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Home My WebLink About5797-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. ZS.760 ....... Date .............. ~&D. ....~ ..... , 19.7.15. . - ~-e (Marshall THIS CERTIFIES that the building located at . Map No. ~ ........ Block No..~ ...... Lot No...~...~gU~q~d...N ,~.~ ........ conforms substantially to the Application for Building Permit heretofore filed in this office dated ........... March.. 20, 19.~2. pursuant to which Building Permit No. %792~ .. dated ........... Apr,.6 .... , 19. ~2, 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 . Prl~ate..acce.~scr~ .~lding..(.tool..~hed.) .......................... The certificate is issued to Stagey. ~ .T~lia. Clapu~a .... ~ers ................. (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . N.'~ ~ .............................. UNDERWRITERS CERTIFICATE No. E,R, ....................................... HOUSE NUMBER .... ~ .71.90 ....Street . .~ ~ 0 ,~...,. 5~. $0~d. ~.~W. A~. ~ ~ $h~ll La ) .NOTEI. Se.e. le.tter. ~. f~e. ~agreem~t. fnr. lo. cation .6. ~se ,..Geo,. ~lchel ..... /. 'f~ ..... , ...... ~: ..... f .......... Building FO~M NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N,. Y. BUILDING PERMIT fi.HiS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 5797 Z Permission is hereby granted to: ~t,~l,~...& ..~Lte,.....g~lq~t~ ................... · .~a..$~ ......... ~.~..~. ................................. to ..]t~t~..m~.~,eae~mer/...im~lA~a~..~..~ee~..~ter&le..~) ................................... at premises located ot ]~.~.~.,.;.{~.~l'.llthi~l~l ..~d&]L....~..,l~..~t~tll:gJ...T~.A~ .................. .......................................... .~).~t~l.~l ............ 1~,;~, ............................................................................. pursuant to application dated .... i ..................... ~1~....~,,0 ....... , 19.~1~..., and opproved by the Building Inspector. FORM NO. 6 TOWN OF $OUTHOLD Building Depnrtment Town Clerks Office Southold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY I nstructlons A. This application must be filled in typewriter OR ink, and submitted in DUPLICATE 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 disposal--(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 o certificate. C. Fees: 1. 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 / ~ ? ~g' New Building ................ Addition ................ Old or Pre-existing Building ................ Vacant Land .............. Location Of Property ..................................................................................................................................... Owner Or Owners Of Property ........ ~,.L..~...~.....~...~.../.. ........ ~.J...~..~...~..~."~ ..................................................... Subdivision ................................................................ Lot No ............. Block No ............. House No ............. Health Dept. Approval ............................................ Labor Dept. Approval ................................................ Underwriters Approval .............................................. Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Final Certificate .......................................... Fee Submitted $ .................................... ~/~ Construction on above described building and permit ~eet~ all/~plicab~ c~es an~ulations. Sworn to before me this ................ day of ............................................ (stamp or seal) Notary Public .................................... County FOI~M NO. $ TOWN OF SOUTHOLD Building Depnr~ment Town Clerks Office Southold, N. Y. 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 disposal--(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. March 20, 1972 X New Building .................... Old or Pre-existing Building ............................ Vacant Land ............................ Soundview Avenue Location O~ Property ..................................................................................................................................... Owner Or Owners Of Property ...... ~~S~~t~~~a~~n~~1~e~~y~~~~~a~~~n~~d~~~~~T~~h~~~a~~~~~~i~~a~~~~~C~~i~~~a~~p~~~u~~t~~~a~ ................................................. Subdivision ................................................................ Lot No ............. Block No ............. House No ............. Permit No ..................... Date Of Permit .................... Applicant .................................................................. Health Dept. Approval ............................................ Labor Dept. Approval ................................................ Underwriters Approval .............................................. Planning Board Approval ........................................ Request For Temporary Certificate ..................... '7 .............. Final Certificate .......................................... Fee Submitted $ .5.....0...0. ........................... / Construction on above described building an(~permit me, ets all appraise co(~es and,-mgulations. Applicont ....... :..~... =~. L :./.~....~...i .............. , Sworn ~.efore m~/~,,~ ~ _ / ....... day of ~ ~ GL=OR,3F. -A. MICHEL I~0T/~Ry PUBLIC, State of N~ No. 24-2689630 ~ualified in Kings Coun~ (stamp or seal) / BUILDING~ CLER~'DEPARTMENToFFICE ~[/] SOUTHOLD, ,. Y. Examined ....... ~~. ......... , ]9.~ ~pr~ed ........................... .~. ......... , 19....~.. Pemit No .......~....~..~ Applicotion No. '~' 7 Disapproved o/c ..................................... ~ APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter ar in ir~k and submitted in duplicate to the Building Inspector. b. Plot plan showing location of lot and of buildings on premises, relationship ~o adjoining premises or public streets or areas, and giving a detailed description of layout ofproperty must be drawn on the diagram which is part of this application. C. D. March 20th ~ 72 "'~ are ................................................ ,19 ............ ~ The work covered by this application may not be commenced before iSSuance of Building Permit. d. Upa approval of th~s apphcot~on, the Budding Inspector wdl ~ssue a Budding 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. APPLICATION IS HEREBY MADE to the Building Deportment for the issuance of a Building Permit pursuant to the(~. Building Zone Ordinance of the Town of Southold, Suffolk County, Ne~ York,.and other applicable Laws, Ordinances or\ Regulations, for the construction of buildings, additions or olterations,.or .for removal or demolition, os herein described. The applicant agrees to comply with all applicable lows, ordinances, ~bilding cede, housing (2ede, and regulations. Southold, N. Y. 11971 (Address of applicant) (Tel: 516-765-29].3) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Owner Stanley and Thalia Ciaputa Name of owner of premises ................................................................................................................................................... If applicant is a corporate, signature of duly authorized officer. ........................................................................................(Name and title of corporate officer) 1. Location of land on which proposed work will be done. Mcua No.: ........................................ Lot No ......................... .. ~ /"//90 Soundview Avenue ('~.O.w~ Southold, IL. I. Street and ~'~ ~"'~ mumoer ¢. .............................................. 2. State existing use and occupancy of premises and in:ended use and occupancy of proposed construction: a. Exisiting use ond occupancy ................................................................................................................................ Tool Shed b. Intended use and occupancy ................................................................................................................................ 3. Nature of work (check which applicable): New Building .................. Addition .................. Alteration .................. Repair .................. Removal .................. Demolit~ar~ ........ ~ ........ Other Work (Describe) 4. Estimated Cost ...........$..6...0..0..:..0.0. ................................. 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 business, commercial or mixed occupancy, specify nature and extent of each type of use ............................ 7. Dimensions of existing structures, Jf any: Front ............................ Rear ................................ Depth .................... Height ........................ Number of Stories ................................................................................................................. Dimensions of same structure with alterations or additions: Front .................................... Rear ............................ Depth ....~ ........................... Height ............................ Number of Stories ................................ 12° 12' 15' 8. Dimensions of entire new construction: Front .................................... Rear ............................ Depth ........................ Height 8' Number of Stories One 151.85' · 287 ' 211 ' 9. S,ze of lot: Front ............................. Rear ........ '~'"c~ ................... Depth ................................ 10. Date of Purchase ....S...e.p..t..e....m~...e...r.~....1..9...6..9......~...w~....Name of Former'Owner ..~...a..~.c/.r...a.~v~..e../O 'B.r..ien 11. Zone or use district in which premises are situated Resi,.d.e~tial/Agric~iturai 12. Does proposed construction violate any zoning law, ordinance or regulation? ....... .N..o.. ............................................... Applicant 13. Nome of Owner of, premises ........................................ Address Soundview Ave .... SO 5-2913 ............................................ mane mo ..................... ..... :' Not applicable Name of ^rcnJtect ...................................................... ~aaress ............................................ Phone No ..................... - . Not applicable .... - Name of Contractor .................................................... ~oaress ~.,... ......... ~ ........ :,.~ .................. Phone No ..................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or propos~, 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 tnt, rior Or,co~ner lot. STATE OF NEWYORK,,. - ~ ~SS ; COUNTY OF ..~.'~.,i~,,~...,~..~...~....~.....,$ · ~.~..~'...~.~. .~.{A%....~a~ be,n 'dui sworn ' ose ' ................. 'k' .... :..~ ..... ~ .................................. ' g y , a~ s aha says t~t he is the applicant t~ame at inai~ual signing application) above n~ed. He is the ............. .~.~ .................................................................................................................... (Contractor, ag~t, co~orate officer, etc~) of said owner or ~ners, and is duly authorized to peHorm or have ~formed the ~id work and to ~ke and file · is application; that all statements contained in this application at, true to the best of his knowledge and belief; and that ~e work will be performed in the manner set fo~h in the applic6ti~ filed therewith. Swam to ~fore me this ~ _ -- / /' ...... .................. , ............ ...................... ............................ ~ N~ 24-2~9630 /,