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Home My WebLink About7468-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANC~ No Z-20687 Date APRIL 28~ 1992 THIS CERTIFIES that the buildin~ Location of Property CRESCE/~T AVENUE House No. County Tax Map No. 1000 Section 6 Subdivision ADDITION TO ACCESSORY FISHERS ISLAND~ N.Y. Street Hamlet Block 1 Lot 9 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 1~ 1974 pursuant to which Building Permit No. 7486-Z dated AUGUST 12~ 1973 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 ADDITION TO EXISTING NON-CONFORMING ACCESSORY BUILDING The certificate is issued to PETER NITZE (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N-382522 - APRIL 17~ 1978 N/A Buildi~ Inspector~ Rev. 1/81 FOB. M 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? 7468 Z Date ........................ .~ueu~t ....... .1.~....., 19...~.3. Permission is hereby granted to: L.o.G.,~.o~r~e.. Z...:~cm..~me,..AZC;..~. e~e~ ..~d.t~e .......... · ~.&~he=e..a[.s~ea& ................................... to .~u~..&~..a~t~en...o~..e~&t~g...~,~...ao~s~..~24~g...(.~.&-~ at premiss I~at~ at ...~S...Cr~e~t..~a..~2..~) ....... ~t~..~ ............................. ....................................... F~e~.s..~s~ ....... ~. .......................................... ~ ............................ p~nt to a~lication d~ ......................... ~.., ....... $ ...... .~..., 19..~.., and app~ ~ the Building In~tor. ~ Fee $-.~e~ .......... '~ Form Xo. 6 TOWN OF £OUTHOLD BIj ILDI',iG DEFA2T.~.fE_*;T TOWN i!,ILL 765-1802 ,- This ~/,pllc~.sn must filled in oy t./pewrltar OR ink - ' ' [, Final nu;'~e,. 3~ property tgL[h accurate ioca~ion o~ ail ~ ';- srraa[s, an~ unusual na%uzal or topographic features. ~t~dlttg~, [ropcr~y ]ines, 2. Final Approval from Health Dept. of water $UDD].V ~B~I ~cwarage-:lis~esa!(S-9 ~. Approval of electrics! ' . - '' . · lns:allat].on from Board ~-,~ Fire U-d-,~,~;~ ~ ~ -te,.=~ .... plumber certifying rha~ $he solder used in ~x's:a:n ,-~,~+-~ - =,,~O of ~,~ icad. - ....... w~,~tmerc~al ouiiding, industrial building, mul~lple residcnccs and similar bt,/ and lnsnalla~ions, a certificate of Code Compliance responsible for the building. - _ 6. Suo~it ~ ~a..lftg Eoar~ Approve! of cor~p!e~ed site plar~ requiram=:l[s. ~,-l~.~ng buildings (prior to April 9, 19~,~) no:l-copfor<i~g tt~es, ~ .... .1~ and unusual natural or topographic features. ..a-_~, ~l!!cl~g ~f a Certificate of Occupancy is d~nied ~he ' --- ,-~I~ reasons ~hcrc~cr in writing to [he applicant' I. Certificate of O~u,~anc~ - [~et~ dwelling .... , Alterations to d'~elling $25.00, Swin.min2 r~co! ~ . ~ v %~,t s ~o accessory building ~ -.o , · ~z~.OO. Su~lne~ses $5) 00. 2. CO~'~ ~icate of Occupancy on Pre-exiszing Building - $i00.00 3. Cop7 of Cer%ificg~e of Occupancy - $5.00 over 5 years - c] 4. Updated Certificate of Oacuoancv 5. Tempornry Certificate of Occupancy - R~sidential $1~,O0, ~.~-' - ~* ,, ...... ..... ........ House No. ~erc~ 'H,:m}a[ ........ '-dungy ~.',x Map .~ecrxon ............ Block ............... Lot ................... ............... ........ Permit ~O.. ara ermit · . ..A Can ~calth Dept. ,,Fprsval.., - ' A/ g ''' ' .... a=e ........... Final Cerr i ?a~;e. 1992 19:32 .... 2FI 09: :d:: F%GE = ,'r:_- ~NO. I TOWN OF ~OuTHOLD BUILDING DEPARTMBNT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. APPLICATION FOR BUILDING PERMIT Bt, ....................... ....... ! ...... , .... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and ~ubmitted in duplicate to the Building Inspector. b. Plat plan showing location of lot and of bu.ildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout at property must be drawn on the diagram which is part of this app icat on 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. B .A, ,P?LI~C~TIO~N ,IS HEREBY MADE to the Building Department for the issuance of a Building Permit pumUant to the uitaing :one urainance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or TRegulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. he applicant agrees to comply with all applicable laws, ordinates, buildin~ode, housing code, and regulations. ........ ........ ............................... of ...... State whether applicant is owner, lessee, agent, architect, engineer, _aenera~ contractor~, electrician, plumber or builder. of premises .................................. ~ ......................................................................... If appl~.~ !s a corporate, signature of duly authorized officer. (Name and tJtl""--"'"'"'"'"'""'"'"~ o~ ~"~ice;i ............. I. Location of land' on which~roposed work will be done. Map No.: ........................................ Lot No.: ................ -, ree~ ar~ ~lumoer ..................................... .~....%....~ .......................... %..~ ............... i~..i~...I.....~. ~.: ............ Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: C~... ~ _ ~o' ''^" a. Existing use and occupancy .......... ?....~....~ .............. ,.~.~.,~.....?. ............................................... b. Intended use and occupancy ..... ~..~..W..W.7. ............... ..1~-::'.;.:..~.=.....:~..~.-.~...: ................ ~ ............... 3. Nature of work (check which applicable): New Building .................. Addition .................. Altera.tion .................. Repair .................. Removal .................. Demolition .................. Other Work (Describe) ........................................ 4. Estimated 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 cars .~.~ ~ '~ ~ ~ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .......... ~ ......... 7. Dimensions of existing structures, f any Front ~ O. Rear .......... <3 Deoth ~ o He ght ,~ ~ ~Number of Stor es .................... ~,.....~, ................................................................................... D~mens~ons of same structure with alterations or additions: Front ......... ./..~,....~. .............. Rear ..../..~......O. ............ Depth ................................ Height'~..~....7..~umber of Stories ..... L.~...~ 8. Dimensions of entire new construction; Front ......... ..o~....~ ..........Rear ...... ...*~......el,.-~,,~. Depth .....~.....~ .... Height ~ ~ Number of Stories -- ~, ~ ,~ 9. Size of lot: Front ............................ Rear .................................... Depth ................................ 70. Dote of Purchase ..~.,.!..?..~..(,. ...................... Name of Foyer Owner ...~ ........................ 11. Zone or use district in which premises are situated ..................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation> .... .~/.o . ,3. Name of Owner of prem,ses ....... Address Name of Architect ................ !..,;;'..; ............................ Address .......................... ~. ................. Phone No. " of Contractor ~..~;.~.':~.>..~....~....^ddress ..~,~..,;~.~ ..................... ~hone No.?.~..~..~,~.~ Name PLOT DIAGPu~M Locate clear~ and distinctly all buildings, whether existing or proposed, and indicate all set-beck 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. STATE OF NEW~ORK~. / . ~j/ '~S.S COUNTY OF ....~~...'~...$ '. ~. ......................... (.~.....'~.....~ .............. being duly sworn, deposes and says that he is the applicant (Name of individual signing al~glicatibh) 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 performed in the manner set forth in the application filed therewith. Sworn to before me this ~, ~ .......... · . ........... (ay of .~ ........................ , l~..~.'f.. ~, ~, ~ Notary Public, ..~,-~_ .....~...(~:.::~ .............. Coun~ ............. '~"~l ........... i~i~'~'t~;;'~'~ii~'~ .......................... Noto~ l~ew Yozk NEW YORK BOARD OF FiRE UNDERwRITERs F__~II BUREAU ~ ELE~ 8S JOHN ST~, NEW YO~ NEW ~RK 10038 ~.~r~ ,~, ,~ ~,,.~o.o.~,. "~'~ N 382522 THIS C~FIE6 ~AT I 200 Ce 2 x I ~/0 I ~/0