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Home My WebLink About7099-zFOF~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Cerfi[icnte Occupnncy No..Z .~9.7.~. ..... Date .............J..tU~... 2.[ ...... , 19..~. THIS CERTIFIES that the building located at .~.&~;.tha¥~...La.l~ ............ Street Map No.. l~.c~rth..WoO~iock No ........... Lot No..5......Cu.t. 0h.o.~a~.....N; .Y.o .......... conforms substantially to the Application for Building Permit heretofore filed in this office dated .........Ear ...... l.., 19. ~. pursuant to which Building Permit No... ?flQ~Z dated ........... P,a~ ... 1 .... , 19. ~, 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 .. ~ri¥~.t.e..o~.~..f~i.!y. ~.~!l.i~. g ..................................... The certificate is issued to .Ler. oy. g&rllee ....... .owner. ............................ (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . J~e. 2~..19~....bi[ .R*. ~ll& ..... UNDERWRITERS CERTIFICATE No.. ~/.t~..20..19~...bY..J.;..K.~.~k~I, .......... HOUSE NUMBER ..... [i~0 ..... Street .... ldagthe~e, .Lane ....................... · ' FOBM NO. ~g 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) No. 7099 Z Permission is hereby granted to: ...... ~f~,;l~..~l~,.~r.....~.,~.,. ............................ at premises located at Ll~.t~..iL..~....JJO3~h..~oodll ......................................................................... ........................................... 3a.t.~r,~m,a...Lane ................ ~'~zt, ei~ze ............................................... pursuant to application dated .........................!:~.~......~. ................ , 19.~..., and approved by the Building Inspector. Fee $..1.:1~,~ ........ Building Inspector THE NEW YORK BOARD OF FIRE UNDERWRITERS ~ a j( BUREAU OI= ELECTFUCI~' / 85 JOHN STREET, NEW YORK, NEW:YORK 10038 o,,,. June 26. ].97~ ..,.,,,,,,.o.~,o.,.,/,,. ?.~7592 N 167471 TNIS CEI~rlFIES THAT only th~ e~ctdcd ~qu~m~nt ~s d~cdlJ~d ~o~ mhd introduced by th~ mj~dlc~t n~rr~d on th~ obot~ ~ppJic~tio~ ~umbEr /n t~e pr~mis~ of Kennith Woods, e/end Matheaus Lane, 500' e/off Cox Lane, Cutehogu~ L.I. i. the~llowi.g Io~.t~.; L~ B,.~.t ~ ~,t ~. [~ 2~ ~. Out 3~de S~,o. Bilk wase~amin~donJuno~0, ~9T~ ~d~u~tobein~m~ia~ewiththe~qui~ments~th~B~rd. FIXTURE LiCEPTA I W I FIXTURES DRYERS FURNACE MOTORS ~UTURE AI~LIANCE FL~D~I~ AMT. K.W. Oit~j H.P. OA~ H.P. A/~T. NO. A.W.O. SERVICE DISCONNECT S NO. OF CC, CONg. 1 1 100 CB OTHER APPARATUS: COOKING D~CKS ] OVENS ] DISH WASHERS !,..j. I J.._L *Furnaces: Oil 1-1/Shp, 1-1/12bp Motor/s:l-lhp Joseph Hololob, Box 2~1 Yaphank, L.I. V I C E A. W. G, Ne. OF HI-LEG OF CC. COND. Lot EXHAUST FANS DIMMERS COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. ' ~- TOWN OF SOUTHOLD ~'~--~~ ~ ~~ ~ BUILDING DEPARTMENT,e2,,~,,~..' .;~.. ~ ~ TOWN CLERK'S OFFI~/~ ~ ~-- - ~ ~ ~UTH~D, H. Y./~~ ~omin~ ....... ~..~..L ........ , 19...~.~. ~; j ~p~ti~ No. -: ......~...~ .............. ,( / . ......... ? . ~i ......... ~:"l[ .................................. ~ ........... ~'~ ................ ..... ........................ ~' ~' I INSTRUCTIONS ~ · ication must be completely filled in by typewriter or in ink and submitted in triplicate to the Building 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, am:l~t giving a detailed description of layout of property must be drawn on 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 Ce.rtificate of Occupancy shall have been ~ranted by the Building Inspector. ordinances, building code, housing code, and regulations, and to admit authorized inspectors or~p~emi~i~and in buildings for necessary inspections. (Signature ~ ap'p~a~n[, or name, if a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber o Name of owner of prem sec If applicant is a corporate, signature of duly authorized officer. ~ ~ ........................................(Name and title: ............................. of corporate officer): ............................ ~"~ ~'~i~'~':~' '!" ~ ~"' ~'~" ~ i~'::7~'! :~',...*c~'~ ' , ~ ~ - , - L~ ~ ~ ~ ~ '~'t~o~ Builders L,cense No..~.=,~.~....~. ............ ~. ~ ~ .. ,,..~: ,; ,~,,~,,j C~ Plumber's ~,cense No..~...~.~ ......... ~(~ ~'U;~'~" '"' "~"~':: ~ Ele~ricians Licen~ No...~....~..i.~..[.~ ' ~;~~' ~' t ~ ~ Other Trade's License No.~]~~l~, ~SO ~ '~, V ~ ~ 1. L~ation of land on Which propo~ work will be ~one. Map No....~~.~..~....Lot No ....... :~ ............ / Strut and Numar ~~.~ ~ ~{~ ~ ......................... ............. : .................................... ..... ............................................. Municipaliw 2. Sram exi~ing u~ and o~upancy of premiss and intended u~ and ~cupancy of propo~ con~mction: a. Exi~ing u~ and ~cupancy ....................~.~.~ ......................... . ................................................................... ~ b. Intended u~ and ~upancy ................... ~ ...... ~.~.:~ ..................... ~ ..................................... ~'. Addition 3. Natu*re of work (check which apl)licable): New Building .................................. Alteration ........... ;..[ Repair Removal .................. Demolition Other Work ..................... (Description) 4. Estimated Cost ........... !..~..'; ...................... Fee .......... ~ ...................................................................... (to be paid on filing this application) s 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 occuoancy, specify nature and extent of each type of use ........ ..~...3........~..,~.. . 7. Dimensions of existing structures, if anY: Front ...... L~).....N...~.... Rear ........................... Del)th ................................... Height ................. ............................. Number of Stories ..................~T... ................ , ....................................... Dimensions of same structure with alterations or additions: Front .......................... Rear ......................................... Depth ............................................. Height ............... ~le,.'. .................. Number of Stories ........................................ 8. D~menslons of entire new construction. Front ........... .~... Rear ......... ~.{~...7,~.,~.. Depth ...... ,~r~, .................. Height ............... .*~ ............................ Number of Stones ............................. :.'.......'. .................................................. 9. Size of, lot: Front ..~'%" .............................. Rear ...... .~,.~'.~,...~..~.,::---- ~ - ........... Depth ........ ~....7.J~e..~:.7... ....................... 10. Date of Purchase ....P~./,,..v-/....,.~...~..~. Name of Former Owner ......... ~.....~..~.~¢~.L:~,..~, ............................ 11. Zone o~ usa district in which premises are situated ..................... ~:,~.~....{ ......... ,...:..... ....................................... '12. Does p:roposed ~ *' . ........................................................... construction violate any zoning law, ordinance or regulation: 13. Will lot be regreded ........ .~. ...........~ ..... Wi_[llexcess~llberemoved from premises: [ ] Yes [ ] No 14. Name of Owner of premi_ses~ ................ ,t[n.~..(~r;w~.....~}:~,.~.,~ ....... /~1~.~ .......... .~'~'.~':~'~"5 .... · ~-'~ . I .~. ~ ~ . (Address) ~. , (Phone Name Of Arch.tect ....... - , - ..... Name of Contrector ............................ ~'~.~/~1~ ...... ~~.."' ...... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions f~om property lines. Give street and block number or description according to deed, and show street names and indicate wheth- er interior o~' corner lot. ST^T r COUNTY OF ,,,.;,.,,; ........... ; .......... :; .......... ,,,,;,,,_.) ....................... , .................................................................................. being duly sworn, deposes and says that he is the applicant above named. (Name of individual signing contract) .He is the (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed t~e, said work a,j~to make and file this application; that all statements contained in this application are true to the best of his knoWledge and b~lief; and t~'at ~J3e w~'k ~ ill~ae-~rformed in the manner set forth in the application ~filed.therewit Lo! 5 M~ T~ ~ WS Cox Lane L A/VE Unauthorized alteration ar addition to this suwey is a t~latlon o~ ~ection 7209 of the Ney/York State Education Law. S 68°02'40'W Md TTITUCK GUN CLUB MA P O6 NOR TH WOODS Fi/ed May ~1,1970 NO 5469 C UTC HO 6UE TO WN OY S~THO~D SUFFOLK COUNTY, NY ~'ILL/~M G M£/£~ Wadin9 River Land Surveyor N.)~ S/ate License No 21656 Scale I : 40 No '4 ~508 lo! 5 THE W5 L GUARANTEED TO: RIVERHEAD SAVINGS BANK HOME TITLE DIVISION-C.T.I Co. SUI~FOLK COUNTY HEALTH DEPARTMEN2 DATE~UN~ H. D. ~F. The sewage disposal ~d wate~ supply facilities for this location have been inspectea by this ~epartment ,o be satisfac~~ Chief of General Engineerln~ s erv S 68°02'40''w. 178 47 TTITUCK GUS/ CLUB Redoted 4-5-74 under const Revised 6-2~ Unauthorized aIlerafic~n o, addilior~ to ~his survey ;s a violation of SUPVEY OF LOt 6 MAP OF NOt, TH WOODS F/led May21, 1970 00.5469 C 41 TC HO 5UE TO WN OF SOUTHOLD SUFFOLK COUNTY, NY FOF? KENNETH WOODS ~IILIIA M G MEI£F~ ~urveyed- ~-I- P4 land ~urv~yor 5cole - 1'9 40 ' N.~ State L~cense ~0 ZI656 No '4~508 DONALD A. DENIS;, A. I. A. 4- DENIS, A. !. A. OV~NE~SHtp OF DOCUMENTS DRAWINGS AN~ SPECIFI~AflON 'k T ,! R / 1'- DONALD A, DENI$~ A. 11. A, t 'l , ,," , /,r ~,./<-., ~t:/'~.~/,po~-<' ~-,'-,r~[E~-~,l~- OF DOCUMENTS ,! , ', . : C.W,~NEI(SF?P';g~F'DOCUMt~NTS DENIS, A. '1. A.