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Home My WebLink About5168-zTOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No.g~. 363 .... Date ......... ~.,'t~ ..... THIS CERTIFIES that the building located at Ridwood .Ro~I. · · Map No. Eas~ood El~l~ck No ........ Lot No.. 7 .... gntehagus 26 , 19 .. Street conforms substantially to the Application for Building Permit heretofore filed in this office dated ...... 14al~h l~ 19 ~l pursuant to which Building Permit No. dated ........... 1~*. · l~. , 19.71., 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 PRlV~.~e. ol~a. ~ily. dwel~_~g .................................. The certificate is issued to . ~.arl ~e~ .&. ~ife...~ers .................. (owner, lessee or tenant) of the Moresaid b~lding. Suffolk Co~ty Department of Health Approv~ A~. ~2,. ~9~. · B~.B,. ~il~ .... ~ouse ~ ~ ~ .... ...... ( ............ Building Inspector FOlk~ 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) No. 5168 Z Permission is hereby granted to: to ~tllrl ..~ ..~e...!~it, ll ll..ly., dw~ ;l,.llt~ ................................................................................... at premises located at ............ ~J-.-~--.--~it~-~l~e~-.~.t~a-t4JJ~-.--J~..J- ....................................... ...................................... ti~oe~-.~..~..~t~t~oed.-itit ....... ~"'~~ ................... ' ....... ; ....... pursuam' to application dated ........................ J~8.-~ ......... .$~. ............. , 19....~:J, and approved by the Building Inspector. S-9 SGHD SUFFOLK COUNTY DEPARTMENT OF HEALTH TO WHOM IT MAY CONCERN: The sewage disposal facilities for a structure located (Give deed location) / : have been inspected by this department and found to be satisfactory. Chief of Ge_uerzl Engineering Servlce~ ~OA~ MAP OF LOT MO. ? IEAST-vLtOC'[" E'_~ T~. ~I..IARANTEED TO THE TiT'L[ OTTO I~, VAN TL}YL ~, $011~ Approved ........................................ , 19 ........ Permtt No ..... DisapprOved a/c ............................................................. APPLICATION FOR BUILDING PERMIT Date ............................. , 19...~}..!....~,_ ~ a. This application must be completely 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 :areas, and giving a detailed description of layout of property must be drown on the diagram which is port 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 hove been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant 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 demol tion, as herein.described The applicant agree~s tO comply with all applicable laws, ordinances, building code, housing code, and regulations. ..... o.. x ....... ¢Signature of applicant, or name, if a corporation) (Address of applicant) Stale whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ~!~~.~~~ ...................................................... If ac~licant is a co~orate, sdgnature of duly authorized officer. .... ........ .............. (Name~and title of corporate officer) Location of land on which proposed work will be done. Map No.: ........................................ Lot No.: ../....... .............. e ................ ....................... Street and Numb r ........ ~.~. ............................... ~ ........... ~/D~/'~ ~ L~ ~:> ~ Municipa'l~ty ...... 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: b. Intended use and occupancy¥~..~....~--_..~.. ..(~.../)~..,..~. 3. Nature of work (check which applicable): New Building v Addition Alteration Repair .................. Removal .................. ~ Demolition ............... ,. Other Work (Describe) ........................................ 4. Estimated Cost ............... ~...?..)...O...O..?...i, .................... Fee ........ ~.~..~,.~....O. ................................................................... (to be paid on filing this application) 5. if dwelling, number of dwelling units ....... ~.i~"..~ ............ 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 ....~...~....~. ............. Height ....... .6. .......... Number of Stories ........ ~ ............................................................................................................. 9. Size of lot: Front ........ J..~..~..'.--^' ......... Rear ........ ~.~..~..;--~" .................. Depth ...~..~...O..~ ................... 10. Date of Purchase ........................................................ Name elf Former Owner ........................................................ 11. Zone or use district in which premises are situated .......~'..~..~....~...~...~..~...~..°~..k..~ ............................................................ 12. Does proposed construction Violate any zoning Iow, ordinance or regulation? ...... /~....O.. .............................................. 13. Name of Owner of premises ...(~l~.~......~..~.~..~.~.....Address ....~...O.....~......~.....~.~....~. ........... Phone No ..................... Name of Architect .....~.'.~T~.....~....~.....[.~...~..~....~............~ddress ......'~...~....~....~...~....~..~.~ ....... Phone No ..................... Name of Contractor ...~..:.~......o~......o~....~.....~..o.~ ......... Address ....~...~....~.......~.?...~....~..o.~..~. ..... 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. ~TTOI STATE OF N~Y~ ~ ~ ~ COU~----~. ~-.. OF_~ ............. , .... ......... ~.~....-..~.~..: .......................................... being duly sworn, deposes and says t~t he is the applicant (Na~e of individual signing application) above named. He is the ............ ~0~~ ........ ~.:~.~.~ ................................................................................. ~ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or how ~rmed the said 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 work will be performed in the manner set fo~h in the application filed therewith.~that tho Sworn to before me this . -- ..... ...... ..... ...... : ........ , [ 'Yt_. · ........ .............. ~ota~ Cublic, . .......... [.., County,S. ~ ($ion~re of ~pplicant) '~'~ ~ ires March 30, THE NEW YORK BOARD OF FIRE UNDERWRITERS ~I~ BUREAU OF ELECTRICITY ~ 8''~ JOHN STREET, NEW YORK, NEW YORK 10038 N 114186 THIS CERTIFIES THAT only the electrical equipmen~ as described below and introduced by the applicwnt named on the abo~e application ~umber in the premises of Carl Buehler, 50 F~twood Drive, Cutehogue, L.I. was exarnined on Sepgember 6R 197] andfoundtobeincompliancetviththerequirementsofthisBoard. FIXTURE LECLq~TA LEI I RXTURES OUTLETS I c SlSWITCHES I'HC^NOESCEHTIFLUORESCEml ~v~1~ I ~T, K, W, OIL H. P, GAS H.P. ~T, NO. ~ W, G, SERVICE DISCONNECT NO. OF S OTHER APPARATUS: Elco.room heaterE: 3-2.0kw RANGES ST. ~c. W. ;PECIAL REC'PT R EXHAUST FANS DIMMERS ICOOKING DECKS I OVENS I DISH WASHERS ,~. w. ii AMT. K.W. ~IT. K.W. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET ~"' ~"i TR,,.s..~ ~R~,;T V I C A~ W.G. NO.O~ HI-LEG k. W, O. NO. OF NEUTRALS ~Robert A. Goodale, 525 Orchard St., New Suffolk, L.I. 11956 Pe~_~~ COPY FOR BUILDING DEPARTMENT, THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER,