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HomeMy WebLinkAbout2404-z FOI~I NO. 4 ~TOWN OF SOIJTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFiCATe OF OCCUPANCY No....ZZ13~L ............ Date .......... ~j?~.~...i.. THIS CERTIFIES that the building located at Map No...;J'~,~;e~ ......... Block No....~f.7~'~X, ........ Lot No .................... ~ ..................................... conforms substantially to the Application for Building Permit heretofore filed in this office dated ............................................... J¢~[,'...23 ...... 19...~.4 pursuant to which Building Permit No..2404,..~ dated ..................................... ~[I~.~...~24~ ..... J 9.....~JJ was issued, and conforms to oil of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ........ ............................................ · Or~e...£am~.'~..¥.. ~ee~,.%. ~t~j ....................................................................... The certificate is issued to .............. E~e,~:.,ql..l/~.O~ .............................................................................. (owner, lessee or tenant) of the aforesaid building. FOP~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) II,J? 2~J04 Z Date ...................... J~. ......... ;~ ................ , 19..~.... Permission is hereby granted to: ........ ]{~lw, a~..~....l{'o~ ............................ ............ to ...]ju~.~d...a~..add~c~..~It..a~..~.~.i.~...d~.l.t{~ ....................................................... at premises located at ..... ~.~-..Wo~l~..~e~..~'O ............................................................................. ............................................................. Ft..~t~.. ~ieeki.....g~uteh~ ............................................. pursuant to application dated ................................ ~ ..........2.~ ....... 19.(~1~.., and approved by the Building Inspector Fee $"~¥ (~)0' ............ J.C, LANB ABSTRACT CORP. 63 W. Main Street Babylon, NY 11702 (516) 669-3241 September 5, 1991 Town of Southold Building Department P.O. Box 1179 Southold, New York 11971 ' RE: CERTIFICATE OF OCCUPANCY RECORD OWNER - KUEHN JC-2145 PREMISES -2625 WEST CREEK AVENUE CUTCHOGUE, NEW YORK DISTRICT 1000 SECTION 110 BLOCK5 LOT 2 To Whom It May Concern: Enclosed please find a check made payable to the Town, not to exceed $60.00, in order to receive a certified copy/copies of C/O on the above captioned. If you have any questions please call me at the number above. Thank you for your immediate attention in this matter. Very truly yours, Denise M. Delisle Offfice Manager Encl. Permit # 2404Z - Addition~ ¢~c~ Permit # 19466 - Addition and alteration of porch Also need permit # for dwelling. Representing TRW Title Insurance of New York, Inc. TOWN @F SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 , TOWN HALL ' SOUTHOLD, N.Y. 11971 TEL. 765-1802 January 4, 1985 To Whom It May Concern: Please be advised that we have no record of a Certificate of Occupancy for the original dwelling located at property owned by Edward W. & Theresa Fox, located at 2625 West Creek Avenue, Cutchogue. The Suffolk County Tax Nap Number is~ District 1000~ Section 110, Block 05, Lot 002. One Certificate of Occupancy has been issued pursuant to Building Permit No. 2404 Z~ dated May 23, 1964, for an addition° Certificate of Occupancy No. Z2131, dated April 13, 1965, Was issued for this addition. (Copy of Building Permit & CoOo attached.) An application for Pre~Existing Use Certificate of Occupancy is also attached. Sincerely yours VL:ec Attcho (4) Victor Lessard Executive Adm~nlstrato~ FOEM NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved ........................................ , 19..~....Permit No ................................ Disapproved a/c~i""~ ............................ ................................. APPLICATION FOR BUILDING FERMIT INSTRUCTIONS a. This application 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 of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of propertymust be drawn on the diagram which is part of this application. 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 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 and regulations. (Signature of applicant, or name, if a corporation) .. W. Creek...A.y..e..s.....~.~..t.g.~..9.~.u..e. ..... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .~Z'. ......................................................................................................................................... Name of owner of premises ....... ~.~L~..~.OX ..................................................................................................................... If applicant is a corporate, signature of duly authorized officer. ' ['~e and title of corporate officer) I. L~ation of land on which pr~osed work will be done. Map No: .......... ~ ........................ Lot No: .~ ........ Street and Number ....~....~.~...Cr.e~k..A~..~ee~-..N~r..au~ .......................................... MunicJpaliW 2. State existing use and ~cupancy of premises and intended use and ~cupancy of pr~osed const~ction: a. Existing use and ~cupancy .'...~ ......................................................................................................... b. Intended use and occupancy . ~ ............................................... 3. Nature of work (check which applicable): New'Building .................. Addition .....~... Alteration .................. Repair .................... Removal .................... Demolition .................... Other Work (Describe) ...................................... 4. Estimated Cost .~.../~D..~...O.....~. ............................ Fee .......................................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ..... ~ ....... 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, if any: Front ..........................Rear .......................... Depth ............................ Height ............................ Number of Stories ............................................................................................................... Dimensions of same structure with alterations or additions: Front ................................ Rear ................................ Depth .............................. Height .............................. Number of Stories ........................................ 8. Dimensions of entire new construction: Front ...... ~,.[[' ................. Rear ....],~. ................... Depth .......... ..2..~. ............. Height ............................ Number of Stories .....~ ................. 9. Size of lot: Front ............................ Rear ............................ Depth ................................ 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 1]. Zone or use district in which premises are situated ......... "~" ~S.~ ............................................... .................. 12. Does proposed construction violate any zoning law, ordinance or regulation? ............. ~0. .................................... 13. Name of Owner of premises ...~1.~i'..1~.o~r ................... Address ........ D.11~P,I'lO~lZe .............. Phone No ..................... 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-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. STATE OF NEV¥.--YO, I;J~/') ~ '~ ¢ ¢ ...... ........................................ · ~......~ ............................ being duly sworn, deposes and says that he is the applicant (Name of individual signing application) · 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 best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therew th Sworn to before me this ~ ' ............... .................. ......... , _ ...... ........ ........... ~orary ~'uo.c, ..~...~.....~.... Co(.~t~ JUO~T, ~. ,0KE~ . .(Signature of applicant) &z N'otary Pubtic, State of New YOrK Ne 52-0344963, Suffolk Coun~ / Comrn~ssion Expires March 30, 19