The URL can be used to link to this page

Home My WebLink About5996-zNO. 4 TOWN OF SOUTHOLD BUTr.nlNG DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupnncy No..~ .b.3.D.~.. Date ................ [..~...~IIV'., 1~.~..'~ THIS CERTIFIES that the building located at ll¥~'~...£&~ .~. ~l~. J~. Street Map No...: .'~.. ...... Block No. ~ ....... Lot No .... ~ .......................... conforms substantially to the Application for Building Permit heretofore filed in this office dated ............7..~..~..~.~..., 19~. pursuant to which Building Permit No~..~9~ ..~. dated ............7...~/~.g..y.., 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 ..... t2 ~ ~:.. - ~.,A,/'.4.,t/.... y. .... ,~i b~. £.,/,./,..L A.t ~ ............................ The certificate is issued to C~/~.7~.E...~.. ~} £.~ ~.~. .... .~t.~./. ~.~. ............ of the aforesaid building. Suffolk County Department of Health Approval UNDERWRITERS CERTIFICATE No ....... ,,/¢,/..'7'~. ~ ............................. HOUSE NUMBER ...~/.~/~ .... Street .. ~.z~£.~...~4/lD~) ...... ~.¢~.~). ....... ...................................... C ¢..."fi. ~../.¢, .o..d-:. tL...-~. ................... FOBM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S O~:FICE SOUTHOLD, N~ Y. BUILDING PERMIT fi.HiS PERMIT MUST BE KEPT ON THE P~,EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°. 7 ,/uz r ,~. 5996 Z Date ........................................................ , Permission is hereby granted to: _C½/m/-~ ~ ~ ~-/L;- /%4 6 / z. L 19../../..,"and approved by the pursuant to application dated .......................i ............................. ~'" Building Inspector. F. ......... Building Inspector THE NEW YORK BOARD OF FIRE UNDERWRITERS 8W BUREAU OF ELECTRICITY' [~ 85 JOHN STREET, NEW YORK, NEW YbR~( 10°38 THIS CERTIFIES THAT ~'~s. Charlotte ~agill,Fleetwood Rd. ~Betts-East Rd.,Cutohogue~L.I. in the following location; ~ B~ement ~ 1st FL ~ 2nd FL outside ~tlo. Bi~ rot w~ examined on Novemb e~ ~, 1 ~ ~ ~ .~d fo..d to be in complia~e with the requirements of this Board. FIXTURE I NCANDE$CENI' RXTURES OUTLETS ECEPTACLES SWITCHES FLUORE~ENT MVAE~Ci~RY / DRYERS FURNACE MOTORS FUTURE AP~JANCE FEEDERS SERVICE DISCONNECT I NO. OF [ S 1 15 0 C B ~m. x RANGES SPECIAL REC'PT. E R TRANS. NO. OF FEET V I C EXHAUST FANS DIMMERS NO, OF CC. COND. A.W.G. NO. OF HI-LEG A,W,G, NO. OF NEUTRALS PER ,B' Of CC. COND. OF HI.LEG OF NEUTRAL 1 ' ~/~ 1 ?/o Alfred A. Magill Fleetwood Rd. Cutchogue ,L.I. 119~5 11~ ,, Per COPY FO,~ BUILDING DEPART~,;'t'rNT. THiS COPY OF CERTIFICATE MUST NOT BE ALTEI~ED IN ANY MANNER. FORM NO, 6 TOWN OF SOUTHOLD , Building Deportment Town Cle~s Office So.~hold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions 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 a 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 New Bc~ilding ................ Addition ................ Old or Pre-existing Building ................ Vacant Land .............. Location Of Property Owner Or Owne Of Property qLF e Subdivision ................................................................ Lot No ............. Block No....'~.. ....... House ............. Health D~pt. Approval .................................. Lobar I~pt. Approval ................................................ Underwriters Approval ............... ...~..x~.' .................. Planning Bo~rd Approval ~/ ~equest For Temporary Certificate ........................................ Pin~ Certificate .......................................... Fee Submitted $ .................................... Construction on above described building and permit meets all ~s_, o~egulations. Sworn to before me this ................ day o~ ................................. Nota~ Public ./ ....... ~ ................. County (stamp or seal) Co 7_ ~,3~ 7 TOW. ~UTH~D, ~am,n~ ............................. ~--~..., :y ........ ~pr~ ............ ~ ......... ~ , 19~itNo . ....... · ....................................... . ................................................................... (Building Inspector) ' APPLICATION FOR BUILDING PERMIT ~, Dote~....,..~.'~' ^ ..................... , 19..~....'~.... ~l INSTRUCTIONS ~ <:~ h~ a. This application must be completely filled in by typewriter er in ink and submitted in triplicate to the Building Inspector, wit 3 sets of plans, accurate plot platt to scale. Fee 'aCcording'to ~chedule. .~ ' ~ b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, anC 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. UP°n approval of this application, the Building Inspector will issue e Building Permit to the applicant. Such, permit shall be kept on the iwemlSes 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 Occupm~'y shell have: ~be~l~ granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the-issuance of a BuJJding Permit pursuant to the Building Zone, Ordinance of the Town of Southold, Suffo{k County, New York, and other applicable Laws, Ordinances or Regulatk)ns, for the c~flKruction of/' buildings, acIditiafls or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all ~vpliceble laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. (Signature of applicant, or na~. if a corporation) -- (At'dress of appl~ant} ~ ~ :~ ~ State whether applicant is owner, lessee, agent, amhitect, engineer, general contractor, electrician, plumber or builder. If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of lend on which proposed work will be done. M.ap No.: ............... =... Lot No. ~ .............................. ,..::. ......... Street and Number ........... ....... ~....'~v..~(......~-~/~ ........ ..~...C~ .-~.~ .; .............. .~-~ 0 Muni;ipalitY 2. Stata existing use and OCCupancy of premises and intended use and occupancy of proposed cons~ructton~ a. Existing use and occupancy ...... ~)..nn,..~...~.~ ........ i ...... , ............. .....' b. intended use and occupency ................ ~.....~~,~.....''' ~ ' ~ ~'~ ' ~-- ' ' ~'~ ' ~\ ~-~ ~.~ ................... '"" 3. Nature of work (check which app cable) New Building ....................... Addition ...... ' .....Alteration ~.*.... Repair ......................... Removal , .................... .... Demolition ........................ Other ~Work .... ' ' ! ( Descrip~'i~i ...... '"' 4. Estimamd Cost ....~.**..~.~ ................................ 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 .......~....~.,¢U:~...~ .......................................... ;. ................................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of usa ....~Z..9..~..ff. ................. 7. Dimensions of existing structures, if any: Front .....................Rear ........................... Depth .................................. Height ............. ...... i .................................. ~ .... Number of Stories ........ ,,L ....................... ~ ...... ~,, ............................. Dimensions of same structure with alterations or additions: Front ...... , ................... Rear ....... ~.,.~..~[.~ .................. Depth ............................................. Height ......................................... Number of Stories ........................................ Dimensions of entire new construction: Front .....t, .................. Hear ........ ~..~ ............. Depth ....... ~ ................... Height .......................... Number of Stories ................ Size of ct' Front ..~l....Q~... .. Rear ... ~ .... De th ~' .... · ~ ...................... .~ ..... ~ ............... p ............... .,. .................. ,,. ............ · -Height .......... ; .................................. ' ....... Number of Stories .....~.~'J~..~.~_~..~.~..~4,~c~.~... 10, Date of Purchase .a~.~..~.~..,L.~..(~ ........ Name of Former Owner ............................................................................ zone °r usa distr,ct ,n wh,ch prem,., are .ituated .............. Does proposed construction violate any zoning law, ordinance or regulation: ....... .~.A. ................................... ........... Will lot be regraded ~ ........... w ........... Will excess fill be removed from premises.' [ ] Yes ~No Name of Owner of premises ...... ~1~.~~. L3 (A~'~;'e';;i_ ........... ' ....................... i'l;'h';'~'s'"N"o'.i'"" Name of Architect ..................................................................................................................................................... . . [ t , ~ ~ (Address) (Phone No.) Name of Contractor ...~...,:O~/ . .~ ......~..~.. ...~~ ............. ~ .. ~..:...~.~..:~.'A~..,, .... __ (Phone No.) 11. 12. 13. 14. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all sat-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate wheth- er interior or corner lot. STATE OF NEW YORK, ) COUNTY OF ...................................................... ) (Name of individual si~ning contra6t ) (Contractor, agent corporate of. ricer, 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 ara 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. · ...................... o, .., ............................ (Signature of applicant) ?;