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Home My WebLink About8540-z~0~ NO. 4, TOWN OF $OUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupency 19~ ~o .ate -~ ~--~ ~ , .............. .. · ..... THIS CERTIFIES that the building located at conforms substantially to the Application for Building Permit heretofore filed in th~ office ~ -,Je ....... a-~, ....7~ pursuant m dated ......... ~/,q 19 to which Build' g emit N dated ..... ~./. .............. , 19 ...., was ~ssued, ~d eonf ms to ~ of ~e ~equ~ ments of the ipplieable provNions of the law. Th~oeeup~c~for which }~ certificate is The certificate is issued to .......... g ........................ ~ .................. (owner, lessee or ten,t) of the a~oresaid building. Suffolk County Department of Health Approval O'gf. ¢.e~ 5.... ~...~'~°... UNDERWRITERS ~m~I~'m ~o ..... :. -:. 7~ ............. ,~. .... HOUSE NUMBER .............. Street ..... ~ ........... ' ......................... ..... ..... .... .__~ ..... Building Inspector FOBM NO. ~ TOWN OF ~OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE ~OUTIfOLD, N~ Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 8540 Z Date ........................ ~p~.ll ......... 2~ ......]9~,~... Permission is hem/m/granted to: G~o=4~e..~ ~-..3;a]~.;M ............................................. ........ ~eve..gea~ ....... ~)u~,h(>l-d.....~ ..~., ...... at premises located at ..... ,LD.t...~....,}.i;Lg~D.C]...,S.~ ......................................................................... ................................................... E~ gh~.~o~..Roac~ ......... Sm~t~ol~L ................................................ pursuant to application dated ............. J~D,~.;i3,.....2~ .................... , 19..~.~,., and approved by the Building Inspector. Fee $5,.~, ('~ ............ Building Inspector To Whom It May Concern: I, William Koob, hereby agree to rent to George No Terry, 600 HigZwood Road, Southold, 1/2,acre of my property at Bayvie~ Southold, bounded north by ~asagasti, east by Terry, south by Olsen, and west by Private Road 21. The purpose of this agreement is to enable Mr. Ter~7 ko keep a horse on his property which is only 1/2 acre. Willi,am P. Koob / Date '-' ' '-THE~NEW,'YORK BOARD OF FIRE UNDERWRITERS-' · ' al<.. ' ~ ~ · !-~ !~'~: 'eU~EAU OF EL. ECTRICITY ' , ~ : , . ' '::'~" 85 JOHN STREET, NEW,YORK, 1'-4KW YORK 10038 . . . : "" :. z),t~ December 14,-~97,7~:'?,', ~:-~,~,.o,~z~ 875399 .~ .'" Oeo~ge Ter~YL 600. H1ghWoOd. Rd., 'Southo'ld,,L;I. F~, outside ~IXTUR~ ~ RAN~S OVENS S -E R Joseph J. Frohnhoefer, i . Main Eoad, : ""'" ~ :" Lic.'962E Southold, L.I. 11971.,. 9- '_ ...... . ' ~ cert?ficote must not be altered ~n any manner;~ return"to the offi¢~ of the Board if incorre~. Inspectors may be N ~ N~;~LL C INSTRUCTIONS 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, accurate 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 o~ 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 Deportment for the issuance of o 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 aIterotions, or for removal or demolition, os herein described. The applicant agrees to comply with ali applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. ......... .............. ........................... (Signature ~f applicant, or name, if~a.~corporation) "~ (Address of appffcant) ~ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .... ............. ' ................... G ................................. Nome of owner of premises L~ ~ ' ' applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ..............~,,.,~'.,,.~,.,%,,~C,~'T:,,,~,:,~T: ......... Plumber's License No ................................................. Electrician's License No ............................................. Other Trade's License No ............................................... ~ / 1. Location of land on which proposed work Viii ~ done, Map Ng.: ...~..,b..~/.--~...~,.; ................ Lot No.....~. .................. Street and Number ..)~...~...~)<~..~0..~.'~..~.f3[.....I.~..'~...([,...,~.~..~...1,.¥!.~.~,.~-- \ ....... i ...................................................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: Exisiting use and occupancy ................................................................................................................................. -L R t-e_¥ y.~.~ ..~. ,~ ~ t .~, ..~C,.~ ....... Intended use and occupancy .............. .~.~.~...~ .................................... 3, Nature of work (check which applicable): New Building~· ................. Addition .................. Alteration ................ Repair .................. Removal .................. Demolitioc .................... al'her Work ................................................ .... (Description) 4. Estimated Cost ...~,.~(~.)..0.¢~.~.~..O..~ .................. 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 .....~....~.....~.~.~L~. ............................................................................................. 6. If business, cammercial or mixed occupancy, spgcify nature and extent o~ each type of use .~,~ ............... 7. Dimensions qf existing structures, ~f any: Front ...~.~.~ .............. Rear ....,~.~..~ ................ Depth "[~'['k ........ Height ..~.(.~''-- ........... Number of Stories ...... ~.~ ........................ ~,~'"'" ............................................. ~l,~'~ ................... Dimensions,of some structure with alterations or additions: Front .,.~.l..~..,, ................. Rear ...~l.~ ............... Depth ..~.[.~ ...... ~ .......... Height ,~.F~. ............... ~umber of Stories ....[~.~.~..., ............... 8. Dimensions of entire new construction: Front ...~ ........................ Rear ,.,~.~ ............... Depth ..~.,~ ........ ~h, ~O.'...~.::.... ~r of Sto,~, ....~.~..~ .................................................................................................... ....................~ ~ ......... 3.~.,qs ......................... 10.Dote of Purchase ........................................................ Name o¢ Former Owner ] 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 remov~ ~¢m presses: ~. },Yes ~ No 14. Name of ~wner o¢ premise, .~.~.0.~.8~...~ ...... I[.~.[.~ ...... Addr,,,q'm[**¥.~.~.~,.l.~ ~hono ~o. Nome o~' Architect ...................................................... J ...... Addross ................................ Phon~ ~o ....................... Nome of Contractor ............................................................ Address ................................ Phon~ ~o ....................... PLOT DIAGRAM Locate clearly ~nd distinctly ~ll buildings, whether existing or proposed, ~nd indicate ~11 set-~ck 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 Y.~RI,%/ ,~ ,~ _ kS S COUNTY OF ........ ~,,~,¢.,..~.,...~.,..%.,.~%,~. ....................... being duly sworn, deposes and soys that he is the applicom · (Nam~of individual signing~contracf) above named. He is the ................................................................................................................................................................................. (Contractor, agent, corporate officer, etc.) of said owner or owners, ood 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 ore 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 .......... .7.' do of ........... C} No.~o~ Pub,c, ~ .~-?..~n~ ....... ~......r..L.:.....t...¢....~ ................................ ~ c~ (Signature of applj~j~nt) ' $IJPlTH ?. bib, 5~,0,34496S Suffolk count~,l {aoilities fop this lo~ation have been ~nspec%ed by this dopa~tment and found General Engi~es~ ( ',/^CAN r) OWNE~ I J >0 SUFF. CO. NE'AL'TN DEIdT, APPI~OVALbS. No ( V,~C..A~ T,) / $,66 17 ~ F_. Jl5.55 NOTE: E.I. EVAFIONS ELEVAtiON OF '~,O AT ,,ti. OF I~DAD OPP~51T'E- N,E,C,.OE. OF LOT. O'r NO -' I-IIGNV,,/OO[~ AT CO. h'IAP NO, 55.4:..'7 &z HEALTH SER.ViCE..~ ~;T~,TE~tENT OF" INTENT 'Fl-Il 5 I~E~IDENCE '~/1 Lb LENDING ,NSD?UTION LIST~D H~£EON, A~ ..... TUTION. GUARANTEES AE~ NOT TkANSFEDA~ - _j ..oNE FEL ° ¢- K L~V~L. CELLAR g HAIN L B \ FLOOR LAYOUT Ag'O" f 'FLooR. APPROVED AS NOTED DATE: NOTIFY BUILDING DEPARTMENT ,~ 765-26E0 9AM TO 4~ FOR REQUih, ED INSPECTIONS: 1. BEFORE BACKFILLING FOUNOA. TION OR START FRYING 2. BEFORE COVERING PIPELINE 3. FINAL WHEN JOB C~FLETED NOT RESPONSIBLE FOR DESIGN OR CON. e, P ? YJ.-ox-_ ~-' R ? h REAR VIEW OF HOUSE -( 2S%°' I pLA'tF..,~ oN ToP OF ,F~CH LOFT Iii 5 E COtqD ¸iI II ,tl FLOOR '1 I FRONT SIDE'VtEW OF blOUSE FACING TOWARD J ]