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Home My WebLink About8924-zTOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupnncy THIS CERTIFIES that the building located at ...8/~. P. ln~. ~x~ez. ;Road .... Street Map No. ~. a.~.~.:..~..~.: Block No ........... Lot No..~.t...~?r.~...C~.?.~.°.~W...~.:¥:... conforms substantially to the Application for Building Permit heretofore filed in this office dated ........... 0q.~.. J.~...., 197..6. pursuant to which Building Permit No..8.9.2..~.~.. dated ......... ~q~....].~. ....., 19..7.~., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is Prlve~te one family dwe]!tn~ issued is ............................ : ........................................... The certificate is issued to . .~.h.e.r.~.Oa..Kl..~d.~.f.~ ....... .o~..n.~.~. ....................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .Jf'~..3J. ~..].9.7.7. ~Y...R.,..~:i..1.1.~. ...... UNDERWRITERS CERTIFICATE No.. ?..~2~?.?.~ ..... ~..~...~,~., .].9..~7 ............... HOUSE NUMBER ...1.0.70 ....... Street .... .P.:~..~.~$. ~(1 .... ~t.~hO~ ...... TOWN OF S~)UTHO~D BUILDING DEi'ART~NT' TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 8924 Z Permission is hereby granted to: .................. C~te.h~ae ........................................ to ... ~l~...rze~...one../:ami IF... ~,~al Z&~ .................................................................................. at premises located at ...~]~...~...].O.~S...~6.../.~.~....JqB. SS~.L~.~t~..Tg~..~%l~ ..................................... ............................................ ~/.$...R~e...~e...Roa~ ......... C~u.%o~o~e .......................................... pursuant to application dated .................... .Q(~.t~......~ .................. , 19.7.6.., and approved by the Building Inspector. Fee $..~..~.,0.~ .......... FOIhM NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Town Clerk's Office Sou, o a, TEM?O~11~ Certificate Of Occupancy No..Z.~.~..0..6 ...... Date ......... .Feb ......... 3 ..... , 19. ?.~. THIS CERTIFIES that the building located at .,. It//~, P. tne/ ~.ee. Road .... Street Map No. Nas3....FI~. Block No ........... Lot No, . conforms substantially to the Application for Building Permit heretofore filed in this office dated .............. 0~.~..~9., 19..?6 pursuant to which Building Permit No..8.~2.~.. dated ............ 0. c..t..~1.? .... , 19..7~., was issued~ and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is . .~.v.~.~..~D.e..f.~.~.l.ly..,~,~.e,.]:~..~n.g ...................................... The certificate is issued to ...~.~.~. ~.~..K.$~[.d.~f..~ ....... .0~e.r. ...................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval ./~.a~k..~$...!9.~7...by. ~.,...V.~.l.l~ .... UNDERWRITERS CERTIFICATE No...~2.1.99~ ...... ~an.2~ .tgr~. ............... HOUSE NUMBER .... ~07.0. ..... Street .. P~. T~.ee. l~c~ad ...... .C.~h~g~ ...... Building Inspe~or FORM ~0. 6 TOWN OF SOUTHOLD , Building Deportment Town Clarke Office $outhold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Inefructions 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: 1. Final survey of property with accurate location of all buildings, property lines, streets, unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposol--(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 and "pre-existing" 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 pete ...... New Building ........~ ...... Addition ................ Old or Pre-existing Building ................ Vacant Land .............. Location Of Property l~irle Tree Road, East Cutchogue, New York Theresa A. Kildu££ Owner Or Owners Of Property .................................................. ~B"'~' ........................................................... Subdivision ................................................................ lot No...,,~.c). ..... Block No ............. House No ............. Permit No...8.9.2.~. ........ Date Of Permit ..'l 0./.].~g./..~.~,pplicant Health Dept. Approval ]. /3]-/~7 .... Labor Dept. Approval ............................................................ Underwriters Approval ..-L./.2.~/..~.7 ............................ Planning Board Approval ........................................ N 321998 Request For Temporary Certificate ........................................ Finctl Certificate .......................................... Fee Submitted $ ~...'..~ ....................... Construction on above described building and permit meets all applicable codes and regulations. A",,licant GEORGE AHLERSj BUILDER~ INC. Sworn to before me this .~-~,~ -,/~ -,~,/,,~,/~-- .... ................ d~y o{ .~ ........ ~....~ .... {~tomp or ~,~l~f2~O TOWN ~LERK S OFFICE ~ ~ ~~~ ~UTHOLD, N.Y. ~~/' ~ Examined ........ ~......~..~.., 19.~ ~pp'icotion No..~. ............ T:: ................................................................ ~ ~' ~ / APPLICATION FOR BUlLiNG PERMIT~~ ~Z ~ ' Y:~ ~/} ,~ ~ ~. ~ .....~ ...... O.~.~.~.~.~.c..~&,..,...., ~9..Z~ ..... v v iNSTRUCTIONS Y / ~ / o. This ~ppiicotion must be completely filled in by typewriter or in ~'~i~reg m t,pl.cme Inspector, with 3~$etaof plans, ~ccurote plot plan to ~ale. Fee ~ccording to schedule. b. Plot plan showing location of lot and of buildings on premises, refotMnship to adjoining premises or public streets oi~ areas, ~nd giving ~ detailed description of I~yout o~property must be drown on the dMgrom which is po~ o} this applicotion~ c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval o~ this opplieotion, the Building inspector will issue ~ Building Permit to the ~ppllcant. Such permit sh~l[ be ~ept on the premises awiloble for inspection throughout the work. y~ e. No building shall be occupied or used in whole or in p~rt Jar ~ny purpose whGtever until o Certificote of ~cuponc shall have been gr~nted by the Building Inspector. ~PPLICAT[ON IS HEREBY ~ADE fo the Building Department for the issuance o{ ~ Building Permit pursuant Building Zone Ordinance o~ the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of bui{dings, additions or olter~tions, or for removal or demolition, ~s herein described· The applicant agrees to comply with oil applicable laws, ordinances, building code, housing code, ond regu}~tions, Gad to odmit authorized inspectors on premises ~nd i~ buildings for n<essa~ inspections. GEORGE AHLERS, BUILDER, INC. ......... ........ ...2.5.Q...C p.~.. L~u~ ~....c..u .t..c..h..~g.~.e..,... ~.e.~..y.9..r. ~, ........... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ..................... 1t~$ ~.~.~.r. ................................................................................................................................................... Name of owner of premises .......... ~&~.e.$~..Ao...}~'i ~,ct~' ............................................................................................... If applicant is a corporate, signature of duly authorized officer. George Ahlers, president .................. ......... Builder's License No.....3..~. ............................................. 491P Plumber's License No ................................................. Electrician's License No. ..%.52..9 ................................. Other Trade's License No ............................................... 1. Location of land on which proposed work will be done. Mop No.: ..117.0~ ............................ Lot No ......................... Street and Number ..... ~~.~..,.1]a~J~...Cu.tcho~ue.~ .................... Ea.s.t...C.u.~o~ ........ Pine Tree Road - Lots 58 & 59 Municipality 2. State existing use and occupancy of premises and in~ended use and occupancy of proposed construction'. Exisiting use and occupancy ................................................................................................................................ intended use c~nd occuponcy .............. ~,.e.~.]...,J:,~..~ ................................................................................................ 3. Nature of work (check which applicable): New Building.....~ ........... Addition .................. Alteration ............... Repair .................. Removal .................. Demolition .................... Other Work ................................................ 4. Estimated Cost $33~ 500.00 ~ ~ / ~ (Description) (to be paid on filing this application) 5. If dwelling, number of dwelling units ......... .1.. ................ Number of dwelling units on each floor ............................ If garage, number of cars ............................. .1.. ............................................................................................................ 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 some structure with alterations or additions: Front ....................................Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front ......... .~0,!..~,~.~ ............... Rear ..... ,~O,!,,l'f!! ........... Depth ,.~...6..!.,8..~! .......... Height .................... Number of Stories .................... ~,. ............................................................................................... 9. ,¢;ize of lot: Front ................... lO~.~. ........................... Rear .......................................... Depth ...~,Q9. o. 3.7..~ ............. 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated ..................... ..A:. ............................................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation: ............... Z).Q .................................... 13. Will lot be regroded . ........................... Will excess fill be removed frompremlses: ( ) Yes ( ~: No , h re . ~ ~i]~l ~5~+ i ls'de Dr. S. 14. l~ome of Owner of pram,see' .................................................... T e sa A. Ellduff Address .~e~...~-vzc~..~'.ark Phone No..Z..~.2.~.].~21.. New Y~rk Name of Architect .............................................................. Address ................................ Phone No ....................... PLOT DIAGRAM L.ocote clearly and distinctly all buildings, whether existing or proposed, and indicate oil 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 YORK. lc c COUNTY OF ...... .$.~ S.~ n.],k ......... ~'~ ................................ ~;.~.~]f...~R:~.t,~l;.~.~q ............................ being duly sworn, deF~oses and says that he is the applicam (Name of individual signing contract) abow~ named. He is the .......................................... .a..q..e..~...t....~.o.~...¢..~.~.~.~...~g.%p; ...................................................................................... (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 ....... ;.L..g..~.~ ....... day of ........ ..O.g.~.q~..e..~' ................... , 19..?.~.. Notary Public,. .............................. ..~..L!...$:..~.g.~.k..... County Tern Expires ~arch 30, igU~l ~ (Signature of applicant) O! fil°i'aon K. Ahlir~, .:P," ~. sionat Eh§meet, is ille§al". Seclion 7209, Svbdivi~ion 2, N. Y, Stere Educ~tlo,~ I ow, i -kl- Offi~ Of G,.r,don' ~ ' K. Ahlers, P. E.