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Home My WebLink About7669-zNO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No..Z?.0.9.6. ..... Date .............. J'.l~$ .....23., 19..~.6 THIS CERTIFIES that the building located at E./.$..Y.o..t~. g?../~v..e ........... Street Map No.. ~ ....... Block No..x..x.x ...... Lot No, ...X~X....~.q~..thp. l.d....N.:Y.: .......... conforms substantially to the Application for Building Permit heretofore filed in this office dated ......... .D.~9.' .2.6. .... , 19.71~. pursuant to which Building Permit No..~.(~69Z.. dated ........... D..e.e...2.6 .... , 19.7~., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is . .P.r.i?f~.~.e..qn. 9' .f,a..m.~y..cl. ¥.e.~.l..t.ng..~.i.~.h.. a. qq .e.s.s.o.r.y. g~l'.age..6.,, p.a,t$o... The certificate is issued to .R.e..ri.e.'...6.e.n.d.r..o.n ...... . .~N.e..r ...... ( .~q..,.Y.: ,T :,C.o. ), .......... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .t~ :.R., ............................... UNDERWRITERS CERTIFICATE No. P.r..e.-. ~.x.i..s.t.i.n.g ............................. HOUSE NUMBER ...... .6.2.0 .... Street . .Y9..t~.g.s. .A.v.e. ....... .S.o.u.t. h9.1.c~ ............ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN GLERK'S OFFICE SOUTHOLD, N; Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL CQMPLETION OF THE WORK AUTHORIZED) N? 7669 Z Permission is hereby granted to: Rene Gendron Jamesport Build new private garage at premises located at ......E.f..~.......~..O..?~_..~.?.....A..V..?. ................................................................................... Southold N, Y. Building Inspector. 10.00 - Fee $ ........................ TOWN OF $OUTHOLD , 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: I. 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 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 approvo~ 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 inspectfon of buildings or premises, or other pertinent in- formation required to prepare o certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 Date June 23 1976 New Building ...t~ ......~. ~qr:L~..~l~ ...... Old or Pre-existing Building ................ Vacant Land .............. ~.8 /..~ 'Youngs Ave Southold - Location Of Property ....~...0.¥.....~..~. ........... ~ .................................................................................................. Owner Or Owners Of Property ....].].e.**n**e....,G**e..~,~.o,~. ...................................................................................... Subdivision xx ~ ~:~ 620 ................................................................ Lot No ............. Block No ............. House No ............. Permit No...2.. 65Y, ...... Date Of Permit ................................... Health Dept. Approval .... ~!..t,R...' ............................... Lobar Dept. Approval .......... .~.,:..~.**' ............................. Underwriters Approval ...~.~.e...-....~.~,~,~,~ ........... Planning Board Approval .... .~!.*,.f.!.'. .......................... Request For Temporary Certificate ........................................ Final Certificate ......... ~.X., ......................... Fee Submitted $ ......................... Construction on above described building and permit meets all applicable codes and regulations. Apphcont ....... ; .......................................... Sworn to before me,'ti ...... of Notary Public '. County (stamp or seol)/~ ~b_~ Disapproved a/~.....~..._.~ ............. APPUCATION FOR BUILDING PERMIT . ,/~ .......... ....... INSTRUCTIONS · a. This applicati°n mUSt be completely filled in by t~pewriter oe in ink and submitted in triplicate to the Bu Idmg nspector, with 3 sete of pkms, aCCurate p at plan to scale. Fee according to ~chedule. b. Plot pJan showing location of lot and of buildings on premises, relationship to adjoining premises or pu~. lic'streets o~ areas, and giving a detailed description of layout ofpraperty must be drown 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. d. Upon approval of this application, the Building Inspector will issue a Building Permit tothe 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 been granted by the Building Inspector. APPLICATION IS HEREB. Y MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance at the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances at TR~gulati.o. ns, .for the construction of buildings, acldltlans or alterations, or for removal or demolition, as herein d~crlbed. e opp.cant 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 a corporation) ............................... State whether al~licant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ...... ~.,d~.../. .~.~' ..~i ............ " 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 prep~sed work, will. be done. Map No.: ................................... Lot No, . Street and Number ~ ~ ..... . Municlpality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ................................ ~ ,' Repair .................. Removal .................. Demolition .................... Other Work ...................... .I. ................... ~.!.' · .... ( escription) / 5. If dwelling, number of dwelling units ............................ Number of dwelling units on each ricer ............................ If garage, number of cars ..... ~..~..~~.: ................................... I ............................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of u~e 7. Dimensions of existing structures, if any: Front ............................ Rear ................................ D~pth .................... Height .. ....................... Number of Stories ................................................................................. 1 ............................... Dimensions of same structure with alterations or additio?s: Front .: .................................. Reqr ............................ Depth ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front ................... , ................ Rear ............................ Height .................... Number of Stories ................................................................................... Size of lot: Front ..~ ..................................................... Rear .......................................... Depth Date of Purchase: ....................................................... Name y, F~ ~o,~e~r ~n~ ........................ Zone or use district in which premises are situated ...... ,~1'..~.~~ ........................... Does proposed construction violate any zoning law, ordinance or regulation: .... ~ ....... Will Iht be~ Fegraded '...~ ........................ _WjII excess fill be removed from premises: ( ) Yes Name of Owner of premises ~r~.~; ....... Add res$~Pl'~on Name of Architect ......... ~~; .......... Address .............. ./...~. ............. Phon PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all setJm property lines. Give street and block number or description according to deed, and show street whether interior or corner lot. 11. 12. 13.' 14. ( )No No. :.7.. No. ~ ~k dimensions from names and indicate / -- STATE OF NEW Y,,ORK,/ ~' / [ c c COUNTY OF ..~'~-¢~.....~ '"'"' ·/, './~. ........................... ~ being duly sworn, deposes and says that he is the opplican! (Nome'of individual signing controc~) above named. 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 a~ :1 to make and file this application; that all statements contained in this application are true to the best of his knowl edge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Swor~,~o before me this .,~ / _ ,- .... ........... .... Notary Public, ~...,~._....c/.~,~,,¢~,ml~- .....~',(~'~Z~..~..z~..~.~....,..bra;...;:..; ~ ............................ (~' - (Signature o~ applica~ It) JUDITH T. BOKEN Notary Public, Stale of New York No. 52-0344963 Suffolk Counl~_~' Commission Expires March 30, 19.,7__/ now or formerly susie NOTE ,' ~ =MONUMENT "Th Drops° n now or formerly AreO;.lO, 724 sq. ft. Kenneth Downs AT SOUTHOLD GUARANTEED TOWN OF SOUTHOLD nov~ or formerly 7209 OF THE NEW YORK STATE EDUCATION UN~tJTHO~ZEO ALTERATION OR ADDITION TO THIS SURVEY iS A VIOLATION OF SECTION LAW COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COP~ GUARANTEES JNDICATEO HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SL~RVEY iS PREPARED, AND ON HIS BEHALF TO THE TITLE CQMPANY~ GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON~ AND TO THE ASSIGNEES OF THE LENDING FNSTiTUT~ON GUARANTEES ARE NOT TRANSFERABLE TO ADDITIONAL