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Home My WebLink About7199-zFOB,M NO. 4 TOWN OF $OUTHOLD BUILIHNC. DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupnncy No...l~..~9. ..... Date .............. ,~a~.. ~ ..... , 19. THIS CERTIFIES that the building located at .. 8tal'a .R~m~ ............. Street Map No. 8ou~ .Cl'u~B~oeO~o ........... Lot No.. -~0 .... Z&e~, 14a~;[oa.. II*Y. .... conforms substantially to the Application for Building Permit heretofore filed in this office dated ............... Apl*. 2;~ 19 .~i~. pursuant to which Building Permit No.. dated ....... ,tl~l~.... 2.~ ......, 19~i~.., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is .P~'~.~.aSe. &~e.s.s. Ql'y..b..u:[]..d.~.~. g .&.. F.e.~.~ ............................ The certificate is issued to ...Johla. ~e ..... 0~nel' .............................. (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval · .N,R, ............................. UNDERWRITERS CERTIFICATE No.I~,R, ........................................ HOUSE NUMBER ...~00 ....... Street ... ~$,al's. l~a& ... l~aat. I~olt ......... ............................................. .......... Building Inspectbr FOBM NO. '~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N~ Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE P~,EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 7199 Z Permission is hereby granted to:~ ~ , ..~.~..~,,. ...................................... ::..[ ......... .......... ~r.~....~ta.~ ~ ..Reed. ............................... ................. F. ne.t..~av~.o~ ....... N..:[~ ................... ~o Fa~e~.. ~ud..~mf, aLu..&ccas ,, or~.. hulldlug.. ~..,fe~uca ............................................... at premises located at ..~[~.~...$O....8~'e4~..~,~[ ......... ...................................... ................................... ;..4.~O{;)....~{;e~,~.. l{e~4 ............. ~;&m:t...~_,z'l~, .il{h,Z,, ..................... pursuant to appIJcat~ion dated .............. ~I~-~-'L ....... ~, ................ , 19.~...j: and approved by the Building Inspector. Building I ns~ectbW BUILDING DEPARTMENT ~,~ / ~- -~,' O/ TOWN CLERK'S OFFICE ~ ~-- ~ ~_ SOUTHOLD, N.Y. ~c~, ~',~ ~, Applic6t{~ No ~ L }. (Building I~ector) ~ APPLICATION FOR BUILDING PERMIT ~'~ °ate ........ ...................... , INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building~l Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. ~J 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 of property must be drawn on the diagram which is p~rt of this application. c. '[he 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 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 Deportment for the issuance of o 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, and to ndmit authorized inspectors on premises and ir~ buildings for necessary inspections. State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ..... ...~...~.....~.....~.....?~.. ...... ~....~....~.../....~:.. .......................................................................................... 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 ............................................. J~;~ Other Trade's License No ............................................... ~ ~ ~''~ Location of land on which Drooosed w~rk will be done. Map No.~~.~...~........~ot No...../..~ Street and Number ...... ,~,- ~---e~¢,-- __ ~'.~..~...,~x~.~...~..~_~c~.~.~,.~- ......... ~. ,~..~..;~.....f~ ........................................... ............... Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ...~.l ~' · '~'"'~ .................................................. v ................. '/ ....................................... b. Intended use and occupancy ........... .t.~. ............. .~.../.~....~.....~.~./~ ....... ..~..~..~,~. ...................... ' 3. Nature of work (check which applicable): New Building ' ~' Addition Alteration Repair .................. Removal .................. Demolition .................... Other Work ...~r~...~.~.~ ......................... 4. Esti mated Cost · .~EZ~, · ¢....~Z....~...~.. ~;..~.~.. ~'. ~..~ .~.-...L~.. ~-?. fee (Description) ..... ................................................................... (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, speci~/ nature and extent of each type of use ............................ 7. Dimensions of existing structures, if any; Front ............................ Rear ................................ Depth .................... Height ........................ Number of Stories ................................................................................................................. Dimensions of some 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 .............................................. .) ........................................ ~ .......... 7 ................ 9. Size of lot: Front ......... /..~. ......................................... Rear ..... /..~.. ............................... Depth ,0~. .......................... ]0. Date of Purchase ........................................................ Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated ..................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ........................................................ 13. Will lot be regraded . ............ T'"'~9'"' W~I exces,s fill be removed from premises: ( ) Yes ( ) No 14. Name of Owner of prem,ses .'.~...~ ............ Addres.~' ........... .~. ~.(~,. Phone' ~ ~'/ ~'J' No~.~..~..-.../...~....~....~. Name of Architect .......... ~/ ................................................ Address ................................ Phone No ....................... Name of Contractor ............................................................ Address ................................ Phone No ....................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-bock 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. CO N Y .................. ~ .................................................................. be ng duly sworn, de~oses and soys that he is the opplicom (Name of individual signing contracO 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 and to make and file this application; that all statements contdned 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. Sworn to before~ me this .~ , / . N ot~fP~l~~~:t~ '~' "....... ~~,~~~).'~'44 J/ . ............................. FORM NO. $ TOWN OF $OUTHOLD , Building Department Town Clerks Office Southold, N. Y. 11971 APPLIGATION FOR GERTIFIGATE 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, /V[ultiple Residences and similar buildings end 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 19,57), 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 in- formation required to prepare a certificate, C. Fees: ]. Certificate of occupancy $.5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $!,00 New Bclilding ................ Addition ................ Old or Pre-existing Building ................ Vacant Land .............. Location Of Property ~/~`~.~-(~".~.~~/~`~/~;~V~ .................................. Owner Or Owners Of Property ....~...~..~....~......~..~...~...'/'..~.. ........................................................................... Subdivision--~..~..~...~.:.~..~...'5..?...~:..-~.........~..0.~..~.~' ........... Lot No. /.~. ....... Block No ............. House No/~...~...~.. Permit No..~../..?...~.~.. ..... Date Of Permit Z~.~..~...~.~i~...~AppJicant .... .'~..~..~...~....../~.J~/...!'..~... ......................... Health Dept. Approval ...... ./~:./~: ............................. Lobar Dept. Approval ....... ..~.:.~.: ................................ Underwriters Approval .... ,~/.:.~/L: ............................... Planning Board Approval ....f/:.,~ .............................. Request For Temporary Certificate ........................................ Final Certificate .......................................... Fee Submitted $ ...... ~...: ......................... Construction on above described building and permit~meets/g, II applicable codes and regulations. Applicant ........ ~.... ~..~..~ ............................ ~, ................. Sworn to before me this · day of (stomp or seol)/~ ........................................................... Notary Public .................................... County