The URL can be used to link to this page

Home My WebLink About3114-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18298 Date AUGUST 18, 1989 THIS CERTIFIES that the building Location of Property 1225 SIGSBEE ROAD House No. County Tax Map No. 1000 Section 144 Subdivision FOUNDATION MATTITUCK, N.Y. Street Block 02 Lot 4 Filed Map No. Lot No. Hamlet conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 17~ 1983 pursuant to which Building Permit No. 12709-Z dared OCTOBER 28~ 1983 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 CELLAR UNDER EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JEAN HEATH (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N-795334 - FEBRUARY 24, 1987 FOI~ NO. '~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFF~CE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 311 z Date .................................. ~.t!~ ....... 6 ....... , 19.66_ Fee $...~ogO ........... , Building Inspecto~x Permission is hereby granted to: S taz~.~.....~e~.....A/~.....~T~.. ~...He~h ......... ............... ~ti~.ue~: ........................................... to ..... Bt~.<~., ~...~ct~i%.~.c¢~.. on.-.mr .e~i~f~.. ~e~'Z-in~' ..................................................... at premises located of .....~ ...................................... ~'~'~'~}~']~'"~....]P~3 ............................. .................................... E/~....:~.i~b~ ..ICee~ ............. ~.~%t-t~ek ................................................... ...................................... ~'"~ ........... '~ ............... 'i ......... ~'"--;'--'-.,. ........... ~ ..................................................... pursuant to applicot!on dat~d.........; ............ ~..;.u.:,~T-t~e........T.~, ........1'0..(~., (]nd approved by the Building Inspector . TOWI~ OF ~OUTHOLD BUILDING DEPARTMENT 'I"OWN CLERK'S OFFICE SOUTHOLD, N. ¥. ~ EI~TI FI r. ATE OF NO.z;.. 21~6.... Date ........... ~.'tl,13e ..... 30 ........ 196~. THIS CERTIFIES that the building located at . .F~/.~ .... 8.~,gab3~.P, oad. ...... Street m]~l;~(~l~. Park ~lO No ............. Lot No....8~ ...... l~;.~.~;uekt .t{.X. .... conforms substantially to the Applicati,on for Building Permit heretof,~re filed in this office dated ............. ~1331e .... ~., 19(:~. pm'suant to which Building Permit No..~..~..Z dated ............. 0'~e .... 6:., 1%6.., ~vas issued, and conforms tox~f the require- ments .of the .applicable provisions of the law. The .occupancy f.or which this certificate is issued is .. ~gt~;~i 'Ol'/~ ' ~'~igl~'I~r' 'd~Ilf'xig .... (..~tel~&or..tncomple~se) ........ The certificate is issued t~o ... ~atllea. He~t~;h... 0~oew~ner, lessee or tenant) of the afore.said building. .Suffolk County Department of Health Approval ....... I~,~, ............................. TOWN OF SOUTHOLO BUILDING DEPART~fENT TO~N HALL 765 - 1802 11971 APPLICATION FOR CERTIFICATE OF OCCDPANcY " NEW CO:;STRUCTIoN -~/---VACANT LAND " ....... OLD OR PRE-EXISTING BUILDING. STreET ...... --- IIAHLET Count7 Tax Hap No. 1000 Section /, ...... Block :. Lot- .c.~2..~. ..... S"bdivi:ion ......... '~~u ............ Filed Map ........ Lot .......... Permit No. .. ........ ate of Permig ........... Applicnot ................... ~cal~h Oept Approval Underwrzters Approval ........ · ! lng B Appr i for Temporary Certificate ....... Final Certificate 10/14/88 ........................................ , 19 ........ Permit No ............................. ~ _ ~ Disapproved a/c .......... :, .........................................................~ /~- --~ ~__~_~.~ ~.~- (Building ~pector) ~--~'~ ~'~ ~ ~'.O'- ,PPL;IjCATIO.N .FOR BUILDING PERMIT~ F..~ y /.~.~ ~, (~ ~.~ o Date ............................ ~ ..l~?....e. ....... .6. ............. , 19.6..6. ....... 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 issuance of Building Permit. ~r d. Upon approval of this application, the Building Inspector will issue a Building Permit t° 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 Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regu at ons for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply w th 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. .......................................................... .G ~n.tr.a~tcm .............................................................................................................. Name of owner of premises ..~T~me.s...~ea.~l~ ....................................................................................................................... If applicant is a co~orete, signature of duly authorized officer. (Name and title of corporate officer) Street and Number ............ =x .......................................................................................................................... Munici~li~ 2. State existing use and ~cu~ocy of p~mises and intended use and ~cupancy of pr~os~ construction: a. ~isting use and ~cupancy ..... .~e~[~ ............................................................................................... ~ .......... b. Intended use and ~cupancy .~e.....~..~..~~ .......................................................................... Nature of work [check which applicable): New Building .................. Addition ....3clc3r~... Alteration ............. : .... Repair .................. Removal .................. Demolitio~ ................. Other Work (Bescribe) ........... ~ ............................ (to be paid on filing this application) 5. if dwelling, number of dwelling units ....~3e, ................Number of dwelling units on each floor ............................ If garage, number of c~rs .............................................................................................................. .' .............................. If business, commercial or mixed occupancy, specify nature and extent of each type of use ............................ Dimensions of existing structures, if any: Front ............................ Pear ................................ 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 .............. 2~, ................. R.~a~ ..........-.:~)4- ............. Depth ....e~ae ............. Height .................... Number of Stories ...................................................................................................................... 9. Size of lot: Front ............................ Pear .................................... Depth ................................ 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated ......... !!~..!!....~..{I..~. ......................................................................... 12. Does proposed construction vio~te any zoning law, ordinance or regulation? ...... ~ .............. ~.. ............................... Name of Architect ........................... Addres ............ Phone No ..................... Name of Contractor .{~.'R6tXl,~,f~3r....~.~ .................... Address ............. ..~l;~Lt(:~, ......... Phone No ..................... PLOT DIAGRAM Locate clearly and distinct y all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines~ Give street and bloc~ number or description according to dee~ and show street names and indicate whether interior or corner Iot~ STATE OF NEW YORK, ~ t SS COUNTY OF ..... ,,~"f';~D.].]C ......... )' ' · .................................. ~t,~LD'I e~...qe.];~ct ........ ; ...................... being duly swam; deposes-(~nd says that he is the applicant (Name of indJvidba! signing t3pplioetion) above named. He is the ........................ .~.QD,~3~.~,fi.~.Q~. ........................................................................................................ (Contractor, agenf, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have' performed the s~id 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 applic~ion filed therewith. Swam to before me this ~;/,~ . I/ ................... day ...................... ............ , Z_. ,2, "ota- Publi-~')'~'' '~'- n ~ ...~-. ~ . . "~"~~'~ ..................... ~.~ ~y ~,~.~.[,~*.¢~.e~a....--~.~ ........... ~r~)~w.~h~..__ '..aunt/ ~-~-~lgna~lr~.,/ot applicant) NOTARY PUSLIC, State of l¢ew York HO, 5Z-3233~20 Suffolk Count]t Te~'m ~F. xpires Ma~ch 30, 19/~.Z