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Home My WebLink About4720-zNO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupnncy No..z~C)~'~_. .... Date ............. Ap~'t,1 ....2 ...., 19.73 THIS CERTIFIES that the building located at Peq~h .&. Wemt. 1~ ....... Street Map No... ~x ...... Block No...z~a~ ..... Lot No.. l~x. · · ~teho~ae .... I~,.Y., ..... conforms substantially to the Application for Building Permit heretofore filed in this office dated .............Apx'$1' ' 2~9' '~0 pursuant to which Building Permit No... ~TLs~O~ dated ......... 'Apri.~. · .27. ·., 19.~, was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is . Public..-..utilty. b~ldZng .,. fo~..pal'k .dim~iet ................... The certificate is issued to . .Cutehogua .,. Kew. ~u~folk. Pa~k. D~tria% .......... (owner, lessee or tenant) of the ~foresaid building. Suffolk County Department of Heslth Approvsl ...J~12~ .49.-$~2-..bF. R, .Vl~&.. · UNDERWRIT£R$ CHRTIFICATE No .... ]~eI~, ......................................... HOUSE NUMBER.. 6.~ ~O~ ...... Street .... PSqttash' 'AV~ ................................ ~St Road Buddtng Inspector FOI~,M NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTNOLD, N. Y. BUILDING PERMIT Cf'HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 4720 Z Dote &prl~. 27 19.....~.0 Permission is hereby granted to: Cutcho~te new Sl~ffo]Jc Park District .................... .c.~.~.o..~..e. ...................................... Build new utility bui~d~ .................. Pea~sh ave ~ West H4 ..... at premises located at .............................. · ....................... : .............................................................. Cutchogue ~.~. pursua:n~ to application dated ............................ .~.D,1['.~ ...... -~2 ....... , 19...~.0., and approved by the Building Inspector. li01~ Fee $ ........................ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN C:LERK'S OFFICE SOUTHOLD, N. Y. Examined ...... ~.....~.....~.., 19...,~....0 App roved ........ ~ ~' ' ~ ................................ , 19 ........ Permit No..~...x...m~....r.......-~--- Disapproved a/c ............... .~D~..-..~...._....~ Application No .......................... APPLICATION FOR BUILDING PERMII ~'~ D~te ...... A r 2 ........ .......................... .......... 7......., INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duolicate to the Build n~ inspector, r 1~ b. Plot plan showing location of lot and of buildings on premises, relationship to adjoin ng prem sas or public streets al ~ areas, and giving o 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. 1 APPLICATION IS HEREBY MADE to the Building Department for the ssuance of a Bud ng Permit pursuant to the RBUildln.g. Zone. Or..dinance of t. he To, w.n .o,f. Southo!d., Suffolk C. ounty, New York, and other applicable Laws, Oral nances or egu at*ons, tar me construction at Dui~aings, additions or a terations, or for remova or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations. Patrick Gorman A/C (Signatureofapplicant, orname, ........ (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Agent of owner Name of owner of orem ses .C...~.~.c..~.o..g.~..e...T ~..e..~..S....u~..folk Park District If applicant is a ~ corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of lan~d__on which p~roposed work will be done. Map No.: ............. ~ ..................... Lot No.: ..... ~ ......... ~ -" Street and Number ............... ~/~.....~.~.g. L1,~,~JR..~Y..~ ......................... g..'Ll,~g,~.g~e ............................. J _~' (,~/~ ~ Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ............ ~.~,r.~..,~,~tg,~. ................................................................................................. b. Intended use and occupancy ............... S~l~.e...~.~.~...~.l;,l,],:Ll;~'...b.~,~L~,;~g ................................................... properb/ lines. Give street and block number or description whether interior or corner lot. 3. Nature of work (check which applicable): New ~Building ...... ~.... Addition .................. Alterntion .................. Repair .................. Removal .................. Demolition .................. Other Work (Describe) ........................................ 4. Estimated Cost. ...... ~.2.?OQO......~. ............................... Fee ..... Z~oz~e ........................................................................... (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 ................................ 8. Dimensions of entire new construction: Front ......... .~..~.~ .............. Rear ..... ~.~..,~ ........... Depth "-.~,9--~ .......... Height .................... Number of Stories ..... DZ~ .......................................................................................................... 9. Size of lot: Front ............................ Rear .................................... Depth ................................ 10. Date of Purchase ........................................................ Nome of Former Owner ................. ~.~..~.e..~..]~.[ ................. 11. Zone or use district in which premises are situated ................... !t,A,t!...~l..:~.~ ............................................................... 12. Does proposed constructlon violate any zoning law, ordinance or regulation? ............................................................ 13. Name of Owner of premises ....C..l~.~,.~.b....-....]~.~.~..,...~.~e~d~.[ ................................. Phone No ..................... Name of Architect ...................................................... Address ............................................ Phone No ..................... Name of Contractor ............. 8~,~e, ............................. Address ............................................ Phone No ..................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from street names and indicate l oo' STATE OF NEW YORK, l. Se COUNTY Of ............. }' .......................................... ~..8.'~:.'LC:]{...G~z~ .................... being duly sworn, deposes and says that he is the applicant (Name of individual signing application) above named. He is the ................................... ~.~.~...~.~.~l,~..~.'i,~.~ .................................... (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 oil statements contained in this application are true to the best of his knowledge and belief; and thor the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ............... .......... , _ ........................... ~.LIZABETH ANN NEVILLE J~OTARY PUBLIC, State of New York ~No. 52-8125850, Suffolk ~ ,~[xpires March 30, SUFFOLK COUNTY DEPARTMENT OF HEALTH Riverhead, New York Building Permit No. TYPE OR PRINT LEGIBLY IN INK ~/zT~ ~ ~ Health Depsrtment Application for Approval of Commercial Sewage Disposal System TO: The Suffolk County Department of Health *~Date Application for approval of commercial sewage disposal system is hereby requested. (Name, side of~treet, name and distance to nearest intersect~ street) Village ~ I hereby certify that this commercial sewag~ dispo~al symtem has been constructed in.accordance with plans approved ~y the S~ffolk County De- partment of Health on (date~nd with all~'the req~trmm~nts of the latest bulletins on sewag~/~isposa~ of the Suffolk CoUnty ~artment of Applicant~' s Signature FOR USE OF ~EAL~H DE~ARTMENI' ONLY Installation satisfactory - Based on the information stated hereon by th!e applicant and other information made available, it is the option of! this Department that this system with proper maintenance can be expeleted to function satis- factorily and is not likely to cause a nuisance!, provided designed sewage flow is not exceeded. Structural feat~e$'h, 3 z/ _z ~ar~ n~t i~nc~ude~$/? Date 'U~ 9 0 I~7~ SCHD - S-13 6~58