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Home My WebLink About8494-zi~O~ NO. 4 TOWN OF SOUTHOLD BUrr.nlNG DEPART~.NT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy THIS CERTIFIES that the building located at . .B.i. gh. ~..R.o.a..d ...... ~ ......... Street conforms substantially to the Application for Building Permit heretofor~ ~ed in thi.~ office dated .............1..2..A.p.r..l.1, 1~... pursuant to which Building Permit No. ~,~gt~Z.. dated .........~p.r.i..],...1.~. .... , 19..7.6., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for whi~,h this certificate is The certificate is issued to . .G..e.o.r.g.e...N.e..~n..a.n. .... .~..~fr~..e.r ........... ! ................ (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .~p.t....2.1...~. 97.6....by..}.~:. y.i.l.l..a.,. UNDERWRITERS CERTIFICATE No. p.e..n.d.l.n.g. ..................... ' ............... HOUSE NUMBER ..... 73.0. ..... Street ...B.~,gh..t..~.o..a.d .... .0.r.i.e.n..t... .............. .. .?: .. ................ Building I~pector FOR3~ 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 FULL CQMPLETION OF THE WORK AUTHORIZED) N? 849 Z Date ....................... .Ap.l~t,.~......1..~ ........... , 19..~l~. Permission is hereby granted to: I r~a~,..;~{ome e ..Z~o...A/C ..Ge el, ge .. ~e~l~ ....... ~i"~ ................................................... m ~.~il~t .. ~e~ ..one...fa~2.~...dw~ Z2~ln ~ ...................................................................................... at premises located at ....;L,o~..~,~....~.e.tt;.~..$~,~t;i,t .......................................................................... ............................................... ~g&.~..R~a~ ......... O~,~.e~ ................................................................. pursuant to application dated ................... ~dL~.....1..~ ............... , 19.~,,..., and approved by the Building Inspector. Fee $.7.~...6 O. ........... FOI~M NO, 6 TOWN OF $OUTHOLD , l~uilding Department Town Clerks Office Southo[d, H. 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 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 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-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 buildings or premises, or other pertinent formation required to prepare o 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 Date . ...~...e.~..~ ~ .b..e..~....~.3...:....];..~ .7...6.. New B~ilding ...X..X...X. ....... Addition ................ Old or Pre-existing Building ................ Vacant Land .............. Location Of Property ...L...°..C.....~..1...O...,P..~..~.~`~.~.~.~.B.~i`~`~..h.~.~:~.B..i.~.9.~!~: .............................. Owner Or Owners Of Property ..... ~,,.o..z...g.?..,.,~.?,~,~.~.. .................................................................................. 730 Subdivision ................................................................ Lot No,,...,.......iLO Block No ............. House No ............. 4/13/76 .... Inland Homes, Inc, Permit No. 8494Z Date Of Permit .................... ^ppJtcanr 9/21/76 - 6-S0-60 . , N/r Health Dept. Approvo[ ............................................ Laoor Dept. Approval ................................................ ( · es Underwriters Approval .,.J..~.., .......... ~;. ........................ P ann ng Board Approval ff.. Request For Temporary Certificate .n..o, .................................. Find Certificate yes Fee Submitted $ .$.,.Q.Q .......................... Construction on above described building an~;~ regulations. App,,cant Sworn to before me this ........ ..... .......... TOWN OF SOUTHOLD U LDING DEPARTMEN_Ty/z . ,, (/.,.: l,/~/. ¢-~--~_ ~¢~. --~ . .~ . ' TOWN CLERK'S OFFICEY/:¢~ ' ~UTHOLD, N. Y. ......... /~ .......................... r-' ~.. ~ ~ ~.___ ~ cat _n ................ ~ ................. ~proved ........................................ , ]~.....l.. ~ermlt No...~.....~.L..~.,,..; · . ...... D' ~ ~ --' ~sepproved e/c .... ~ ................................ , ............. ~.,..~.,.~.,~ .......................... ............. ................................. Date ~prS~ 12, 1976 INSTRUCTIONS a. This application must be completely filled in by typewriter ag in ink and submitted in triplicate to the Building Inspector, with 3 se~s of plans, accurate plot plan to ~ale. Fee according to s~hedule. b. Plot plan showing location of Jot and of buildings on premises, relationship to adjoining premises or public streets at areas, and giving a detailed description of layout ofproperty must be drawn on the diagram which is pa~ 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 applicfint Such ~ermit 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 Ce~ificate 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 comp y with a app icoble laws, ordinances, building code, housing code, and regulations, and to ~ admit authorized inspectors on premises and in buildings for necessary inspections. ~ INLAND HOMES, INC. ~-,. Box 117~ Mattituck~ N.Y. 11952 (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. General Contractor Name of owner of premises George Ne,-man If opplicant is a corporote, signature o{ duly authorized officer. (Name and title of corporate officer) Builder's License No ..................................................... Plumber's License No ..... .5..~.?'.:L~. ................................ Electrician's License No. 273-]B Other Trade's License No ............................................... /43~ ~ Localion of land on which proposed work will be done..M, ep No.: ...~...~.~....~.. Lot No ...... .]:.O.. ...... Street and Number ..Bi...g..b.t Road, Party's B3,gbt~ Or±ant ! .. Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy Vacent b. Intended use and occupancy 1 - Fa~±ly 3. Nature of work (check which applicable): New Bailding~ ..X~....~- ........... Addition .................. Alteration ................ Repair .................. Removal .................. Demolitior~ .................... Other Work .................................................... ~ ? (Description) 4. Estimated Cost .... ~.~.O..:..O...0..O..:..O..O.. ........... : ................... Fee ...7../~... .............................................................................. (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 ..... f~ ...................................................................................................................................... 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 50 Rear 50 26 ................................................................ Depth ........................ Height......18 ...... ........ Number of Stories ...... ~k ............................................................................................................. 9. Size of lot: Front ...~...8.~. .............................................. Rear ....~.?. ............................... Depth ...~k~ ...................... 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 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 . ...... ~..~.f~ .............. Will excess fill be removed from premises: ( ) Yes (×) No 14. Name of Owner of premises ..~.e..o..~Dq..~.e.,~..~.~...q .................. Address ................................ Phone No ....................... Name of Architect .............................................................. Address ................................ Phone No ....................... Name of Contractor .[][~,~...~QH~.~...Z-~.C., ................... Addres~.Q~..~.[Z...,....~.~.~$~e No. ~..c~B..~g.~.gb... DIAGRAM PLOT Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions fromJ~ property line}~. Give street and block number or description according to deed, and show street names and indicat inter rot corner lot. S1-ATE OF NEW YORK, ~ c c COUNTY OF ....... $.~£'P~ Z~ ........ ................................ ~b.fl~.~..~.~D ................................... being duly sworn, deposes and says that he is the applicam (Name of individual signing contract) above named. Con ~c ~o~ He is the ................................................................................................................................................................................. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make ~nd file this application; that all statements contained in this application are true to the best of his knowledge and belief; and tk, ar the work will be performed in the manner set forth in t~n filed therewith. Sworn to before me this ~ ~ ~ ...... o, ....... ......................... , Notary ............................. ..... ........................ flo 52-81258~0, Sofln~k Te~m Ex~ires Ma~ch 30, VACANT " AND LENDING INSTITUTIO~ ESTEO HEREON, AND TO TI4EASSlGNEES OR THE ~ LE~IDINS INSTITUTION. eUARANTEES ARE NOT TRANSFERABLE TO ADDITIONAL LOt ~9 ~ INSTITUTI~S OR SUBSEQUENT OWNERS. ~ ~~. ~ ~E~ATI~S AND/OR FROM DATA OBTAINEO FROM OTHERS, 29X04' - ' ~, ~ ~E WATER SUP~Y AND SEW~/ DI~L SYS~S mR mis RESIDENCE WILL ~ce~l~ ~ ~ ADDRESS 1976 ~%~ .. ~ ~ ~ The sewage disposal and ~ater Suppl7 ,,~ ~~ lnspected~~b7 thi~ de~rtmen$ ~ ~FF~K COU~ ON dAN, 26, 19F3 ~FILF NO. ~59 ~ ~ 0= ~SSPO0~ ~ =SEPRC TANK ~ SURVEY FOR: VACANt ,. RE~/SEO. ~ ~ , AP~ SO, W~ GFORGE NEWMAN ' , ~u~.9, ~6 LOT NO I0 ~: , ' ~T O~IENT ' ~,, m~N~ SOUTHOLD ~LOE.~.~OU,~FESS~ ~ SUFFOLK COUNTY, N Y. ~. ' ,, , ~ YOUNG ~ YOUNG, LAND SURVEYORS ~ ~, Hi.- '~., '~ :~ ~}' ' 400 OSTRANDER AVENUE . VE.HE O, YO.X MA~ I0, I "= 60 ' F6' 15~ VACANY Lot Areo= ~l, GSB sc~ ft. ~UFFO£K COU~ff~ ON ~N. ~$~ 1975 SURVEY FOR: GEORGE NEWMAN LOT NO I0 "PETTY'S BIGHT. AT Off/E/VT TO~ o~ SOUTHOtD SUFFOLK COUNTY, N. Y. GUARANTEED TO: YOUNG & YOUNG, LAND SURVEYORS 400 OSTRANDER AVENUE RIVERHEAD, NEW YORK DATE: I SCALE ] NO, MA~. IO/97GJ I "= GO 'I