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Home My WebLink About6439-zTOWN OF $OUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate O[ Occupancy Map No. ................ Block No .... .... Lot No .................................. conforms substantially to the Application for Building P~rmit heretofore filed in this office dated ........ .'~..'T...'.-.' :.., 19.~ .... pursuant to which Building Permit 1'~o ......... dated ~ (o tv?/] )~ 1 was i~sued, and conforms to all of the require- ments of the applicable provisions of ~he Ja~. The occfipancy for which this certificate is ~ 0~'~ F'~,"~: Ot~L~ ~,T,~, ~e~ bECK. issued is ...................... ~.. ~:. ............................................... The certificate is issued .......................... ; ............................. (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval ...... . ........' ..................... DND~W~S O~C~D ~o ............................................. Building Inspector TOWN OF SOUTHOLD BUILDING DEP.4RTA~ENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 6439 Z Permission is hereby granted to: · ffe-:~2 ........ ~.~:~.-s~ ........................................ ... ~.~i.n~ .....~{.,.~..o.. 2 ....................................... to .b.uJ,2.d..~u~. ad, alit i~u-~..(.., d,e~k.)...o~..e~.~ta'ti~g..~ et ~egee ............................................ at premises located at ..... l~'./.$..~)u~,J,-V, iew...AVe.....(.~l/...0ro.],ci, err-~.) ..................................... .............................................. ~,~U-~;h~id- ......... N.~-.---~ ........................................................................ pursuant to application dated ................. ~{a,~ .......... ~2 .............. [., 19..~.~.., and approved by the Building Inspector. Fee $.~.~.~) ........... ! ,~' \. ~u~aing inspector 1 ..................... TOWlq OF SOUTHOLD Building Department Town Clerks Office Southold, Iq. Y. 11971 FOR CERTIFICATE OF O~CUPANCY APPLICATION 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 ~uildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewer~age disposal--(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Un~lerwriters. 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 ubes, 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 Date ...~'t~t~¢ ~k ..1,.~.:,.. ~,2.7. ~ ................. New Building .................... Old or Pre-existing Building ...~ ........ ........... Vacant Land ............................ Location Of Property N/..S. Soundview .A. ve.n. ue @ Golden .L. an.e.,.. Southol.~ Owner Or Owners Of Property ...l~.qJ~.¢~.~;..~r.,..~'.:J-~.c-~.9.~.~,..~..,~an~,l~..Gg-l~fin ......................................... Subdivision ................................................................ Lot No ...... :~::... Block No ............. House No ............. Permit No .......6..4..3..9. ....... Date Of Permit ..3./.~.2./..7..3..,...Applicant R.cJb.e.~t J. ~±so±oner± Health Dept. Approval ............................................ Labor Dept. A, pproval ................................................ Underwriters Approval .............................................. Planning Boa~d Approval ' Request For Temporary Certificate ........................................ Final Certificate Fee Submitted $ ....5,.:.0..0. ......................... Construction on above described building anc~f~ me~ts~l~able codes and regulations. Sworn to before me this Applicant ~ Lx~,erl 0r . ,~ . N[ture of work (check which applicable): New Building ....................... Addition ~j~.~}e~J4... A terat(on ....... ., ....... Repair ......................... Removal ......................... Demolition ........................ Other Work .................................... (Description) 4. F_stimated Cost .....~.5..0..0..;.0..0. ............................. Fee ........ .$.].,5.....0..0. ............................................................................ (to be paid on firing 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 28'-0" Rear 28'-0" Depth 18'-0" 8'-0" Height ........................................................... Number of Stories ....... ..0..n.e. ................................................................ Dimensions of same structure with alterations or additions: Front .......................... Rear ......................................... Depth ............................................. Height ......................................... Number of Stor es ..................... ions ' · . 21 -0 38 -0 14 -0 8. D~mens of ent re new construction. Front ......................... Rear ............................ Depth ................................. ]' 6" Height ........... .~ ................................... Number of Stet es .................. ~ f et "rent .7.5.0' ,,- 58.09' - -- 110'+ ......................... 9, ~ ze o r near ..... uep[n ........... ~ .................................... ..... August 21, 1971 .... Clement & Katherine Biddle 10. ua~e eT ~-urcnase ..................................... Name eT former uwner ............................................................................ 1 1. Zone or use district in which premises are situated ..................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ......... .N.o.. ............................................... No 13. Will lot be regraded ................................. Will excess fill be removed from premises: [ ] Yes ix]( No 14. Name of Owner of premises ...... F[7-8 F6 (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 property lines. Give street and block number or description according to deed, and show street names and indicate wheth- er interior or corner Jot. 6. I_G°O~O'' ~ STATE OF NEW YORK, ~- COUNTY OF ......................... [Name~]~ .................... boin~ dul~ s~om, do~o~o~ and sags that h* is tho applicant aBo~o namod. ........... ............................................................................ ~Contractor, agent, corporate officer, etc. J of said owner or ownars~ and is dul~ authori~od to ~rform or ha~ ~rformed th~ said ~o'rk and to mako and filo this a~l~cation; that all statements contained in this a~OHcation are tru~ to tho host of his kno~lod~e and ho~iof; ~nd that tho,~Ork will bo ~rformod in tho marmot set forth in the application filed therewith. ' .............. .......... ....................... co,,t ...... ............. (Signature ofapplicant)~