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Home My WebLink About9028-zNO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office $outhold, N. Y. Certi[icate Of Occupancy No ............. Date .../~(j., ~.~;~j~.. PF~ :' 19 .... THIS~g~ P~,gCERTIFIES that the building~ located at ' ' '~'O T' ~ h Map No ............. Block No ........... Lot No .................................. conforms substantially to ~he Application ~or Building Permit heretofore filed in ~is o~i~ .......... dated., ...... '~ ............... ~ , 19 .... ~ pursuant to which Building Pemit No ......... ./ . . dated ..... ~ ................ , 19 ...., was ~ssued, ~d conforms to ~1 of the requ~e ments of the ~plicable provisions of t~ law. The occupancy ~or which t~isfert~gat~is~ The certif}22~e }~ }}~2d ~2' ' ~'I'c ~' '~'~' ~'f' '~'&~}~' ~'"~ .... ~ ~'~ )~ ..... (owner, lessee or of the aforesaid building. ~~ Suffolk County Department of Health Approyal ................ ~ ~.~. UNDERWRITERS CERTIFICATE No .................. i ~.~.~.... HOUSE NUMBER .............. Street .......................................... Building Inspector FOlh~NO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTH'OLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 9028 Z Permission is hereby granted to: k~ilb.~...Bal&~i~ .............................................. ....... · lr~6G.....~a~s~n....'R~ ......... Ot~t:c fo ~ave...ezi~.t~g.. ~ ~;LiL. i~.~g,. ,bo...t~1~., #...1 ............................................................................ at premises located at "lJO't~"] ........ ~ta'-~J'"t~ ...................................................................................... ............................................ }kt~ satz,2..t ..I/oad. &.. C,a~sway. ........... Cut,~ h~ g~ ........................ pursuant to appiic~tior~ dated ..................... D,~.....1..~ ................. ~ 19~..., and approved by the Building Inspector. F~e $~..,..o..~. ............ Building Inspector THE NEW YORK BOARD OF FirE UNDERWRITE,RS .~;. ~ m~ ak .- ' ; ' 15UREAU OF ELECTRICITY THIS CERTIFIES THAT ., , . ., , o.ly t~e electdcal equlpmen~ ~ described be~ and introduc~ by t~ applican~ named on the above Bud Baldwin, aaesau Point Rd., Bay Ave., Nassau Point, :Cutchogue, L.I. ~ 2nd Fl. outside' S¢etio~ - Bt;,& :Lst 7' : RANGSS OVENS DISH WASHERS EXHAUST ' Panelboard/s: !-l!cir. !50amps. 2 G.F.C.I. Goodale Electric, · certificate taus} ~o~tbe altered in any m~artne? return to the office o~f ,he~g2ard' if incorrect, i~sx.~p..ector$ mcy_beaidentified by~r Jcr;den,i~alsj_[ 1976 %' V~C~ ~ - Nass~ Point,, /i ~by th:l~ office. As a result, ~e have determined that · ,,~mlocatione~ an ~t~l~S f~t 2 to Lot 1, ~p of at Nassau Point, eaSt aide Nassau ~otnC ~ad, To~ o~ ' ; ~ll h~ve no adverse m~fecc u~on'adJacent tidal vetlnde. ,, ~ereforo~ p~o~nt ~o Section 25-0202 of the Enviro~aenCal f' .... .~ss~tl~ ~w ~d 6 .,.~C~, Par~ 560, 3 (C), you are hereby notified t : t~ no pe~t ~ll bm nee~sa~. mt a~ ci~e durin8 c~8crucciou acCivtW, ~' Ve~ ~1~ yours,' Local Tidal 17OClanda'Pe~iC ,~mini~crato~ Corps of ~nsineers, l~f ~istrict Louis ?.L ~oncxa% Alb~my BUILDING DEPA RTMEN~ ~/~ 7 TOWN CLERK'S OFFI~ II ~,_ - '"' 'o~ ~provea ........ ~ ............... ~ ....... , I~ ........ ~rmir ~o. ,~ ...................... :..: ............ / (Buildi~ Impair) I wt~ ...~....~.~ ......................... , ~.Z~....~ ~ 7,? F ~ ~ INSTRU~IONS , a. This application must be completely filled in by typewriter Inspector, with 3 sets of plans, accurate p[ot plan to ~ale. Fee according to schedule. b. Pbt plan showing location of Iot and of buildings on premises, relationship to adjoining premises areas, and giving a detatl~ description of layout ofpr~er~ must be dr~wn on the diagram which Js pa~ of this application. c. The work covered by this a~licetion may not be commenced before issuance of ~uilding Permit. d. Upon approval of this application, the Building Inspector will issue sh~ll be kept on the premises available for inspection throughout the work. e. No building shall be ~cupled or used in whole or in port 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 e 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 ir~ buildings for necessary inspections. (Signature of applicant, or name, if a corporation) .... Z.~.&.~ ...... ~~...,~.~....~.~.~.~y (Address of applicant) I State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ...... ~.~..~.~ .................................................................................................................................................................... ow.. of .............................................................................. If applicant is a corporate, signature of duly authorized officer. (Name and title of co~qc~orate officer) Builder's License No ........ .~.~....,~ Plumber's License No ~ ~ ~'~ , .......... Electrician s License No ......................... .~7..~j ............. Other Trade's License No ............................................... Location of land on which proposed work will be done. Mop No.: .../..).~.~....'....~.,~.,~.-~.. .......... : Lot No...~ ................... Street and Number ...~e..g~.~....~eZ~.~..~.~.~,......~Z~.~.~....~J.~ ........ ~ ................. Municipali~ State existing use and occupancy of premises and intended use and ~ccuponcy of proposed construction: o. Exisiting use ~nd ~cupancy ..... ~,~.~.~.~ ...... ~.,~./,~.~.~.~.~ ................................ ._..~ .................. 3. Nature of work (check which applicable): New Building.. ................. Addition .................. Alteration .............. ff 000 ~ ~' ~ (3 - (Description) 4 F.,sHrnated Cost ................... ~ ...................................... Fee (to be paid on filing this application) 5. It dwelling, number al' dwetiing units ....... /~,. ................ Number of dwelling units an each floor ...~.:..~,~,~...$/'~ If garage, number of cars ..~.~......~,~..~.~.. ....................................................................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ............................ 7. Dimensions of existing structures, if any: Front ....... ~./.~...~. ........... Rear ...... ~',~.~ .................Depth ..$.~..ff Height ~...../~..( .......... Number of Stories ...... ~..¢~..4~... ............................................................................................. Dimensions of same structure with alterations or additions: Front .................................... Rear ............................ Depth ................................Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front ................... , ................ Rear ............................ Depth ........................ Height .................... Number of Stories ..................................................................................................................... ! 1. Zone or use district in which premises are situated ..................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ..~<'.~. .............................................. 13. Will lot be regraded' . ...... ,~.~. .............. Will excess fill be, removed from premises: ( ) Yes (~,~)'!No Name of Architect .............................................................. Address ................................ Phone No ....................... Name of Contractor ............................................................ Address ................................ Phone No ....................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions frore property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. S'1~ATE OF NEW_YORK, ~ S S COUN-FY OF ...~,~l~.~./,J~ ........ ~ ' .......................... .~.J..k.~.~....~. :..,.JJ~/~(.~l~).~. ......................... being duly sworn, deposes and says that he is the appliconl (Name of individual signing contract) above named. He is the .................................................... ..~. )..~.I~.....~,L...~./~k , ,L..'~k~h~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 oil statements contained in this application are true to the'best of his knowledge and belief; and tha~ the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ........ ....... day of ....... .............. , 19~.. (Signature of applicant) NOTARY PUBLIC, State of New York No, 52-4612739 quaJifled in Suffolk County Commission Expires March 30,