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Home My WebLink About6101-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. l~'[ ...... Date .............. Dee..1'1 ...... , 19. '7~ THIS CERTIFIES that the building located at .. p~ .Tree. Road ......... Street Map No.NaJe. F&r~e. Block No ........... Lot No..2~ ..... Cutehoglm .. N..ff. ....... conforms substantially to the Application for Building Permit heretofore filed in this office dated ........... ~pt" '8", 19.72 pursuant to which Building Permit No. 61Ol.Z · · dated ........... ltept...8..., 19..~1~, 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' one' family, dw®t.14ng ...................................... The certificate is issued to . ~ .~ ,. Sohwab.. 0~m~l, .......................... of the aforesaid building. Suffolk County Department of Health Approval (owner, lessee or tenant) .N ,R~ ........................... UNDERWRITERS CERTIFICATE No .... pending ...................................... HOUSE NUMBER... 1.~.2~ ..... Street .....P;Lllo .Troe .l:load ........................... Btlilding Inspector / FORM 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) N°. 6101 Z Date .......................... ,~e p.t,e~bez,.....~., 19..rjr. Permission is hereby granted to: ............ · u~;~l~oi~e ............ ~Y~' ........................ to ...B~.~&..e~..~l&~t.~.o~.. ~.. ~x~s ~Jm~ -. dlee~[~ :ljx~ .............................................................. at premises Iocoted of .....~:O~..~....J~iL. SB~I....i~ItZ~ij ........................................................................ ...................................... P~ne..tre~..ro&d ........... ¢~ch~Ju~"'"ll';T'; ......................................... pursuant to application dated ................... J~.e~; ....... ~ ................. , 19...~., and approved by the Building Inspector. Fee $J.~'~4)O, ........... Building Inspector FORM NO. 6 TOWN OF SOUTHOLD Building De/m~tment Town C:ledcs Office Southold, N. ¥. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in triplicate to the Building Inspector with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage dispcsal--(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installations, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent in- formation required to prepare a certificate. C. Fees: ]. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 .?..~.~/~.~.. Date ....~'.. ....................... New Building .................... Old or Pre-existing Building ....~ ............... Vacant Land ............................ Location Of Property ....... ' .~./.~..~. ........ . .~'-,~..~......~.¢~ ............... ~~ .............. ~ner Or ~ners Of Prope,y ....... ~.....~.....~....~~ ..................................... Subdivision ................................................................ Lot No ............. Block No ............. House No ............. Permit No..~./(.~./. ....... Date Of Permit ~.~....~.y..Z.'~pplicant .... ...~. ~'~...~-~.....~f.~-~.~ Health Dept. Approval ........... ~ ,"~"~' .......................... Labor Dept. Approval ........ ~...~. ................................. Underwriters Approval ............. .~../.~.. ....................... Planning Board Approval ..... .~/.~..~ Request For Temporary Certificate ........................................ Final Certificate ......... ~c. ............................. Fee Submitted $ .....~,~¥.~. .................... Construction on above described building and permit meets all applical~le,~ codes and regulations. Applicant ................... ~ ~ ........ ~ ................. Sworn to before me this ................ day of ............................................ (stamp or seal) ~,~,~/ Notary Public .................................... County ~.c~:~-~-~ THE NEW YORK BOARD OF FIRE UNDERWRITERS t;8.b BUREAU OF ELECTRICITY"i ~ 85 JOHN STREET, NEW YORK, NEW YORK'10038 ..,e 0c'~obe~' 31, .t.~?3 ~,~,,,~,,,,o,~,,,.,,,,,,,,,68382,- N 124001 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the preq3~ of Allen SChwab, n/s Pine Tree Rd., 600' n/o LupenDr., Cutchogue, ~.x. i,,hefollowinglocation; [] Basement [] IztFI. [] 2nd FI. Outside Section Block Lot was examined o~ October 25, 1973 and found to be ln complionce with the requlrement# of this Board, 2 h 2 j 2 DRYERS FURNACE MOTORS RJTURE AI~LIANCE FEEDERs AMT. K.W. OIL H.P. GAS H.P, AMT. NO. A. W, G. SERVICE DISCONNECT NO. OF S RANGES SPECIAL REC'PT, E R V I C MULTI, OUTLET SYSTEMS NO. OF FEET EXHAUST FANS DIMMERS 1-3 1/2ton Air eond~tion Un$~ NO, OF CC, COND. A.W.G. HO. OF Hr-lEG A.W.G. HO. OF NEUTRALS! A.W.G. W.B.Ruland ~attltuck, L.I. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. 'k Approved ........................................ , FORM NO. 1 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. 19 ........ Pemif No ..................................... Disapproved a/c ...,~.....~ ......................... APPLICATION FOR BUILDING PERMIT 19.Z...z=. INSTRUCTIONS a. This appiicetion must be completely filled in by typewriter or in ink and submitted in triplicete to the Building Inspector withx~ 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, giving a detailed description of layout of property must be drawn on 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 the premises available for inspection throughout 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 Buiiding 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 demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, hous ng code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ................ ~..~...,..-"~.~ .......................................................................... If applicant is a corporate,,s~g~ure of duly authorized officer. ( e and tit e o corporate ofhcer) 1. Location of land on which proposed work ~11 be done. Map No.: ...~...~;~:~rd,~'....-~Gf¢~ ....... Lot No..~.~.~-. Street and Number ..... ~.~-~.........~i..~..~ .................................................... ~ ....... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..... ~/."x3~.~ .................................................................................................... b. Intended use and occupancy ......................................................................................................... 3~ Nature of work (check which applicable): New Building ....................... Addition ....~ ........ Alteration~i...L....:... Repair ............. ............ Removal ......................... Demolition ........................ Other Work .................................... 4. Estimated Cost .........~;~.~ ........................... Fee I Description) (to be paid on filing this application) 5. If dwelling, number of dwelling units ........ Z .....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 ....... --fl~ ................................................................ Dimensions of same structure with alterations or additions: Front ...... ~...w~...../. ....... Rear ..... .~.~ ............................. Depth ................ ,~.,.~.. ...................... Height ........ ~'...4'~... ...................... Number of Stories ..... .~ ........................... 8. Dimensions of entire new construction: Front ......... ~ ........... Rear ......... ~ .............. Depth ....... ./..~..~ .................. Height ............. ,~'...~.. ............................ Number of Stories ..... ~ ............................................................................... Size of lot' Front .~../-~Tz' Rear .~.~,~o~. De~th Da e of ............................................... ~'~'~' ....... ~'~ ~ ~'~; ....... ~" .................................................. ~'~ · t Purchase ..................................... Name of Former Owner ......;~:.. ................. =..:.~ ........................................ Zone or use district in which premises are situated ..................................................................................................... Does proposed construction violate any zoning law, ordinance or regulation: ...... ~.~. ............................................. Will lot be recjraded _. .,~'~-...~ ~/Z_ ,~ ~ ~ / -- ,~ ~, . ,/2~will excess fill be removed from premises: [ ] Yes ~.No , Name of Owner of premises ..~-...~,~ff.~.~...~r~___~f,.4~.~..~....~5~.~....~../~-~..~..~ (Address) ,~/o~n e No.) Name of Architect ...................................... /"/~...~,5~-.~2 .~...~.. .................. ........... ..................... '.i .......... Name of Contractor ~.~...~..~~.;~...~....~......~...~... ........ ~'.~.~..~...~../...~. ~ ~Address) ~ (Phone No.) PLOT DIAGRAM .... I.ocate 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 wheth- 10. 11. 12. 13. . 14. er interior or corner lot. STATE OF NEW COUNTY OF ....... ~.~...~,~ ................. ) ~~ ~ being duly sworn, deposes and is the applicant above named. ........... A~ '~i'~a! $~i;~;~'~') .................... says that he He is the .......................................................... of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. TERRI LEi ELAK ~ ~ I~ITARY pUBLIC. State ~! N~w Y0~k No. .............................. dayof ......... ................... ~ __ Commission Expires ~l~c~ ,~, ~'~ "~ ~$ignature of applicant} ~lOf° ~ GeOfg~ b. Lot /L l..ot ~4 REVISIONS MaY 16,19 72 SURV£ ALLE ~lOf° $. boG~ Hjalmar G, ~ D¢~.j~ G l'~rnlund ~5 24 MAY 16,,I 9 72 ·: MONUMENT POUND C) -- PIPE FOUNO SUBDIVISION M4P ~IL~O YOUNG & YOUNG 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK ALDEN W. YOUNG HOWARD W. Y( SURVEY FOR: ALLEN T. SCHWAB & ANTOINETTE P. SCHWAB LOT NO. 25,"MAP of NASSAU FARMS" & ADDITIONAL PARCEL. AT PECONIC ~'OWN o*- SOUTHOLD SECURITY TITLE & GUARAN ,! ,, /