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HomeMy WebLinkAbout3792-zTOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at ...I~.~..D,~.;J..V.~ ........................................ Street conforms substantially to the Application for Building Permit heretofore filed in this office dated dated ............. ~..a..r...qh....5. x ...................... , 19....6...8., was issued, and conforms to all of thee requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ........ (owner, lessee or tenant) of the aforesa, id building. Health Dept. Approval. June 10, 1968, Robert V~XXa . Building Inspector ~ - TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PER~!T (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION ~OF THE WORK AUTHORIZED) 3792 Z Permissmo s hereby gr°nted to.'- to ............................. w/S.....~e..~ ........... ~e~ ............. ~. .............................. ~ .................... pursua~nt to application dated ...... ~ ........ ; ...... .. ...... ~.[.'~'?..~.~. ......... ~. ...... , 19..~..., and approved by the Building Inspector. Fee $.'.~J);t~ .......... ~ ,Building Inspector S-9 SUFFOLK COUNTY DEPARTMENT OF HEALTH TO WHOM IT MAY CONCERN: Date .?uae 10~. ~968 , B'ld~. Permit No.~ The sewage disposal facilities for a structure located Lot #31 Map #3230 Moose 0ore ,,,~+ ~o ~ ~.. ~.Cutbho~ue, town of Southold ..... (Giv~ deed lo6ation)' ~ have been inspected by this Department and found to be satisfactory. Owner William Phoel Builder Stonewood Homes, I~c FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. 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 features. 2. Final approval of Health Dept. of water supply and sewerage disposa)-(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. Bo For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peoperty showing ail propertv 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 requ ired to prepare a certificate. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1.00 $5.00 Date. May 5, 1980 New Building ............. Old or Pre-existing Building Z Vacant Land Location of Property Beebe Drive, Cutchogue House No. Street Ham/et Owner or Owners of Property William C, Phoel (now deceased) & Margaret F. Phoel County Tax Map No, 1000 Section ............... Block ............... Lot ................ Subdivision..~.~..P..o.~..~.o.o.~.e...C.o.~.e. ........... Filed Map No. , .3.2.3.0. ....Lot No....3.~ ......... Permit No ........... Date of Permit .......... Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ..... X Fee Submitted $. 5.00 Construction on above described building and perr~it~'~2et~all a, pF,,J'~]ble ~?e'~and regulations. Applicant' ' ~:[~~~f ':~6~' ~.'~]~ ~L ~L~'~.' ' ' Rev. 10-10-78 NOTE: a '- MONUMENT LOT NOS. REFER TO MAP OF MOOSE COVE~FILED INTHE-OFFICEOF THE CLERK OF SUFFOLK COUNTY ON AUG[30,1960 AS FILENO. S~'40. SURVEY WILLIAM :C. PHOEL EAST CUTCHOGUE TOWN OF SOUTHOLD SUFFOLK CO~JNTY N.Y. SCALE: NOV. 17, 1967 DEC..12, 1967 MAR.25, 196~ GUARANTEED TO: SECURITt' TITLE AND GUARANTY CO, ~VERHEAD SAYINGS BANK. LAND SURVEYOR OWNER STREET VILLAGE DISTRICT: SUB. LOT ~,-~// FOP..MER OWNER N W ACREAGE · TYPE OF BUILDING _,// co NEW Farm Tillable 1 BULKHEAD Tillable 2 DOCK Tillable 3 Woodland Swampland B rush"~a'h c~ House Pio~ SEAS. VL. FARM I M P. TOTAL DATE _~ ~ DUI~ING C~DITION / NORMAL BELOW ' ~ABOVE Acre Value Per Acre Value Total FRONTAGE ON WATER //d'~J-ff" f,~ //,~o z //o o _ FRONTAGE ON ROAD 16' d "~'~ :tension i Basement tension t I Ext. Wails tensLon Fire Place eezewayi ,rege Patio ¥ j~ ~j'Driveway lC' ] Floors IWw,O ~J~J,~,~lnterior Finish Porch i Roof Type Porch ] Rooms 1st Floor C'o/6 k- i Rooms 2nd Floor Dormer Examined ........~:.,: ............. .~ ............ , 19,..~;f.J Approved ........................................ , 19 ........ Permit No.~..~ .......~,....~... TOWN OF SOUTHOLD TOWN CLERK S OFFICE Disapproved a/c .............................................................................................. APPLIGATION FOR BUILDING PERMIT Dote ............... ~;._¢ ~.?,..j,~ .............. INSTRUCTIONS a. This application must be c~)mpletely 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. 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 puF~uant 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, engi.neer, general contractor, electrician, plumber or builder. ........................... ~,~t**I~.~i, .C.O~.T~.C.~.~ .................................................................. WILLI ~ C. Nome of owner of premises .................................................................................................................................................... If app/iga~t is a,z~6rporate, signature of dul~ authorized officer. (Name and title of corporate officer) '3230 31 1. Location of land on which proposed work will be done. Map No.: ........................................Lot No.: ........................ Street and Number MunicJ~lity 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ................................................................................................................................... b. ~n~ended use ond occuponcy ................................................................................................................................. 3. Nature of work (check which applicable): New Building ..... .~ ........... Addition .................. Alteration .................. Repair .................. Removal .................. Demolition .................. Other Work (Describe) ........................................ 4. Estimated Cost ........$i.~(~:~,6k~. ............................... Fee (to be paid on filing this application) 5. If dweUing, number of dwelling units ........ ]-. ................. Number of dwelling units on each floor ............................ If garage, number of cars ........:2 ............................................................................................... ~ ................................... 6. [f 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 .......... ~i:~ ...................... Rear ............................ Depth ...,~.9. ................ Height .................... Number of Stories ........ 1 ............................................................................................................ 100 ' 9. Size of lot: Front ..... 2/26/~8 .........Rear.....100' ....... .. ...... ..,............ Depth _....1.9...0.'.....&,~.f?...z~..~: 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 11, Zone or use district in which premises are situated ..................................................................................................... 12. Does proposed construction violate any zoning law, ordinanceo~eg,ulation;~ l~agnol~t~"~;o,' N.0. .... . ....................... .~¢r~...~.Z~),, .... 13. Name of Owner of premises ...Wm....~.boel ................... Address ..t~..Hyde..?~e~¥..N.~¥.~.,.. Phone No ..................... Name of Architect ...................................................... Address ............................................ Phone No ..................... Name of Contractor ..... fi~20Ni3~00;D ............................. 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 number or description according to deed, and show street names and indicate whether interior or corner lot. STAI'E OF NEW YORK,~ /S S COUNTY OF .,..~/,,-X,~./.~.~C....~.Z~ ....... $ ' ' ................... ~.~ ....... ~..~ ................................ 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 sam work and to ~ke 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 therewith. Sworn to before me this / . of ........... , ..................... ............................. Jerm [xpuos March 30, ~gN~ e-ke-I:~ [ ~Is · Ir I It -'1