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Home My WebLink About7659-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's O~ice Southold, N. Y. Certificate Of Occupancy No.~7~'0 ....... Date ................ ?.~.~r...~.3 .... , 19. THIS CERTIFIES that the building located at . .~ .1~.. Ab0V~..L.~.rt.e ..... Street Map No.N.a.Z$..po.~.n..¢. Block No ........... Lot No, .76 ...... ~'~t~e.h.ogt~. ............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ...................... , 19 .... pursuant to which Building Permit No.. dated ........ ~2 ............. , 19..~.., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is The certificate is issued to .~..ql*. g.~. B~X*ell. ...... ~.l~. ......................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . zame. as. o~.1~_3~ .home ......... UNDERWRITERS CERTIFICATE No.. ~....3I.~7.5..~. ...... . .................... HOUSE NUMBER ..... ~.0. ..... Street ....~.1~...1~.. ,..~.~. ....... .~.U.~..~.h.~.g..U~. ......... FOl~ltI NO. ~ TOWN O~ $OUTHOLD 81J~LD~NG D~PARTM~NT $OUTHOLD, N. Y. BUILDING PERMIT (T~HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Ne 7659 Z Permission is hereby granted to: ............... ~.u~ho~u~ ........................................... to Make..~lter.~ions & Addition on existing dwelling at premises located at Lo.tm..,~..9~S..~ ~.DD ~m~au ~..~$..~..e.~. ............. ~ ......................... ............................... , ......... Ahg~..J~ame .......... ~/a s.~aa.. L~;la.~.,.......a.~&~/~.~g ............................ pursuant to application dated ..........................D..~.~. ....... ~ .............. , ]9.~....., and opproved by the Building Inspector. Fee $..1.5.,..0. g. .......... FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Ot~ice Southold, N. Y. Certificate Of Occupancy No. Z. 6~7.8. ...... Date ........... j.U~r...2~ ....... , 19.7.~. THIS CERTIFIES that the building located at . .Abo;r~n. La ................ Street Map No.N~a.s.s.. F.t. ....Block No ........... Lot No,~. ~9.8.t~QQ .... .~.u.~.c.h..o .g~.e....N.:~ :. conforms substantially to the Application for Building Permit heretofore filed in this office dated ............ D~e...~.., 197.~.. pursuant to which Building Permit No. dated .......... D.~.c...~.0 ....., 19.7.~.., 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 Pl~.~,va.t.e..on~..~.],y. ~t.w.~.;[~g~..~f~L.t~ .a..d~l.~.~ .~.o~..~. ~.~.t.9 .~.a.t.~.o..~1., ..... The certificate is issued to . .~.r..&..H.m.s...~.e.o.r.g.e..B..l~?.l,.~.~. ..... .C~...e.r.S. ............... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .N.,~,. ............................... UNDERWRITERS CERTIFICATE No. N2~0.73,~..&..N~07~...,~'B~.e..]~...~97~. ..... HOUSE NUMBER.. ~.0. ........ Street..Ab~F~ .~2B.e. ............................ Building Inspecto~ THE NEW YORK 130ARD OF FiRE UNDERWRITERS nF BUREAU OF ELECTRICITY I 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT George Burrel, Aborn Lane, Bridge Lane & Nassau Point Rd., Nassau ~oint-Out cho gue, Gustav ]~,~.£tza R.R.#1, 227E. Breakwater Nattituck, L.I. 11952 Rd. D Per- ~ This ceriificole musl not be altered in any rnomlerF lefurn lo lhe office of ihe Board if incorrect, InspecIors rnoy be ideniificd by thc;i THE NEW YORK BOARD OF FIRE I ~UREAU OF ELECTRICITY [ a~ 85 JOHN STREET, NEW YORK, NEVV YORK 10038 .,,,,. ~u~ ~.~. ~75 ~,.,,,,.,.,,,,,,¥, .... ¢,,~ 78~777 N 230784 THIS CERTIFIES ~HAT George Burrel~ Aborn Lane~ 200' from Road, Cutchogue~Nassau Point, Elec.room heaters: 4-2.0~, 6-1.'5kw, 2-.1.0~, 4-.5~f Panelboard/s: 1-10cir. 125amps. 1-12 amp. Garbage Compactor Gustav Bartra, RR#1, 227 East Breakwater Road, Mattituck, L.I. 11952 This certificate must not be offered in any manner, return to the office of the Board if incorrect. Inspectors may be identified by thei FOP,~ NO. $ TOWN OF SOUTHOLD , Building Department Town Clerks Office Southold, N. Y. 11971 APPLICATION FOR CERTIFICATE 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. Fina~ survey of property with accurate location of oil buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposal--(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 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 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 im formation required to prepare a certificate. C. Fees: 1. Certificate of occupancy $§.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 New Building ................ Addition ................ Old or Pre-existing Building ...be .......... Vacant Land .............. Owner Or Owners Of Property ..................... G.e.~,v.g~...~.~'.e.l,~l, ................................................................ Subdivision ...... ~../~ ................ ~..~ ............................... Lot No ............. ~1~d~ ~o ............. House No ............. Underwriters Approval Az~...,~,.O.,:,.~/....y...~..~.~.g.'~.~/.,..Planning Board Approval ........................... Request For Temporary Certificate ........................................ Final Certificate Construction on above described building and permit meets all applicable codes and regulations. Sworn to before me/t~ af Notary ........ Public ....~~County~/~ Applicant ......... ~.~. ~,V.~.e...~ )..e.~. ~.,... ~.tt.¢. L d.~ ~., ... ].~ ~ ............................... Cue chogue ,~New York ~f?~ ~L .~ ~t (stamper seaJ)~ ~, Examined ..................................... 19..,.. ........................................ ,, . 7...U...L&: .......... Approved 19......,. Permit No. Disapproved a/c .............................................................. APPLICATION FOR BUILDING PERMIT Date ....Dg....e..e...m..b..t.~....9.a .................... , 19 7..4. ... INSTRUCTIONS '~i 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 ¢~ot and of,buildings on premises relatienship,to adjoining premises or publ c st?ets o~ areas, and giving a detailed descr pt on of layout ofpraperty must be drown on the diagram, which is part of this appl~ation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon apprOVal of this app[Jcotionrthe Building Inspector will issue a 81~ilding 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 port for any purpose whatever until a Cart f cate 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 ~Budd?~.. Zon,e O .rdinance of t. he T,o.~ ,of. Southol.d.,. Suffolk Cou.n. ty, New York, and ?ther applicable Laws, Ordinances or Kegumt~ons, tar the construction at ou,mngs, add,t,ons or alterations, or for removal or demolition, as I~erein described: The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulotiom, and to admit authorized inspectors on premises and in buildings for necessaw inspections. (Signature of applicant, or name, if a corporation) .............. ,~.~ O...c**~.~.. ~ ..**......~...,,c. ~.~ ~....~.,..~. ....................... (Address of applicont) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........... ]~ul/aa~. ................................... ~: ...... _ ..................' ......................... ame of f apphcant~j~ a corporate, s~gnature of duly authorized officer. ................... .~......:.~. ........ .~...~-~ ......................... (NameC~nd title of cort~orate officer) Builder's ~.~cense .o ..................................................... Plumber's License No ............................ ! .................... f Electrician's License No ....................... ~ ..................... Other Trade's License No ............................................... · _. .... ,a.~ ~f4~0 1.Location of land on which proposed work, will be done. Map No.: ........................................ ~.or ~1o ......................... Street and Number ~.l:~...[,~l~. ....... ~'. ........ ~..~i~.111%~91 :~ .~ ......................................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy o~ proposed construction: a. Exisiting use and occupancy ..~)~lll~ ........................................................................................................... b. Intended use and occupancy ...D~.eJ,,1,~.ll~......~.......~.......~.......~.~..~ .................................................... 3. Nature of work (check which applicable): New Building.. ................. Addition ...... ~. ......... Alteration .............. ~;~' · Repair .................. Removal .................. Demolition .................... Other Work ................................................ . .... (Description) 4. Estimated Cost ..S~LT.,?,ea..0~ ................................. Fee ..... /.~....~ ............................................. (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 .................... 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 ........................ Height .................... Number of Stories ...................................................................................................................... 9. Size of lot: FrOnt ..gx]o ................................................ Rear ..;l~r.el~l~.~ ................... Depth ..].2.1~.0 ..................... 101 Date of Purchas~ ............. ;."~.. .................................... Name of Former Owner ........ ~/~ ..................... 1 I. Zone or use district in which premises are situated ..~ ............................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ...~..o. .................................................. ~3. Will lot be regraded ...No .................... Will excess fill be removed from premises: ( ) yes ~c ) No 14. Name of Owner of premises~'.~..~g,r.~.3.~, ...........................Address ]~.9(..~.g~,.~, ............ Phone No ....................... Name of Architect .............................................................. Address ................................ phone No ....................... Name of Contractor .:C~ee~.le.~3,e~ .......................... Address (~,,t. el~e~.am ........... 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 whether interior or corner lot. STATE OF NEW YORK, t S 5 COUNTY OF ..l~.uf..~.e.l.k ............. ~ · George Ahlez'n~ . . - beina duly .......................................................... : ........................ y ........ ,.. -. - sworn, deposes and' Says'that he is the applicam (Name of individual signing contract) above named. Con~:r& e4:or He is the ................................................................................................................................................................................. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are 't~u~ ,to the best of his knowledge and belief; and thoz the work will be performed in the manner set forth in the application filed therewith. ........ ....... ' Notary Public,. ~ ~--- /~~~/ ~ .~ (Signa~re of applicant) . ~,~ ~pires March 30,