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HomeMy WebLinkAbout6352-zNO. ~ TOWN OF SOUTHOLD BUILI)IN(~ DEPARTMENT Town Clerk's Ot~ice Southold, N. Y. Certificate Of Occupancy No. S~20 ...... Date .......... 0~ ..... ~[~2 ......., 19. ~.~ THIS CERTIFIES that the building located at .. ]H. XI..lio~ ............... Street Map No..Cal.V~S. N~lock No ........... Lot No ......... ~outhold.. ~ .Y., ........ conforms substantially to the Application for Building Permit heretofore filed in this office dated ......... ,T-re.. ~ .... , 19.53. pursuant to which Building Permit No.63~.~... dated ......... J~v,~... 30 ...., 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 ~s ed . family. ~w~lZ~mg ........................................ is The certificate is issued to . .Anthony. C~sa.l, .... ~el, ........................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .... ..q. ept. 6... 19~3 .by. .R,. UNDERWRITERS CERTIFICATE No. lq. ~1~08 ..... ~ept. ~ .~. · .~ 97.~ .............. HOUSE NUMBER .... 1,?.5 ...... Street ... ~1t3,~. 2~aa~l. ........................... ...... .... Building Inspector 1~0~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N~ Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON TH,E PP, EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 6352 Z Date .................................................... ~..~. 30 , 19..?...~.. Permission is hereby granted to: ..... · ~o~ti~Zd. ....................................................... at premises located at .~..~..~.....~l~...~.(~ .............................................. ~ ........................................... ............................................................. ~.~0~.~ ...... .~..*.~..~ ......................................... ~ ...................... pursuant to application dated ~ ....... ,~.0. ..... 19.~.., and~approved by the Building Inspector. 13, 1. 73 " 114408 THI~ CE~IFIE~ THAT ~ly the e~t~ ~ulpment ~ ~scd~ ~ a~ int~ by t~ a~li~t ~ on the a~e appl~atlon numar in t~ prem~es of Anthony Thomas Cassa~, Hill Rd., Calves Neck, Yoang~ AVe & Wells Rd. Southold, L.I. w~exami~don Septenbep 10, 1~73 .nd fou~ to be ln complla~e with the requlrements of th~ Board. FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS OUTLETS SWITCHES FtUORESCENT 25 34 DRYERS TIME CLOCKS UNIT HEATERS MULTI-OUTLET SYSTEMS NO. OF FEET E R V I C ~o. o~ cc~cc,',~o. ~,. w. o. OF CC. COND. 3/0 OTHER APPARATUS: *Special receptacles: i-30a~ps., 1-50amps. Water heater: 1-4.Skw Elec,room heaters: 2-3.0kw, 1-2.01~?p 2-1.Skw, 3-.75kw 2 Post lights NO. OF HI-LEG 5-1. Oki,';, i-.gkw, Paul R. Burns, ?own }{arbor Lane, Southold,~.~. ~' ~ 11971 COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. I · ° ~A'~L~AT I I~ I: :, · AT ~ '~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE MUTHOLD, N. Y, ~-~' .......... .. .. ... .. ....... ............ APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building Inspector, with~ 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on 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 permit.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 bee granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zo~ Ordinance 'of the Town of Southold, Suffolk County, New York, and other applicable Laws, 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, ordinancee, building code, housing code, and regulations, and to admit authorized inspectors on premises and !n I~uildings for necessary inspections. (Address of applicant) State whether applicant is owner, lessee, agent, archi[act, engineer, ~neral contractor, electrician, plumber or builder. If applicant is a corporate, signatu re of~''c'u ly~ utah c~ized officer. .~[X ~ Name and title of corporate officer) Builder's License No .......................................................... Plumber's License No ......................................................... E(ectrician's License No ..................................................... Other Trade's License No ................................................... 1. Location of land on which proposed work will. be done. Map No .....................................,....,,...Lot No ......................... Street and Number ...............~...~..~.. ........ ~..~ .................. ~ ................ ~.~... .............................. Municipality 2. State existing use and occupancy of premises and ifftended use and occupancy of proposed construction: a. Existing use and occupancy ............................................... .~ ....................................... ~ .......................................... b. Intended use and occupancy .... ~~......; ................................................................................... 'Repair ......................... Removal ......................... Demolition ........................ Other Work .................... L.....~... (Description) ~r. ~ · .......... ....... ............................................................................... 4. Estimated Cost ............. ~. ........................... Fee 3- 0 (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 busir)ess, commercial or mixed occuoancy, 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 '¢4 ,~ 8, Dimensions of entire new construction: Front ...~...,.-~.../. .......... Rear ...... .~...~..../. ........ Depth ..~,~,..~. ....................... Height ........... ./.~....~ ............................ Number of Stories ..... ~. .................................................. ? ............................. 9. Size of lot: Front ..... ,Z..Q.~,.~ .................... Rear ........ ~..~.;.~...~... .......... . ...... Depth ......... .~...~. ................................. 10. Date of Purchase ..................................... Name of Former Owner .......................................................................... T 11. Zone or use district in which premises are situated ......................................................... ~, ......................................... 12. Does proposed construction v~olate any zon ng law, ordnance or regulat on ........... ~ .......................................... Will lot be regraded .... ,-Z~.,~=. .............. Will exCess fill b_e removed from premises: [ ] Yes [3~ No ,x 13. 14. Name of Owner of premises ....~.,...,-3,z,c~;....f;~.,~ ......... (Address) ............................. i~'~~" Name of Architect ......................................................... o~ ,,~ / , ~ ¢m(Addre~&) .~ /~ (Phone No.) ................ ....... Name of Contract '~'!' ..... ~J (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 lot. c° STATE OF NEW YOR~ j~. a Z~ ) ~.0 ~'~ C~ He is the ~ame of indt'v~d~ {Contractor, agent, coyote o[ficer, etc.} of said owner or owners, and is duly authorized to ~rform ot have ~rformed the said work and to make and file this application; that all statements contained in this application are true to t~ ~st of his knowled~ and ~lief; and that the work will ~ ~rfor~ in the ~nner ~t forth in the application filed therewith~ I I ~RRI EE [~ ........................... ~ ................... f..:~o~,~s~ .......... / Notary P,blic,..~..~~"~.?~a~, 19' ...~..~.~..~.'.~~.: ...................... TOWN OF $OUTHOLD Town C~e~ks Office ~o~ho~ ~ Y~ 11971 APPLi~A~ION ~ ~T~F~A~E OF ~CUPANCY ~str~tlo~ A. Th~5 oppHcotion mu~t be filled ~n ~ypewrit~r O~ ink, ond submitted in duplicote to ~he B~il~i~ Inspector with the following; for new buildings or new us~: 1. Final su~ey of property with accurate I~ation o{ ail ~uildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposals(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Unde~riters. 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 uses, or buildings and "pre-existing" land uses: 1. Accurate su~ey of property showing all property lines, sfreets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, o~cupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pe~inent formation required to prepare a certificate. C. Fees: 1. Certificate of occupancv $5.00 2. Certificate of occupancy on pre-existing dwelling or land use 85.00 3. Copy of certificate of occupancy $1.00 ....... New Building .......~ ...... Old or Pre-existing Building ................ 4 ........... Vacant Land ............................ of ....... ............. o~.~ o, ~,.,~ o~ ,~o,,,~ ..... ~..,.....~~ ......... f ............................................................. Subdivision ................................................................ Lot No .......... J.. Block No ............. House No ............. - ~ ' ~ ...Z..~ ............................ Health Dept. Approval ~......Z.~-.,.~.~ ............ Labor ~pt, ~pproval .............................................. Underwriters Approval .~/.~,~ ...................... Planning Boa~d Approval ........................................ Request For Temporo~ Ce~ificote ........................................ Finol Certiflcote ................................. Fee Submitted $ ,..:~ ............................. Construction on above described building and~ermit meets all a~plicable c~es and regulations. AppHc~n~ .... ~ ............................... ......... /.~. doy of ~ [ ~ '] 5 (stamp or se Noto. Public .................................... County 8 r ~ SUFFOLK COUNTY HEALTH DEPARTMENT to be satisfnctory.~f Chieff cf Genoral Engineepin~ Servioos SEALED SET COO ALAN WOOD FRASER ARCHITEC~ 234 Clinton Pl., Hackensack, N. J. i/ t '1 ALAN WOOR FRASER ARCH'ITECf 234 Clinton Pi., Hackensack, H.J, \ AlAN WOOD FRASER ARCHITE01~ 234 Clinton PI., Hackensack, FI. J. ALAN WOOD FRASER ARCHITECt[ 234 Clinton PI., I~ac[~ensack, Ii. J. ALAN WOOD FRASER ARCHITECT 234 Clinton Pl., Hackensack, II, .L ALAN WOOD FRASER ARCHITECT 234 Clinton PL, l-lackensack, N.