The URL can be used to link to this page

Home My WebLink About4862-zFORM NO. 4 TOWN OF $OUTHOLD BU17.DING DEPARTMENT Town Clerk's Otflce $outhold, N. Y. Certificnte Of Occupnncy No. Z..~.139 ..... Date .............. Jan.. THIS CERTIFIES that the building located at .. Deerfoot- l~a. th .......... Street Map No..Moos~ :CoveBlock No ....... · .... Lot No..3 .... Cu.tahogue .... N,Y, ....... conforms substantially to the Application for Building Permit heretofore filed in this office dated .......... July ....16-, 19.-70 pursuant to which Building Permit No.. ~862Z. dated ......... ,Iu.~y .... 1-6- - ',. 19 '?0', 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 'Priv~'te' one' family- d~et.l, ing ................... : The certificate is issued to .. ~[tobn2:t. F£sher..c~. ~,Ll~e .............................. (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval House /~ 6~ deerfoot Path .Jan.-.20.~71...by.[~....Vil!a .... Building Inspector ~ l~O~ 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) at premises located at ............................................................................................................................ pursu~ to opplicetion ~ted ............................................................ , I ........ , end ~ppr~ by the Building Inspector. Building Inspector BUILDING DEPARTMEHT ~ //.,,.~-./~ ~ .~',~54 ,K' /~/..x- ~,~ ~NCLERKS~ICE ~ / ~ ~-~. ........... . ..... ................................................................................... ~'~/~.~ ~ ~ ~5'5 ' ~a~ ....... ~..~.~,....:...2 ......................... , I¢.7.~: ..... INS~U~IONS a. 'This'application m~st ~e c~mpletely filled in by ~pewriter or in ink and s~mi~ed in ~plicate to the BuiJdin~ I n~mor. b. Plot pl~ showing I~ation of lot and of buildings.on premises, relationship to adjoining premiss or public streets or a~as, and giving o d~oiled description of layout of pro~ must be d~wn on the diagram which is ~ of ~is application. c. ~e work covered by this application may not be commenced before iss~ce of Building Pe~it; d. Upon approval of t~is application, the Building Inspector will i~ue a Building Pe~it ~ the applicant. Such ~rmit shall be~t on the premises available for inspection thmug~o~ the p~r~s of the ~r~ e. No b~ilding s~ll be ~cupied or u~d in w~ole or in pa~ for any pumose whatever until a Ce~ific~e of ~upancy shall h~e been granted by the Building Inspector. APPLI~TION IS HEREBY ~DE to the Building Department for the issuance of a Building Permit pu~uant to t~e Buildin~ Zone Ordi~nce of t~ To~ of Southold, Suffolk Count, N~ York, and ~r applicable L~, Ofdi~nces or Regulotl~, for the cgnstructiOn of buildings, additions or alterations, or for removal or demolition, as hereih described. ~e applicant agrees to comply with all applicable laws, ordinance, building c~e, ~ousing c~e, and. ~gu at ans. {Signature of appllconto or name, if o corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engi.neer, general contractor, electrician, plumber or builder. .......................... I~ .e...Ae.~.~...9..o. ~ ~ ~.e..~ 0. ~ ........................................................................................................................... l~k'. & 14rs. Robert F:[sher ~ome of owner of premises ..................................................................................................................................................... If applicont is a corporate, signature of duly authorized officer. ....... (l~Jme and title of corporate offk:er) 1. kocotion of ond On w ich proposed work will Street and r~ m r ....... ~ ............................................. ~..' ..................................... :.....~ ................. 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: None a. Existing use and occupancy ................................................................................................................................... b. Intended use and occupancy ..... ~..~...i..v..a.~e-.....°..~...e....~...~...i...]-~.....~....1..1...i...~ ............................................... 2. Nature of work (check which applicable): New Building ..... .~.. .......... Addition .................. Alteration .................. Repair .................. Removal .................. Demolition ........... : ...... Other Work (Describe) ........................................ 4. Estimated Cost ...~Set0.00.~0~). ................................... Fee ....L0.,~0.(} .......................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ....o...~..e.. .................. Number of dwelling units on each floor .....o.~...e.. ................ If garage, number of cars ....~...O.. .................................................................................................................................... 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 7.~ t Rear 7,~ t Depth ..... ~..2. t. Height ....... ~.4...~. ...... Number of Stories .......t~...O. ........................................................................................................... 9. Size of lot: Front ..... ..1:..5..6.. ............... Rear .....]:.~...6. ......................... Depth ....... .~..~...11:..~. ................ 10. Date of Purchase ...... ..A~.z'...~..]:....]:.?.?..0. .......................... Name of Former Owner ....[~..~.tZ......~...O..~.~..e..?. .......................... I 1. Zone or use district in which premises are situated ..... ~Z~.~.~,.C~.l~.t;.~,f~ ..................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? ..... .~....o. .................................................. 13. Name of Owner of premises ..[~....b..e...~.~....~.~..8..~..e...~.. ........ Address .......~'~..~..~.~..~.~.....~..*...~..'..... Phone No...2..~..8~....8..]....~.~ Name of Architect ...................................................... Address ............................................ Phone No ..................... Na~e of Contractor .~..?.....~,~Z'...~..O..~....~..~..O..~.9...Z~..~.?..Address ..N~..~.....8~...~.~..O..~...~.~....~..;..~........ Phone No. 7...~..6f.-.....6..~.~...2 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. COUN OF .... TqL' ............................ -C~...~:~....L.~...~.O...z'..t:...O...r~.. .......... ~ ................ being duly sworn, deposes and says that he is the applicant (Name of individual signing application) above named. He is the ........................... ~.o.~..~.~..t:.?.....o.:~..~..~...o..e..~. ........................ : ........................................................... (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 Nora- Public''-~'z''- ~'' '~ t'~ -~ ..,,~e~!~?~?~,.xo*~ ..... "~"'r.."~t.~....~. ........ L..~..~ .............. ,~ , ,~.~n,-;:v~....~¢~-~ ....._..o w. .~,~..~nty ~/'~_,~.~ (Si~lnature of applicant) S-9 SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH TO WHOM IT MAY CONCERN: at The s disposal faciligies for a structure located (Give deed location) have been inspected by this department and found to be satisfactory.