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HomeMy WebLinkAbout8647-zNO. 4 TOWN OF SOUTHOLD BUI~.I~I~G DEPARTMF~T Town Clerk'~ Office Southold, N. Y. Certificete Of Occupnncy No. ZT. 91~. ...... Date ...............Oct...~2 ..... ,197.7.. THIS CERTIFIES that the building located at ...0a~.Qod. ltd ............. Street Map No... xx ....... Block No...xx ......Lot No.. xx... 3outh~ld ................ conforms substantially to the Application for Building Permit heretofore filed in this office dated ..............June...1 ~[g.?~. pursuant to which Building Permit No.. dated ...........Jun~ .l~ .... , 19.76, was issued, and conforms to an of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is'. Pr;~'eete..evl~lng..I~OOl...vith. f. ence..~ .ac~esscr~s ................ The certificate is issued to ...9.a.v.i.d...E....D..e.F.r.l.e..s.t. .... ?.,..n.e.r. ....................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval E. :.R: ................................ U~N_.D. ERWRI.TERS CERTIFICATE No. N21).92.38 ......Au~.. 1 ~...~97~ .............. HOUSE NUMBER ........ ~.. l~t~:.. 0al~ood .lioad .... -5eutl~old ........... Building L~r~tor BUILDING PER~rT (THIS PERMIT MUST BE KEPT ON TIlE PREMISES UNTIL FULL COAAPLETION OF THE WORK AUTHORIZED) 8647 Z Permissh~n is hereby granted to: David ~. DeFriest Southold $outhold THE NEW!:YORK BOARD OF~ FIRE UNDERWRITERS, ak ~' ': I ;~;~,,.'-,~ ' BUREAU OF ELECTRICITy ' ' TM ; , : ..... , ':7 SS'JOHN STREET, NEW YORK: NEW YORK 10038 i - - , , 299238 THIS CERTIFIES THAT ; o~ty ~he el~c~ca~ equ~p~e~ ~ ~scr~bed be~ ~d i~¢r~uced b~ the ~pp~a~ ~ o~ the able applica~io~ ~u~ber i~ t~ ~re~es of David DeF~iest~ 0akwooE Rd. & Wesland Road~ Southo!d, L.I. , FIXTURE OUTLETS , SW~TCHES FIXTURES RANGES COOKING D£CK5 OVENS DiSH WASHERS EXHAUST FANS '(swimming'Poo[)"~ThiS'be~tificate covers' comPli~n~ the inspection only~ 'Because-~of ~unusual environments it is advisable to have frequent test and./or?epairs'made by:a qualified person~:: RobertGoodale 'i' r' ~ = , ~ '' RR #1, BOx 1SA, Main Rd. ': " Mattituck, L.I.. ~1952 .~.-.:~' . . ~ . ~,-~' · Li.c.'?83E ~"D: ', This cerfificote must not be Qltered in any ~anner; return fo the offlce'of ~heBoora if incorred. ~n~pe~tors may be identified FO~M NO. 5 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. OR ER TOVIO .^TIO. (own~.~r authorized agent of pwner) (oddress o{ owner or outhorlzeo o~ent ot ownort ~k[AS[ TAK[ ~OTICfi there exists o viol*tion Zonin~ Ordinonce ..... ~ .......... Other Applicoblo k~ws, Ordinances'or ~eoulotions ............................................ at premises hereinafter described in in violation of (State section or paragraph of applicable law, ordinance or regulation) YOU ARE THEREFORE DIRECTED AND ORDERED to comply with th~low and to remedy the conditions g~ mentioned forthwith on or befo~ the ................. Z ........ ~.'T ..................................... day of ....... ~~.~..~ ............... , 19...~./ The premises to which, this ORDER TO REMEDY VIOLATION refers are situated at (L~_~£.q~r~ ~.., .. ~County of S ffolk, New York. Failure to remedy the conditions aforesaid and to comply with the applicable provisions of law may constitute an offense punishable by fine or imprisonment or both. ~'O~oF SOUTHOLDN°'I TOWN BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Permit No ................................. APPLICATION FOR BUILDING PERMIT Date June 1~' 19 76 INSTRUCTIONS a. This application mast 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. 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 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. David E. DeFriest (SignatUresouthotdOf applicant,~ ,Y · or name, if a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. owner-builder Name of owner of premises David E. DeFrie st If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .............l~f,~),.~. ............................ Plumber's License No ................................................. Electrician's License No ............................................. Other Trade's License No ............................................... 1. Location of land on which proposed work will be done. Mop No.: ....... ~ ......................... Lot No ..... ~...~... ............. Street and Number ..... QD3~W.O.Q.~,..~:[Q~.(~ .......... ~..O...L.1..~.h...O..1.~: .................................................................................... Municipalit7 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ..... ~.~..9..];.].:.J:..~..~ ........................................................................................................ b. Intended use and occupancy ....... ~.~..~.e....~.~...~....~?.{.J:!~;.~.i.-~...~..~..~...~...~?...~..e.~.~...e...~...a...~.~ ........................... 3. Nature of work (check which applicable): New Building. ................. Addition ................. , AIt~r(ltJ011 ,,,!,j;,,,,'.,, f Repair .................. Removal .................. Demolitior'. .................... Other Work .?..o...o.~...&;...~e~e ................... ~. (Description) 1200 · Fe- 1~'o00 4. Estimated Cast ............................ .-= ............................. u .......................................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ......... .o...1o:..e. ............ Numbcr of dwelling units on each floor ........................... If garage, number of c~rs ............................................................................................................................................. 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 .............. ~.~.~....D..~,~ ..... Rear ............................ Depth ........................ Height .................... Number of Stories ...................................................................................................................... 9. Size of lot: Front ........................................................ Rear .......................................... Depth ................................ 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated ....~.~..~..t.~...~.~..~. .............................................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation: ....... .~...O. ............................................ 13. Will lot be regraded . ........ .~...O. .............. Will excess fill be removed from premises: ( ) Yes ( ) No 14. Name of Owner of premises ...D. AM.~.~..~.:....D..~..~..~.Zk.~.~.~ ......... Address ....... .~O.U.~Ql,d ..... Phone No ....................... Name of Architect .............................................................. Address ................................ Phone No ....................... Name of Contractor ............ ..o..~..~...e.?. .................................... Address ................................ Phone No ....................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate her interior or corner lot. STATE OF NEW Y,,ORj.(,, [ c S COUNTY OF ...... ~...L~...$].o. ,1,~ ......... ......................... ~)~.v~.d..~.....D~1{'*.~.~.~¢ ............................... be'nD duly sworn, deposes and says that he is the applicam (Name of individual signing contracf) ~bove named. owner -builder 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 and file this application; that all statements contained in this application are true to ~he best of his knowledge end belief; and thor the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ...................... .1. day of ................. ................. , Notary Public,. .................. ~ .~...~..~i..°.~.~. ............. County ............ ..~..~ ...................... ~ .................................... £LIZABEIH ANN NEVlLIE ! NOTARY PUBLIC, State of New York No. 52-8125850, Suffolk C0uliIy~. Term Ex¢ir/J~J4~tarch 30,