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Home My WebLink About1889-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22423 Date JUNE 28, 199~ THIS CERTIFIES that the building Location of Property 3145 House No. County Tax Map No. 1000 Section Subdivision NEW DWELLING WELLS ROAD, PECONIC, NY Street Hamlet 86 Block 2 Lot 6 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTF/~BER 17, 1962 ~ursuant to which Building Permit No., 1889-Z dated SEPTEMBER 21, 1962 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 PRIVATE ONE-FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ROBERT D. & ADA P. HORTON (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL S-9 SCHD SEPTEMBER 17~ 1963 UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A · / ~ Buildkng Inspector Rev. 1/81 FOI~M NO. ~ 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 1889, z Dete ..................... ~ ~p~lR~'~]~' ' '~.~. ........ 19~.~ .... Permission is hereby granted to: ~dgley &.-.He~ ~n......~C...Reb~-t.. &...Ada.. l~or,l~o~, .. ....... ~u~al~o~u~ .................................................. to 1~...~-d...ne~. · ~n~..£~..ty'..d~e.]:~-ing ...................................................................................... at premises located at -.~/O~..]..l~..~lOe~ ................................................................................................... ....................................................... Pe~enie ........................................................................................ pursuant to application dated ....................... ~e~;l~'""'~ ......... ]~....., and approved by the Building Inspector Fee $1Oo~OO ............ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at .~./.~.....,~,.,e.~..~.~...~..O..~..~. ............................. Street Map No....~. ........... Block No ..... ~ ........ Lot No....~ ............ ?..~.?..O..~...~..?.t......~.*..¥.?. ............ conforms substantially to the Application for Building Permit heretofore filed in this office dated ............................ ~.~..~.~J'/l~.~.....~. ...... , lC~2 .... pursuant to which Building Permit No. dated .......................... ~..~.~..~. ......... ~.]r......., 1 c).~.~..., was issued, and conforms to all of the requirements of the applicable provisions of the Jaw. The occupancy for which this certificate is issued is ........ ..................... L~.~.t~e...~...~.e. ml3.7....~.~.ll~ng ........................................................................... The certificate is issued to ...~...o..b.~[.t...~..A.(l.&....,~O.~...~ll ........................ Q,~.~II~ ........................... (owner, lessee or tenant) of the aforesaid building. H.D.Approval ~ep~ 16, 1963 b~ R. Villa ......................... ..................... TOWN OF SOUTHOLD BUILDING DEPARTHENT TOWH HALL SOUTHOLD, NEW YORK 765 - 1802 11971 APPLICATYON FOR CERTIFYCATE OF OCCUPANCY NEW CONSTRUCTION ....... OLD OR PRE-EXISTING HUfLHING ...... VACANT LAND Location of Property .................. ~ ...................... HOUSE NO. STREET HAMLET County Tax Map No. I000 Sectiou~ .... Subdivision ....................... Filed Map ........ Lot .......... Permit No.]~,~...~..Date of Permit ...... Applicant Health Dept. Approval ~'~ ~'~ Underwriters Approval Planning Board Approval ................ Request for Temporary Certificate ....... Final Certificate .~.)NH.~. ........ Fee Submitted: $~. ~,~0 . rev. 10/14/88 $-9 SUFFOLK COUNTY DEPARtmeNT OF HEALT~ Date.. Building Permit No._ 1~89Z TO WHOM IT MAY CONCERN: The sewage disposal facilities for a structure located at Wel~,~d~ ~gconic ,, ('G~ ............) ...... ye deed location have been inspected by this Department and found to be satisfactory. District Enginee~ ' - TOWN OF SOUTHOLD BUILDING DEPARTMENT 'x~ c:~ '~" .............. ........ ^pproved ....................... ............. Disapproved a/c ............................................................................... .................................................................................. : .... .............................. (Building Inspector)/ APPLICATION FOR BUILDING PEP. MiT Date ...... .,~.~..~.~zB.~...e.?.......],.~ ...................... 19.u~.~..... ~'*~ ) · INSTRUCTIONS ~ o. This application must Se ~:o~plet. ely filled in by typewriter or in ink and submitted in duplicate to the Building~ Inspec~tor. 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 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 progress of the work. e. No building shall be occupied or used in whole or in part for any pu~'pose 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 Sou'thold, Suffolk County, New York, and other applicable Laws, Orcfinonces or Regulations, for the construction of buildings, additions or a Iterations, or for removal or demolition, os herein.described. The applicant agrees to comply with all applicable laws, ordinances and regulations. (S, g ~uC~r e:ko~a ~ ~1 i ~'~ '~ f~c; m e, .f a corporat,on) .................... GB.~.O,I~D~a ..,,...t~.ew...¥e.~k ............................ (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Builder' Name of owner of premises · · ...... '~ob e~'...'D~t~e'""~o~¢ azr ""~'"&d'~"~';'"'~e~t on ................................................. ~ t ture of du authorized officer k~ If applicant is a corpora ~, signa , y . n*'~ l' (Name and title of corporate officer) j,f 1. Location of land on which proposed work will be done. Map No: ............................................ Lot No: .................... Street and Number .......... .~...e.~..~.§....~..o..~ .......... [~.e..9.,9,.~.~..9,. ....................................................................................... Municil~ality 2. State existing use and occupancy of p~emises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..................QD.9..~......:~.9.'~. ................................................... '~"u ..................................... b. Intended use and occupancy ............ ~.~S~t. fi:D.~....~Qm~ .................................................... :: ............................ 3. Nature of work (check which applicable): New Building.,.'~ .............. Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost.~..],~.Qf,,).U. .......................................... Fee ...... .~10.~,~.0. ..................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ........012,e ................. Number of dwelling units on each floo~' ............................ If garage, number of cars ................................................................................................ ; ............................................ 6. If business, commercial or mixed occupancy, specify mature and extent of each type of use .............................. 7. Dimensions of existing structures, if any: Front ............................ Rear ............................ Depth ............................ Height ............................ Number of Stories ............................................................................................................. Dimensions of sarne structure with alterations or additions: Front ................................ Rear ................................ Depth .............................. Height .............................. Number of Stories ................................ 8. Dimensions of entire new construction: Front ...... ~.Q,t. ............... Rear .....,5.Q.~, ................ Depth .....;52,,...2~ ......... Height ....~.~ ................... Number of Stories . .......... ~ ............... 9. Size of lot: Front ....~.Q0.! ................ Rear .....~OcL! .............. Depth ...~;L,5~...],~5.~. .... 10. Date of Purchase ......... ~:~,Z...,,5.,.~..9..6.'.1.. .................... Name of Former Owner ....?...e..o.~..~.?..,..~.?.....~.,.e..]:?..~ ................ 11. Zone or use district in which premises are situated ..........................A,....~4~ ...................................................... 12. Does proposed construction ~jc~a~e~n~i~g~l~ccz~d. inanc~,],~ere~t~n? ....... ~.Q ........................................ 13. Name of Owner of premises~.C,~...R,....~Qr.~O~ ........ Address ~8..,&:b2.a~.tl.e~...&~e,. ....... Phone NO. N ·, , Harold Foster . .. 91 Fairway St, ~, ~A ?-3910 ame or/~rcnitect ........................................................ Address "]~I'¢eZ'h~'~d'~'N'g'Y;' ......... ~'none NO ..................... Name of Contractor..M~.~f...~..~P.~.~.O.~Q. .......... Address ...,~.'a-~P-,,~.o~.e,~,..~fo*,....Phone 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. 32' 85' aba (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perfor~zo~.or hove performed the said work and to make and file this o~plication; that ali statements cont_oi~ed in.this op~lic~tion.or¢ true to the best of his knowledge and belief; and that the work will be performed i~man~.¢rt~ i~.~egpplication flied therewitH. Sworn to before me this -- _~__h_F/~/ ..... ~Z~: ...... day of ..... (Signature of applicant) Not~W Public, ........ ~. ~/,./,7,, Z;f~li~t,~re~, ~al~