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Home My WebLink About6948-zFOI~I NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. ~TIFICATE OF OC~umANCY No ~-22945 Date APRIL 14~ 1994 THIS CERTIFIES that the building ~C~SSOI~ Location of Property 600 CLEARVIEWAV~.&1050 GARDINERS LA. SOuTflOLDr NY House No. Street Hamlet County Tax Map No. 1000 Section 70, Block 8 Lot 48 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 9¢ 1973 pursuant to which Building Permit No. 6948-E dated OCTOR~ 24Z 1973 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ACCESSORY GARA~E WITH ATTA~:HK,) PORCH * The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *NOTE: THIS UPDATES CO ~--8028 DA'£A~ 12/1/1977. FRANCIS J. KIERNAN~ JR. & ORS. N/A N/A N/A Building Inspector Rev. 1/81 FOB. M 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? 6948 Z Date ............................. t'3e~ (JlJl~J, · '"'~1,, 19..~,~. Permission is hereby granted to: pursuant to application dated ................ ~J~....~l ................... , 19.~..~..., and approved by the Building Inspector. Fee $.1~,~ ........... Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building 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 from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildin~ - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial ~15.00 1994 Date .... .A~.~I.L..I? ............. .~. ,pA .T~,D New Construction ........... Old Or Pre-existing Building ............. Location of Froperty .... House No. Street Hamlet FRANCIS J. KIEl{NB, R. & ORS. Onwer or Owners of Property ........ County Tax Map No 1000, Section ...... 7~ ...... Block ...... ~ ......... Lot. J~ .................. .............................. Filed Map ............ Lot .................. Subdivision ... .?.. . 6948-Z .... Permit ~o ................ Date Of Permit. < ...... Applicant .... ' ..... ' ................. Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... FOCal NO. & TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk'~ Office Southold, N. Y. Certificate Of Occupency No.. Z8028 ..... Date ............. Dee...1 ........ , 19.77. & 0ardiner La THIS CERTIFIES that the building located at .. Clearview. £v.e. Wear .... Street Map No. ~x ......... Block No.. ~ ...... Lot No..xx .... Southetd ................ conforms substantially to the Application for Building Permit heretofore filed in this office dated ............ tdar.. '9", 19 ~.3. pursuant to which Building Permit No. dated .......... 0~t.. 21+ .... , 19.73., 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 . .Privet. e. accessory, garage · ~pprove~l. by. Bd..Appeals ............. The certificate is issued to Gol, don..Bishop ........................................ (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval N.,~I, ............................... UNDERWRITERS CERTIFICATE No. lq.,tl: ....................................... HOUSE NUMBER ~..-$0~0 ...... Street ...Oa.rdime,s. Lame ...................... 600 Clearview Ave wcst ~outhcld Building Inspector) Exomlned ............... ~ ....... ~ .... , TOWN OF ~OUTNOU) BUILDIN~ ImPARTM~IT TOWN ~IAIK'S SOUTHO~D, N. Y. Building ~nt for t~ 'i~u~M of a Buildi~ ~rmit ~t to (Signature of appli~nt, or na~, if a ~r~ation) (Addm~ of a~li~nt) State whether applicant is owner, lessee, agent, amhitect, engineer, general contractor, electrician, plumber or builder. ................................... ~&l~....~..]~ ~.lder Name of owner of premises ...,G.,O,,,,I~,,,O.~..,B,..:Ls.h,.9~ ............................................................................................................... - If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ............ , ............................................. Plumber's License No ......................................................... EleCt, rician's License No ......................................... Other T~adlf{rr, l~icense No ................................................... 1. Location of lend on which proposed work will be done. Map No Street and Numbe~ ..C].earv:fLev ~.ve ~est; & Ga:rd:fliers Lane Sou,;hold Municipality 2. State existing use end occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..... {1,1~.~.~,~,J,~, ..................... r ...................................................................................... b. Intended use and occupancy ..... ~,,,a~,,,e,...,~.~,.~,h...~,.l",.,~.~.~,.,t;,?,...l~.a,.l',.,e:~.?. .................................................................... 3. Nature of work (check which applic~):~ New Building .......Z~:... ............. Addit~ ....................Alteration ........... Repair. . ........ . Removal ...... Demolition Other Work ................................... ( De ~s~ription) /4. Estimated Cost ............................................... Fee ...~..~.~....0~.. ........................................................... ; .................... (to be peid on filing this application) 5. If dwelling, number of dwelling units ..... .'.O. ......... Number of dwelling unitson each floor ......................................... If garage, number of cars ................................................................................................ ~ ................................. ;..; ...... 6. If business, commercial or mixed occ~ancv, specify nature and extent of each type of'ues ..................................... 7. Dimensions of existing structures, if any: Front ............... ;,... Rear ................ ~ ......... Del)th ..~,,....,~., .................... Height ........................................................... Number of Stories ........................................................................... Dimensions of same structure with alterations or additions: Front .......................... Rear ......................................... ................................ of Stories .................. ~ ............ ;.; ..... D. epth ....... · ...... Hesght ................................... . ...... Number 8. Dimensions of entire new construction: Front ......................... Rear ............................ Def~th ........ , ............. :....['. ..... Height ................................................. Number of Stories ................................. ; ............ ' ............... : .................. ;. 9. Size of-lot: Front ...................................... Rear .......................................... Depth ............................ , .................... 10. Date of Purchase ..................................... Name of Former Owner ......................................................... ; ............... 1 ~. Zone or usa district in which premiss are situated .................... .."/&.".....~.t~..s.~ ...................................... ;; .................... 12. Does proposed construction violate any zoning law, ordinance or relNlation: ......... ~'..~. ............ ~ ........... 13. Will lot he re~aded --..-Ja~e ........................ Will excess fill be removad from pr,_emises: [ ] Y~ . ~ I~ . .;~ 14. Name of Owner,of prem.-,es .....(~O~'.<;l[I)X),.J)J,S]3J,]) .......................... ~l...e~...' ....................................... ~.+.~ .......... ~ ...... (Address) (Phd~ No.) Name of Architect. ....................................................................... (:~idd~e~$). ........................................... [~-:No'~"':m'~'.~'~*] :. ...... ,,... Name of Contractor ............................................................................................. (Ad~lre.) ; ....................... "l~e~."~"'~"~' .... ..... ' ~ ~ PLOT DIAGRAM ~ ~. ~ ~y~and d~st~nctly all bull~ngs, wh.e~_er existing or proposed, and' tndicate~ ~1 ~ lines, ~tVe street and block number br description according to deed, and show stmat i1 STATE OF NEW YO~i~ ) ~ ~ COUNTY DF ................... ..~...O.:~.. ....................... ) ,I~ ......................... ..G...O..~...~..?...~.....~...~....~..~.~. ..................................... :..., ~ing duly s~rn. ~s and says that he is the a~li~nt abo~ na~d. /Na~ of ~divi~ si~ing con~act) , ' He is the ...../. ........................................... ~...~...~.~.~ ....................................................................................................................... { Cont~ctor, a~nt, qo~te of~r, etc. } of said owner or owners, and is dul~ authorized to ~dorm or hays ~or~d t~ ~id work and ~o maks and flla ~is aOOli~fion; ~at all stataments contained in shis aoolicafion are'~rue to t~ ~st of his knowled~ and ~list~ a~ that t~ work will ~ ~or~ set forth in the a~cafion fil~ t~rewi~h. ............................. 9.......day o~ .................... ~.~ ................ m ..~. ..... ......... .