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Home My WebLink About700-zFOR~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF'OCCUPANCY July 21 60 Date ........................................................... , 19 ...... - THIS CERTIFIES that the building located aiN~tttsall Poill!; Road, Cui:choglle Street Map No. Igal~l~ala..... Block No ....... .*..?.,*.. ...... Lot No .... 6*/ ........................................................ Point conforms substantially to the Application for Building Permit heretofore filed in this office June i 59 Z 700 dated .............................................. , 19 ........ pursuant to which Building Permit No ......................... 4ated ................................................ , 19 .... was issued, and conforms to all of the requirements of the appi{cabie provisions of the lam,. The occupancy for which this certificate is issued is PRr~fA~ Olq~ FAMILY DI~Lt~JXxlG Alloyne O. Gogen, owner This certificale is issued to .......................................................................................................................... (owner, lessee or tenant) of the aforesaid building. FOI~M NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N.o 700 Z Date ................................ . .7."..t,.~...~, ............. 19.~.~... Permission is hereby granted to: .$.~.~..,~..,...~,...~.O.l~ ............................................... ~...~....c.~..~..~.,..,. ......................................... ..Impit, e~d ...Im~'..~zt~ ......................................... to ~..~.. ~.~.~.??.~....~.?..~..1~.....~.....~.?~..~.]..,~.. ....................................................................... at premises located at .lll~..~9.*..J~l~.C.~.~.~..ll.*.~...~l~..ll~n..~t' .............................................................. purs~ont $o application doted ............................... .~t~l~.~..,~ ..................... ]c~.?....., and approved by t~e Building Inspector Fee $.~ ~.~. ............. FORM NO. 4 TOWbl OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N. Y. ~'~0~ CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located Map No~.~C.~.~...NI~D,~,Io~Ig:~.~......~..~.~ ............ Lot No......67. .......................................................... conforms substantially to the Application for Building Permit heretofore filed in this office dated ........................... ~...~.0. ............. , 19..~.~.., pursuant to which Building Permit No ....... ~...~/..QQ .......... dated .......................... ~.....~..I~..G.....~......., 19..~..~..., was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy forwhich this certificate is issued is .............. ....................................... l~R 1'7~...OEE..~J~V~ILY../)I~ELLI~ ........................................................ This certificate is issued to ..A],IeYXI~....~.e....C}.~.~...O.~I..G.~. .......................................................... (owner, lessee or tenant) of the aforesaid building. H(~ARD M, t3 t~ I.~ t,.z ~ f'P '? ~,!/~ FORM NO. 6 ~/a 5-3~ ~ TOWN OF SOUTHOLD '~ Building Department Town Hall Southold, N,Y, 11971 765 - [802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted m~ 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 build;ng. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. 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. C. Fees: 1. Certificate of occupancv $25,00-- BUSINESS $50.00 ertificate of occupancy on pre-existing dwelling $ 50. O0 opy of certificate of occupancy $ 5 '00, over 5 years $10.00 .Vacant Land C.O. $ 20.00 ' 5 .Updated C.O. $ 50. O0 Date ...A.u§.u.s.t..1.9~..].9.87 ......... NewCons t,z~uc t, ion Old or Pre-existing Building X Vacant Land Location of Property ...(.rip..~.)..Na.s.s.au.. . .Pp.j.fl.t..Road...,, ....... Cutchogue,. ,. .. ,N,Y ....................... . .. House No. Street Hamlet Estate o.f. Elizabeth M Be. hrer Owner or Owners of Property ...... .... . ... .. . ..' County Tax Map No. 1000 Section . .i.1.8. .......... Block . .4. ............ Lot...1.~. ........... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........... Date of Permit .......... Applicant .................................. 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 permit meets all applicable codes and regulations. Applicant .................................................... GARY FLANNER OLSEN, ESO. Rev. lO-lO-78 P.O. Box 706 CUTCHOGUE, NY 11935 GARY FLANNER OLSEN COUNSellOR AT LAW P.O. BOX 706- MAIN ROAD · CUTCHOGUE, LONG ISLAND, NEW YORK 11935 · PHONE 516 734-7666 August 19, ]987 Re: Behrer to Blair File #4584 Dear Helen: Please~end me a copy of Certificate of Occu_]~annv N,!mhmr 7OOZ-~ 427J$Z~_ 4273Z, 5326Z and 7312Z for Tax Map No. lO0~[-~ct]on 118 Block 4, Lot 12~. (no #) Nassau Point Road, Cutchogue, NY. ~'call my Ottice and let me know the fee for same and t wi11 bring you the check. Thank you. Very truly yours, ~.~=/~ .~j~ 6FO: lmm Southold Town Building Dept. Main Road Southold, NY 11971 Attn: Helen TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. APPLICATION FOR BUILDING PERMIT' :' INSTRUCTIONS a. This application must be completely filled ia: by typewriter or in ink and su/omitted in duplicate to the Building bspector. ' b. Plot pJon showing location of lot and of buildin~.s on premises, Fela;Uonship 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 location. 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 for inspection throughout the progress of 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 apF~licar~t agrees to comply with all applicable laws, ordinances and regulations. (SignOre of app icant, or name, it a co, rC'6ration) .· (Address of applicant) ~ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ................ O.WI~9,]~ ...................................................................................................................................................................... Name of owner of premises ........ A~,~,,QYJ~O...f[,...~Q~,.~.~ ..................................................................................................... If applicant is a corporat.e, signature of duly authorized officer. (Name and title of corporate officer) 1. ' Location of land on which proposed work will be done. Map No: ................ ~O~t~'O~"]] ...... Lot No:tS~'. ................ '" Municipality 2. State existing use and occupancy of pr,emises and intended use and occupancy of proposed construction: a. Existing use and occupancy ................................................................ ..................................................................... b. Intended use and occupancy ....... O~'...l~llW..~OZ~a~Z'~.t~&.g:l&..L.~.~.~.:~.~...~..~...q.~. ............................................... 3. N(ature of work (check which applicable): New Building.....~ ............ Addition .................... Alteration .................... Repair ..... ' ............... Removal .................... Demolition .................... Other Work (Describe) .................. 4. Estimated Cost,..~Cl~G,.O0 .......... ~ ........................... Fee .¢~.:..~ ..................................................................... (to be paid on filing this application) 5. If dwelling, h6m~r of dwellin~ ~its....~ .................... Number of dwelling units on e~ch floor..o~~ .................. 6. If business, c~mmercial or mixed ~ccupancy, specify nature and extent of each f~pe of use .............................. 7. Dimensions of existing structures, if any: Front,~..f~ ............. Rear "~0'~:"~'~ ........ Depth ..~.~..~%1 ............ Height .....~..~.~ .........Number of Stories ..~ ..................... .............................................................................. D~mensions of same structure with alterations or additions: Front ................................ Rear ................................ Depth .... .......................... Height .............................. Number of Stories ................................ 8. Dimensionsr of entire new construction: Front.....~.~.~ ......... Rear ..~..~. ........... Depth ~...~ .............. 10. Date of Purchase ~ ........................ ~ ..................... Nam~ 0f Former Owner~i...~..~~ ................ ~1. Zone or use district in which premises are situated....~.~d.~.~ ................................................................. 12. Does proposed construction violdte any zoning law, ordinance or regulation? .... ~ ........................................... 13. Name of Owner of premises.~..G~..~ , .Phone N PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from" property lines. Give street and block numbers or description aFdording to deed, and show street names and indicate whether interior or corner lot. (N~ of ,ndigidua, signi:gf~'~) ' above name. He is the ...... ¢~ ..................................................................... ; .................................................. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or hove performed the said work and to make and file this application; that oil stc ~nts contained in this application are true to the best of his knowledge and belief; and that the work will be Fimed in the manner set forth in the application filed therewith. Sworn/,~j~__..et0~r me this '~..~ ~.~r.jpou! · ~N~mLD F" ' of ' ' ......... ~ ............ ~ r~..)..~.N~hl~wmt~a~e of New ~o~ (Slgnat~,re apphcant)~. ~, ~ R~idin~ in Nassau~t~ ~ ~ ~/7 ~' ~ ~ Nora. Public, ~. ...................... ~ ~o~:6°~~~~~~.~,,e. -~ ~, ~b~ - - / ~~~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE , ~¢'%. SOUTHOLD, N. Y. Apprave~j..:....). Disapproved a/c ......................................................................... v (Building In~pe'~tor) Application No ...... ~...~'..~... .......... APPLICATION FOR BUILDING PERMIT Date .........]~..~....~..0. ?..~...g..5...g· ........................... 19 ............ INSTRUCTIONS ,a. _~This 9ppJication must be completely filled in by typewriter or in ink bnd submitted in duplicate to the Building Inspector. ~ ' ~ ! "~ 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 location. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this bpplication, the Building inspector will issue a Building Permit to the applicant. Such permit; shell .be kept on the premises available for inspection throughout the progress of the work. e. No building shaH.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 issuar~c.e of a Building Permit pursuant to the ~uLJding Zorne Ordinance of the Town of Southold, Suffolk County, New ~¢ork, and other applicable Laws, Ordinances or R~gul6tJons,, {or the constructipn of buildings, additions or o Iterations, or for removal or demolition, as herein described. The applicanbagrees to comply with all applicable Jaws, ordinances and regulations. (Signat~ of applicant, or name, if a,~poration) ............ z... ., (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. o.~n~ z: .............................................................. Nome of owner of ,~?~,-,,i~,~ Alleyne G. Gogen If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which proposed work will be done. Map No: .................. J~¢.a.tJ~oZL.]3..... Lot No: .6..?. ............... · surf lk C ty ~Tn~n~ ~oint ~oad , Nass~ Pol~t~ o oun ~ N.Y. Street and Number ........................................................................................................................................ Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .......................... O-~;Eag~...&..B.~,or/~g.&.!~gD/~...~.~.J~&gJ.h..~ ................................ b. Intended use and occupancy ....... ~.e.~.~.~.g~.n..~.t"..l.~4...~.~.t..~.~9.~r~.~.,~..e...~'l..d.~.~..M"~ ............................................... 3. Nature of work (check which applicable): New Building......~. ........... Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimqted Cost......~.,~..O.,.O..O.~.,O..O. ...................................... Fee ..~./..~..:..~ ........................................................................ (to be paid on filing this application) 5. If dwelling, number of dwelling units.....OZio .................... Number of dwelling units on each floor...P...~..~. .................. If garage, number of cars .......................................................................................................................... 6. ' f business, commercial or mixed occupancy, specify nature and extent of each type of use ........ ~...:..:..: ........... 7. Dimensions of existing structures, if any: Front..~O..f.te ............ Rear...,~0~...f.t, ........ Depth ...2~...~..~.~ ........... Height .......]:.5.....~...t.... ........ Number of Stories ....o..~..e. ................................................................................................... Dimensions of same structure with alterations or additions: Front ................................ Rear ................................ Depth .............................. Height .............................. Number of Stories ................................ ~'") Dimensions of entire new construction: Front ...... A~,.f.t~ ........Rear ...4Z~..~".¢, ........... Depth ~6..~.'1;~ ............. Height 15.5 rte Number of Stories one 10. Date of Purchase .~,9~,6 ............................................. Name of Former Owner~...~q~...~.~.~ ............... 11. Zone or use district in which premises are situated.....~e~6.e~¢&~Z ..................................................: ............. 12. Does proposed construct o~ v o ate any zoning aw, ordinance 'or reguJQtionP . ~ .... Name of Architect ........................................................ Address ............................................ ~none ..................... Name of C~ntract~r....~.6...Q~.~¢.~.$.~.~.~.Address~.~.~p~.~.*.~.*~.~.~.~.~h~ne NO. ~_~...~.~ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block numbers or description according to deed, and show street names and indicate whether interior or corner lot. ~ i ~ I LoT ~0, Description of the Lot~ ~O? recorde~ §.oll.l~l ~n Liber 1027 of deeds ~t page ~0~o2 N~p of propose~ sub- 6ivision, seOtio~ B~', Nassau Poin~ ClUb t~ss~ ino. N~ss~ P6i~t, Suffolk County , N.¥, STATE OF NEW ) S S COUNTY OF ................. ,. .......... ).~ ' , L .................................. i .............................................................................. (Contractor, agent, coqborate 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 al statements contained in this application are true to the best of his knowledge and belief; and that the work will be perfor/~ed in the manner set forth i.,n. the ~ppllcation filed therewith. Sworn to b¢ore me this // lOUtS ~.~ ~otar~r Publj. c~t~i~ State o£ NeW Yor~