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Home My WebLink About8702-zNO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Town Clerk% Ot~ice Southold, N. Y. Certific;,le Of Occupnncy No.. $ 917. 5 ..... Date ........... August .18., ..... , 19.7.8. THIS CERTIFIES that the building located at . .350. East.wood. nrive ..... Street Map No.. ~68~ ...... Block No .... ~.XX- · .Lot No .... 5 ............................. conforms substantially to the Application for Building Permit heretofore filed in this office dated ........ July..6, ..... , 19.73. pursuant to which Building Permit No...87D.2Z dated ........ J. ul!~..6, ...... , 1978. ,, 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 . A~CESSDRY. SmRUCT.[IRE ,. 2EN~ROUND .POOL .WIT~I .FENCE. EI~GLOSURE ..... The certificate is issued to .. G~.e. gQry..l~oy~l ....................................... ( owner, of the aforesaid building. Suffolk County Department of Health Approval . .N/A UNDERWRITERS CERTIFICATE No..Z957.ag.,~- .................... f ..... ....... / .......... Street.. Ea~w~d. Df.ire.,. Cutc/ogma.,..New. HOUSE NUMBER 3.5 /~, / ....... ............................. ......... ................. FORM NO. 2 TOWN OF ~OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFfiCE SOUTHOLD, N~ Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PP~EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 87O2 Z Date ......................... gu.-~.....(~ ............. , 19....~6 Permission is hereby granted to: · .D~al,.~e .. ,uo~.~ ..t ~e-.. ..A/~..~e~e~,y..~:,yd ...... ~a.t t&t v~k.....~ ~[.. ..................................... ~o ..L~u~L~..ne~...l;~.v~ :e.. ~t,n~..Foo~...w.~.t t~..~®nee ..&..ee ~ s~o~y~ ..................... at premises located at ...~&.9~f~eect..~l,4.ve ....................................................................................... ................................................... ~t~,C]~O~l~..... ~ ~, ......................................................................... pursuant to application dated .............................. '.JlA~r. ...... ~ ...... , 19..~,., and approved by the I~OT~ I~eed under~:~ters certificate to get O/O Building Inspector. Fee $'J.;;.,,~. ............ FO~ NO. 6 TOWN OF $OUTHOLD , Building Department Town Clerks Office Soutbold, N. 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 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 and "pre-existing" land uses: 1. Accurate survey.of property showing all property lines, streets, buildings end unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and cor~dition of buildings. 3. Dote of any housing code or safety inspection of buildings or premises, or other pertinent in- 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 w~B~il~d~ Date ..~ ................... /. ................... Ne ng Addition ................ Old or Pre-existing Building ................ Vacant Land .............. · ocot on of Prope.y ........ ...... ................................................. Owner Or Owners Of Property .~..~..~.;..'~...~? ! ' ~..~.~ .................................................. ...... Subdivision ~G.~./~.Z.._..~_~.~.~?.o...~'......Lot No....~ Block No ............. House Permit No ............ 'I ................................ .......... "9:'~"~ ............... Health Dept. Approval ................... ../~.......~... ............ Labor Dept. Approval ...............~....'...~.. ........................ Underwriters Approval-~'" '~"';'"'/~"'""7 ............... Planning Board Approval ..... .,~,,"..~,.. ....................... Request For Temporary Certificate ........................................ Fined Certificate Fee Submitted $ .................................... Construction on above described building and permit meets all applicabJe codes and regulations. ................ ............................ Swam to before me this ,f~ l ~1 ~/jJ'/~ ............... day of .......... .................................. (stamp or seal)/~C~;~ ~ ~ ~ .oto Pub,c ................... i ................ Coun j( '~Jill JTHE NEW YORK BOARD OF FIRE uNDERWRITERS " .- . BUREAU OF ELECTRICITY "~- 5 ,JOHN STREET;NEW YOEK~ NEW' YORK 10038 ..... N 295709' Gregory Boyd~ g~stwood Dry',' Cut~hogue, L.I., in the followi~ l~t'on; X ' ,: . , ' ~ fou~ be i~ complia~ ~ ~e requlremen~s o~ this Board, RANGES ~r. t ~'~' 1 ~ ?g E R EXHAUST: FANS DIMMERS at the date (Swimming Pool)~ This :'certificate-'covers compliance inspection onIy. Bec&use of unusual environments it is advisable to have frequent tes~ ,and/or repairs made by a, qualified person. .... ~: ,, .~-: ~7-~~. '-~ ~<'"' Cutchogue, L.I. 11935 ,':~">:': This cerfificat~ mu~"not be'altered in an); man~r~ returfl to'the- office of the Board if incorrect; Inspectors may be identified by BUILDING DEPARTMENT · roy,. a.,,,c's APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a Th s opp cat on must l~,c~/~pletel¥ t~i!1~ in by ~e~riter o~ in ~nk ~nd ~m~ in tnph~te to the Bu~n~ In~ wi~ 3 ~of ~,' ~u~ ~M ~!an~le. F~ a'cco~ing to ~h~ule. b. Plot plan ~ng I~ationof lot and of. buildings.~ premises, relationship to ~joining premiss or public stree~ o~ areas, a~ gNi~ a d~tall~ descr~tion of I~o~ ofpr~e~ must be drown ~ the diagram which is ~ of this application. c. The work ~er~ by ~.a~l~c~i~n. ~ nm.~,com~enc~before issuance of Building Permit. d. U~n ~p~al of ~is a~licati~, ~e ~ding Ins~tor will issue a Building Permit to the applicant. Such permit shall be ~pt ~ the premis~ ~ailable for in~ti~ ~r~gh~t ~e ~rk. e. No building ~ ~ ~cupi~.or u~ in ~oJe ~ in ~ ~r any pu~e wh~e~r until a Ce~ificate of ~cu~ncy shall ~e ~en gmn~ ~e ~uilding I~r ~. APPLI~TION IS HEREBY ~DE to the Building Depa~ment for the issuance of a Building Pe~it pu~uant ~ the Building Zone Ordinance of the Town.of ~thold, ~ffolk County, New York, and ~er applicable ~, O~Jnances or Regulations, for the const~ion of buddings, additions or alterations, or for mm~al or demoliti~, as heroin d~cri~d. The applicant ~r~s to comply with all applicable la~, ordinates, building c~, h~si~ c~e, a~ ~ulati~, and to admit authoriz~ in~to~ ~ premiss ~ i~ buildl~s ~r n~e~ i~tions. (Signature of applicant, or name, Jf a corporation) (Address of applicant) L State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .............. .C.~XI~ ~.~,~.~.g~'. ........................................................................................................... ; ............................................... Name of owner of premises ...G~.e~C~'~...P,D~.C~ .................................................................... ~ ............................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .............~..~-x~,.......~.. ...................... Plumber's License No ................................................. Electrician's License No ............................................. Other Trade's License No..~,~.Z ................................... ~'~,~ t~ ~( · . - , 1. Location of land on which proposed work will be done, Map No.: ........................................ Lot No .......... .............. Street and Number ..."]~l~.~l~.~.0...]~J.'Y'~,,...~.u..~.o.J~o~LLe.,...N~'..~..-..llg.3~ ..........:-~:~..~/..~:~. .......................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed constrUction: O' E~isiting use' and eccupan L...,:..; ,.;...~..-. ..~i~8 ~K ................................................................ b. ~nte6dec~ use and occupancy .... 3. Nature of work (check which applicable): New Building ................. Addition .................. Alteration .............. Repair ................. Removal .................. Demolitior ................Other Work ..~.~'::[,la~Lt~g...p.O,~. ................. (Description) 4. Estimated Cost ..... ~8.95~.QD. ................................ Fee ....~^.QQ. ................................................................... (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 ............................... 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 .................................... 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 ..................................................................................................... ]2. Does Droposed construction violate any zoning lO~v, ordinance or regulation: ........................................................ 13. Will lot be regraded ............................ Will excess fill be rernove~ f~Lem premir~s'~( ) Yes ( ) No ]~. Name Owner of prem~se~=.~Q~...~.~ ........................ ~ e~:-"~- ~ "~ 7.~:5.g.~.Z.... Name of Architect ........................................................... Address .............................. Phone Nm ..... : ................ Nome of Contractor ...................................................... Address ............................... ~ I~ ....................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or prOposed, and indicate alt set-bock dimensions from property lines. Give street and block number or descriotion according to deed, and show stTeet names and indicate whether interior or corner lot. ~¥A*~ O~ N~W *OR~. ~S S COU~O~%%~.~~..~ -..~ ............. f ' ............. ]~,~'.b,fl.~! ............................................ being duly sworn, d~p~ses and says th~t~e is the applicam (Nome of individual signing coptrac, t9 above hammed, egen¢ He is the ...... ~,0Xl~.~I.~.~,~. ............................................. ~', ................................................ (Contractor, agent, corporate officerl etc.) of said owner or owners, and is duly authorized t6 perform or have performed the said work and to make and file this application; that all statements contained in this application are true ta the best of his knowledge and belief; and thor the work will be performed in the manner set forth in the application filed t![Xerewith. ~-~ Sworn to before me this ,~/~,~..~ i~. ~'//r'~//~ . ........... ~ ..... day of ................... ~. .............. , l~.7.6.. ~ _c,--"'~ Notary Public, . .................................. ~l~fD3.k County ................. ~t?~....~........~-~.,.~. ........................... ELIZABETU AU~ ~ (Signature~°f~licant) ' NOTARY PUBLIC. State 0f N~w York No. 52-812585~. StJffnfk lo