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Home My WebLink About6474-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. No Z-20092 CERTIFICATE OF OCCUPANCY Date JULY 19, 1991 THIS CERTIFIES that the building Location of Propert~ PRIVATE ROAD House No. County Tax Map No. 1000 Section 7 Block Subdivision Filed Map No.___ ADDITION & ALTERATION FISHERS ISLAND~ N.Y.___ Street Hamlet Lot 2 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 6, 1973 ~ursuant to which Building Permit No. 6474-Z dated APRIL 11~ 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 & ALTERATIONS TO EXISTING ONE'FAMILY DWELLING. The certificate is issued to BURTON TREMAINE~ ~. (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL_ UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N-168182 - JUNE 28~i 1974 Bull'dlng Inspector Rev. 1/81 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? 6474 Z Permission is hereby granted to: l~, '*';~-,**'F~l;kn~ r"'*' ~/C~'"l~u~¢o~ *.i~z,e~e ............ F.t~he~. s...T, sle.~d .................................. to ~.l~ld.. an...a~d it i~n.. ~ · · ma~e .. ~14e.~a%i. orrs .. ~n.. ~x./. s.~.mg. · cb~t .1../rig .................. at premises located at ..S-].-~..~8 ....... .'l.o-t~s...i.,'[..~c,..'j.~'. ......... PF~['~]~S't~"~' .............................. ................................... l~.~lv~te...Road...( ~4&d4te...F~.~m~..~e~wn....p.~.~.~o~ad.~ .............. ................................................ · .~she.r.s...Z.~.taml ........ ~.~.¥-,. ........ ~. ..................................................... pursuant to application dated ..........................April .......6,.....~., 19~.~ .... and approved by the Building Inspector. Fee $.~.~, O0 ............ / ' Building ~hspector/ .... / TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NEW YORK 111971 765 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Dat'e ..... July 16, 1991... NEW CONSTRUCTION ..... OLD OR PRE-EXISTING BUILDING..X..VACANT LAND ..... Location of Property ........ Private Rd (Middle Farms) ................. Owner or Owners of Property ..... Burton G. Tremaine, Jr ............... County Tax Map No. 1000 Section .... 7... Block ...28... Lot.11 ........ Subdivision ..................... Filed Map .. ......... Lot ............ Permit No. .6474 Z ..... Date of Permit .4/6/73. Applicant.Wm Faulkner ~ Approval ~.~/~Z ~.~ Health Dept. Approval ................ UnderWriter Planning Board Approval ................. Request for Temporary Certificate ........... Final Certificate...X... Fee Submitted: $...25.00 ......... Applicant A. John Gada ~eneral Contracting, Inc... FORM NO. 1 TOWN Or SOUTSOLDj BUILDING DEPARTMENT 'TOWb~ C~.ERK'$ OFFICE SOUTHOLD, N. Y. Examined ......... ,,-~ z '-~b~..../....!.....19...../.~ Applicatio~ No ............................. ,, // ;3 ..... i Approved ........................................ 19 ........ Permit No ......................... Disapproved a/c ................................................................ ......................... ..... APPLICATION FOR BUILDING ~ER~IT ............... ........ ............... ...... INSTRUCTIONS ~. Thb oppl[cation must be completely filled in by typowriter or in'ink ond su[mitted in dupllcote to the BuHdin~ Inspector. ; b. Plot plan showing location of lot and of buildings on premises, r~lationship to adjoining premises or public.streets or areas, and giving a detailed description of layout of property must be dr~wn on the diagram which is part of this location. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Buildinfl Inspector will issue a ~uilding Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the progress of the work. e. No building shall be occupied or used in whole or in part for any pDrpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLiCATiON IS HEREBY MADE to the Building Depariment for thb issuance ~f a Building Permit pursuant to the Building Zone Ordinance of the Town of So~thold, Suffolk, County, New ~ork, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, addiHons or a teratJons, or~: for removal or demolition, as herein described. The applicant agrees to comply with all applicaNe laws, ordinances and~ regulations. ........................ ($i~o of~plic~nt, or n~me, i{ a corporotion) ........... ........................... (Address of applicant) State whe~h,er applicant is owner, ~essee, agent, architect, engineer, general contractor, electrician, plumber or builder. G enera~.. C ~n~.~.t~ ............................................. ~ ..................................................................... urton G, Trema$.Be, J.E, ~ Name of owner of premises ........... : ..................................................... .......................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Location of land on which proposed work will be done. Map No: i Block 28 Lot No: 11-~5 Street and Number .................................................................... ~ ....... ~ ........ : ...... ; ........................................................ Municip.glity ~ State existing use and occupancy of pr.emises and integ~_a~d use ~nd occupancy of proposed construction: Summer home· ~ o. Existing use and occupancy .................................................. ; .................................................................................. b, Intended use and occupancy ......... ,S,?..~..m.,e.,~..,H,,,o.~,e, .............. . ................ ~. ............................................................ 3. Nature of work (check which applicable): New IBuildir~g .................... Addition ....X. ............. Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost ...... 3,2.,..~Q0 ......................................... Fee ....... $;1,.,~,,.00. ................................................................... (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 ...... .~.~ .................. Rear ...~.......~.~ ............. Depth ...... ,li.;~ ................. Height .....],.~..~. ................ Number of Stories .......... ,1,'~ ............................................................................................... Dimensions of same structure with alterations or additions: Front ......... ~.~. .................. Rear ............. .8..~. .............. Depth ....... ~5. .................. Height ........ '1~.! ............... Number of Stories ....... 8. Dimensions of entire new construction: Front....,.]~t. ..................Rear ....... ;)~1,. ................ Depth .............. 21~. ......... Height .....~,0 .................. Number of Stories ....... ,1.~ ................ 9. Size of lot: Front ......... ~.._50. ........... Rear ......... .~.~0 ............ Depth ..../~,.~...~ ................. 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated ................................................................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation? ........ ~g. ...................................... 13. Name of Owner of premises.~vG,~...~.lr~la~l, ri~vJ:.~.,~ddress l~le,~.id~,..~ollrl ............ Phone NO ..................... Name of Architect ........................................................ Address ............................................ Phone NO ..................... Name of Contractor.~/,~.,..~T.....l?.a"11k~gZ', .............. Addres~.~l,S,h~.~"~..,T,l~,~l~(J.~.tio:Z..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 numbers or description according to deed, and show street names and indicate whether interior or corner lot. A~q PF,,R A'I"I'AOH~,9 '3~11T~'8¥ MAP STATF OF NEWOYO.Rj(,./_ ) S S COU NTzr% 01:~/)..) ' )~ ,~, ...'j~..~ ............... being duly sworn, deposes ,and says that he is the app'icant oboYe named, lie is the ....... t~,,~'~.~m.x ......................................................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized tbperform or have performed the said work and to make and file this application; that all statements contained in this application are 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. ~ __ Sworn.to b~re me this ~jJ . - - T~a~rn t!xplres March 30, 19 f~