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Home My WebLink About2210-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. AMENDED CERTIFICATE OF OCCUPANCY No Z17644 Date DEC. 28, 1988 THIS CERTIFIES that the building ADDITION Location of Propert~ 1645 MEADOW BEACH LANE House No. Street County Tax Map No. 1000 Section 116 Block 04 Subdivision Filed Map No. MATTITUCK Hamlet Lot 14 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCT. 8, 1963 pursuant to which Building Permit No. 2210Z dated OCT. 8~ 1963 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 BUILD AN ATTACHED GARAGE ON AN EXISTING DWELLING. The certificate is issued to MORITT, JUDGE FRED AND ROSEMARY SKYE (owner,)~) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED ORIGINAL C.O. Z1775 11/19/63 OCT. 6, 1988 H005620 N/A Building Inspect/or Rev. 1/81 FORM NO. 4 TOWN OFSOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. CERTIFICATE OF OCCUPANCY No....Z...]L.~.~.~. .......... Date ........................ N~vemba~.....19..., 19....63 THIS CERTIFIES that the building located at ..... loV,~;,....l~.~)¥W~,...~.,/j~..New..~%tf~o.l~ stA~e Map No ..... ~ ........ Block No....3:ZZ~ ......... Lot No. :~J.,~C ......... ~t~i~u=k'j'"'"N~Yu ........... conforms substantially to the Application for Building Permit heretofore filed in this office dated .......................................... Oe'~o~eP...8'.., 19..(>3. pursuant to which Building Permit No ...... ~...2~0 dated ..................................... 01~.t,.....~.., 19...~.~ 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~,.~.v.~te..ene...£a, mi-t¥...d~el.t~g ........................................... :: ............................................ The certificate is issued to ..]~kt~le~...~e....~a~s~r ........................ O~lo~l~ ............................................. (owner, lessee or tenant) of the aforesaid building. Buildihg Inspector TOWN OF 50UTHOLD 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) No. 210' z Oate .............. O~tobe~. ....... 8 ................. 19....63 Permission is hereby granted to: Alfr ed...Kene~k.i..A/C..EIner....B....P~vs.~ ............ ............... l~.t, ttuek......~,.g.,. ............................. to ....... l~u&ld ..an ,. at .t~c~ed ,,g~t~&§~..o~.. au...o~c~. ~.. ~$~22~ ................................. at premises located at ....g/~..,.R,~oILo~£...8./.8..,..~e~,..Su£t~c..e~e ................................. ............................................................ ~t.ti~ck .................................................... ~ .......................... pursuant to application dated ............................... 0~.~Obe~....8 .........19.6~.., arid approved by the Building Inspector Fee $ .~'. ~O0. ............. ' Building Inspector TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUP, Instructions A. This application must be filled in Wpewriter OR ink, and submitted ~ ~==~=~ 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 naturat 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. 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: Additions $25.00 POOLS $25.00 ALTERATION $25.00 1. Certificate of occupancy New Dwelling~$25.00, Accessor3{~$ 0.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $]0.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date ...~lll NewC°ns t'ruc t i°n ...... Old or Pre-existing Building (~ .c~E..~.??~.~.~ Vacant Land Location of Property ~..~P~¢, ~V, hs.~..I...~IH.~ '~¢ ...... ~.I~.- s ................. ~"~,~, 0¢ ~ House No. Street /'/am/er Owner or Owners of Property .t~.&.~ ~ ..(h O.¢y ~ ~.9 ~p.S~.~..~ .&~.T~. /h .~.[~. County TaxMap No. 1000Section ..l!(¢ .......... Block ...... L~ ........ Lot../L~ ............ Subdivision ................................. Filed Map No ........... Lot No .............. Permit No. 2~-i0 "2-. Date of Permit ,/.0(~ /~...Applicant k~J~..~,'~..K,JA).¢~.~ .¢'/~. ~,.l'.A/.&¥,.." Health Dept. Approval ........................ Labor Dept. Approval ................... ,.. Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Cer~:ificate ..................... Final Certificate ....................... Fee Submitted 1.0. :O.Q ................... Construction on above described building an~rmit. F~ee~ll applicable codes and regulations. ............ ' ........ 142 WEST END AVE ~ _. ._ .- I- k. rzb, TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Exa, ,ned ........... AppraYed ........................................ , ]9 ........ Perm t No ................................. ........................... APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This applicatioa must be completely filled in by typewriter or in ink and submitted in duplicate to the Building Inspector. b. Plot plan showing location of lot and af 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 applicotion. 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 shah 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 g~onted 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 and regulations. ........ Al£r.e.d..Ker~eski ....................................................... (Signature of applicant, or nome, if a corporation) ........... Mattituek ................................................................. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ................................... ~.ont~ac.tar ....................................................................................................................................... Name'of owner of premises ....~iP, elt..~....l~.~,lL,~t ............................................................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) ]. Location of land on which proposed work will be done. Map No: ......... ~ ......................... Lot No: ........ ~ ....... Street and Number .~.Q~W.......B/S....Ng.w..Suffolk..A~e.~...~ag.tfg~ok ....................................................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ........ ~e~i~g ........................................................................................................ b. Intended use and occupancy ........... '..~.~..~.~'9~...~.~. .............................................................. property lines. Give street end block numbers or d~crip~on accQrcJing whether interior or corner lot. C-~ I~ ~ L7/% 3. Nature of work (check which applicable): New Building .................. Addition ....~,1¢,.... Alteration Repair .................... Removal .................... Demolition .................... Other Work (Describe) ........................ 4. Estimated Cost ....3.tOOO...p/~ .................................. Fee ...~. : (to be paid on filing this application) 5. If dwelling, number of dwelling units ....... O1¢10 ................ Number of dwelling units on each floor If garage, number oF cars .............................. 6. If business, commercial or mixed occupancy, specify nature .and extent of each type of use 7. Dimensions of existing structures, Jf any: Front .......................... Rear .......................... Depth Height ............................ Number of Stories Dimensions of same structure with alterations or addffions: Front ................................ Rear Depth ............................ Height ................................ Number of Stories ............................... ......... 8. Dimensions of entire new construction: Front ......... ~-6 .................. Rear ......... ~,6 .............. Depth ....~.~.... Height ............................ Number of Stories ....... O1"4~ .................... 9. Size of lot: Front ................................ Rear ............................ Depth ........................................ 10. Date of Purchase ........................................................ Name of Former Owner 11. Zone or use district in which premises are situated....J~,.~ ....... 12. Does proposed construction violate any zoning law, ordinance or regulation? ........... 13. Name of Owner of premises ..~.~...]~...~.~.'~ ........... Address ............................................ Phone No. Name of Architect ...................................................... Address ............................................ Phone No. Name of Contractor .....~...~e~le.ll~:.~,. ....................... Address ...... ,~,f~.~t;.~l.~l,l,~t ................ Phone No. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions fr to deed, and show street names and indic, STATE OF NEW YORK, COUNTY OF ...... I~f~l~....) S.S. .................. ,:'""~;-l'~',t'e~"~' ........... ; .......... ~ ................ being duly sworn, deposes and says that he is the applic uNo:me ofina,v,aua, s gn ng app ication~ above named. He is the ............ 0.atl&~.&c.t,.ctr ................................................................................................................. (Contractor, agent, corporate officer, etc.). of said owner or owners, and is duly authorized to ~erform or have performed the said work and to make and this applicbtion; that all statements contained in tl~is application are true to the best of his knowledge and bell and t~at the work will be performed n t~,rm~t~r_¥set~0f~th n the app icatio~ filed.therew thC Sworr to before me th,s % , , ..................... ~. day 9,f ..................... ..~.~?.1~1~......, 19m ' '~~~ Notary Public,....~4.¢~L/~,~. ~-.~..'.. ¢k/',~.~ .~.'~'~, ~/. ~ ,~,/qz~?;:~'''V''' ..... ~t'i ..................... was exatnlned on and found to be in compliance u'ith the requirements of this Board. II II FIXTURE ~E~TA I SWIT H I NXTURES I EANGES 1COOKING DC. CKS I OVENS IMSH WASHERS EXHAUST FANS []1 4~JTL~TS r~ 4~"~Bs c Es ,iq~.~i4D~sCEi~T RLUO~ESCENT M~ ~v~T. K.W. ~T. K.W. ~T. K.W. i~4T. K.W. ~M?. H.P. l' DRYERS FURNACE MOTORS FUTURE AF~IANCl F~D~RS mALRK'OT TIM~CLOCKS IltL ~ M~TI-O(JTI~'T ~MM~_.~_~t i"-i '" -' . !! OTHER APP&RATUS: ._ N~iW YOR~ CT'fY, NY. 1002~ j. ~ _. his ce~ificate m~t not be alter~ in any manner; return to the office of the ~ard if incorre~. Insp~rs may ~ idenfifi~ by their c~entials. ~J COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION XST [ ] ROUGH PLBG. [ ] FOUNDATION ZND [ ] INSULATION [ ] FRAMING [.~INAL REMARKS. "-';- _ _ 765-1802 BUILDING DEPT. INSPECTION ]FOUNDATION 1ST [ ] ROUGH PLBG. ] FOUNDATION ZND [ ] INSULATION ] FRAMING [//~INAL REMARKS: