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Home My WebLink About7480-zFOB~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupancy THIS CERTIFIES that the building located at . .B.e.a..c.~..o.o..d...I~. ............ Street Map NoBeachwood.. Block No ........... Lot No. 2. ·. C~Atch~gue .... I~,Y.. ......... conforms substantially to the Application for Building Permit heretofore fried in this office dated ......... Aug...~6 .... , 19.7.1+. pursuant to which Building Permit dated ........... A~A$..16 .... , 197.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 . ~r~vate..~.ne..£amil~. dw211ing, with. alt. & .addn. .................. The certificate is issued toWill tam. F, nglea ..... (,~ner. ............................ (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval ~!, R... ............................... UNDERWRITERS CERTIFICATE No. N2.1360~ .... l.~ar...l~...197~. ................ HOUSE NUMBER ... 10.~...Beach~tmdt Rc~ ....................................... Building Inspecto~ Im'oBM NO. ~ TOWN OF SOUTHOLD BUILDII~ DEPARTMENT TO~N CLERK'S ~FIGE SOUTHOLD, N~ Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 7 80 Z Permission is hereby granted to: ........... lle,~..,S.uf.D','~ k ......................................... at premises located at .~el~...l~. ........... ~HI~ ............................................................................. ..................................... Z% ~ ~.,,W.,,..~d~£...~. ~£w .......... Cmteheeue ......................................... pursuant to application dated ....................... All~ll~t ....... .1~--.., 19~ .....and approved by the Building Inspector. TOWN OF SOUTHOLD BUILDING DE~RTMENT TOWN CLERK S OFFICE ~UTH~D, N. Y. ~ Examined 19~..~. ~proved ........ ~.f...~ ....... ~......, 19.~Pe~it No..~.~....~ Di~pproved a/c ............................................................ (Building lnsp~tor) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or~ in ink and submitted in triplicate to the BuildingS, Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. 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 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 applicab · Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolit on, as herein described. The applicant 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. Eugene Horton & Sons Ina ......... i~'~'~'~t'.';;' j ~'~'~ii'~;;;~i"~;"~'~'~"i~'*a"~'~';~;orati~;~i ........ New Suffolk (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Builder Nome of owner of premises ..~,~,l,~L..~,O.g~,~ ........................................... 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 ..... i~.~....~ .............. Other Trade's License No ............................................... Location af land on which proposed work will be done. Map No.: ............... ~eachwood. ........................ Lot No ......................... Street and Number R.O.W.off Dean Drive Cutchogue Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy dwelling b. Intended use and occupancy same with an addition 3. Nature of work (check which applicable): New Building'. ................. Addition .....~ ...... Alteration .....~,,~. ....... Repair .................. Removal .................. Demolition .................... Other Work ................................................ . .... (Description) 4. Estimated Cost ................ .?..,.j..o..0....._+.. ........................ Fee ........................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ...... ..o..~...e. .............. 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, if any: 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..be ........................... Rear ............ .1..be ........... Depth ...... ..2..0.. ............ Height .................... Number of Stories ...Q:n.,e. ............................................................................................................ 9. Size of lot: Front ........................................................ Rear .......................................... Depth ................................ 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated ....!!~,!]...(;],~,.,S.~ .............................................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation: ..Z~O. ................................................ 13. Will lot be regraded ..BO. ..................... Will excess fill be removed from premises: ( ) Yes ( ) No 14. Name of Owner of premises .....W.$,].~:Lf~R..]~,g.~.~,.$. ............. Address ................................ Phone No. ...................... Name of Architect .............................................................. Address ................................ Phone No ....................... Name of Contractor ~.~,&~e...~O.Z'.~.~...~....~.q~..8....Z.~.gAddress ............ Phone No ....................... PLOT DIAGRAM Locate clearly and distinctly all 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 interior or corner lot. STATE OF NE~',,~,~. COUNTY OF .?....u~..~..u....~:... .............. ~--,..~ ................................................................................................ being duly sworn, deposes and says that he is the applican~ (Name of individual signing contrac~ above name. 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 ~ke and file this application; that oil statements contained in this application ~e to the best of~is kno~edge and belief; and tha~ the work wilt be performed in the manner set fo~h in the app~ation~iled there~ith/ J ~/ / Sworn to before me this ' .................... ........ ................... JUDITH T. BO~E~ ~ Public, Slate of New York No. ~2-0344963 Suffolk Count~/ THE NEW YORK BOARD ,OF FIRE UNDERWRITERS ~I.W BUREAU OF ELECTRICITY J-'- 85 JOHN STREET, NEW YORK, NEW yoRK 10038 ...,~.'~y ~z, zp?~ ~..,,~.,,..~o.o.~,,. 7~1~' N 173833 THIB CE~IPIES THAT Wl1~11~1~ Engels~ s/end De~ D~.j Cutchoque~ ~.Z. in the following ~ocatlon; [] Basement [] 1st FI. [] 2nd FI. OutBlde Section Block Lot vvoa examined on J L~ l y 2 5 ~ 19 7 ~ and found to be in compliance tvith the requirements of this Board. J,'t',,,. SERVI~ DISCONNECT I NO. O~ .]. ~00 CB METER. OTHER APPARATUS= RAW ~PECIAL REC'PT I~OOKING 0ECKS OVENS DISH WASHERS AMT. K, W,I AMT. K,W, ~6T. K, W, EXHAUST FANS DIMMERS NO. OF CRC~,COND.A.W.G. OF CC, COND. 3/o NO, Of HI-LEG OF NEUTRAL W.B.Ruland(Elect~lclan) ~attttuck, Will lam Engels, 's/s Dean Dr. , s/off New Suffolk Av, e., Cutchoqu~, .L.Y. ~XTUlE ~EPTA m [ WT HE' I mXTURES RA~ES ~KINGD~KS ' O~NS DISH WASHERS EXHAUST FANS : /* I ". I .: ' ." · I :'. ,. , DRYERS I .mRNACE MOTORS I ~URE i~i~E ~DE"S ISPK'iLnK .J T,ME~S I .~ I~'TNEiTERS IMULT'~T~TI DIMMERS THIS IS YOUB~LL FOR SERVICE RENDERED AND IS NOT A CERTIFICATE OF COMPUANCE. THIS BILL PAYABLE AT THE NEW YORK OFFICE, 65 JOHN STREET, NEW YORK N. Y, 100311 FORM NO. 6 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: l. 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 approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings end "pre-ex'st'rig ' 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: 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"~'7~'''~'~''' Date ..................... New Building ................ Addition ...... ..~....... Old or Pre-existing Building ................ Vacant Land Of Property .... :.~.~...~:~..~.~.....L..C..,.O..,....~...~......~)..~,..... ~.~...~.~..X/~.~ Location Ow,er Or Ow.ers Of Property ..... Subdivision .................................................. |.....i ....... Lot No ............. Block No ............. House No ............. Permit No......~1...~..~. Date Of Permit .~.l).~.J.~..~j ~App cant ..~f~....-~......~..~...~...~.~ .................. Health Dept. Approval ............................................ Labor Dept. Approval ................................................ Underwriters Approval ......... ~ .......................... Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Final Certificate .....~ ........................... Fee Submitted $ .......~'....:.,,'~(~.. ................. Construction on above described building a(~m~it meets ol~lic~e c~ regulations. Applicant ....~.~....~......~.~~ Sworn to before me this ~ ............................ ....... day of ........ (stamp or seal,~~' /~ ~