The URL can be used to link to this page

Home My WebLink About6908-zNO. · TOWN OF SOUTHOLD BUrl.DING DEPAR~ Town Clerk's Office Southold, N. Y. Certificste Of Occupancy THIS CERTIFIES that the building located at . .qe.d.r.a...D.r.~.v..e ............. Street Map No....~.y..s.~.d.e...Tq~lF~qo ........... Lot No. ~ ..... Sou.th(~d...I~ ,~.o. ......... conforms substantially to the Applicetion for Building Permit heretofore filed in thL~ office dated ..............OAt. .... !, ~. ?~. pursuant to which Buffd~ng Permit No. 690~Z.. dated .........Oct...It ....... , 19..7.~, was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which tM.~ certificate is issued is .. P.r~Y~.~.~..(~Ce ~.s.o.r. y)..s.t.o.r, agg..b..u.i.l.4.~.n~ ......... : ................ The certificate is issued to ... i~(i.]..~.i..~n.. ~...~..t.~y. ?..e.C.r.a~. ........ . .0~q..e..r ............ (owner, lessee or tenant) of the aforesaid bufld~ng. Suffolk County Department of Health Approval ....N. :.R.o ............................ UNDERWRITERS CEETIPICATE No. ~...I~ .. ....................................... HOUSE NUMBER ..... .9.99 ..... Street ..... .C.e~a..r..~.v.e .......................... FORM NO. 2 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOV~N CLERK'S OFFICE SOUTHOLD, 1'4. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No. 6908 Z Permission is hereby granted to: .... .~,3,~,~,~..~ .~, ,..~..,~.~ ~ ......................... 3outho~ at premises located at ..... ,~.O...~..~ ......... ~3r.~.~j~.~..,~{~,~;~t$,{3~$. ............................................................ ................................ ~.~t...Cactz~a..~,ve ........ ~. ,a~utl'~ ....... t~,¥., ................................................... pursuant to application dated ............................... (~ .......] .......... 19.~J.., and approved by the Building Inspector. Fe:' '..~,~J~ .......... I~O~ NO. 6 TOWN OF $OUTHOLD , Building Department 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 DUPLICATE to the Building Inspector with the following; for new buildings or new use: 1. Final survey of property wsth accurate location of all buildings, property lines, streets, aha 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 comphance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed s~te 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 ~te .d/'~/....~: ..~.~...z,~. ........ New Building ..... ..t~... ...... Addition ................ Old or Pre-existing Building ................ Vacant Land .............. Location Of Property .....~..~..~....~........'~....~..t.~.~-~....~.~..O...~.?....~...O..~ ............................................................. Owner Or Owners Of Property ..,**~..:...?**.,,~,~,.,'.,,,.**~**.~,.(~,.,~,~.~, ..................................................................... Subd,vision ..,~,.,,'~...~...J..~,...~,.....-~..,.~...~.,.~....~.~..'~., ................. Lot No...,.~.. ...... Block No ............. House No~.~.C~.... Permit No....~...~...,~...~,...,Z;., Date Of Permit ../..~.Z~,..,~..~..~..Applicant ...,~,,,/:...,,~...,~...,~..,,~'...~,..,~. ................................. Health Dept. Approval ............................................ Labor Dept. Approval ................:....;'"" ..................... Underwriters Approval .......... .~....L../..,~T... ..................... Planning Board Approval ......... ../~...T~..~..~ .................. Request For Temporary Certificate ........................................ Final Certificate .......~.... ........................... Fee Submitted $ ~' ~ Construction on above described building and permit meets all applicable codes and regulations. p ~.?. .......... /;..;~: ........ ~_~=. ;.~ ................. ~/,._..~ .......... ..... of ..... ,stamp or Notary Public ....... ~:. County ~ ?or ~ 7 I~OB~ NO. 1 TOWN OF ~OUTHOLD BUILDING DEFAI~TMENT TOWN CLEItK'S OFFICE $OUTHOLD, N. Y. Examined .........~...~/ ........... , 19.77.. Approved ............................ I ........... , 197.~..... Permit No..~.~...~.....~....~ ...... Application r~o ................................. Disapproved a/c ............................................................ ~..___._---~. ................................ ........... APPMC*TION FOB BUILDING PEP, MI~ Date 0et. 1 19.7.3 INSTRUCTIONS a. This application must be completely filled in by typewriter o~ in ink and submitted in triplicate to the Buildin~ Inspector, with 3 sete of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationsl~ip to cidjo n ng pram ses or publ c streets or areas, and giving a detailed description of layout ofproperty must be drawn on the 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 permi shall be kept on 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 Building 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 Lows, 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, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. (S gnoture of ~~~rporation) ~O0 Cedar Drive, Southol~, ~. Y. 11971 (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. (Name and title of corporate officer) Builder's License No ..................................................... Plumber's License No ................................................. Name of owner of premises Wm. and Bet.t~. McCray. If applicant is a corporate, signature of duJy authorized officer. Electrician's License No ............................................. Other Trade's License No ............................................... 1. Location of land on which proposed work will be done. Map No.: ~0~4 , Lot No. 3 Street and Number ~00 Ce~a~' D~ive Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. ExJslting use and occupancy Fe.~iZy reeidenee. b. Intended use and occupancy Btore~e ehedo 3. Nature of work (check which applicable): New Building ....... ~, ........ Addition .................. Alteration .................. Repair .................. Removal .................. Demolition .................... Other Work ...................................................... (Description) 4. Estimated Cost ..... ~ .Jl~....~..{~.. . (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, if any: Front ............ilO~ ........... Rear ...... ,~.~. .................... Depth ...~.,~ ........... Height ........................ Number of Stories ..... ~ ........................................ Dimensions of same structure with alterations or additions: Front .................................... Rear ........................... Depth ........................ ; ....... Hel,ght ............................ Number of Stories ................................ 8. Dimensions of entire new constrOction: Front ....... ,3~! ....................... Rear ...... ,~.~. ............... Depth ...~O;? ............... 9. Size of lot: Front ....... ~0OLe, ......................................... Rear ....... ~iJJ;~.e. ........................... Depth. ~l)w 10. ~Date of Purchase ..... ~.~.a....~l~. .......................... Name of Former Owner ...~.~ ................................ 1 1. Zone or use district in which premises are situated illl~:14~ll~l. 12. Does proposed construction violate any zoning law, ordinance or regulation: ....... ~11 ............................................ 13. Will lot be regradedl .; .......... ...]~.. ........... Will excess fill be removed from premises: ( ) Yes ( ) No 14. Name of Owner of premises ....~..e....&..~:..~ .................... Address .~ ............... Phone No~ ........ Name of Architect .............................................................. Address ................................ Phone No ....................... Name of Contractor ............................................................ Address ................................ Phone No ....................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from ~.,°perty lif~,~ive street and block number or description according to deed, and show street names and indicate ether interior or comer lot. STATE OF N EV~ YORK, /. ¢ ~ ~ COUNTY ; ...... · .,~. · ..~. - .~-..,~.../..-~~ ..................... being / (Name of indtgiduot signing controctO above named. duly sworn, depose~and says that he is the opplicon~ He is the ................................................................................................................................................................................. (Contractor, agent, ~,z~porate officer~ etc.) of said owner or owners, and is duly authorized to perform or have perfprmed the said work and to n~ke and file this application; that all statements contained in this application are true tO the best of his knowledge and belief; and thar the work will be performed in the manner set forth in the applicg~tion filed there~-~2,~ ~ Swam to before me this ~~ ~ /~~ ...................... .......... ........ C[[~NT ~ T~~ (SignOre of applicant) ................... Residin i 'e-"m,-u~ ~ew Yo~ ~ No. 52-9321725 Y ~mmjssion ~pires ~rch 30, ]~