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Home My WebLink About7342-zNe. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Ot[ice $outhold, N. Y. Certificate Of Occupancy No... Z907/~ .... Date ...June... 20 .............. , lg..7.8 THIS CERTIFIES that the building located at . .660..thrU, Rd,..(~.12 ) ...... Street Map No ............. Block No ........... Lot No .................................. conforms substantially to the Application for Building Permit heretofore filed in this office dated ...J~e .-..'19 ........ , 19..7~ pursuant to which Building Permit No .... dated ...J~ne.. ~ 1.9 ......... , 19..7/$, 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 .............. PRIVATE. ONE. FAMILY. DWELLINg .WITH .ADILITIOH ......... The certificate is issued to ....... Helen. & .Joseph. ~u~cierr'az .................... (owner, ~ of the aforesaid building. Suffolk County Department of Health Approval .......... ~./.R ....................... UNDERWRITERS CERTIFICATE No ...... N22BT. 08 ............................... HOUSE NUMBER ... 600 ....... Street ......... Private. Road,..-..-.~..12 ......... ............................................... Sonthold,. Nm .¥or~ ........... Building Inspector FORM NO. 2 TOWN OF SOUTHO£D BUILDING DEPARTMENT TOWN GLERK'S OF~:ICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 7342 Z Date ............................... &~z~te ........ 1'9 .... Permission is hereby granted to: .................. ~o~t~o~L'6 ........................................... at premises located at ~ k:~ (~) ~/.~ ~y~e~ ~oa~ ' ................................................ 6~o~tho~d. ....... ~...~., ............................................................................ pursuant to application dated ......................... ~ ........ .~ ......... , 10.~),b~., and approved by the Building Inspector. Fee $.~..~.~0 ........... x~ M q..L FORM NO. 6 TOWN OF SOUTHOLD Building Deparkment Town Clerks Office Southold, N. Yo 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. 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 disposol--(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 formation required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 3. Copy of certificate of occupancy $1.00 ~'~- -- Date ;.. ,~.: .... -~: ......... .~..:. ~ ~ .... New Building ................ Addition ............... Old or Pr~-existing Bull, ding ................ Vacant Land .............. Location Of Property .~....~ ....... ~. ~Z~..~.~Z ~'~ ~. - , , · .............................................. / ....................... Subdivision ................................................................ Lot No ............. Bloc~ No ............. Ho~e N~ ............. Permit No. ~.~ .~ate Of Perm t .... pp cant ........................................ Health Dept. Approval ............................................ Labor Dept. Approval ..,. ............................................ Underwriters Approval .............................................. Planning Board Approval ........................................ Request For Temporary Certifica~ ........................................ Final Certificate Fee Subm tted $ ............. .~ .................. Construction on above described building onCe'it m~~nd regulations. Swqm/~/~ef°re me t~t ~ ~Q ~ ~ / .../.~.'"'" day of ..... J.~.~.(.,./.~..~_ ....... (~p o~ea/) Notary Pubm~/ ....... N.~( ........ Cou~ Public, Stat~ o, .aw ~ ~ ~' ~ THE NEW YORK BO~'RD O;F FIRE UNDERWRITERS June /4, 1975 ~P"'~""'"'"'¥".""I"" 8oo169 N 228708 Mr. J. GutferrZ, private Rd. off Main Bayvlew s.e. be~. pole 60-61, Southold~L. I. ~.~...,.~,,.d.. J~e 2, 1975 attdfoundtobei,tcotnl, lia,tce with the require,nents of this Board, DRYERS OTHER APPARATUS: C NO. OF HI-LEO A.W.G. NO, OF NE~/TRAL$A W g OF HI-{EG OF NEUTRAL i 1/0 Gene Heacock Cedar Beach Rd. So~thold, L.I. 11971 O~N~RA~ MANAGE, A~ IS HE4~IEBY ~ to the ~luildin. I~mlnt fo~ ~ ~ .of a I~tl~l~ ~ m' M~etat~. ~ fo~ ~ or der~ition, 11 h~ein delm~lld. The I ~ IwiM~M, houtir~ c~xlto m~l m~ut~tiom, m~l to admit ~thoriz. d In~e~ton m~ ............ (Add~m ~ ~t) if ~ is a a ~Ot duly a~tho~ized officer.. . ,, .~ 1. CoMtie- of lind on ,Mi~ iWalelM Wl~k Will be doer lilp. No.: ................................................... LotNo ............. 3. Nature of work (check which applicable): New Building ....................... Addition ......~. ............. Alteration ............... Repair . . Remova Demo ilion .......... Other Work ......... .............. ;~: ................ - ~- o~ {Description) 4. I::st~mated Cost .......................................... Fee /. .............................................................................. (to be paid on filing this application) §. If dwelling, number of dwelling units .................Number of dwelling units on each floor ......................................... If garage, number of cars. ........................................................ ....... .. .. . -. . .. · ...... 6. Il: 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 ..... d..~./...~..~i ....... Rear 4~3/ / Depth .....~...~...I ................................ Height........................................./L~ f Number of Stories ........................................ 8. Dimensions of entire new construction: Front........,......,.........) ~/ Rear ...... ~,.~ ................ Depth ..... .,~,.,.~.. .................... Height.. .......~ I ....... ................. Number of Stories ......... ! ............................................................................... 9. Size of lot: Front ........ l...(~.. ........................ Rear ....... 1...~...~.,.z. ........................ Depth ....... /,.?..~..~ ................................. 10. Date of Purchase ..................................... Name of Former Owner ............................................................................ 11. Zone or use district in which premises are situated ............. ~..~A.!,.L .......... ~"1 ............................................... I\1 12. Does proposed construction violate any zoning law, ordinance or regulation: ........ ~.~..? ............................................. 13. ~Nill lot be regJ'aded ..... ..;/~.....~ .................. Will excess fill be removed from presses:,,[, ] Yes iX'] No 14. Name of Owner of premises .,.,T..~..~k~,,,~.~,.,~, ..................... ~ ............................................................................................ (Address) . , / <~ (Phone No.) Name of Arch tact ................................................................. : ........... ~ ............ ;,.~ ....... v.,.: ............... - ~ ~ ~ ~ ~ t (Address) ~ u'npne Name of Contractor t,L~g~.o2~'...5......C~..~.-~.~.~.~%.: .......... .~.~.~..~.~..?..~..3. ...... /~.17.,....~....L7..~...:.~.?...?..o.. ....... {Address) (Phone No.) PLOT DIAGRAM E.ocate clearly and distinctly al/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. STATE OF NEW YOR K, ) SS COUNTY OF ...................................................... ) ........... ,,,.~.,..,t~,, .......... ,~¢..,.,..~,~ .................................. being duly sworn, deposes and says that he is the applicant above named. (Name of individual signinfl contract) He is the ................................................. "~---'~'~:."/:~..~.../~....~..¢~,~ .................................................................................................................................. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to ~dorm or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. ~. ~. ~ ~ ~/~ .......... [...~ ..................... day of .............................. lg .2.~.... ' ~S~gnamre o[ appl~canO FOEM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE .~. SOUTHOLD, N. Y. E×om ned .. ....... Approved ........... '.'. ....... ...... , ............................. APPLICATION FOR BUILDING PERMIT Dote~ .................................,19.?..~.. ..... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building Inspector. 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 ofproperty 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. 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 progress of 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 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, ordinances, building code, housing code, and regulations. (Signature of applicant, or name, if a corporation) .... ~.~.~;...o..~ ......... ~..,.....~..~.~:~¥.~.L.~ ............... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ......................... i~ ~>.,.~!z~. .......................................................................................... Name of owner of premises .......~..9.~.~.~...~.. ............ ..~2.~.-).~.;..~....~...~...~....~.:: ................................................................................. If applicant is o corporate, signature of duly authorized officer. .~...4.~ ........ .~.:...~.~.~.~ ............................. (Name and title of corporate officer) Location of land on whi~:h proposed work will be done. M/~p No.: .......... ~ ............. :,~ ............ Lot No....,'9........./ ........ Street and Number ../..)..~.i.(.V..~. ....... '- ~.;~ .......... ,-~../-~..; ....... ~.~./.~. ....... .~'~..~.~.~....~ ......... ~,,~.'~'~}./...q~-.. ~ Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ~ ~. ..x~..~'. b. Intended use and occupancy...__./...._.~.......~ .~.. ~ ............... 3. Nature of work (check which applicable): New Building .................. Addition ../~ ............ Alteration .................. Repair .................. Removal .................. Demolition .................. Other Work (Describe) ........................................ 4. Eshmated Cost ...... .~...~. ............................................. 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 c~rs ............................................................................................................................................. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ............................ 7. Dimensions of~xisting structures, if any. Front ....... , ..................... Rear ...~. ........................ Depth ......~ .......... Height ....... ~ ................ Numar of Stories .......... ~. ..................................................................................................... Dimensions of same structure with alterations or additions: Front ..... ~.~.1...~.[[ ............... Rear ...~/...~.L~. ........ Depth ........ .~ ..................... Height .......... ~. ............... Number of Stories .........~ ...................... 8. Dimensions of entire new construction: Front ....... ~.~..~ ..................... ReQr .....~..~..f .............. D~th ....~.,~...~. ...... Height .....~.~ .......... Number of Stories ....... ~ ............................................................................................................. 9. Size of lot: Front ......~..~.~.~ .......... Rear .......... ~..~.~..~. ........... Depth ........... [..Z..~..~ ....... 10. Date of Purchase ........................................................ Name of Former~ner ........................................................ 11. Zone or use district in which premises are situated ....... ~.~.~.~./.~.. ............ 4 ................................................. Does proposed construction violate any zoning law, ordinance or regulation? ...... .~D ............................................... 12. ~ · ~O~e ~ ~ ~C~ A res Phon 13. Name of Owner of premises .......... ~...,~..~{ ...........dd s ............................................ e No ..................... Name of Architect ...................................................... Address ................... Phone No ..................... Name of Contractor ...............~ ........................ ~Address~' ~o~ ~ ........................ Phone No. PLOT DIAGRAM Locate clearly and distinctly oil 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 i~terior or corner lot. STATE OF NEW YORK, ~, ¢ ¢ COUNTY OF ............................ .-~ ~' ~"~ ......... .~...~..~. ......... ~'..'.....G~.~.t.~;~*d,_...~ ................................... being duly sworn, deposes and says that he is the applicant (Name of individual signing application) abow,~ named. He is the ..................'Z~.~.~,'n.~,..k..~-~ .................................................................................................................. (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 oil statements contained in this application are true to the best of his knowledge and belief; end that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me thi,s~ ~ ~..~.~ n ~ ~..'~..... ....... ........ day ........................... . ,,?. Notary Public, . ........................................................... County (Signature of applicant)