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Home My WebLink About8579-zFOlh~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Ot~ice Southold, N. Y. Cerfil icate Of Occupancy No.Z.7.31f. 7 ....... Date ............. KO.?.. 3 ....... , 19..~.~. THIS CERTIFIES that the building located at . ]Ba~,le~... I,n.n® ............ Street Map No. G~'.e.e.r$~'~.e;l,dSBlock No ........... Lot No...~i~. ....... ~..o~.t..h.o~.5... ........... conforms substantially to the Application for Building Permit heretofore filed in this office dated ............ l~.aF...~..., 19 .?~. pursuant to which Building Permit No. dated ...... }4ay... ]2 ......... , 19.76, was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is .P~;~.a.~.e..o.~e..S.~.m. ~.ly..d. ¥.e.]:.~.~. g ....................................... The certificate is issued to . .GOl~tll~:~..& .B~l~n~t;.t;... .~r/ler~ ............... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . . 0~.%.. ~ .1 ~[ .. by .I],..Vlll~ .... UNDERWRITERS CERTIFICATE No N3~1~2~) ..... ~1o~;. ~8.. i.~.~.~ ............. HOUSE NUMBER .... ~30 ...... Street .. :~'JB~l*t~y. Lane ......................... Building Inspector [ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N~. Y. BUILDING PERMIT · (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) lq'? 8579 Z Permission is hereby granted to: Gorwitz & Barnett e/o Frank Born Box %%1 Rd! Riverhead to ..b.~..i..1. d new one family dwelling at pm~ses cca~e~ ~$ lot 15 Greenfields Barley Lane Southold pursuant to application dated .......................... -~,a~'...~ ................. , 19.~.6...,-and appraved by the Building Inspector. 000 F~ $...Z..., .............. FOEM NO. 6 TOWN OF SOUTHOLD , Building Department Town Clerks Office $outkoid, Fi. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY I~structlons 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: I. 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 disposal--iS-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, industrial buiJdings, 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 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 Date ...0..q~9...b..e. ~....2..~. ~.... !.~. ~.. ~. ....... New Building ....~ .......... Addition ................ Old or Pre-existing Building ................ Vacant Land .............. Location Of Property ..... b.~...i~.~...~..j~.~y..~`~Le.n.~....~G~.ee~.f.~.ej.d~.~.~a~..~Q.~.d*..~.'.~.'~ Owner Or Owners Of Property ..... Ge.~.~.i.~;x..ll~d.,l~al?r~e~;.~ .................................................................... Subdivision .~¥..,.e.~lf.J.,.I.d~..,l[.~., ......................... Lot No. ][9. ...... Block No ............. House No...~... Permit No.8.5~..~..Z.. ......... Date Of Permit $.L!..2./.?..6....Applicant .E,.a...n.k...l~.~.lt,. ......................................... Health Dept. Approval ...~ ........................................ Labor Dept. Approval ................................................ Underwriters Approval .N..~,.~..~...~.~?.. ............................. Planning Board Approval ........................................ Request For Temporary Certificate ...... i ................................. FinoJ Certificate ......... ~i .................. Fee Submitted $ .~?....~ ........................... Construction on above described building and per.it meets oil opplicoble codes and regulations. Sworn to before me this .............. ~--~ 0 (~/~/. ~ ~ ..Applicant . o ................ day of ...................................... t tamp r sea, ~,~. , :,THE NEW YORK BOARD OF FIRE UNDERWRITERS "~'~ ~ ' ' BUREAU OF ELECTRICITY ~ ~..-~k ' ~ ~' ; "~ NEW ~ [~ ~ ~ ~ il .. ~. ~' 85 JOHN STREET, . ~ , ,i~ !, :, ~' " ' 305249 THIS CERTIFIES THAT.~ ., , .. ~ , ~ ;~ [~' . , . on~y the e~ectrica~ equlpme~ ~ des~ibed below and i~troduced by ~ app~ea~ named o~ ~he abo~ application ~mber ~ the premises of : ~ ' Oo~nttz. ~Ba~nett,~ app. ~70~ n/o O~eeng~e[~:~:~Ba~R~ey Lane, ~.,,,.~do. Seotembe~ 2~ ~6 ~,andfoundtobeincompha~qew~ththere~u,rem~ntsofthtsBoard.~ ~'' '"~ ; I ~ ~ I ' ' [ ' "F XTURES ', ?' I RANGES ~$GOKiNG DECKS [ ~ OVENS'~ DISH WASHERS 1 G.F.C.I. nh, , i', , Jose... Crocombe, , ' .:~ .~'h" '~' ' BOx ~75 , '; ~(', ':' qh ,~ ', ' 'GENERAL ~GER Centep Mo~Iches, L.I. ll9B~ :' ," ":, , Lic.7~CE D ~ Examined Approved ........................................ q' / /~ , I9..~..( Permit No..~ ............................. Disapproved a/c ............................................................................................ APPLICATION FOR BUILDING PEKM, IT 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 or 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 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 t Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. ~r 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./"~ ~. ........... -" ,, .. ?,,~,..',....c.)...~...:z..?:...::~-:. ..................... (Signbture of applicant, or name, if a corporation) ......... : ;:t. ........ h. 'b : : J'"': ....... · (Address of applicant) I I ~'0 ~// State whether applicant is owner, lessee, agent, architect, engineer¢ general contractor, electrician, plumber or builder. ..................... -......~. .2..~.v......i.....~;~..k. ......... k.,..u..~......t...t.~'.~../:l..q. .,.h..a..c:.~.~r~ ...................................................................... If applicant is a cQrporate, signature of duly authorized officer. (Name ar~cl title of corporate officer) I~dlder's l-icegse No ..................................................... Plum~er's ~-jce0se No ..........~..~.~:2..~..~,,~,. ................. Electrician's bicer~se Ho .... ..~.~.4~~'. ......... other Trade's, IAceqse No ............................................... Locmiarl Of Iq~d ~ which proposed work will betdone. Map No.: ~x.~m,,.d.()cJ..t.z~.~-~,.?.... Lot No ...... J....] ............. Street q~d Humber ......... j~?,i~Z~..{,..~....~ ...... ~-:J...t ................................................................................................... ,j Municipali~ State ex sting use ~nd occupancy of premises and intended use and occupancy of proposed construction: o. ExisiHnfl ~so ~nd occup~cy ....................................................................... ~? ............................... b. Im~nded use ~nd oocup~ncY ....................... ~./.. .~V~'~. ...................................... 3 Nature of work (check which applicable): New Building,. .... Addition .................. Alteration ....i ......... Repair .................. Removal .................. Demolitior- .................... Other Work .................................................. ,,~ (Description) 4, Estimated Cost ....... ~,,.%....~...~:~ ....................Fee ~) ~ (to be paid on filing this application) 5. If dwelling, number of dwelling units ..... O.~..~,~ ........ Numbcr 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 ..... : ...................... 7. Dime¢~sions~ ~of existing structures, if any: Fror, t ......... ~~' ' ea~-.,.,. ....................... Depth .................... kleight .~T,.. Number of Stories ............. ~,,~,~--~ ........................................................................... ~ Dimensions ~ t~ure with Qlterations or additions: Front .~...)...~.~%~...~ ..... Rear .......................... Depth ........ ~..., Height ............................ Number of Stbr~ ................................ 8. Dimensions of entire new construction: Front ......................; ............. Rear ............................ Depth ........................ Height ...~.~*.k:..~..~. Number of Stories ............... .................... ~ ................................................................ 9. S,ze of lot: Front .................. I.,¢...,~.....~...i...¢ ............ Rear .......... I...~..:~....k.....h.~ ....... Depth ...'~.~,u...~...4..., .... 10. Date of Purchase ......... .~[..3.~' ................................. Name < Former Owner ....... 11. Zone or use district in which~ tpremises are situated ............... ¢~.~.~'.h.~.t~.~:7~../.4..¢~ ............................ .[.. ...... 12, Does proposed construction violate any zoning law, ordinance or regulation: ........................................................ ~3, Will lot be regraded ....... ~,-.~ ........ Will~xcess fill be removed from premises: ( ) Yes ]4. Name of Owner of premises .~...EZ.k,%q,~:.~... Address .'~ Phone No.~.~... Name of Architect, ...... ~¢~ ......... .,.......~'"'"'~ ........................ ~ Address ""k~,~ Phone No ..................... Nome of Contractor ...... zS*.~ .... m~......r:~... Address ........ Phone No. ~.~;~ .*~.~ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from propcrty lines, Give street and block number or description according to deed, and show street names and indicate M~ether interior or comer tot. ? i'ATE OF NEW,~YO~.~'., l~ ~ COUNTY o?~J-.~. ,r,..r.-7.¢4..~,: ........ ,~.-~ .................. ~..~.~.....k~.~....~ .............. be.ng duly sworn, deposes and says that he is the appliconl (Name of individual signing contract) above named. ~:~.~~ He is the ........................ .,. ..................................... ~.f .............................................................................. (Contractor, agent, corporate o' icer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file ~his application; that all statements contained in Ibis application are true to the best of his knowledge and belieF; that the work will be performed in the manner set forth in the application filed therewith. Sworn to~re me this ....... Z ............... ~ ~ d~c~' ................................. ~' ~9 ........ ~C ,~ . ~?, ................ .......... ........................... / //~'//~/~ /~ ~ J (Signature of applicant) , APPLICANT - -- - TEL.. 10t 10t I~ /~r~°, ~IFF-Ot.K COUNTY DEPARTMENT OF HEALTH SERVICEb /COTE; Sg~DIVl$10ii M~IP F/LED IN rile OFFICE NOV. IO, l~X$ ~$ FILE NO. ~$13 I: MONUMENt REVISIONS YOUNG & YOUNG 400 OSTR, ANDER AVENUE, RIVERHEAD, NEW YORK ALDEN W. YOUNg SUEVEY FOE: GOt~WITZ ~ BARN£TT 10T ~ 19, . GR££NFIEL HOWARD W. YOUNG LANI~ SM I~VEYOR AT SOU~'HOLO TOWN OF SOUTHO£D SUFFOLK CO., N.Y. SCALE: / I,' ." ~(~), DATE: % APPLICANT ADORESS -- -TEL.-- OF I"~E C£&'~ OF..e. gFt~OLK COUN4"Y ON J~ MONUM~q' R£VI$1ON$ YOUNG rr A YO 400 OSTRANDER AVENUE I~iVEI k LDEN ~'V. YOUNG FROIS~.~IIONAL. ENGINEER ANG