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Home My WebLink About8888-zNO. · TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupnncy No. Z761~ Date April 20 ~ 77 THIS CERTIFIES that the building located at . Mi~ne..h~h..a. B..1.v.d. .......... Street Map No..xx ......... Block No. . ~ ... Lot No, ~c...~ou.~hold...N,Y ............ conforms substantially to the Application for Building Permit heretofore filed in this office dated ....... .~.e?.t. 28..., 19 ?.6. pursuant to which Building Permit No... ~.8.8.8.~. dated . . S.e.~'f%...29 ..... , 10.7.6. , was issued, and conforms to ~11 of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is ...~.riv.a~q. The certificate is issued to . .Ri.c.%q.r~./..Pr.~,e.~.q ...... 9.wr~.e~'. by Bd Appeals) (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval N,iq, ................ UNDERWRITERS CERTIFICATE No. N..3~,8.8.~,~:. .... M:a.r, .1.1~....1.9.?~7 ................. HOUSE NUMBER . . .~.6~.Q . Street . M..t~.~.h~.b~. ~l.v. cl ......................... ....s~e.p..to...o.u.t.s.l..~.e..~:.ow.e.~:..~: .o. wn..e.r ........................................ ~O~M NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FUEL COMPLETION OF THE WORK AUTHORIZED) 8888 Z Permission is hereby gronted to: (]~.Ol~ge Al~el~l~l ]~i~{leFt I~e. ~ - ~C ~c~r~ Pri~to ............. ~nn~..~~ ........... ~ .... k FoBM ~0. ~ 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 w,th the fallowing; for new buddings or new use. 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval af Health Dept. of water supply and sewerage disposal--(S-9 form or equal). 3. Approval of electrical ,nstallation from Board of Fire Underwriters 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installations, a certificate of Code compliance fram the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed s~te plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and 'pre-ex,sting" 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 buildmgs or premises, or other pertinent in- formation required to prepare a certificate. C. Fees: ]. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $] .00 .z.. ..................... New Building ................ Addition ..~. ......... Old or Pre-existing Building ................ Vacant Land .............. · ocat,on of CM,ner Or Owners Of Property .../~..:~'~/4.~.. ........................................................................................... Subdivision ................................................................ Lot No ............. Block No ............. House No ............ Permit No~..¢~......~.... Date Of Permit ~./.~......Applicant Health Dept. Approval ............................................ Labor Dept. Approval ............................................... Underwriters Approval .............................................. Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Final Certificate ..~... .................................. Fee Submitted $ ......~.......c~... .................... Sworn to before me this (stamp or Notary Pubhc ~ .... County TOWN OF SOUTHOI. D BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ..~.e.]g..~. .......... .2.9. .............. 19....~..6. Application No ..... .~.~j.~..8.. ................. ~proved ,.~ .......... ~.~ ............. , 19....~ Permit No ....... u' u~ .......... '~~ c~d~/ ~, Z Disapproved a/c .......... ~ .............................................................. ~ ~ ~ ~ ~ ~ ) ................................. :::::::::::::::::::::::::::::::::::::::: ........................ APPLICATION FOR BUILDING PERMIT Date ..... ~.~3~ .~.~.~1~..~ ~... ~.~. ~ ............. 19. Z.~ .... INSTRUCTIONS a Th~s apphcation must be completely filled in by typewriter or ~n ink and submitted in triplicate to the Buildin Inspector, w,th 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b Plol plan showing location of lot and of buddings on premises, relahonsh~p to adjoining premises or pubhc streets c areas, and gwing a detaded description of layout of property must be drawn on the diagram which is part of th~s applicatio, c. The work covered by this apphcation may not be commenced before sssuance of Building Permit. d Upon approval of this apphcation, the Building Inspector will issue a Building Permit to the applicant Such perm 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 Occupanc 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 th Budding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances · Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describe, The epphcant agrees to comply with all apphcable laws, ordinances, build.ng code, housing code, and regulations, and [ admit authorized inspectors on premises and in buildings for necessary inspections. GEORGE AHLERS, BUILDER, INC. (Signature of applicant, or name, if a corporation) (Address of apphcant) State whether apphcant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builde Mr. Richard Prieto Name of owner of premises ......................................................................................... If apphcant is a corporate, s~gnature of duly authorized officer. ................................................................................... George Ahlers, President (Name and title of corporate officer) Builder's License No ....... .~.~ ........................................ Plumber's License No ................................................ Electrician's License No ............................................. Other Trade's License No ............................................... Location of land on which proposed work will be done. Map No ~]r.? .......................... Lot No .................... Street and Number ~.~.~..z~..~.e..~.~'.~..~.~.~.~...~..~.~.~;.e.~.~.~.~.~g.g.~.$~g~.~..~.~.e.'~q...S.~9~~g~ ........ Municipality State ex~stmg use and occupancy of premises and intended use and occupancy of proposed construction' a Ex.siting use and occupancy ...... .cl...~..e...~..]:.$,.~.~. ............................................................................................. b Intended use and occupancy .......... 3. Nature of work (check which apphcable). New Budding .............. Addmon .... ~ ...... Alteration Repair ................. Removal .............. Demohhor. ......... Other Work ............... 4 Estimated Cost ..$]R,D.00...0D. ........................ Fee ...... ~,.~.,~0.Q ...................................................... (to be pa~d on fihng th~s apphcat~on) 5 If dwelhng, number of dwelhng units ......................... Number of dwelhng umts on each floor ................. If garage, number of cars ................................................................................................................................. 6. If business, commercial or m~xed occupancy, specify nature and extent of each type of use ......................... 7 D~mens~ons of ex~stmg structures, if any Front ...... 3~..]L ........... Rear ....... 2~'. ..............Depth ...~,~.~ Height ........................ Number of Storms ...... ~'~ .............................................................................................. D~mens,ons of same structure with alterahons or addmons Front ....... .~].,'1 .................. Rear ....~2_.~. ........ Deplh ......... ../4~.,.f8 ............. Height ......... '1~?. .......Number of Storms ............................... 8 D~mens~ons of enhre new construction' Front ................ , ................ Rear ............................ Depth ................... Height ................... Number of Storms ........................................................................................................ 9. S~ze of ]at' Front .............. ~2..! ............................. Rear ...... ,52,.~. .................... Depth .....3.2._5? ................ 10 Date of Purchase ................................................... Name of Former Owner ........................................................ 11 Zone or use d~str,ct in whmh premises are s~tuated ........... A ................................................................... 12 Doeb proposed construchon v~olate any zomng law, ordnance or regulahon ........................................................ 13 Wdl lot be regraded ............. ~j.-~.~c~Vil~c~Ce~LiloIrbeesremoved ~_~,¢erni~.fch) b-¥.~s. ( :~ No 14 Name of Owner of premises ..... ~..~..&~+,,4~ ............................ Addressl~;L~&~...~[. .... Phon~ No ...................... Name of Architect ...................................... Address ................................ Phone No ...................... Name of Contractor .Q.e..o..zqge......A~..1...ers,. ~..u..i.l.d.e..z7 ...... Address250 Cox La. 73/+-5010 PLOT DIAGRAM C]~t'~.~'~'"~" Phone No ...................... Locate cleaHy and distmctly all buddmgs, whether ex~shng or proposed, and red,cate all set-back d~mens~ons fron property hnes Gwe street and block number or descnphon accordmg to deed, and show street names and md~cat~ whether inienor or corner lot See Plan~ herewith STATE OF NEW YORK, .....}S S COUNTY OF .... .S..q ~0 J~ ..... ......................... .~..Z'...8:.~.~....~..~.?....~.~.~...O. ............................... bemg duly sworn, deposes and says that he ~s the apphcan (Name of md~wdual s~gning contract0 above named He ,s the ....................................... .a:.c¢..e..~..~.. ~..o.~...9..o..~...~..~...0.~.o..z: ....................................................................... (Contractor, agent, corporate officer, eta ) of said owner or owners, and ~s duly authorized to perform or hove performed the said work and to make and ill. this applicahon; that oil statements contained in th~s apphcahon are true to the best of h~s knowledge and behef; thor the work wdl be performed m the manner set forth m the apphcation filed therewith. Sworn to before me th,s ............ .2...8..~.. day of . ..~¢~.~e.~;;~ez'. ......... , 19 7.6. Pu,,,,c.. ...... ...... Co,, ELIZABETH ANN NEVILL~ NO'I'ARY PUBLIC, Slate ol I~ew York ~,'o 52 8125850, Suffolk CouJ]ty i't'r,TI Expires March 30. 19~'~7~ (S~gnature of applicant) FOI~M lq'O. ! TOWN OF $OUTHOLD BUILDING DEPARTMEHT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ......................................... 19 ........ (~~ '~ Approved ...~..~...~ ............. I9.~..,~.... Permit No...~..,.~...~ ......... Disapproved a/c ........................................................................................... (Building Inspector) AFPLICATION FOR BUILDING PERMIT Date ................................................ , 19 .......... INSTP, UCTIONS a. Th~s application must be completely filled ~n by typewriter or in ink and submitted in triplicate to the Buildin. Inspector, with :3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showmg location of lot and of buildmgs on premises, relationship to adjommg premises or public streets o areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this applicatior c. The work covered by this apphcat~on may not be commenced before issuance of Building Permit. d Upon approval of this apphcation, the Buildmg Inspector wdl issue a Buddmg Permit to the applicant. Such permi 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 Occupanc, shail have been granted by the Buildmg Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to th, Budding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances o Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described The apphcant agrees to comply with all applicable laws, ordnances, building code, housing code, and regulations, and t, admit authorized inspectors on premises and in buildings for necessary inspections. (SigffSture of applicant, or name, if a corporation) (Address of applicant)" State whether apphcant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises ~~4~.~..,~~ ...... ~..~ ............................................................ If apphcant ~s a corporate, s~gnature of duly authorized officer. ~'(Name and title of corporate officer) Budder's License No ......... ~..../.. ................................... Plumber's License No. ..J~ .................. Electrician's License No .... ~.~ ................ Other Trade's License No ............................................... 1 Location of land on which proposed work will be done. Map No .................................... Lot No ........................ Street and Number~'2-~....~./: ....... ~/~ .................................................... Municipality 2 State exishng use and occupancy of premises and intended use and occupancy of proposed construction: a Exis~ting use and occupancy .......................................................................................................................... use and occupancy ..... ~__~_~..: .............................................................................................. b rntended 3. Nature of work (check which applicable) New Budding ................ Addition./~....-.... ....... Alteration .............. Repair ................. Removal ............... Demohhor ................... Other Work ........................ (Description) 4. Estimated Cost ...~.~.~..~..~..: ............................... Fee ................................................................................. (to be pa~d on filing th~s apphcabon) 5. If dwelhng, number of dwelhng umts ......................... Number of dwelhng umts on each floor ........................ If garage, number of cars ....... ./..'... ~ ..................................................................................................... 6 If business, commercial or m~xed occupancy, specify nature and extent of each type of use ......................... 7 D~mens~ons of ex~stmg structures, ~f any. Front ........................ Rear ................................ Depth .................... Height ........................ Number of Stories ............................................................................................................ Dimensions of same structure w~th alterations or addmons: Front ..... ./,~..-7 ...................... Rear ....../-~...-~. .......... Deplh ....~.../. ..................... Height ....Z~-~, ....... Number of Stones ............................. 8 D~mensions of entire new construction: Front ................. , ................ Rear ............................ Depth .................... Height .................. Number of Stories .......................................................................... 9 S~ze of lot. Front ....... ¢~.......~.~.. ........................ Rear ........ ,~....~ ...................... Depth ....Z~..~]].... ........... 10. Date of Purchase ................................................. Name of Former Owner ...................................................... ! 1. Zone or use district tn which premtses are s~tuated ................................................................................... 12 Does proposed construchon violate any zoning law, ordinance or regulabon: ......... ~.. .................................... 13 Wdl lot be regraded ........ ~ ............ Will excess fill be removed from premises: ( ) Yes (~o 14. Name of Owner of premises ..~..~,t. ...... .¢Z..~ .......... Address ~ ........ :.. Phone No ...................... Narne of Architect ......................................... Address~.]]4'g,""'""'"~'"~"b¢~ Phone No ...................... Name of Contractor~ ..... ~ ............. Address ~¢,~,.. Phone PLOT DIAGRAM Locate clearly and distinctly all buddings, whether ex~stmg or proposed, and ~n&cate all set-back dimensions frorr property lines Give street and block number or descnphon according to deed, and show street names and indicat: whether mter~or or corner lot STATE OF NEW Y)CR~¢,,~',~///,' [ S S COUNTY OF ...,~¢¢~'1~ ..... % ........................................................................................ being duly sworn, deposes and says that he ~s the applicar (Name of individual s~gnmg contracf) above named. He ~s the ................................................................................................................................................................. (Contractor, agent, corporate officer, etc.) of sam owner or owners, and ~s duly authorized to perform or have performed the sa~d work and to make and fd this applicabon; that all statements contained ~n this apphcotion are true to the best of his knowledge and behef; an that the work will be performed in the manner set fo~h m the apphcation filed therewith Sworn to befor~ me th~s _