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Home My WebLink About8829-zFORM NO. & TOWN OF SOUTHOLD BUILDING DEPAI{TMENT Town Clerk's Office $outhold, N. Y. Certificnte Of Occupnncy No. Z7~90 ...... Date .......... ~&r.. 28 ..... , 1977.. THIS CERTIFIES that the building located at Eastwo. od. Dl';i,~e ......... Street Map No..~.~.t..W. 00.~ ]~l~k No .......... Lot No, ~ .... Cuf~Cho~.. N~.Y, .......... conforms substantially to the Application for Building Permit heretofore filed in this office dated . .'V ..... ~.ept .~ ..., 19 76. pursuant to which Building Permit No. 8.829Z.. dated .... .S.sgt....~ .... , 19.7.6., was issued, and conforms to all of the require- merits of the applicable provisions of the law. The occupancy for which this certificate is issued is .P.~..~.v.a~.e..o.~.q..f..~.t..l.y..d.w..e.l.1..~. g ..................................... The certificate is issued to .~.~I'Y...8.~hr~e. icle~. .... . .O',~el' ....................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .~eb.. 2...~.9~7 · .byti.,..lri:L~,~ ..... UNDERWRITERS CERTIFICATE No. ~3~.8 ..... Feb...~.]9.~.~. ................. HOUSE NUMBER . .6.~.0 ........ Street..E.~.s.~.o~..~.~'~.~ ....................... :, _. ?. ;:. ,~ TH E ,NEW YORK, BOARD Of FIRE UNDERWRITERS 'a~'? ,]~t_[~ !] ..... ,?',, d: "' , BUREAU OF ELECTRICITY 7~)1 ¥, (~:lil~l b%~ ,' 85 JOHN STREET. NEW YORK, NEW YORK 10038 eJ~t~ca[ ~ulp~en~ ~,~SE~ ~JOW a~ intr~ ~ t~ a~pJlcant ~,on ~e ab~ a~plicatio. ~u~ber ~ the premises of _.Mr,..- G. ~.S ~hwe~de~,_ ~ , .Eastwood :Drive, Cros s .~Rd' ~ Cutchogue, L.I . ~.~t-.a .a :',~Fe$ rQary'7;,7, ~; ~9 77, ,,: ' and f°und to be ,n comphance ~lth the requ,rements of thl, Board. ..... " " ' THAN SYSTEMS ~,3 :F,, ~t'" 't-,,, E:,:,* ,,-t~; "' '' & 30 ,i~, ~,-,~;', ,, 'Z", 'l~l'~-' :'J ~ ~' I h ,-': I ..... 'uTZ,~ ,/ _ z, =-'1::": '~- '~: m ~--" ~;i'~*' u, II , 71 .... r_ : H-: ti Z~I :- ,~-i ~ ~ ~i must not be altered ,n any moflnerl- return to the office -of the Board' if 'mncorrect, Inspectors may be mdenhfmed by the~ 3. Nature of work (check which applicable). New Building ................. ~/ Addition .................. Alteration ..... Repair ................. Removal .................Demolmon ................ Other Work ................................................. ~.---- ~O_ (Description) 4. Est,mated Cost .................'~ ....................... ~' r.)'-O-~.~__.... ..... ...... Fee ................................................................................... (to be paid on filing th~s application) ! 5. If dwelling, number of dwelling units ........ ~. ................ Number of dwelhng units on each floor ......... ./.. ............. If garage, number of cars .................... ~'~ ........................................................................................................ 6. If business, commercial or mixed occupancy, spectfy nature and extent of each type of use ........................ 7 Dimensions of existing structures, if any Front .........................Rear ................................ Depth ................... Height ........................ Number of Stones ........................................................................................................ Dimensions of same structure with alterations or addmons Front .................................... Rear ......................... Depth ............................... Height .....................Number of Stones .............................. 8 D,rnensions of entire new construct[on' Front ........... ~-.'"-~., ................ Rear ........ .?....~. ........... Depth .... .?....f~.. ...... -.¢.,~--..~f.."?l fh ....... Nurqber of Stories ............... ~ ...................................... ~ .......................................... Height 9. Size of lot Front ......... .~...~.. ...................................... Rear ................ r ....... /. ............. Depth ............................. 10 Date of Purchase ...................................................... Name of Former Owner ..................................................... 1 1 Zone or use district in which prem[ses are situated .............................................................................................. 12 Does proposed constructign violate any zoning law, ord,nance or regulation: ....... ...~/.....~.. 13. Wdl lot be regraded ..... .~.././~.....~ .......... Will excess fill. be removed from premises: (. f'~es . (~'No 14 Name of Owner of prem,ses .z¥?./...~....~...~/.......~..~ .~...~..~...~..(Q./-~.~. Address .~.~.~..!./..?...../~../..~.~..~_...~ Jl~o~ne~t~lo. ¢~.~.~..~.~./..~ Name of Architect .../1~j.,~.. :.~...~... ~..~C.~ ......... Address ./.~...~.{/~...-~../Q~) Phone No .~. 7..'~-~ Name of Contractor . .~..!.~...~..I.C:..~.......~2..~.....~.1'..,.. .~.......!...~....~...: .... Address ~.'~].~:.~....'~..~..~....~.~... Phone No. PLOT DIAGRAM Locate clearly and d~stmctly all buddings, whether ex~stmg or proposed, and red,cate all set-back dimensions fro property hnes Gwe street and block number or description according to deed, and show street names and induce whether interior or corner lot STATE OF NEW )~'OR.~,/'~// [ c S COUNTY OF~ ...... ~"~' ............................................................................................. being duly sworn, deposes and says that he ~s the appl~ca (Name of ~ndividuai signing contracf) above named He ~s the ................................................................................................................................................................... (Contractor, agent, corporate officer, etc) of sa~d owner or owners, and is duly authorized to perform or have performed the sa,d work and to make and this apphcahon; that all statements contained m this apphcat~on are true to the best of his knowledge and belief; ar thor the work will be performed ~n the manner set forth in the apphcation filed therewith Sworn to beJ:ore me th~s BOKEN/~.~.~,,~,.,i (Signature of applicant) ;UDITH ,0blc, Stale 01 tlew York ~ dJ44~r~3, Suffolk County ~,u,mmss~on Expires ~arch 30~ ),9// THE LOCATION OF WELLS ANO CESSPOOLS SHOWN HEREON ARE FROM FIELD OBSERVATIONS AND OR FROM DATA OBTAINED FROM OTHERS ~,E WATER SUPPLY A~O SEWAGE D~$.OSAL B~STEMS POe THIS w~L co,~o,, To ~.E ~T~,OA,os o~ T,~ su~oL, COU,T~ OF HEALTH ~ERV~CES ,/~1 ~/ ~ ~ ~ SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES FOA APPROVAL OF CONSTRUCTION ONLY APPROVED ~ ~ ,~ 0¢ · oo~ et , 0:¢.Oe NO"E: l= MONUMENI' m-' STAK£ SUBDIVISION MAP F~£O IN I'HE OFF/CE OF 7'HE C£~RK OF' $1JF'F'O/-/~ COUNZ'Y ON NOV:, 16,/3E;~ AS F'//.E /VO.$68,:,',','T .£V'S~ONS YOUNG & YOUNG 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK ^-DE~ w ~'OUN~ NOWARD W. YOU,< SURVEY FOR: LOT NO. $;'I~AP OF EASTWOOD ESTATES" AT' GUARANTEED TO: FL EET~ NECK GARY lY SCttN£1DER ,, SECURITY TITLE & GUARANTY CO TOWN OF SO U THO £ O SUFFOLK CO., N.Y. ~¥ ' , I ....