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HomeMy WebLinkAbout5179-zTOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No.Z~2.97 .. Date THIS CERTIFIES that the building located at Map No. Cleaves Pt Block No.. I Lot No. ~uly 26 ,1971. Osprey Nest Road .. Street 2 ~reen~ort ~.Y. conforms substantially to the Application for Building Permit heretofore filed in this office dated .l~.r: 23 , 19 71 pursuant to which Building Permit No. ~'~ dated .. . [a.I' .~} , 19 7'}, was issued, and conforms to all of the require- merits of the applicable provisions of the law. The occupancy for which this certificate is issued is P.~.~ff.a.t.e on.e..f.a..~.~y dw.o.Z.Z..Zp.~ .......................... The certificate is issued to Pat~..ig.k.C. 9.Yq..e....J?. .................... (owner, lessee or tenant) o£ the aforesaid building. Suffolk County Department of Health Approval July . 2.3..]9.71 by H. Villa House # 11~ ........... Building Inspector ~0~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUIL~G PE~rr COMPLETION O1= THE WOR. I~ ^UTHORIZED} N? 5179 Z at premises located at .-~1~-~t~. ........~ ~4J~i~.j~..~..~ ............................................................. pursucm¢ to application' dated i~ :'~ ~, ;,~-' ~ ~ '~ ........... ' _ :- · ....... -~, .............. :~ .......... 19~.~..., and;approved by the ~ '~ . ... ~..~ Building Inspector. N 5~° 37' IO"E 75 O0 Y uJ gA TZ ~r-'JA T£ ~ S-9 SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH Date ~-- ~ '~/ Bldg. Permit No. TO WHOM IT MAY CONCERN: The sewage disposal facilities for a structure located have been inspected by this department and found to be satisfactory. Chief of General Engineering Services JUL 2'5 1971 ]_l-Septic ~ank inside dtmensions:¥olu~e 12-Precast sections :/ /Number./ Gals.Length Ft.Width._ _ft. Liquid depth ft. /Square ft.Cesspools :Block size L/~ ins .D ~ ins.H ~ ins. PLOT PLAN Oapacity_~ls Grade Data ~eet 0 2 The Undersigned CE~TIF~ #Construction of authorized accordance with the Suffolk County Health Departaents' current Standards,B~,~tin~, and a~end~ents thereto,covering Priv&te 8ewa~e Disposal ~yst~ns.. Date .,~ t~,- 71 Signed. '~"' ./: , ~ ' , ' ~r or' Builder ~ HEALTH DEPAt~I~ USE OllLY. ' Ba~ed on the ~-*ormation preaented here~i~l~it~is · opinion of the Health Department,that ~n adequate and satisfactory~age DispoSal ~yste~ can be installed on this Plot. / / <.,o/~ ~,~,,.) ' ' EXCAVATION INSPECTION R[IIUIRLU / APPLICATION FOR BUILDING PIP. MIT '"' ~ate ,~--~ ~ )9..~./. ...... INSTRUCTIONS a. application must be completely filled in by typewriter or in ink und submitted In duplicate to the Building Inspector. / b. Plot .pi.on sho.w!r~ I.oc?ion o..f lot ?.nd of bu.ilding, on premlm, r~latiortshlp to odj~in ng pmmi~l er public stllet$ or areas, ona givll~ a ~esollecl aescrll~on of layOUt o1' property must be drawn on the diagram whlch ii tm~t M ~hM al~lcotion, c. The week covered by this application may not be commenced before iuuonce of Building laermlt. d. Upon approval of this application, the Building Inspector will I#ue a Bulldtng Perm t to the al~llcent 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. ~ APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit punmont to the~ ~Build!r~.. Zorn, OK.I_. Inance.of t..he T,o~m. of Southold, Suffolk County, New York, Gnd other aptallcoble Lawi, Oedlnances or ~egu,m~..ons, .mr me c.onstruct,? o.t. Du!!dlngs.,. adcl. itlons or alterations, or for removal er demolition, al herein 8seerlbed. ~ ne appncanr agrees to comply w~m a,, app,cabm laws, ordinances, building code, hauslng code, and regulatlem. (Signature af applicant, or name, If a cml~mtlon) .................. ×.:...~,,//- ~.~. ~Raares~ ot appll~nt) State wh~herapplicant is owner, Im~, agent, archlt~t, engineer, general contracter, electrician, plumber ar builder.,.. Name of 0,,., o,,rem,, ..... ............................. (Name and title 'of corporate officer) I. Location of land on which prapmed work will be done. Map No.: ........ s,~..........~. ................ Lot No.: · ~..~. ,.~.. ~ 'c/ ~-~ ,.o Street and Number ~ ~ ~ ........ ~ .............................. ../-/~...~,...~.~...../~..~.. .................................... '~ I ~ / ! ~' ....... Munlcll~llty 2. State existing use and occupancy of premises and intended use and occupancy of prapased comtructlon: a. Existing use and occupancy ................................................................................................................................... b. Intended use and occupan:, ~...~..~"..~.~. 3. Nature of work (check which applicable): New Building // Addition Alteration Repair .................. Removal . ................. Demolition .................. Other Work (Describe) ............ ~ ......................... 4. Estimated Cost .¢~.~..¢;7~..¢?. ......................................... 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 busine~, commercial or mixed occupancy, speci' nature and extent of each type of use ............................ 7. DimensiOns of existing structures, if any: Front ...........~.v~..i~.... .... Rear .....~ .......... Depth ..~1~... .......... 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 .......... ..~....~...?.. ............. gear ....... .~....~..~...~..~...... Depth .......~....~ ............ Height ....... Number of Stories ........ ..//.'...~. ..................................................................................................... 9. Size of lot: Front ......... .~...~......~ ....... Rear .......... .?....'~...(. ............... Depth ......... ./.~-~....~ ............. / 10. Date of Purchase ............ .~....~. .................................... Nome of Former Owner ..~..~.........~'...J..~.~.~...~.. .............. 11. Zone or use district in which premises are situated ..................................................................................................... 12. Does proposed construction violatex~,,~any zoning law, ordinance or ~ ~//e~regulati°n?~"~"flZ'~'~'~.'~' .............................. 13. Name of Owner of premises .../..._....c.~..~...~...~.. .................. Address" ..~.~ ........................................ t-none Ho ....... /.. · .~ ...... ..~.7 Name of Architect .....~.~..~.../.!.'.~......~'....e....~,.~. ................ Address...~'..~..~......~........~..~...~.e.:.. Phone No ..................... Name of Contractor ....-~'...~X..'~.~.(~......~.d/.~..~/'.....-.~'..t~..~......Address ~ .~..~.~'...~...~...~.....~.~./.~.. Phone No. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensio.ns from property lines. Give street and block number or description according to deed, and show street names and indicate ~ether interior or comer lot. STATE OF NEW,3'O~K,. ! S~, COUNTy OF ...~.¢.~..~.h..%o...L...~;.....,~ ....... ~..~...~..~.~......~.~.'/~.~4~A~?.i .............................................. being duly sworn, deposes and says that he is the applicant (Name of indiviS~al signing application) above nomed,~'He is the ...,..~.~.~,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 tha~ the work will be performed in the manner set forth in the application filed therewith. Swam to before me this · ....'~..~',~...~..~.... day of ..... ~-'-~.,~..~'.~. ................. ,19..7./...r~j~. ~~'~~ Notary Publ~ ........ :..~~. ' ...... ~)' ............................. I~ORENCE R. SWANBERG NOTARY PUBLIC, State of New York No. 52-3909775, Suffolk County Term Expires March 30, 1971 ~L1 __1 8532 LEFT: E':, ..... ?".,Al iON I ASP HAL'I' , ~ t C~t--iT ELEVAT FLO0~, LIN:': : 13ASEt4'~iqT i:LOOR. 5E CT I O~'q (l~ssPO,Ol. 5 p/.. ..~.,.,. , 8 x IG f'ooTi~.n,,, : , 'TOMAI~'K CON~' 52~0 $:u~ · ~AYVILL~, ,L~T' ~ 49~_ 9u -'i ~£o' [ ~7L 0" 4 /0'-¢" __ 4" cD5 I1" LtVIhkG NC~M. CL. ¢/ G" 0" G" 0" 12:0~ TO,'~ARI< SAYVlLLLE NEW:' 12~- FOF ,''7 ,4 ~/~ ii' WALL I7/- 7/~ -k~ooe: -~jFLO©I~' N ATTIC TO ~ :U~5-FL. OOR: ONLY, J '4t O'r HtGH STUD.//'. SIDE O~,,LY OOF3,