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HomeMy WebLinkAbout8672-zFOII~I NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No Z7389 Date ......... NOV 26 19.76 THIS CERTIFIES that the building located at . .~,~ .l~.l~[.n.e..Pr.!.~. ........... Street Map No.. ~ ........ Block No. xx . Lot No, XX l~Iat;t;ttuek N .l/. conforms substantially to the Application for Building Permit heretofore filed in this office dated ....... ~. ~. ...... , 19 ..76. pursuant to which Building Pemit No. dated ........ ~.~. ?.'..2.2 ...... , 19.7.~., was issued, ~nd conforms to all of the require- ments of the applicable provisions of the law. The ~ccupancy for which this certificate is .............................. ~*ith an issued is..P?.~rate, one £a~]y dwel]]ng ..... addition The certificate is issued to ...C?~.~.u.~..E~.g.e.,1.. i.....0~fl.e?. ......................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval UNDERWRITERS CERTIFICATE No. N3..09~.~.8. .... qe.~. ~?...~76 .................. HOUSE NUMBER 2360 Street ~rli~e FOR~I NO. ~ TOWN OF SOUTHOLD BUILDIhlG 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) N? 8672 Z Permission is hereby granted to: ......... .... Z]/~ C. at premises located at ...................... .~.~..~.~.....L....~..!~.L.-:. ........ ..~..~..!..~...~. ............................................... .......................................................................... ~..~...U...~..~...4, .............................................................. pursuant to application doted .......................... .d..~...b.!...~. ...... 2...~:'...., 19~..., and approved by the Building Inspector Building Inspector. Fee $....?. ................. FOP,,M NO. 6 TOWN OF SOUTHOLD , Building Department Town Clerks Office Southold, N. Y. 11971 APPLICATION FOR CERTiFiCATE OF OCCUPANCY I nstructlons 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, end unusual natural or topographic features. 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 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 end "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 in- formation required to prepare a certificate. C. Fees: l. 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 ...';/..~ ............................. New B~ilding ................ Addition ..~.. .......... Old or Pre-existing Building ................ Vacant Land .............. Location Of Property ... 2"~r,,, _~. ..... , .......................................................... Owner Or Owners Of Property ..~..~,a~.:~.~;..~.....(_.:..~..~ ................................................... Subdivision ................................................................ Lot No ............. Block No ............. House No ............. Permit No. ~.~ff.....~.. Date Of Permit .................... Applicant ....... ~...-:zL~,~,....*/.~." ..~..~..~,/ .......... Health Dept. Approval ............................................ Labor Dept. Approval ................................................ Underwriters Approval .../.(./..Z~Z./....~...~. ................ Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Fino_l Certificate ...... .~... ............................... Fee Submitted $ .~ '~L(------~-- Construction on above described building end permit meets all applicable codes and regulations. Applicant .............. , .~.~..~.~,~. ....... ~/~/~.~,./:.~. ~f////~ ................... Sworn to before me this /- ,'~'~ ~-, ~¢~ ........ ..... ..... Notary Public .......~,~.~... County ~ THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~---ak 8:5 JOHN STREET. NEW YORK, NEW YORK 10038 '"""October 27, ~)'~'~ A,,,,,,.,,,,,,,,~,.,,,,f,,,, 875o22 N 309358 THIS CERTIFIES THAT C. Enzel, 2063 Marlene Lane, Mattituck, L.I. October 22, FIXTURE OUTLETS 7 outside Section Block co,,tlflla,tcc with the requirements of thL~ Bo,rd. FIXTURES ] RANGES OVENS DISH WASHERS EXHAUST FANS SYSTEMS NO. OF FEET I~ R V C NO OF CC, COND, A,W,G A W O, NO. OFNEUTRAL$ A,W O PER ,G' O~c CC, COND, OF HI-tEG OF NEUTRAL OTHER APPARATUS: Motor/s: 1 fr. hp Gustav Bartra, 227 East Breakwater Rd., ~m~RAt aAn~GER Mattituck, L.I. 11952 Lio.1529E ~ This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be id,~fied by/4h~r credentials, P, B E. ~MEND nautbeffzed altomtlan Or addition ~ this survey Is a violafl~ of lection 7209 of the New York State;Educotion Law, Copies of this survey map not bearing the land surveyor*s inked ~eal or embossed ~eot shall not be cpnsidemd to be O valid copy. ~u'~ran/ees or certifications ir,dicotedI hereon Ihall m~ only t~ the Per,on for whom Ihe ~mvey i~ prepared, od,d on h~ b~ to the 14~.0' T PECONIC BAY!BOULEVARD fide company, governmental agency ;and tending I~tltot/O~ ~ded be~e~, and to t~ a.~ of ~ ~i~ Imfll~. ~O~ ~ ~flif~at~ am n~ tmns~m~ to ~d~l I~i~ m . I T W. OUTHO D ' I -. TOWN OF $OUTHOLD TOWN CLERK'S OFFICE~ ~UTHOLD, N. Y. ~/~ ' , ................ ~.:....~ .........:, lY ........ ~. Application ~o ................................. ~prov a .................. ~..; ........ , lY ........ Yermir i~o ..................................... [ ....................... ................... (Buildino Inspector) APPLICATION FOR BUILDING I~ERMIT I NSTEUCTIONS 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 Dion showing location of lot and of buildings on premises, relationship to adjoining premises or public streets o areas, and giving o detailed description of layout of property must be drown on the diagram which is port 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 o 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. GEORGE AHLERS~ BUILDEr, INC. ......... ...... 250 Cox Lane, Cutchog~e, New York (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........................... ................................................... . .......... Name of owner of premises Cor~elt%ls Enzel If applicant is a corporate, signature of duly authorized officer. ........................................................................................ George Ahlers, President .,. (Name and title of corporate officer) Builder's License No. 31 P~umber'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 ...... ..~.~.~.~`.e~.~.~?~`1`.~..?..!~.~.~.`~.~.~..~?.~"~..~.?.~.~``~.~ ........................................................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy dwelltn~ b. Intended use and occupancy dwelling 3. Nature of work (check which applicable): New Building'. ................. Addition .......X. ......... Alteration ...~...~....,..~, Repair .................. Removal .................. Demolition .................... Other Work ................................................... (Description) 4. Estimated Cost ...........$. . .2. .1. .~. .2,. .~. . .1. ~ .0. ,0. .......................... 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 ............................ 7. Dimensions of existing structures, if any: Front ....~...~..*...~.! .............. Rear ....... ~...~..:.~..t. ............. Depth .......2..~..~. ........ Height ........................ Number of Stories ................................................................................................................. Dimensions of same structure with alterations or additions: Front ...... ~..~. .................... Rear ....... .~..6..?.~.. Depth 2/~t Height ............................ Number of Stories 8. Dimensions of entire new construction: Front ................... , ................ 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 ...................... A.. ............................................................................ 12. Does proposed construction violate any zoning law, ordinance or regulation: ........................................................ 13. Will lot be regraded . ........................... Will excess fill be removed f[orn oremises: ( ) Yes ( . 198~ Stewart A~,e. 14. Name of Owner of premises .~.QFJ0,flI~..~IP,.K~ .............. Address New..~b~/'~[e...Pa~k. ~'none No ....................... N~me of Architect .............................................................. Address ................................ Phone No ....................... Name of Contractor ...G..e...o.?.J~.e.....A...h.1..e...~..s..k~.i...1..d...e.~ ..... Address ~.0 COX Lar~e pA,no ~,~,, ........................ PLOT DIAGRAM t_ocate 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 whether interior or corner lot. STATE OF NEW YORK, IS.S COUNTY OF ...... ~1~¢~'~ ......... .............................. ~..~~ .............................. being duly sworn, deposes and says that he is the applicant (Name %%' ~n--"~'vi~lu-'ET ~Fh-~ contract) above named. H e~J~he ................................................. l~lllt,..~'.. =~1~,.~,,~ ............................................................................... (Co~ractor, agent, corporate officer, etc.) of said owner ar owners, and is duly authorized to perform or have performed the said work and to make and file this application; that ail statements contained in this application are true to the best of his knowledge and 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 .................................. ~tl~'~'l~ County .......... ~...%~...~...~...- ................ ,. . .................................. ~ ,~. ~ ///~ /~ '~ ,~ ,. ,~ ¢~} (Signature or applicant) ELIZ~BIz~H ANi~ I~IVI.LI/ l il l l t ii APPROVED AS FEE: /~ NOTIFY BUILDING DEPAKTMEN 765-~660 9AM ~O ~PM FO~ ED iNSPECTIONs; - TION OA S~AAT 2. BEFORE COVERING !