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Home My WebLink About5994-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. Z .1~.~ .... Date ............. De~.. 6 ........ , 19.72. THIS CERTIFIES that the building located at . Sound' View. Road ......... Street Map No.. 0~:~ent. h~r Block No ........... Lot No. !~9 ..... 0~.ent.,..Ii o¥., ........... conforms substantially to the Application for Building Permit heretofore filed in this office dated ......... J.~l.y...~ .... , 19 .~/2. pursuant to which Building Permit No. ~)~Z' ' dated ............ J~l.~' · · - ~-., 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 .. l~$vatz .one..f.a~i.~.y .d~%ling ...................................... The certMicate is issued to ...Joeeph. Dooley ..... .~ex, ........................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .... lq~. ........................... UNDERWRITERS CERTIFICATE No..Il..5'l.l:tt.~...0~t. ~6...1972 ....................... HOUSE N UMBER.. ~.~ ....... Street... ~ol,lrlfl, · x/.'l ~'d · Road. ............................ Building Inspector ~ FO~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N~ Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PP, EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 5994 Z Date ........................ ~T~. ......... 6 .......... , 19...~. Permission is hereby granted to: GeerE;e A.b.l.¢,::,~.. ~:c.i.l~ ~..z... I.nc...A./~...,t'e.s e~h.. g eetey ......... .(fi.ut ~-,fl~a ................................................ to ~.11~1.~L ..m~..~kL~.~.,~e~..o~ .. e~.~ ~.'.3~ ~...d~e ~_.] .~,~ ................................................................ at premises located at ....... [~f,..~.9.....,Q::r..er;.Ae.~.es..~..l)~,eat, ................................................. .............................. ~l~i~..~,e~, ...... .~:~.lVe ................ ~'$en4~ ......................................................... pursuant to application dated .......................... .~'.:~.~. ......... ~. ....... , 19~1~..., and approved by the Building Inspector. Fee $.1.~,0~ ........... ...... /. &..~;'. ~..!. ~;~:..~ ......... /,_,£~.~:.'w~ ................... Building InspectorI FORM NO. 6 TOWN OF $OUTHOLD Building Depo~tment 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 formation required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1.00 $5.00 Date . ~Z~.,~. ..... ~2.,<. . / New Building .................... Old or Pre-existing Building ............................ Vacant Land ............................ Locotion Of Property ....~.~:.~'.......'~...~, ........... ...'~...~/.~'~...~,..~;.;...''¢~'~L~'~''~' ............. ~'~'"/' '~"~;J~" ................... wrier ur uwners ur rrup y .................. ' ...' '~.../f~.~.. ........ ""~ ...................................................... Subdivision ~)/2/~-~L'~ ..~...~.~/.'~ _C~,~_~, Lot No ....~.~. B' ockNo ............ House No ............. Permit No .,,~...~.~-~-.-.~...... Date Of Permit ..J....Z..~.]~/..~..Z.-Apphcan' ..... ~.~./~.~.E-..~'~''4.''~'''~''~ ................. Health Dept. Approval ......... ../?~/~ .............. Labor Dept. Approval ................'~..~./...~.. ....................... Underwriters Approval ~..~...7.;....~.~:~.../~.-..~..?... .............. Planning Board Approval ............. ~, ..................... Request For Temporary Ce'~ifi(c~f~'i~.~.': .................................. Final Certificate ........ ~ ........................... Fee Submitted $ .................................... Construction on above described building and pe?~it~,/j~,, ~meets all~l~a,~ble codes and regulations. Applicant ............ · .'~. · · .'~....~.'~. ......... .C..~.kt- .................................................. Sworn to before me this /~,c ~ Notary Public ~~..~ County (stamp or seal) Examined ..... ~........~... ......... , 19..7...2~' Application No. Approved ...q... C~ ., 19..~].... Pemif No .......................... .d~i~. Disapproved a/c (Budding :'Lr~spktor) TOWN OF SOUTHOLD ~r//~.- ~b'~"~ ~ ~.e ~ BUILDING DEPARTMENT~ /~ ~ ~ TOWN CLERK'S OFFI~ ~ ~.- .~ ~ __ ~ SOUTHOLD, N.Y. ~ ~ / ~ ~ ~f~ ~.,, APPLICATION. FOR BUILDING PERMIT- ' ate ........ ................... INSTRUCTIONS t~/~ a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building Inspector, wi 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Pict plan showing Iocatioq of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, an~ 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 or~ the premises availa~ble 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 beel~: granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of'a Building Permit pursuant to the Builtling Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws; Ordinances or Re~uiations, for the construction .oI~ buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to ~omply with all applicable ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. (Signature ~ applicant, or name, if a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........................................................................................... ............................................................. owner of premises ...................~....~[ ...... ..~..o....~.~.~.......~ ................................................................... Name of If applicant is a corporate, signature of du.~, authorized officer. ................. "'("1~1-~ · ~,.~1.d t i t'" ' "~ ['ii' ~[~.'~'~.~' ~¥~[~:'~';i ..................... 1. Location of land which work will on proposed be done. Map No.: ..... L.ot N9 ........ ~...,,,: ....... ~ ................. Street and Number ................................ 2/.~;~.......~...~...aLl~../. ........... ~:~.~.:';:%:.~. .......... ; ........... .......................... 5~'_~ /~C~ ~/ T~'~ Municipality 2. State existing use and occupancy of premises and intended use and occuPancy of proposed construction: a. Existing use and occupancy .......................... ~.~..~a/~..~. ................................................................................ b. Intended use and occupancy ............... '......~...~ .~.../.../..'.'~. ~.. ................... Nature of work (check which applicable): New Building ....................... Addition ............... Alteration .............. Repair Removal Demolition Other Work (Description) 4. Estimated Cost ............ ~-,~...~..z....~... .............. Fee .................................................. ; .............................................. (to be paid on filing this application) S. 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, if any: Front ..... .~...~...~. ....... Rear ..,,~...~...: ............ Depth ......~..~..: ................... ! Height ....~... .............................................. Number of Stories ..........,.~,. ............................................................... Dimensions of same structure.with alterations or additions: I~ront ......... ...~:....~...: ..... Rear ......... ..'~....~:...~ ...................... Depth .................. ~[~; ...... ..~...~'.. .......... Height ......................................... Number of Stories ....... .~..;.~'.~ .................... 8. Dimensions of entire new construction: Front ...... ~..~.. ............ Rear ....... .~....~.. .............. Depth "~/ Height ............... ./...~...~ .......................... Number of Stories ............. ~/...~... .................................................................... 9. Size of lot: Front ...................................... R ar .......................................... Depth ......~....~...,~,,:~..~ ...................... Height .................................................... Number of Stories .........~ ........................................................................ Date of Purchase ..................................... Name of Former Owner ............................................................................ 10. 11. Zone or usa district in which premises are situated ..................................................................................................... 12. Does proposed construction violate any zoninglaw, ordinance or regulation: ........... ..~....~. ......................................... 13. Will lot be regraded ......... --~../~...O. .................... Wi~ll excessfill be removed from premises:· [ ] Yes [ ] No ~,~/ · Name of Owner of premises .....,Z~..~.........'~/-~SET~.....~.J. ..................... ~.~ .......... ..~1~I~,...:..~..-; ,. 14. ~ (Address) (Phone No.) Name of Architect ..................................................................................................................................................... (Address) (Phone No.) Name of Contractor ~..~. ~/~/~~`d~~/~~/~ (Phone r~o.I (Address) PLOT DIAGRAM ~Jcocate clearly and distinctly ail buildings, whether existing or proposed, and indicate all sat4)ack dimensions from C,~/15~o. perty lines. Give street and block number or description according er i_~ or corner lot. , o~· STATE OF NEW Y,,.Q~,~'J~_ ) COUNTY OF ............................ ) -- ~°v~''f Vt~i~ .......................................................................................... ,: ............................................................................................ ( ¢ontracto~l~gent, corporate officer, etc. J of slid owner Ol~l~ners, end is duly authorized to [~rform or ha~e ~:~orm~d the *~id work *nd to m~k~ lnd ~*~' ~t~ ru~.~ ~ ~ ~ ~li~tion ~r* tru~ to t~ ~t ~of h~' knowl~d~ ~nd ~l~f,' · and that Ih~ work w~ll' ¢ommillion Expires M~h ~ 19~ ~. ............................. ~.day of..: .......... ~.~.~ ............. 19 ~.~.... . . . ............ .................................. r MAP OF PROPERTY ° JOSEPh DOOLEY 51TUATE A'T O.RI ENT TO\VN OF SOL]TMOLD, ~ · 50~= i E)-- IliON PIPE '-NOTE: LOT AIUMBE~.S SNO~N ~EFE~ T~. "MAP OF SECT. Z' O~EN~'~Y.T~E' SEA" FILED 1H THE SUFFOL~ C~UNTY CLE~'S OFFICE ,~.~ ~P ~ ~44~ I · 5U~.VEYED ' JUNE 2Z.t972 VAN TUYL a, SON ~ V~_~-~?~> LICEN'SED LAND SU~VF..YOIZ$ ~ZE, ENPOE."[, ~E~V YOEK THE NEW YORK BOARD OF FIRE UNDERWRITERS 85 JOHN STREE3~. NEW YORK ~EW YORK 10038 October 26, 1972 ,,,~,l;, ........ , ...... ,,,,(:131~2 N Joseph Dooley, n/side" ' ,,... ,,..--,~,,,,,; .,, October 23, 1972 ,RECEPTACLESI SWITCHES FIXTURES SERVICE DtSCONN~T V I C DIMMERS W. B. Ruland, Mattltuck, L.I. GENERAL MANAGER ,,,, D (,'Z,/)