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Home My WebLink About7301-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. UPDATED CERTIFICATE OF OCCUPANCY No: Z-26349 Date: 03/30/99 THIS CERTIFIES that the building NEW DWELLING Location of Property: MONTAUK AVENUE FISHERS ISLAND (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 9 Block 5 Lot 3 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 5~ 1974 pursuant to which Building Permit No. 7301-Z dated JUNE 5, 1974 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is SINGLE FAMILY DWELLING WITH ATTACHED DECK The certificate is issued to ROBERT & CLAUDETTE GENEREUX (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A N/A Inspector Rev. 1/81 FORM NO. S TOWN OF SOUTHOLD B[rH.DING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No...Z6~66 .... Date ........... 14~ ..... 1~, ......, 19..~.~ THIS CERTIFIES that the building located at ...H..o.n.~.a..lkk., .A.v.e. ............ Street Map No.. :K;I;K ....... Block No... ~ .... Lot No, ...~.....F..~.~.h.~.r..s..I.s. 1..a~..d... conforms substantially to the Application for Building Permit heretofore filed in this office dated ........... June... 3..., 19.7~. pursuant to which Building Permit No..?.~(~IZ. dated ........ J. une ....~ ....., 19.7k~, was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which thi~ certificate is issued is Private one finally, dwelling The certificate is issued to ...1~..~...l~.~..R.o.b.#v.t..G.e..~...x,e..~. ....... . .~..e.r..~ ........... (owner, lessee or tenant) of the a~oresaid building. Suffolk County Department of Health Approval .. g...Smith.. UNDERWRITERS CERTIFICATE No. Pelldlng .................................... HOUSE NUMBER ...rAor~ ...... Street .......................................... FORM NO. ~ TOWN OF SOUTHOLD 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? 7301 Z Permission is hereby granted to: ............... F.i~s..Is.la~ .............................. ~o .~.~..:a~...~...t.a~...d~ ~ ~u~ .................................................................................... at premises located at R/.,~..~OJX*GILM~..~,.V~ ....................................................................................... ........................................... F.~sh~ra..T s:la~ ...... ]~o~. .................................................................. pursuant to application dated ......................... .~...l~ltt~ ....... ~ ........... , 19.~..., and approved by the Building Inspector. NOTE: ~'tll need underwriters cert, ......... for C/O APPLICATIOH FOR BUILDING PERMrl' INSTRUCTIONS o. This application must be completely filled in by typewriter or in ink oral submitted in duplicate to the Building Inspector. b. Plot .pi.an sho, w~in~. I,oc,ation of. lot a..nd of buildings on premises,, relatiomhip .to adjoining premis~ or public streets or areas, aha g~vlng a ama.ca aescriptmn of layout at property must be drawn on the dmgmm which is part of this application. c. The work covered by this application may not be commenced before issuance of Building Permit. shd.. Upon approval-of this applic.~io?, the Building Inspector will issue a Building Permit to the applicant. Such permit all be kept on the premises available tar inspection throughout the progre~ of the work. e. No building shall be occupied or used in whole or Jn part. for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. B .A, ,P. PLI_CATION .!S HEREB. Y.MA~DE to the Building Departm_ent for. the iss .ua,nee of a Building Permit PUreuant to the ,u,a~r~.. z. on~, L,~. mance of t.he T_oym .o.f Southold, Suffolk ~oun~, .New York, 0nd other applicabl~ Laws, Ordinances or ~egu~ar~.o. ns, ?or the construction o.f buddings, additions or altetat~om, or~for removal or demolition, as berein described. ~ ne app,cant agrees to comply w~th all applicable laws, ordinances, building code, housing code, and regulations. (Signature ~rC~;f,';7~; if a corporation) Bex 202-?].ehere Ze].l. nd.,New Yerk.06~90 (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .................................................... ................................................................................. Name of owner of premises l[~. And I[z'l. Rebel'S; (],t]'lt~'tt~C If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Location of land on which proposed work will be done. Map No.: ........................................ Lot No.: ........................ Street and Number Ilen~auk Avenue Ylah~re leland,#ew Yerk Municipali~ State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . . .~.l~l..q~...~. ~.,..~. .................................. b. Intended use and occupancy . ._~__i..~...t;.e.. e.n..e '.~l~.~3r..~., dwellin~ 3. Nature of work (check which applicable): New Building ...... ..~. ......... Addition .................. Alteration .................. Repair .................. Removal .................. Demolition .................. Other)Work (Describe) ........................................ 4. Estimated Cost ...~.~..6..t..0...0..0..*...0..0. ............ :"..; ........ i ....... Fee ....~...~.....~ .............................................................. (to be paid on filing this application) 5. If dwelling, number of dwelling u~nits ...?..~...e..... .............. Number of dwelling units on each floor ............................ If garage, number of cars ........ ~ ........ ..~..e.,.~..e. ................................................................................................................. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ............................ 7. Dimensions of existing structures, if anYt 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 ...~...~'.1;.~ .................... Rear .~...~.t~. ............. Depth ~.~...~'.~ ............ Height .................... Number of StOries ...... ~.?,~ ..................................... ~ ................................................................... 9. Size of lot: Front..~.00~"1; ... Rear [~ ~'~; 2~.0 ....................................................... Depth ................................ 10. Date of Purchase~.e.~...2..~.~.[...9.~. ............................... Nome of Former Owner ..~..,...[..,.....~.~..h.??.~....D.~..~.~.....~_ .......... 11. Zone or use district in which premises are situated ..................................................................................................... 12. Does proposed construction violate any zonihg law, ordinance or regulation? ............................................................ 13. Name of Owner of premisesR~.ei~'.~..G, el~e~t,~3~,.~.l~Address .Di~'.t~tD~,..~Jl~t,~tl..[,~,~,.~ Phone No.?.62..-.3.~.~..0... Name of Architect ..~.~....~l~e~qg.~.qXL.A3;& ................ Address .~..~,Z~g.e.~.~,..~s.~T.~ .......... Phone No ..................... Name of Contractor ..~.&...~.....O..0..~...~...~...~..~...G. .............. Address .~.e..Z;.....2...0..2.....~..:..[..:~.:..~.... ..... Phone No..~.8...8..-..~..8.~.~. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate oil 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. ........................... ~.! ................................................................. being duly swam, deposes and says that he Js the applicant (Name of individual signing appj[eqti0n) , ,, · 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 contained in this application are true to the best of his knowledge and belief; and that the work will be performgd~p the manner set forth in the application, filed therewith. Swam to before me this ' /~ Ir ~ . ................... .......... Public, ............... ....................................... Coun ........ ............ o pp.cont ................ BLDG. DEPZ~ 516-788§~19 ~ £ ~ P,~,~[ 81 TO~ OF SOUT~OLD TO~N gAT.T. 765-1802 AFPLZC~T~OI~ F0~ CK~TZI~GATE OF 0C~ A. Th~ ~p~n ~u~t be ~ed ~ by ~tar OR ink ~d .u~t~ed ~o ~ha bu~d~ F~I ~ey of prop~rey ~th accurate ~cac~on o~ 3. ~pr~ o~ elecc~c~ ~lt~latlou [r~ Bo~d o~ Swo~ 8ta~ fr~ p~er cert~y~ chac cb so,der used ~ gys~ cou~ns less ch~ 2/10 of IX 5, C~rc~ ~. ~uacrt~ ~d~, ~c~ple reg~d~ces ~ ~ hu~d~s a~ ~aC~hti~, a cer~iEt~ca sE Code C~X~ca [r~ ~iCect o~ e~ineer 6. Su~t Fl~ ~a~ ~pr~ o~ co~leced nice. plan re~ir~UCs. B. For ~at~g bu~d~gs (p~or to ~1 9, 1937) no~o~o~ uses, or bu~d~gs and 1. ~cuFatn ~ey o~ pr~er~ ah~g ~ unu~ ~r~ or ~opoKrap~c 2. A pFop~ly c~le~od app~c8~ and a conic C, Fete ~t~a~a to ~ $23,00, 8~4~ p~l $25.00. ~casso~ bu~d~ $25.00. Add~t~n, to iccisso~ ~i~d~S $25.~. BuS,eases $50.00. 2. Cerctf~ce of 0e~p~cy ~ ~tst~ ~,,~d4fl~ - SL00,00 Up.ced Cert~te of Oc~y - - .................... N~ C~ecmcCton ........... 01d .Or Pr~t~ng Bu~ .... ~~ - ~w~ or ~ce of rFopet~ .................... ~.~ .~, ........................... C~ T~ ~p No l~, Section ...... ~ ...... Block ..... Perm:LtSUbdivisi°nH~'.~l ............................... .... DSF~t Of Permlt. ~',~/~,AY~d Happpl~caut.~ ............ .,....,--...,...,,,..,.....~/~J/~/~L°c ....................../~ ~JJ/~ ~- ~ ~ Health Dept. Approva~ .......................... Undez3~ricers Approval ......................... .12 z_~ z- APPROVED AS NOTED ?