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Home My WebLink About7667-zTOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. Z66.~2 ...... Date ........... .. ,A~q~, .~? ....... ,19.?~. THIS CERTIFIES that the building located at ........ ~ll~.t;.l[~.~..D.~.~ .v~... Street Map No. ~t. K~d~. ~}~ No ........... Lot No..~....~ltB~.. ~.,~, ....... conforms substantially to ~he Application for B~ding Permit heretofore filed in this office dated ............. Dee...26, 19~. p~su~t to which Building Permit No.. 7~.6~. dated ......... De0...2~ ...... , 19.~., was issued, ~d conforms to ~1 of the req~e- ments of the applicable provisions of the law. The occUP~cy for which ~is certificate is issued is . ~r~ate. o~. f~l~. d~l[~ .wl~, ~a~age. ad~, ................. The certifieate is issued ~ .. ~$k~ ..... ~ ............................. (owner, lessee or ten~t) of the aforesaid building. Suffolk County Department of He~th Approv~ ~$~.. ............................. UNDERWRITERS CERTIFICATE No.. 8,R, .................................... HOUSE NUMBER .............. Street .............................. yOI~V~ NO. 3 TOWN OF $OUTHOLD 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? 7667 Z Date ......................... D.e ~/~b.e:V..... 26.., 19.~.~.. Permission is hereby granted to: ~.,~., ...~,s~.~ ..&...03.~a...S~,ki~ ............... ......... ~ ¢.~ .~.~,~e.~ ................................................. .............. ~a~r.~.~..bZ..~,..A~.e.~,~..~...J.~.6..O). ........................................................................ at premises located at ~g~D~t~1~;~'~q~j~:~¢~D~ ............ /.. ...... ............................................. ~a~.t,...~x*~ft.¢..~.~ ........... ~. ~&~.~......if..,.~.,. ....... : .............................. pursuant to application dated ........................Dee ........ ~.~. ............ , 19~..~, and approved by the Building Inspector. Fee $.'1..~.,.0.0 ........... SHASKIN~ Boris T. & Olga 1055 Capt. Kidd Drive Mattituck, N.Y. 11952 Lot 184 - Map Capt. Kidd Estates Capt. Kidd Drive 100' x 120' Note: 6' side-yard variance approved on Appeal No. 1960, dtd. Oct. 17, 1974 SHASKIN, Boris T. & 01ga 1055 Capt. Kidd Drive Mattituck, N.Y. 11952 Lot 184 - Ma~ Capt. Kidd Estates 100 x 120' Examined ..........~ ..................... ~--- c~ ~' , Approved 19 Permit No. Di~ppro~lR:l a/c ............................................................................................ APPUCATIOi4 FOR BUILDING PERMIT INSTRUCTIONS Date Dec, her ...... a. This application must be completely filled in by typewriter or' in ink and submitted in triplicate to the Buildi~'~,, Inspector, with 3 sete of plans, accurate plot plan to ~cale. Fee according to schedule. b. fn~taPila._n sh_o~w_i.n_g.,_k~, a, tion:o.f. 10t a,n.d of b. uil, dings .o~ premi.SeS,?elatio~.ip to adjoining, p. re. mises or public st.r~., o, areas, u g wng a ae~asma aescrJpzton or layout orprapeny must be drawn on the diagram whfch ,s part of this applJcat,on. c. The work covered by this application may not be commenced before issuance of Building Permit. d. , U,pon app .reval of this application, the Build!ng IlJstpector will J$~l~ o Building Penmit to the ppplicant. Such permlt~. shall De Kept on the premises cwailable for Inspechon 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 been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the/ Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other aprdlcable Laws, Ordinances o~ 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, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. ........................... ............. ........... : ............ (Signature of applicant, or name, if o coq)oration) 1055 Capt. Kidd l~ive lqatt~.tuek, H.¥. 11952 (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. O~zter Name of owner of premises. B.T. Shaskin and Olga Shaek~.n 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 ............................................... Location of land on which proposed work will be done. Map No.:C~.q~.~.t.:..~..~.~...0:.....~..~..~....a~,..?.lLot No ........ .1.~..~ ........... Street and Number .................... .[..O...5..5....C..a.p.~.....~.d..d.....~..~y..e. ................................................ ~ ............... ..~..a.~.u..c..k.... ~iclpality State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy S,~.er home b. Intended use and occupancy........ · , 3. ~,~lature of work (check which applicable): New BUilding.. ....... ..x. ....... Addition .................. Alt ration ............... Repair .................. Removal .......: .......... Demolition...: ................ Other Work ...................................................... .... : , . (l~ ~scription) 2,.s. .00 4. Estimated Cost ...... ~ .................................... Fee .......................................... , .............................................. (to be paid on filing this app ication) 5. If dwelling, number of dwelling units .............. 0. ............ Number of dwelling units on each floc ...... Q .................... If garage, number of cars . · , 1. ..................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of us~ ...... Q .................... 7. Dimensions of existing structures, if any: Front ..........~8.~ ............. Rear ............. [~ ............... De =th ........ ~,~.~. .... Height........................12' Number of Stories ................ [ .............................................................................................. Dimensions of same structure with alterations'or additions: Front ....................................Rea~' ............................ Depth ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front ........ ~.~.! ....................... Rear ....... ~.~! . Depth ........ 2~.~. .......... Height ...... .[..0..~. ........ Number of Stories ................................................................................... ~ ............................... 9. Size of lot: .Front ................]-Q~ ................................... Rear ................. ],~)D. .................. Depth~ ............ 12Q ............ 10. Date of Purchase ............Q.~.t;/..[.cT.~.O ............................. Name of Former Owner ....... J~,~,L~,~..,qellllgtL ................... 11. Zone or use district in which premises are situated ........ A..~ea~a~e~nl ............................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation: ....... ~.o. ............................................ i3. Will lot be' regraded ........~.9. ................. Will excess fill be removed from premises: ( ) Yes ( ) No 14. Nome of Owner of premises ........... J~.,..::....,Sba~.Ln .............. Address .~[0.~,Sq..[ImLaR..~pke Pho~ ~ No...298..A~2D .... Name Of Architect .............................................................. Address ................................ Photo No ....................... Name of Contractor ....... ~.~..,[l~l.,~J~..~.~.t~]L~,~,~.~. Address ...~.~...~[.~J[I.~.~q..~...~.. Pho~ No...~..~3....~.~.. PLOT DIAGRAM Smi~it(~, Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give stree~ and block number or description according to deed, and show street hames and indicate whether interior or corner lot. Capt. Kidd Drive STATE OF NEW' YORK, iS S COUNTY OF ./~ew..Ya~k ............ f ' ' B. T. Shaskin ............................................................................................. being du~y sworn, doposes and soys t~t he is the applicon~ (Name of individual signing contracf) c~bove named. He is the ............ ...or~...q.:. ........................................................................................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to n~ke and file this appl~ication; that all statements contained in this rapplicotior{ are t~ue to the best of his knowledge and belief; and tl-~a~ the work will be performed in the manner set forth in the application filed therewith. Swam to before me this .LS.tLh ....... day of~"'" /'~"~/~"-~'~'"'DecLs~b~r ................. , 19...~,.. ............. ~{..;....,~.....6~.. ........Noto Pub,c - co.. ...................../' , ' - State of New York. No. 03.45096][4 f/