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Home My WebLink About8916-zNO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Town Clerk's Of[ice $outhold, N. Y. Certificete Of Occupency No...~77.~..~..... Date June 22 19.7.7. THIS CERTIFIES that the building located at . .l~/e~...F;~x?.$$. ~ ........ Street Map No.. ~ ........ Block No. ~ ........ Lot No, ~ .... N.$.~..S..~..f.o.l.k... ?....Y: ..... conforms substantially to the Application for Building Permit heretofore filed in ~hi~ office dated ................ .O~.t... ,'Iii9. ?.6. pursuant to which Building Permit No... 8.~6Z dated Oct q~ 19?6 was issued, and conforms to all o! the require- ments of the applicable provisions of the law. The occupancy for which this certificate is ~sued ~ Private one family dwelling with addition & Alt The cer~Aficate As ~sued to ~rJory ~uthill Owner (owner, lessee or ~enant) o! the nforese]d building. Su~o~k County Departmen~ of Hee]th Approve] ~.R. ................................ u~oERw~.~ cER~IFz¢~ ~o .... ~.~.~ ~.7.~. ..... ~..~.. ?~....~.9.~.? .............. HOUSE NUMBER ~6~0 ~treet First St New Suffolk .......... (THIS PERMIT MUST BE KEPT ON THE I~EMISE~JNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~. 8916 Z ............... .~r~enpcz~ .......................................... m .~thtl~.~..add~tio=..~u..eziatin&..dwa~ l/ri& ............................................................... ~ ~ ~ ~ ..... H~..e~d....~t=&t..&t ................................................................................ l{e~ ~uf~o~k ....................................... ~rt~mt to application dated ......................... J0~t ....... .1..~ ............ 19.~).., and approved by t~e [ [- B~lding Impec~ (' THE NEW YORK BOARD OF FIRE UNDERWRITERS -- J '~ BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 1003E THIS CERTIFIES THAT Marjorie Tuthlll, School House Creek, New Suffolk, L.I. .as e~amlnodon January 17, Elec. Room Heaters: 1-4.0kw. Motors: 1-1/3hp. 1-4.5kw Hot Water Heater This cetf~f*cote must not be altered .in any manner; return to the o~fice of the ~,oord if incorrect. Inspectors moy~°e;e ~denh~lecl by sou'mm.e, N.Y. ? Date 0et; 1~ 19....~.~.....~ a. This application must be completely filled in by typewriter o~ in ink and submitted in triplicate to the Building Inspector, with 3 sets of plans, accuratq 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 of 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 applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, 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. ,los Diaz (Signature of applicant, or name, if a corporation) Greenp. ort (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises .......M~...r..J .o....z~'......~...~.~..:L..~.~ ........................................................................................................... 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 ............................................. Other Trade's License No ............................................... 1. Location of land on which proposed work will be done. Map No.: ......... ~ .......................... Lot ~1o ....... ~ ............. Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. ExisitJng use and occupancy ...... .~..¥..e...~..];...:~..j~. ....................................................................................................... b. Intended use and occupancy ............. ..~. ............ .~..~..~.~....~..~..~.~-..~-.9.~ .................................................................... 3. Nature of work (check which applicable): New Building.. ................. Addition .....Z~l; ........ Alteration ....~1;..~.,.;.. Repair .................. Removal .................. Demolition ............ ,: ..... Other Work .................................................... (Description) 1+800 + . 5.oo ............................................................ 4. Estimated Cost .......................................................... tee .............................. (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 11+ , Rear ~l+ Depth Height .................... Number of Stories ......................................................................................................... ..~.....s.~.e.,d g. Size of lot: Front ........................................................ Rear .......................................... Depth ................................ ]0. Date of Purchase ........................................................ Name of Former Owner ........................................................ "A" dist 11. Zone or use district in which premises are situated ..................................................................................................... ]2. Does proposed construction violate any zoning law, ordinance or regulation: ~.O. ................................................... 13. Will lot be regraded ............................ Will excess fill be removed from premises: ( ) Yes ( ) No MarJory Tut~ill N. S~tffolk Phone No. 14. Name of Owner of premises .................................................... Address .................................................... ;. Nome of Architect .............................................................. Address ................................ Phone No ....................... Name of Contractor ...,?.:..D..~...~.~. .......................................... Address ........ .G.,~e..~.~..o..~.~... 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 NEW YOI~K,_, ~ ¢ ¢ COUNTY OF .......... .~...~..i .Z...q ..~........ ~~'' ..................... ~.O..~........D..~..~..~ ...................................................... being duly sworn, deposes and says that he is the applicam (Name of individual signing contract) above named. He is the .......................... .~.~.J:..l..~?...~. ...................................................................................................................................... (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 Notary Public, . .............. J~t~.~'.O.].~ ................... County ../...../.w......~;,':=¢~..../~...../t....~,./....~.7......7....'-.:/ ...................... Netary Public, Stete o! ~ew.0rk )! ,