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Home My WebLink About2760-zFOPoM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. C;E:RTIF'IC:ATE OF OC~CUPANC:Y THIS CERTIFIES that the building Iocoted at ~'idgo Y~t & l~g~ Rd Street Mop No.}ta~.8~U...~.O~-l~ck No ...... ~ ............ Lot No.....~ .......... .~...~..~..G...~..O..~..~..e.t.......~..?..~..~. .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated .......................................... ~1.~...,..~.~.. ....... , 19.~..~... pursuant to which Building Permit No ...... .~.Z.0...O.. doted ................................ ~......,~-.~ ....... , J 9..~..~...., was ,ssued, and conforms to oil of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ........ l~.l.~.~.t.~...o.n.e...~'.~ll~....~. 1 !.$.~ ................................................................... The certificate is issued to ~,~.~1~1~ ~J~.~,~.~.J~ .... .0.~..~. .................................... (owner, lessee or tenant) of the aforesaid building. H.D.l~pprova! Apr~ lOt 1966 by R. Villa Building Inspector 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) Ne 2760 z Permission is hereby granted to: lJa....Beebe.....A/~....Leland..~r. ............ ................. ~.~.t,.o.13.eg..u~.. ............... : .......................... to ~,tlP, .~e.~ .eue..~.~.t~X...d....~...~,Z...~. ....................................................................... at premises located at ....~ ............... ~..~...~....~..~......I~...?...N..~...~.~..~..~.......~... ................................. ....................... ~ .d. g .e....~,e..L..N..as...s..a...u. ,. ?..t. s Cutoh~ ..................................... pursuant to application dated ............................. J~. ....... 'l~J ............. 19...6~', and approved by the Buildino Inspector Fee $...],JO, DO ......... Building Inspector S-9 SUFFOLK COUNTY DEPArtMENT OF HEALTH Bldg. Permit No. 2~60Z ' TO WHOM IT MAY CONCERN: The sewage disposal facilities for a structure located at s/s Bridse Lane, Nassau Point, Cutcb~gue have been inspected by this Department and found to be satisfactory. District Engineer ' FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions BLDG, DEPT. TOWN OF SOU]'~OLD This application must be filled in typewriter OR ink, and submitted in duplicate 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 featu res. 2. Final approval of Health Dept. of water supply and sewerage disposal-la-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 instatla- 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. 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 featu res. 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. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 $15.00 Date February 22, 1985 New Building ............. Old or Pre-existing Building ............ Vacant Land ............. Location of Property Brid~.e Lane, Cutc.hogue House No. Street Hamlet Owner or Owners of Property Leland B. Fraser County Tax Map No, 1000 Section 118 Block 3 Lot ...... ~. ...... Subdivision ................................. Filed Map No ........... Lot No .............. Bldg. Permit No.. ~7.6.q .... Date of Permit .......... Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... 2401 Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building and permit meets all applicable codes and regulations. Applicant .................................................... Rev. 10-10-78 FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFIGE SOUTHOLD, N. Y. xarn,nea ........r......~...:..../...j/ .......... , 19... Approved ................. i ...................... , 19 ........ Permit No..~2u...~)...~.??..~'"~ '-' , '7 Application k~ P~ / /2 ) APPLICATION FOR BUILDING PERMIT 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 property must be drawn on the diagram which is part of this application. c. The work covered by this application may not be commenced before issua.nce 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) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ..................................................... Contr~e.~oz: ................................................................................................................. Name of owner of premises ...... .~.....J~S~ ............................................................................................................ 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. Mop No.: .... ~L~&~,...?.~;..~J~(~ Lot No.: ....:zz'4 ............... Street and Number ...... ~..~.....~..~.~t ....... ~.~ .................................................. : ..... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ............ ~.~.~..~ ............................................................................................ b. Intended use and occupancy ............... g~...~.~...~.~ .................................................................... 3. NatUre of work (check which applicable): New Building .,..~gl~:~.. Addition ,Alteration Rep~i~ .................. Removal .................. Demolition .................. Other Work (Describe) 4. Estimated Cost .........~.~,.0~ ..................................... Fee ....... ~.1~. ....... (to be paid on filing this application) 5. If dwelling, number of dwelling units ....... QI~ .............. Number of dwelling units on each floor If g~rage, numl~r of cars ................ 6. If b[usiness, commercial or mixed occupancy, specify nature and extent of each type of use 7. DimJensions of existing structures, if any: Front ............................ Rear ................................ Depth Height ......................... Number of Stories Dimensions of sam'S'structure with alterations or additions: Front .................................... Rear Depth ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front ......... ~.6 ...................... Rear ....... ~.6 ................ Depth ..~,.~. ........ Height .................... Number of Stories ..... :~ ...... 9. Size]of lot: Front .............. ~.00..,1~./. Rear .................................... Depth ................................ 10. Dat~ of Purchase ................... '19~.~ ........................... Name of Former Owner ......... ~i~h~,~lll.~l~.~. ...... 11. Zonb or use district in which premises are situated ....ff~ff ...................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulationP .~I~ ......... 13. Name of Owner of premises .:[~...]~.~e~'. ................. Address ............ ~ll, t,~l,.~D~,~ ........ Phone No. Na~e of Architect ...................................................... Address ............................................ Phone No. PLOT DIAGRAM L.ocat~ clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions fr property lines. Give street and block number or description according to deed, and show street names and indic whether interior or corner lot. STATE OF NEW YORK, COUNTY OF ..~,~.~ll~ ........... ................. 1 ............. ~,...~1~?!~ ............................................ being duly sworn, deposes and says that he is the applic i(Name of individual signing application) above na~ed. He is the ....... (~:~.~.~,.~.O~. ...................... (Contractor, agent, corporate officer, etc.) of said oW, net or owners, and is duly authorized to perform or have performed the said work and to make and this application; that all statements contained in this application are true ~o the best of his know[edge and belief; that the ~ ~rk will be performed in the manner set forth in the application filed therewith, Sworn to t efore me this Notary P~ k~ ~OTAI~Y PUBLIC, State of New~,Y~rk ~lo, 52-3233120 Suffolk Coun~ Tei-m Expires March 30, 19.~