HomeMy WebLinkAbout17342-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No 217223 Date AUGUST 24, 1988
THIS CERTIFIES that the building ACCESSORY
Location of Property 925 LONGVIEW LANE SOUTHOLD
House No. Street Hamlet
County Tax Map No. 1000 Section 88 Block O5 Lot 10
Subdivision TERRY WATERS Filed Map No. 2901 Lot No. 43
conforms substantially to the Application for Building Permit heretofore
filed in this office dated AUGUST 22, 1988 pursuant to which
Building Permit No. 173422 dated AUGUST Z3, 1988
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 ACCESSORY BAR AS APFLIED FOR.
The certificate is issued to NINA & CLAUDE LEONARD
(owner, )
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
Building Inspector
Rev. 1/81
FORM NO. f
TOWN OF SOUTHOLD
BUILDING DEPARTMEN4
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
No 017342 Z Dore .......:~3 19.a.~
Permission is hereby granted to: - - ~ Q
o /S~. ~
a~.y~.........:........ •
~u
...............................................p..........................y......................................................................................
ct premises located at ...........1..!~:~~
.............Gl`...u.-Sf..cr.~....~.$..,..........................................
?~.t........././.~~/.................................................
County Tax Map No. 1000 Section Block .....:5............ Lot No.....1~
pursuant to application dated .....~~~.Z 19.. and approved by the
Building Inspector.
Fee $...'2`~•..°..°.......
Building Inspector
Rev. 6/30/80
I FORM NO. 6
p ~
y~ ~~8 TOWN OFSOUTHOLD
v/RJ~ ~ ~ Budding Department
Town Hall
,r.°,
` ! Southold, N.Y. 11971
TrTw~• 765 - 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted to the Building Inspec-
torwith 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.
R. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa-
tions, acertificate 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 existing buildings (prior to April 1957), Nonconforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of property showing all property Tines, 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.
C. Fees: Additions $25.00 POOLS $25.OOALTERATION $25.00
1. Certificate of occupancy New Dwelling , $25:00, Accessory 10.00 Business $50.00
2. Certificate of occupancy on pre-existing dwelling $ 50.00
3. Copy of certificate of occupancy $ 5.00 , over 5 years $ 10.00
. 4. Vacant Land C.O. $ 20.00 1^~
5. Updated C.O. $ 50.00 Date . a.a.
NewConstruction,,,,,,pldorPre•existin Buildin Vacant Land
9 9
Location of Property . c( .'qi , , , , , ,1; DN G, V i C lot/ L l~J ~ S a (,{"j' ~p(.~
House No. aa Street t~~ ~ ~ ~ ~ ~ ~ . ~ ~ ~ ~ Hamlet
Owner or Owners of Property ,/.U 1 ~[4 ..~..CLR u ~ C L-l., Q t~/~t 1e'~ .
County Tax Map No. 1000 Section . Q. $ , , , , , , , Block ..J~............ Lot i. ~ .
Subdivision .................................Filed Map No. ..........Lot No. .
Permit No. Date of Permit ..........Applicant ..1~,~,1y~, , , ~~~N ~ .
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 perm
i~ee~s all applicabl odes and regulations.
Applicant •"~~~Gl/,~~~ ...,r~~~(.~~
Rev. 10-10.78 ~ S ~ O
,6 P I73 y~ z
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Memorandum from ~
BUILDING INSPEC'T'ORS OFFICE MA~ 3 Q 19ag ~
TOWN OF SOUTHOLD f¢ ~ ~=~=~-.°yi~
TOWN HALL, $OUTHOLD, N. Y. 11971
765-1802
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COMMONWEALTH LANQ ° ~ ° ~ t
wlr 2
TITLE INSURANCE COMPANY 61989
A Reliance Group Holdings Company
6LDG. DER1'.~'~'"",
209 W. MAIN STREET, P.O. BOX 419, RIVERHEAD, NEW YORK 11901 ' TOWN OF ,S'OttT; ~ m
EASTERN SUFFOLK: 516.727-7760 n I'y ~ ~
U 1S 11 `p~
MAY r9 t the
ROBERT H.GA FGA
6LC3%
~'~~_:'~itlebt er
TOWN OF Stiti,~; if)LD
DATE Mn~ierr EFOGARTY
Reader
TOWN OP
ATT: BUILDING DEPARTMENT
RE: TITLE NO: GCoIsO ~ '7.~0 S
Premises:
BUILT APPROX:
ORIGINAL OWNER: TL
PRESENT OWNER: `~/jJ~/~, 9L ~~,(,Q'
GENTLEMEN:
We have enclosed a check in the amount of $ /O.00 for Certification as
to whether a Certificate of Occupancy and/or Building Permit is available for the
abo ve captioned premises.
If so, the date thereof and limitations of occupancy.
If more than one certificate is available, please advise me of this immediately.
Very truly yours,
COMMONWEALTH LAND TPfLE
INSURANCE COMPANY
ANDREA RIVE
BRAMCH MANAGER
AR/bdb
encl
DISTRICT-/QOO SECTION O~g',~ BLOCK OS•DO LOT ~/D•Oad
TITLE INSURANCE SINCE 1878
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765.1802
BUILDING DEPT.
INSPECT~AN
[ ]FOUNDATION iST ( ]ROUGH PLBG.
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U `5~ ~ ~ BOARD OF HEALTH
r~ FORMN0.1 3 SETS OF PLANS
Z Z 1988 SURVEY .
TOWaI.t>F.r~l1FE~i®~ TOWN OF SOUTHOLD CHECK .
R,,,a.,_,_,j BUILDING DEPARTMENT SEPTIC r•oRrt .
t r c TOWN HALL
SOUTHOLD, N.Y. 11D71 NOTIFY
- ,pj~ TEL.: 765-1802 CALL
Examined ...~3........, 19 f/p[ MAIL T0:
Approved ; ~s3........, 19~/ .Permit No..0%~-J~~":.. . .
Disapproved a/c
wilding Inspector)
APPLICATION FOR BUILDING PERMIT
' Date .g 19~5.~
INSTRUCTIONS
a. Tlus application must be completely filled in by typewriter or in ink and submitted 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 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 Building Inspector will issued 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 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 building for necessary insp tons. ~~r
(Signature of applicant, or name, if a corporanon)
P.~!~dX !,$~2 $ Sao?
~F~ (~~/7. .
.........................z
' (Mailing address of applicant
State whether applicant i `owner 'lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Name of owner of premises .N.~.~~.~.. ~ l.-/:9.u. ~J.C~ ~4! oN .
(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.
Electrician's License No . .
Other Trade's License No . .
1. Location of land on which proposed work will be done. ¢ ~ • ,LO N.~ _ V I C W L~/V ~
House Number ~~yy Street Hamlet
County Tax,Atap Npo. 1000 Section ..l7.cJ.~• • • • • • • • Block Lot ..t. .
Subdivision'.fCti-f:'~ .~~~t-. S Filed t,tal~ Na.e~~.PI......... Lot
(Name)
2. State existing use and occupancy of premises aynd intended use and occupancy of proposed construction:
a. Existing use and occupancy ..0,~ ~i,.~.. 1 ~ M ~ ~-r. .~r/•~"i~L L/J/.~ .
b. Intended use and occupancy S~~(,~ • • ~•~~'e..~~5~~7- d
3. Nature of wort. check wltich~
p • • • • • • Re applicable); New [3uilding Addition . ~~l~ar~ti
Re air moval , , , , , , , , , , , Demolition Other 1Vatk .
~t ~ ~ ' (Description)
4. Estimated C p/S~ Fee
(to be paid on cling this application)
5. If dwelling, number of dwcllin• . . .
g g g units Number of dwelling units on each floor .
1f ara e, number of cars
6. If business, commercral or mix Yj~
7. Dmmensrons of exis~ fn stnrct ed occupancy, specify nah~rc and extent of c c~t t c of use
1 O S 4res, if any: Front . 3~~ ,Rear ,?,`r Depth .a.r, , ~
Hwgfit , Nurn bcr of Stories . ' ' ' ' ' ' '
Dimensio~ ~ of sarme structure ,with alterations or additions: Front . ~ 3'~ ~
r
Rear../,/,.•~........
Hcigltt Nu IIcigltt .."l, ; , (,O", , , , , ........Number of Stories .
p tnrction: Front ,
8. Dimensions of entire new consrnbcr of Stories ,
Rear.............. Depth
' 9. Stze of lot: Front ~ ~ .
10. Date of Purchase C Rear . jt7 ~ Depth I o~ ~ , , ,
•
" • • • • • • • .......Name of Former Owner G~ I.v!y"1:Sv,/1/ "
1 I. Zone or use district in w}ticlt remises are situated ~ ~ ~ ~ •
12. Does ro osed construction vi'
14. Name of p , , , pPlate any zoning law, ordinance or regulation:
13. Will lot be regraded ~l/.Q . ,Will excess fill be removed from premises: y Nr
Owner of remises NI, Address /'0, SoN~X~-hone No.
Name of Architect ,Address . .Phone No. .
Name of Contractor ~.EL~/(J} ;~!!1~~'IZ • ~ ~ ~ ~ ,Address . .Phone No. .
IS.Is this property located within 300 feet of a tidal wetland? *YES....NO .
*If yes, Southold Town Trustees Permit may be required.
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from
property lines. Give street and bloclk number or description according to deed, and show street names and indicate whether
interior or corner lot.
I
i
!i
STATE OF NE1V YORK, `
COUNTY OF . S.S ,
(Name of individual si~ni• ' ' ' ' ' • ' ' ' ' being duly sworn, deposes and says that he is the applicant
4ig contract)
above named.
He 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 contained in this application are true to the befit of his knowledge and belief; and that the
work will be performed in the mamterlset for[ii in the application filed therewith.
Sworn to before me this
.............a ,.~da/y ojf~.l',.././~GGC,.~c , 19
Notary Public, ...~~eL':r!!. j1 :..ICI vd~..(/....... County
NEIEN K DE VOE
(Signature of applicant)
N
No~47Q7878, S~utfNOlk
Coeusidy~1
Tartu Expires Merch 30,19.--