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Home My WebLink About8491-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No...Z l 175.3 ........ Date ........... 4u..n.e..3. Q .............. 19 THIS CERTIFIES that the building ...A c~ d ~.t.J, Q ~ .................................... ~obinson Rd. Location of Property ... 5.0 ....... l~as iN..l~d...,..~ar~.c~5,$~. House No. Street Hamlet County Tax Map No. 1000 Section . .08.1 ....... Block ...O J .......... Lot..q2..1 .,.0.2.2. ....... Subdivision ......... x ..................... Filed Map No...¥ ..... Lot No...x ........... conforms substantially to the Application for Building Permit heretofore filed in this office dated · Ap~.± 1..1.0. .......... ,19.7.6 pursuant to which Building Permit No. 8. 6. 5.1.Z. ............... dated .. ~.p.n 5,1..1.2, ................ 19.7.6., was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... · ad.d ± gJ_z>.n, to..ex ±s.t.±ng..d.~4e ~ 3 ~.ng ............................................ The certificateisissuedto dOH~ & JOAN SIiqNINO ..................... ?o¥0~), ~,4~;~9 ...................... of the aforesaid building. Suffolk County Department of Health Approval ................ S/.I~ ...................... UNDERWRITERS CERTIFICATE NO ........................ NAR ...................... Rev, 1/81 Building Inspector TOWN OF SOUTNOI.D BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, Ns Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 8491 Z Date .......................... ~,?.~ ~. ........ 1.~......, 19../.~.. Permission is hereby granted to: J~..~., ..~:Lzu~Ir, g,..<~ ..,/~e ........................... ...~.....~ic~o~.~..~=£~ .......... O~k.:'.az~&....i~,,T, ~o ..... ~;~...z~.n*~:~.Lt.~.*~.~*~*~.e.~.s.~.t.~*~.~.e.~.~"~.~ ............................................ : .............. at premises located at ..1.~ ......... ]~s~l,&dt$~.**p**~..~/,,o~ .................................................................. ......................................................... .~.~:.b..~ .s..o..~ ,, ~.o..~. ......... ~.~.u..~.~. .......................................... pursuant to application dated ................... Jt,~.;L~ ....... .1.0 ............ , 19.~.(~..., and approved by the Building Inspector. Fee $. :1. 5 ~..~.(~ ........... FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall 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 Inspec- tor with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic featu res. 2. Final approval of Health Dept. of water supply and sewerage disposal-(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 installa- tions, 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 peoperty showing all property lines, streets, buildings and unusual natural or topographic featu res. 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 informa- tion required to prepare a certificate. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling er 3. Copy of certificate of occupancy $1.00 land use $ [s~/$5.00 Date New Building "~ Old or Pre-existing Building(Z) ......... ~ ZVacant Land Hou~ No. Street Ham/et Owner or Owners of Property .. ~ ¢. ~" ~--,-~ ' County Tax Map No. 1000Section ..~j ........ Block .... O..[ ....... Lot..~.l..).~.~.~ Subdivision ................................. Fi~ed Map No ........... Lot No .............. Permit No ~ Date,of Permit ~ .... Applicant Health Dept. Approval ........................ Labor Dept. Approval ...................... ,.. Unde~riters Approval ........ Planning Board Approval .................. ~ .. ~ Request for Temporary Certificate ..................... Final Certificate ........ - ......... * Fee Submitted $ ............................. Construction on above described building ~mee~s all and regu lations. Applicant .~~~ ................. TOWN OF SOUTHOLD ~/ BUILDING DEPARTMENT TOWN~UTHOLD, CLERK'S H. OFFICE d~ *~27 Y. Examined Approved .............. !). ............. 'i1. ........ , 19..~...~. Permit No..~....Z~...?..(...~ ........ Disapproved a/c ....... .~f~.~._. ~~ ................... ~ ~ / ' ~k '' ) ............. ,' r ....................... (Building :":'"'""'Inspector) ..... ':'""/' .............................. s~a - ' ./ / APPLICATION FOR BUILDING PERMIT "~ Date April 10, ] O...?.~.....b ~ / / / INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building ~ Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. ~j b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or ~l ~ areas, and giving o 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. ...... ~... ~.. _~?.....~,~.~..:~..~. ................................ ~/ (SFgnature of applicant, or narr~f a corporation) 58 Hickory Drive, C~kland, New Jersey (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. oTflmer John g. Sinning & Wife Name of owner of premises ............................................... . ....................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Bu.lder s(Z~.cense' ' ' '~o..~....~-~'~ ............... 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 No ......................... Street and Number (No number) Robinson Ro~d, P~radise Point, Southold, New York Municipality 2. State existing use and occupancy of premises and in,~ended use and occupancy of proposed construction: a. Exisiting use and occupancy Personal residences single family b. Intended use and occupancy Personal residences single family × 3. Nature of work (check which applicable): New Building'. ................. Addition .................. Alteration ............... Repair .................. Removal .................. Demolitior, .................... Other Work ................................................... (Description) $22,000 $15. O0 4. Estimated Cost ............................................................ Fee .......................................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ............................ 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 ...... 5./~i.~;; ............ 7. Dimensionsof existing structures, if any: Front 46' Rear 46' Depth .................... 16' ..... 'i ..................................................... Height ........................ Number of Stories ................................................................................................................. Dimensions of same structure with alterations or additions: Front 54' Rear 54' 46' 16' 1 Depth ................................ Height ............................ Number of Stories ................................ (z) 8, Dimensions of entire new construction: Front k...~..).,,:I;:,',.~.: ....... k,,~..)...~.~,2.. Rear ....... .k..~J...,l..°,: ........ Depth Height 16' Number of Stories 1 9. Size of lot: Front 125' Rear 125' Depth 250' November, t975 10. Date of Purchase ........................................................ Name of Former OwnerEs~te Of O. Sinning 11. Zone or use district in which premises are situated ..................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ...~.o. ................................................. 13. Will lot be regraded ...... ?.,s. ................ Will excess fill be removed from premises: ( ) Yes (X) No 14. Name of Owner of premises ...~.°..b.~...D..*....S.~9~.L. 95..~..~.e. ..... Address.g.?..k..1..~..~..d.!...~.e~...3..e..~neNo.!..2..0.~..)...~"~....072 Name of Architect .............................................................. Address ................................ Phone No ....................... Nome of Contractor ............................................................ Address ................................ Phone No ....................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions frorn property lines. Give street and block number or description according to deed, and show street names and indicate whether i~mt~icLr o~ Fp~ne~r lo~,~t. _ Notary Publi( Sworn to before me 1 10th ~AF~D 3HN IBOYD, V lotary Public, Sl~le of New York No, 30-0375625 1976 ....... / (Signature o applq~ant) STATE OF NE¥SZ '~ORK, I~ ~ COUNTY OF .~.u..z.~.°,h~ ................. fo.o John g. Sinning ................................................................................................. being duly sworn, deposes and seys that he Js the applicam (Name of individual signing contract) abow; named. He is the ................................................................................................................................................................................. (Contractor, agent, corporate officer, etc.) :~f~¢~tx~t~s, and is duly authorized to perform or have performed the said work and to make and file this application; that all contained in this application are true to the best of I~is knowledge and belief; and that 'the work will be in the manner set forth in the application filed therewith. i,iOIIFY BUILDING DEPART~.ENT 765-2660 9AM '(O 4PM FOR R[QUIR, ED ItqS PECTIONS: 1. BEFORE BACKFILLING TION OR STAET FR^MING 2~, BE~-ORE COVERING 3. FINAL WHEN JOB COM !t . I .SPACE. ~ DI~IINL~ -F BATH ,t