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Home My WebLink About4640-z]FORM NO. 4 TOVJN OF $OUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. ~92 Date THIS CERTIFIES that the building located at Map No. Bay .Haven Block No. Lot No. April 20 , 19 71 Wateraedge Way Street 52 Seuthel4 N,Y. · confoms substantially to the Application for Building Permit heretofore filed in this office dated 14a~ ~O , 19 70 pursuant to which Building Permit No. dated Ea~ .10 , 19 70, was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is . Private ~ne..fa~i.].y. dwet.~ lng .............. The certificate is issued to g~].&as. Hollig .... Owl~el' (owner, lessee or tenant) o£ the aforesaid building. NOTi~ ~ Va~iallce &pp~oved by ~kl Appeals Suffolk County Department of Health Approval Sept 11 ) $9~0 by it,. Villa Und,rwriters ~ N8t9797 ~ ~. / ..use ......... ( ng Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLE~.K'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? ~6~0 Z Permission is hereby gmr~ted to: ......... ~...~.~..~.~....~.....~..~..~. %& ........... '....~.~.....~~'.~ ........................... .................... ~--~: ...... ~.-.~.:. .................... pursuc~f to application dated ............. .~ .............. ;....~,,.~,~ .......... ,~.,~.,,, 19....~,~ and approv~ by the Building 1 ~s~c~r. ~ ~' ~- *....lm~ ....... Build~ng lnsp~ ~ S-9 SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH Date September 10, 1970 Bldg. Permit No. h6h0 TO WHOM IT MAY CONCERN: The sewage disposal facilities for a structure located at South Side of Watersedge Way, hO01 East of Gin Lane (Give deed location) Map of Bay Haven, Lot#52 Southold, New York have been inspected by this department and found to be satisfactory. · I ! District Engineer District Engineer BUILDING DEPARTM~ ~ ~TH~, N. Y. ....................... , i~ ........ A~li~ti~ ~o.. .~.. ......... Di~p~ a/c ...... ~ ................... ~ ..................... ~ ............. ~... ................................................ ~.~ ............. ...... : .................. i ............................. ~'" APPLI~OH FOR BUILDIHG PE~I? ' ,.~u~,o.~ '~/~1'~ ~'~ a. ~is applicati~ m~t be compl~ely filled in by ~writer or in ink and submi~ in ~plic~e to In~r. b. Plot plan s~wing I~ation of lot and of bu~ldi~s ~ premiss, mlati~ship areas, and givi~ a ~ail~ ~ri~ion of la~ at pm~ must ~ dr~ on the diagram which is ~ of ~ applicati~. c. ~e work c~er~ ~ ~is appli~tion m~ n~ be commenc~ ~fore i~ua~e of Buildi~ Pemit. d. Up~ ~pr~al of this ap~licati~, t~ Building I~ctor will i~ue a Buildi~ Pe~it shall ~ kept on the premiss avadahle for i~ecti~ throughout ~e p~rm of the work. e. No building s~ll be ~cupi~ or u~d in whole or in pa~ for any pu~ose ~at~er until a Ce~ific~e of ~c~ancv shall h~ been gmnt~ by the Buildi~ Ink,tar. APPLI~TION IS HEREBY ~DE to the Building ~men~ for ~he i~uance of a Buildi~ Pe~it ~m~nt to the ~uild~ng Z~ Ordinance of the T~n of So,hold, Suffolk Count, N~ York, and other a~licable ~, ~i~es or Kegumtions, tar the construction ~f buildings, additions or alterations, or for ~m~al or demolition, as heroin d~ri~d. The applicant ~r~s to comply w,th all applicable laws, ordinancK, building c~e, housing c~e, and ~ulations. (Signature of applicant, or ~e, if a ~o~tion) (Addr~ or ~pJicant;' State whether a~licant is ~er, I~, agent, a~hit~t, engin~r, general contractor, el~trician, plu~r or builder. ~, o~ ~,r o~ p , ........ ~ ..................................... : ........................................................................................... If ~lJcQnt is O COlgate, signature of duly out~rJz~ officer. (Name and title of co~omte officer) ,. ~_~ ,.~, ~ ~., ~o~ ~,,, ~ ~o~.. ~.~.o.: ..... ~;:~ ..................... ~o,.o.: .~ ............ ~,r. 0~ :~ .~Z~.~.~.~[ ........ ~. ............... :~.~...~..~~...,~K / ~un~i~lj~ .......... 2. State exi~Jng u~ a~ ~¢u~n~ of pmmiMs and intended use and ~cu~ncy of pr~o~ cosmair: b nte~eduseand~cu~n~ ~ ~~ /~ . '""~ ........... :"..~......... ............. / 3. Nature of work (check which applicable): New Building ........ Addition .................. Alteration .................. Repair .................. Removal .................. Demolition .................. Other Work (Describe) ........................................ 4. Estimated Cost _,~_.~O0~ ~o Fee ..........7'""/ ...................... '": ....................... .................. 5. If dwelling, number of dwelling units ....... .J....; ........... 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 .......................................................... 7' ...................................... ~ .............. Dimensions of same structure with o terat ons or add t OhS' Front ~ t~ Rea- '~ ~' Depth ......~...~..t. ................. Height ......~...~...~" ........... Number of Stories ...~...~'.....~....: ............. 8. Dimensions of entire new construction: Front .................................... Rear ............................ Depth ........................ Height .................... Number of Stories ..................................................................................................................... 9. Size of lot: Front ........./...~...(~..../ ....... Rear .......... /...~...~..../. ............ Depth ...... ..,~.....C..I. ........... 10. Date of Purchase ........................................................ Name of Former Ow]~er ..~.~.~.~..~....~.......~.~C 11. Zone or use district in which premises are situated ....... ~..'- ........ ~..~.~..~/Z/.~.../.~.. ................................................. 12. . "~ ............~;~:~ ....................... Does proposed construction violate any zoning law, ordinance or regu at on;) ~..~..~' . 13. Name of Owner of premises ..~.~9..~,~....~.~....Address ~.~.....O...~....~..~.~.../..~....~'~........~ Phone No. ~.~..."~..-~'~..~f Name of Architect ~..~.~...~'~.;~.../~......~ ....................U Address ..(/..~:.~.....~..e/.~.r-~......~/..~..~.~... Phone No..~./..-~,:...~..~...O..O Name of Contractor ~-~..~..e~.,(~..~S/.~.~.~./~-.~.~ddress .~,9.~-....~.'~..,~t~ ............. '~' Phone No. ~.~'.~.?.~...~.~..~ PLOT DIAGRAM /J. g u//>/~,~c,',~ . Locate clearly end distinctly all buildings, whether existing or proposed, and indicate all set-bock 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. STATE OF NEW YORK, COUNTY OF ..~1~;~,4~1~ ............ $~'~' .......................... ~,3-;1~11~.~¢1~ ..................................... being duly sworn, deposes and says that he is the applicant (Name of individual si-ghi-fi~ application) above named. He is the ...................................... ~1~ ...................................................................................................... (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 /~//~-_ ~...~ ........ ~1,~ .......... day of ........... ~ .................... , 19~0... Nota ry Pub i lc, ~..~,,j~j~]i~ ~ ..~,~ ...... .~,~.~.c~r..-.....~... ~ .~ ................ : .............. · . . County ~ ~1££~,1~ (Signature of applicant) ................ . ELIZABETH ANN NEVILLE NOTARY PUBLIC, State of Hew York No. 52.8125850, Suffolk Coun ,Term EX~ires~ March 30 ANY ITEUS OR DETAILS SHOWN ON fNIS PLAN BUT NOT INCLUg[D IN OUR MUTUAL WRI~EI'I AGREEMENT WILL NOT BE SUPPIJED Ozalld Ozatrace E~80-165 PARAGON HOMES 499 JERICHO TURNPIKE, MINEOLAiN.Y. DATE SHEET | 0~' ANY ITEM,S OR DETAILS SHOWN ~ON THIS PLAN BUT'NOT INCLUDED iN OLI~'f, MUTUAL WRITTEN'AGREEMENT WILL NOT BE'SU?PUE~ PARAGON HOMES 499 JERICHO TURNPIKE, MINEOLA, N.Y DATE - SCALE: 1~4"~ 1'-0" SHEETi ~- OF 7 AN~ITEMS OR DETAILS SHOWN ON THIS PLAN'BL~T NOT INCLUDED iN OUR MUTUAL WRITTEN AGREEMENT WILL NOT BI: SUPPLIED. Ozalld Ozatrace 880~165 LJTI L iT'?' ! P A R A G O N H O M E~: S 499'JERICHO TURNPIKE, MINEOL/~,N.y. DATE I SCALE: ~/4"= 1% 0r'' i---- ,, ANY ITEMS i0~ ~AI~ :~HOWN 'ON T, HIS PLAN BUT NOT't!~£D N OUR' ,]PA R A G O N H O ,499 JE:RiC:HO, TU R~ pI, KE, ANY IT,EMS OR DETAILS SHOWN, ON 1HIS PLAN BUT NOT INCLUDED IN OUR MUTUAL WRITTEN AGREEMENT WILL NOT BE SUPPLIED, PARAGON H O M S 499 JERICHO TURNPIKE, MINEO!-A, · I DATE L ANY ITEMS OR DETAIES 'SHOWN ON THIS PLAN BUT NOT INCLUDED IN OUR MUTUAL WRITTEN AGREEMENT WILL NOT BE SUPPLIED. OzaJid O,,,h.~..= 880-165 h L PA'I~ A G:O N' 49~ J~RIOHO TURNP ANY ITEMS OR DETAI.LS SHOWN,ON THIS Plan BUT' NOT INCLUDED IN OUl~ MUTUAL WRITTEN AGREEMENT WILL NOT, BE SUPPLIED. O=alld Ozatrac~ 880~165 pARAGON HoMEs r I I I '__ , i ' -- ' i499-JErlCHO TLJRNPJKE, MJNEOLiA,'N-Y, J