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Home My WebLink About5048-zFOP~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ball Southold, N.Y. UPDATED f~RT~FiCATE OF Of L~vANCF No Z18242 Date A~GUST 4~ 1989 THIS CERTIFIES that the building. A~)ITION Location of Property 55 House No. S~reet ~m]et County Tax Map No. 1000 Section 135 Block 03 Lot 24 Subdivision Filed Map No. Lot No. conforms substantially to the Application for BuilS~-g Permit heretofore filed in this office date~ NO~. 9~ 1970 pursuant to which Building Permit No. 5048Z dated NOV. 12r 1970 was issued, and conforms to all of the reqUir~,ents of the applicable provisions of the law. The occupancy for which this certificate is issued is ADDITIO~ (ATT~,~K,]GA.~%J~.) ~'KXI.~T'~GL~KI~.TN~o ~ne certificate is issued to JDD11~ B. (owner, XX~,.xxxx~%~xaxxxx) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRIT~KS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED ~k~,l~ing Inspector Rev. 1/81 FOI~M NO. ~ 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) /, Permission is hereby granted to: · ~ .... ~....~ ....... .*....~....~.....~ ............... .............. ~.,~.~.~ .......................... :..i .............. to ........................................... .~. ....... .~ ........................... i~...~.~... ~X~t ......... ......................... ~ttt~.~ ................. : ......... :iL..,....: ....... ~ .................................... pursuant to application dated .............................. ~Q~. ....... ~, .... ~,..,., 19..~., and apl~roved by the Building Inspector. .Fee $...~..'LO~.. ............ Building ~spector/ · ~ BUILDING TOWN HALL $OUTHOLD, NEW YORK 1971 ?6s - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY · NEW CONSTRUCTION ....... OL-I) OR PRE-EXISTING BUILDING. - Location of -- -"'~-~-~'' - - ' HOUSE NO. STREET HAMLET County Tax Hap No. c Subdivision ....................... Filed Map .... .... Lot .......... Permit No. ~.~.~.~.,ate o£ Permit [ Applicant Health Dept. Approval .................. Underwriters Approval .............. Planning Board Approval ................ Request for Temporary Certificate ....... Fee Submitted: $ ....... Final Certificate ............. FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. 7.~.20~. ..... Da~e ............. .A.l~r. ~.l...2.2...., 1g.7.1.. THIS CERTIFIES that the building located at . ~ill..Creek .DI, ........... Street Map No.. xx ......... Block No..xx~c ..... Lot No .... x~C .... $~xttho~d.. N.~Y. ~ ..... conforms substantially to the Application for Building Permit heretofore filed in this office dated ........ ~ov ..... 9 ...., 19.7(~ pursuant to which Building Permit No. dated ........ ~ov ..... 12 , 19.7.0, was issued, and conforms to ail of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is ...... Pr.$vate .erie..fa~.~.y. dw~ &ing .................................. The certificate is issued to ... Dr ,. John. Byde ..... O~rne~. .......................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Heaith Approval ...... 1%.~ o ......................... House # ~ ~...~. ...... .......... Building Inspector ~ IPOII! NO. I TO~VN OF ~OUTHOLD BUILDING DEPARTMENT TOWN CLERK°S OFFICE ~TH~D, N. Y, 7o ~min~ ....................... f.~ .............. , lg ........ A~d ........................................ , I~ ........ Permit ~ ..... Application No. Disapproved a/c ................................... _ ................................ ~ APPLICATION FOR BUILDING PERMrT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink und submitted Ji~ duplicate to the Building~ Inspector. ~ b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premJees or public streets or~ areas, and giving a detailed description of layout of property must be drown on the diagram whlch It part of thle appllcotion.~ 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. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy e. shall have been granted by the Building Inspector. APPLIC,~.TION IS HEREBY MADE to the Building Depart~n-ent~ for the issuance of a Building Permit pureuant 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 al.terations, or for removal or demolition, al herein described. The applicant agrees to comply with all applicable laws, ordinances, building ~ode, housing code, and regulations. (51-gnatu~m-'~f ~pl~llcon~or name, If a corporation) '~"'~ ' '~f(Addr~s of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. If applicant is a corporate, s~gnature of duly d~thorlzed officer. Street and Number .~..~..~.~....~q~..~.~.;~l~.~..~L~t~ ...... ~ ....... ~ v~-- d v ~- Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposal construction: , a. Existing use and occupancy ............. a~,.~...~z~,e~..., ...................................................... b. Intended use and occupan:, .....~,~,....~J...~,...~....~.~.......'~.. ......... 3. Nature of work (check which applicable): New Building .................. Addition ....~ .......... Alteration ............... Repair .................. Removal .................. Demolition .................. Other Work (Describe) ...................................... 4. Estimated Cost .................................................... ; ....... 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 ................................ B. Dimensions of entire new construction: Front ........ ..~:'....."~.. ................. Rear ......... ..~...~ ........ Depth ...~:'....~.. ............. Height .../~ ............. Number of Stories ........ ~:J/:TJe~-- ............... ~ .............................................. : .......... : ................... S ze of at' Front ~ ~:l,~t.../.. Rear /. ~..'~.~.. ( Depth (. (..~...--~.-~. -L~ 9 10. Date of Purchase .../-.~..(....~ ................................... Name~_ ,---~ ,,°f Former Owner ~>e~...~b~,-~.... ........... 11. Zone or use district in which premises are situated ..... J['.,G~a~/m~ ........................................................... 12. Does proposed construction violate any zoning law, ordinance or regul~....~.. 13. Name of Owner of premises ~1..*..(~ .......... Address ..,.~.~e~......T....:_..T.~- - '"J~-_,~,JZ~ ................ Phone No~ Name of Architect ...................................................... Address ............................................ Phone No ..................... Name of Contractor ~.~.,~e',,J~,~..*...Address .~~..~;..~'..-.4:..~...'..~... Phone No~[~..~..~..~.~.~ PLOT DIAGRAM Locate clearly and distinctly oll 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 comer lot. STATE OF NEW YORK, COU NTY(,90~.-~-.._.~ ......... j,j~....f ~"~' .............. ~ ...... ~.~J~-:~....: ........... being duly sworn, deposes and says that he is the applicant [Name of individual sighing application) ~'-~ ~c~ 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 therewith. Swam to before me this ............................................ , ........ ~ -~............~*~' ~ , ........................ day of 19 Notary Public, . ........................................................... County (Signature of applicant)