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Home My WebLink About6545-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18107 Date ~UNE 12~ 1989 THIS CERTIFIES that the building ADDITION Location of Property 5605 STILLWATER AVE. CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 137 Block 04 Lot 3.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 7, 1973 pursuant to which Building Permit No. 6545-Z dated MAY 7~ 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 ADDITION TO EXISTING ONE FAMIL¥ DW~W.LING The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTYDEPARTMENT OF HEALTHAPPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 THEODORE J. & GRACE I. KRUKOWSKI N/~ Building Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N~ Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PP, EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 6545 Z Date ...................... ~a~. ......... ~ .............. , 19.7.3... Permission is hereby granted to: .... ............. l~attl~ . to ...~.....-~4...~u..~.~u..~..,z~t~uf,..d~ ............................................................... at premises located at ..... T-O~..~. .......................................................................................................... ........................................... .8.t~,~m~ta~..~a ........... Cuf~h~lue ................................................. pursuant to application doted ...........................~. ~. ............ ~.. ........ , 19.~.., and approved by the Building Inspector. Fee $..1..1~..e....(~... .......... Building ~nspector ~, TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTDOLD, NEW YORK 765 - 1802 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY DAT~..~PY~.~7~.1989 NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDINGX~..VACANT LAND ....... Location of Property ........ ~E~EE.~M~qq~.q~q~R~Ec.E~ ................. HOUSE NO. STREET HAMLET Owuer or Owners of Property .......... ~h~Q~Q~.~.~G~.~q~.%-..~O~.$.~ ..... County Tax Map No. 10O0 Section .%~%.. Block .~ .... Lot .~-.~ ..... Subdivision ....................... Filed Map ........ Lot .......... Permit No. ..~ .... Date of Permit .......... Applicant ................... Health Dept. Approval .................. Underwriters Approval .............. Plann~ing Board Approval ................ Request for Temporary Certificate ....... Final Certificate ...... ~ ....... APPLICANT~~i ...... WILLIAM H. PRICE, JR. rev. !0/14/88 FOl~I NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ......../....: ....... i ................... , 19 ........ / Approved ........................................ , 19 ........ Pemit No .................. ~ .............. Application No ............................. Disapproved a/c ............................................................................................ ................................ · i ii .............................. APPLICATION FOR BUILDING PERMIT Date .................. ~...a~.. ......... ?. ........... , ] 0..~.~... INSTRUCTIONS a. This application must be completely filled m by typewriter or in mk and submitted in tnphcate to the Building Inspector, w 3 sets of plans, accurate plot plan to scale Fee according to schedule. b. Plot p~an showing location of lot and of buildings on premises, relationship to adjo~mng premises or pubhc streets or areas, . g~wng a deta,]led description of layout of property must be drawn on dmgram wh*ch ~s part of th~s application. c. The work covered by th~s applicatmn may not be commenced before ~ssuance of Budding Permit. d. Upon approval of this apphcatmn, the Budding Inspector will ~ssue a Budding Permit to the apphcant. Such permit ,shall be kept the premises available for ~nspectmn throughout the work. e. No building shall be occupmd or used in whole or in part for any purpose whatever untd a CertWmate of Occupancy shall have b- granted by the Budding Inspector. APPLICATION IS HEREBY MADE to the Budding Department for the issuance of a Building Permit pursuant to the Building Z; Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the constructio~ buddings, additions or alterations, or for removal or demolibon, as hereto described, The applicant agrees to comply w~th all apphcable lot ordinances, bi dldmg code. housing code, and regulations, and to admit authorized inspectors on premtses and in buildings for necessary inspectio~ (Signature of applicant, or name, If a corporation) (Address of apphcant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build~ ~ ont~&c to~ T. K~ukow~k~ Name of owner of premises .............................................................................................................................................. If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .......................................................... Plumber's License No ......................................................... Electrmian's License No ..................................................... Other Trade's License No ................................................... 1. Location of land on which proposed work will be done, Map No .............................................. Lot No ........................ Street a.d Number ........ ~..t..~.~..1...~,...t.~.~..,..~..~...O. ........... ...C~..~.~...O.~ ............................................................................. Municipality 2. State existing u~ and occupancy of premiss and intended use and occupancy of proposal construction: a. Existing use and occupancy ...... ~.~ .......................................................................................................... b. Intended use and occupancy 3. Nature; of work (check which applicable): New Building ....................... Addition ..,11::111:~ ........ Alteration .......... '~i'" Repail ......................... Removal ......................... Demolition ........................ Other Work ................................. :. (Description) 4. Estimated Cost ........~j.i; ,~....~; ................... Fee ..... %.~00. ................................................................................ (to be paid on fihng th~s apphcat~on) 5. If dw~dling, 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: Front .......................... Rear ........................................ Depth ............................................. Height ......................................... Number of Stories ....................................... 8. Dimensions of entire new construction: Front ..... ~ ............ Rear .~,~} ................... Depth "~6 ......................... Height ................................................. Number of Stories ..... 4)a~ ........................................................................... 9. Size of lot: Front ...................................... Rear .......................................... Depth ................................................ 10. Date of Purchase ..................................... Name of Former Owner ........................................................................... 11. Zone. or use district in which premises are situated ...... ft~.~..~$1~ .......................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: .._~L~_ ................................................... 13. Will lot be regraded ~.~ .......................... Will excess fill be removed from premises: [ ] Yes [ ] No 14. Name of Owner of premises ...... '~ttla'~"~'~t~l~'~]~J; ............... i~,'~;~'~;i"(~¢,t~,e~o~e' ........... i~"~l'~i .............. Nam,9 of Architect .................................................................................................................................................... (Address) {Phone No ) Nam~ of Contractor ....... ~3"~'~D~~' ...................... '~,'~'~'~ ~r~ss) ...................................................................... (Phone No.) PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions fro property lines. Give street and block number or description according to deed, and show street names and indicate whet er interior or corner lot. STATE OF NEW YORK, ) SS COUNTY OF ............... E~tf fo~ ......... ) .............................................................................................. being duly sworn, deposes and says that he is the apphcant above nam= {Name of lndtvtdual stgytli~g contractJ He ~s the ........................ .a~.~t~l'l.~...o~..Cantl:~.c.t,ar (Contractor, agen'[,";;'~l~'orit'e offi;;)~';t; ) ............................................ of said ownel or owners, and is duly authorized to perform or have performed the said work and to make and hie this apphcatlon; that statements contained m this apphcatmn are true to the best of his knowledge and behef; and that the work wdl be performed m the man set forth In the apphcaBon filed therewith Notary Pubhc, (Stgnature of apphcant) TOWN CLERK'S OFFICE $OUTHOLD, N. Y. ..... ........... , Approved ........................................ , 19 ........ ' ..................................... (guildmfl Inspector)~ APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled m by typewrtter or in ink and submitted In tnphcate to the Budding Inspector, w 3 sets of plans, accurate plot plan to scale Fee according to schedule. b. Plot p~an showing location of lot and of buddings on prermses, relationship to adjoining premises or pubhc streets or areas, · giving a detaded description of layout of properW must be drawn on d~agram which is part of this apphcatlon c. The work covered by th~s application may not be commenced before issuance of Budding Permit. d. Upon approval of this application, the Building Inspector wdl ~ssue a Building Permit to the applicant Such permit,shall be kept the premises available for inspection throughout the work e. No budding shall be occupied or used ~n whole or in part for any purpose whatever until a Certificate of Occupancy shall have b.- granted by the Budding Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zc Ordinance of the Town of Southold, Suffoik County, New York, and other applicable Laws, Ordinances or Regulations, for the constructio, buildings, additions or alterations, or for removal or demolition, as here~n described. The applicant agrees to comply with all applicable la~ ordinances, building code, housing code, and regulations, and to adm*t authorized inspectors on premises and m buildings for necessary inspectio, George Taylor ~ignature of applicant, or name, if a corporation) ........ ~ti.t~ck ............................................. (Address of applicant) State wheth..;r applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build: ............................................... ....................................................................................................................... Name of owner of premises ...... .~.'.....~.~.°,,~L.S,.~,.~ ........................................................................................................... If applicant i~; a corporate, signature of duly authorized officer. (Name and title of corporate officer) Budder's Lmense No .......................................................... Plumber's License No ......................................................... Electrician's License No ..................................................... Other Trade's License No ................................................... 1. Location of land on which proposed work will be done. Map No ............. ~Z~.:..H..a:..~...d, ............... Lot No ........................ Street and Number ......... .~..~.~,..]...]:.w....~..%..e,,.~...?..¥.,e. ............ .~,l~g, t2~ ............................................................................ Municipality 2. State ex~sting use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ........ .D..'w....e.~.l..~D2; ........................................................................................................ b. Intended use and occupancy ~m.~ ~.~.~ atr~ a, cl~itio~. ........................... ~lature of work (check which applicable): New Building ....................... Addition ....~ ........ Alteration....~; ....... Repair ......................... Removal ......................... Demolition ........................ Other Work .................................... (D,~scr~pt~on) I 500 + $5.00 4. Estimated Cost ............ ~I ............................... Fee ................................................................................................. (to be paid on hhng th~s apphcatlon) 5. If dwelling, number of dwelling units ...... .o...D,~ .... 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 Wpe of use ..................................... 7. Dimensions of existing structures, if any: Front .....................Rear ........................... Depth ................................... Heighl ........................................................... Number of Stories ............................................................................. Dimensions of same structure with alterations or additions: Front .......................... Rear ......................................... Depth ............................................. Height ......................................... Number of Stories ........................................ 8. Dimensions of entire new construction: Front ...... .~..~.8. ............ Rear ...~..~.~. .................. Depth ....~.~. ......................... Height Number of Stories one 9. Size of lot: Front ...................................... Rear .......................................... Depth ................................................. 10. Date of Purchase ..................................... Name of Former Owner ............................................................................ 11. Zone or use district in which premises are situated "A" dist 12. Does proposed construction violate any zoning law, ordinance or regulation: ...~...o. ................................................... 13. Will lot be regraded __..n..o. .......................... Will excess fill be removed from premises: [ ] Yes [ ] No 14. Name of Owner of premises ....... ~J~.~.Q..~;~.!.~.QW,S~. .............................. ~.~.Q.~,9. F~G9 .......................................... {Address) {Phone No.) Name of Architect ..................................................................................................................................................... {Address) {Phone No.) Name of Contractor Geo Tay, lor ~'~ttituck . {Address) {Phone No ) PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions fro, property lines. Give street and block number or description according to deed, and show street names and indicate whetl er interior or corner lot. SEE Filed Plan STATE OF NEW YORK, ) COUNTY OF .... Suffolk ............ ) SS ....... ~-.'~.,..~,.-..~,. ~.'~ .~. ..~?..,~ .......be,ng duly sworn, deposes and says that he ,s the apphcant above nam, (~;me of tn'~i.t~al s;~mg contract/ He ,s the ........................ ~.~.~...9.t...9.9~9 ~9v ,g,,;. bo;po';;3e ................................................... of smd owner or owners, and ~s duly authorized to ~rform or have performed the smd work and to make and hie th~s apphcatmn; that statements contained m this apphcatmn are true to the best of h~s knowledge and behef, and that the work wdl be performed m the mac set forth m the apphcat~on filed therewith TERRI LEE E~ .......... I~Y PUBLIC, State ~[ ~ k,)lk ...~ ........ day of ......... ~z~... ~ ,g ...bAz~ q~ .... ~ Notary Pub,,c. ~~~E;.~,.r~;~ 30. t9 ~,..~ ;; ' ..... /'7