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Home My WebLink About6659-zFORM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy N°' Z~3~ ...... Date .............. ~uJ4~' ~...,19.~'.~. THIS CERTIFIES that the building located at .. $~$..1~...~1...R~. d. .......... Street Map No..~ ......... Block No .... :1~ .....Lot No. ~....~t~;.g:l,~;!a0]l:.. N..X ? ........ conforms substantially to the Application for Building Permit heretofore filed in this office dated ......... $.111~. ]2 .... , 19..7.3 pursuant to which Building Permit No. 66~9Z.. dated .......... .$.11110 .... ]2.., 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 . .B.~ .~.. ,~.8 .b.l~. !~.~... (..a.ll.~.O. repair shop ere) The certificate is issued to ...~eOr. ge. lloCart.h~. O~ae3~ of the aforesaid building. Suffolk County Department of Health Approval (owner, lessee or tenant) UNDERWRITERS CERTIFICATE No .... plt~d].l~ ..................................... HOUSE NUMBER. ........... $0900 .Street. Building Inspector MORI~ NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PI~EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 6659 Z Permission is hereby granted to: ~ at premises located at .... ~]JL.~..J~{Jii~L~....WI~I~..JJ~,..J~..J~IF~ ............................................. tt ttuek pursuant to application dated .......................... ~J~ .....~2 .......... , 19~ .... and approved by the Building Inspector. FORM ~qO. $ TO~VN OF SOUTHOLD Building Deportment Town Glerks Office Southold, H. Y. 11971 APPLICATION FOR GERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspector with the following; for new buildings 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 of Health Dept of water supply and sewerage dlsposalm(S-9 form or equal,. 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Mulhple Residences and similar buildings and ,nstallations, a cert,hcate 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 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 inspechon of buildings or premises, or other pertinent in- formation required to prepare a certificate. Co Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1.00 $5.00 Date .2/(.~./.2..4~. ......................... New Building Y Old or Pre-existing Building Vacant Land Location Of Property ........ .~/~..~. ......... .~..~./..~......~,..~..~....?....../~....~....~,..-~.........~.....~.....~.,.~..~..,.,..~...~...~. ...... O~ner Or C~ners Of ~'roper~y ............ ~.:.~...~...C..~.~..z...~. ........................................................... Subdivision ................................................................ Lot No ............. Block No ............. House No ............. Permi, aa,eOf Perm,t. .. .Z ..App'icon, ...... Health Dept. Approval ........... ..~.~ ....................... Labor Dept. Approval ............. ~..~.....(..~... .................... Underwriters Approval ......... ...,~..~...~,, ........................ Planning Board Approval ...... .~....:...~. ...................... Request For Temporary Certificate ........................................ Final Certificate ~ Fee Submitted $ ....... .~.,..~....~. ................. Construction on above descril:,:d building and permit meets all appllcable/,~.~.c~es and regulations. pp,'cant ........ .............. ¢1' ............... / ............ Fday of ..~'....~.. · ..... /..(.7...,~. ...... (stamp or seal, TOWN OF SOUTHOU) BUILDING DEPARTMENT ~ TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ........ Permit' No. ~ Application No.~...~....~.../~.. .................... Date ................................................ , I ....... INSTRUCTIONS -,~ ,~' a. This application must be completely filled in by typewriter on in ink and submitted in triplicate to the Building ~ Inspector, with 3 set~ of plans, accurate plot plan to ~cale. Fee according to schedule. b. Plot p. la.n showing location of lot and of buildings on premises, relationship to adjoining premises or public streets o~ ~) areas, and glwng a detailed description of layout ofpreperty must be drawn on the diagram which is part of this application. ~ c. The work covered by this application may not be commenced before issuance of Building Permit. r d. Upon approval of this application, the Building Inspector will issue a Building Permi~ 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 pa rt for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the BuJld!ng Zon.e Ordinance of the Town of Southold,. Suffolk County, New York, and other applicable Laws, Ordinances or KegulatJorls, tor the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building c.ode, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspect,ons. A. Reilly & Sons Inc (Signature of applicant, or name, if a corporation) Mattituck (Address of applicant) State whether applicant is owner, lessee, agent, amhitect, engineer, general contractor, electrician, plumber or builder. builder Name of owner of premises George McCarthy If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License 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.: x'~ Lot No. XX Street and Number ,,~., :;Id3. Rg~%d - ~./. B~, .A. ve Matt.l...t. uek Municipality 2. State existing use and occupancy of promises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy auto repair & Body shop etc b. Intended use and occupancy same with an addition 3. Nature of work (check which applicable): New Building .................. Addition ...zz. .........Alteration ....ZZ. ........ Repair .................. Removal .................. Demolition .................... Other Work ................................................ . ..... (Description) 4. Estimated Cost ................... ..6..I..q..0~.....--.+ ....................... Fee ........ ~...*..0..9. ........................................................... (to be paid on filing this application) .5. If dwelling, number of dwelling units ........ Q .................. 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 ............... ~Q ................ Rear ....... .2..0.. ................ Depth .....~..0. ................ Height .................... Number of Stories .....o...~..e. .......................................................................................................... 9. Size of lot: Front ........................................................ Rear .......................................... Depth ................................ 10. Date of Purchase ........................................................ Nome of Former Owner ........................................................ 11. Zone or use district in which premises are situated ..... ~}.-..~ ........ ~.~.~T~.~.g.$. ........................................ 12. Doe~ proposed construction violate any zoning law, ordinance or regulation: ......... ~ .......................................... 13. Will lot be regrade~ .....~...O. ................... Will excess fill be removed from premises: ( ) Yes ( ~ No Geo McCarthy Mattituck 14. Name of Owner of premises .................................................... Address ................................ Phone No ....................... Name of Architect .............................................................. Address ................................ Phone No ....................... Mattituck Name of Contractor A...~. il~.~. & Sons Inc Address ................................ ~none No. PLOT DIAGRAM Loca.te clearly and distinctly all buildings, whether existing or proposed, and indicate a set-back dimensions from property lines. ~ive street and block number or description according to deed, and show street names and indicate whether interior or corner lot. See filed plan "1 STATE OF NEW' Y.,.OI;~ J¢~ COUNTY OF ...... .~. ~-.~...0....~.. ......... ~.~ ................................ N~)j~ll~l~..J~$;[~t. ................................. being duly swor~n, d~oses and says t~t he is the applicant (Nome of i~ividual signing contrac~ ~bove nom~. He is the Builder (Contractor, a~ent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work ~d to ~Ee end file this application; that all statements contained in this application are true to the best of his Enqwledge and belief; and tha~ the work will be pedormed in the manner set forth in the application filed therewith. Sworn to ~fore me this 12 da of ~ 19 7~ -- __ ~ARY pUBLIC, ~e of New York No. 52-6~68295 ~ualified in Suffolk County ~m~n Exp~es Ma~ch 30, ~9~