ paid on filing this application) If dwellIng, number of dwellIng:umts . . . . . . . . . . . . . " Number of dwellIng umts on eaeh floor. . . . . . . . . . . . . . . . If garage, number of ears ....,................................................................... 6. If business, commercial or mixed oecupancy, specify nature and extent of each type of use . . . . . . . . . . . . . . . . . . . . . 7. Dimensions of existing structur6s, if any: Front. . .. .7.4'.~. Rear. . .(?:t.r-.r: . Depth. .<7.p. .~.T.. . Height ............... Nurj1ber of Stories. . . . . :T4<-!.<? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front ................. Rear . . . . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . . . . . !. . . Height . . . . . . . :L L ,---;:...... Number of Stories . . . . . . . . . . . . . . . . . . . . . . 8. Dimensions of entire new construction: Front. . . . . . . . . . . . . .. Rear . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . Height ............... Number of Stories. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ''1.' . . . . . . . . . . . . 9. Size of lot: Front.... .ll.~.!. .r:::r...... Rear..... .!(k.. .F:r:.... Depth... f.? ..;r;::r:...... 10. Date of Purchase .......... i. . . . . . . . . . . . . . . . . . . Name of Fonner Owner ............................. II. Z d't't' h'h ~. 't td lJIt4rrlr!-(CIc. - C.?u1-cf(6f;,C.lC one or use IS nc In w IC p ,emlses are Sl ua e ..... ........... ................... .. ............ 12. Does proposed construetion ~ate any zoning law, ordinance or regulation: ........................... @ 13. Will lot be regraded ...... . " 9. . . '/. . . . . . . . . . . . Will excess ~be removedJrom premises: Yes No / 14. Name of Owner of premises /ZJr.f,;IE:-rAr . ~f<; If(ffl,~ddress ?~.,... .. .~<"c;..;~':'P...t< Phone No. ~t.f.-~.11 .... Name of Architect. . . . . . . . . !. . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . . . . , Name of Contractor . . . . . . . . '. . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. .. . . . . . . . . . . . . . PLOT DIAGRAM , Locate, clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-baek dimensions from prop(~rty lines. Give street and bloc~ number or description according to deed, and show street names and indicate whether interior or corner lot. I STATEOFN~~.u( : S.S . COUNTY.9f'; ...,... 'J'''l Jj ~~~ . . . . . . . . . . ~.q~"!1.0r: . . . . '1' ..... ........:..... being duly sworn, deposes and says that he is the applicant . ( me of ndividual sigp.ing contraet) above named. "" , , AIe is the .................... .i.. .~~................................................. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dJ)ly authorized to perform or have perfonned the said work and to make and file this application; that all statements contained in this applieation are true to the best of his knowledge and belief; and that the , work will be perfonned in the manner set forth in the application filed therewith. Sworn to 1?efore me this 1 .... . .. ... ... ~.I0 .U).day df.. . . .. . .. . ...7. V"'1' 19 .9:iJ :~ Nota~~blic, ............,/} .~; ,/ County , ~~~"'l ..' (? l" ~-... --'" {, , , < /,. /' f ' /'- .. ,woO..,. ...,...-". ,."".~tnml . . d' . '. . . . '. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . i - WZAIJETH ANN NEVILLE ,. ... , .' (Signature af applicant) I NOTARY ~UBUC.State ~ No, 52.8125850, Sulf unlY , T01M I=~nlrp.s March 30. 19_ . ~.1 .:;;;~ .. .. _~ ...,:J /" L f:S\<\ ~D1.\ J 5\...,- . por' Off .,fA" ~f cox Necv f\ LANe I o~,~ I u ~ > \ ~ III Q:: <) a Ii. 0 '1' () - :>. "'" t 0 , ) ...1 a ~ <) 0 '< 0 S UJ " II) ~ i 0\ 0 ~ ~ - \ ~ Q:: ~ _\. t? ~ .--- 'O~ ' .... .,. .....- ..oIL - <. ~.,.... ~ .. -. ...1 ~ .... > ~. ~ ~ ~ ~ t I'I(),J "} t:!o. " ..>--" " .-.,..-"" #...~" '"" ~\ . -;'\ , ..;\ \ Of{\'>J~ 000 sE'II IS~ ftO ,J< ~ p.c..A ~ ~ . ' u ' \J\t<ibr\ie(r~utf$'rQt~h' 0.1' $::I.ddidoo to thi$ survey Is 0 violation at ;. on":7209 of 'ho ~ew YorK State Education Low yltJ4t Copi~~,of tfii~ s1Jrvey'n1~p not bearing the land surv~'yo"'s inked yliJJ... ..... sSQI ~~~bos'sed seat sholl not be considered 10 be a v(.hd (.Or'V CJ vJ6~ .- U(f(( ~;-J~'\- or c tdkdtlons IOdicated hereon shall fun only to the ~p;ijri':,:' f ,who"') Ihe 'Survey' !5 prepared, and on hIS behalf fo the 'lIfl~ f;JM:C;,-ry, governmental agency and lendmg insMullon listed Mreotf;' if to the assignees of }he lendmg rnstltutlon. Guarantees Of' cer'j"bc On$ are not trans~rable to additional institutions or stJbs~uent owners. ' 'lJMN!rr;TAXMAP NO,$< t/3/81J<.3/LQTIEF SURVEY FOR ROBERT J. a MARGARE AT MATT/TUCK . " TOWN Of $QUTHOLP "'011'."'_ TO' SUFFOLK COUNTY, N. Y. $Ec\J~nt Urt.f! 8, GUA~ANTY COMPANY $()tITHOI4D 'AVING' IlANK SCALf: ,".30' "OBERT 'J. . MAItBA,RI!T M. LlTCHHULT MARCH 27, 1978 ,. '" .L MAY 26, /978 ~~~ OCT. 4 , /978 1. '1IU,t'.,. It . 1.1\ " 7111 " Itll.a N.Y. i; t . ,\!. -!i!II ". " '..lI"1 i' . · ~" . " ' " <_ ,. . ~.< ^ .... . "^., , ^...~_.t$;i ../ "' "'.".. ,,^ h_~. ;"