Loading...
HomeMy WebLinkAbout8705-zTOW~ OF SOUTHOLD BUILF)ING DEPARTMENT Town Clerk's O~ice Southold, N. Y. Certificate Of Occupancy No. ~726.9 ...... Date ......... L~et..~ ............ ,19 '76- THIS CERTIFIES that the bui]dh~ located at . .Aqua~iew~...Ave. ~.~ .Cedar,. Street Map No. xx ......... Block No. xx ........ Lot No...xx. · ~ast. i.ari*n ............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ............ J~ly. · 6., 19. ?~ pursuant to which Building Permit No..870.5Z. dated ............ J~],~f....~., 1975.., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which th~ certificate is issued is . Pr.~.vai;~. garage. ~ ac c e asor¥.), b~iZd trig ............................. The certificate is issued to .. Ger~rge. Kiouz~ll;La..Owner. ......................... (owner, lessee or tenant ) of the aforesaid building. Suffolk County Department of Health Approval .It ,~.o ............................... UNDERWRITERS CERTIFICATE No. P. end~ .................................... HOUSE NUMBER . .1.230 ........ Street .. Aguavlaw .A~a ......................... FOR~ NO. ~g TOWN OF SOUTHOLD 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? 8705 Z Permission is hereby granted to: ...... ll.~.....~.e.......6~ ............ ~ ....... to B~tild ne~ prlva2e ~ara~e (Aeeesso~y) at premises located at 8/$ A.~..?~..vie~' Ave @ C1e&a~ Ave ~a~t t~arion pursuant to application dated .......................... ..~.~ ....... .6. .......... , 19...~..~.., and approved by the Building I nr~'tor. TOW~ OF $O~THOLD , BuiId}ng Deportment Town Clerks Office Southold, bi. Y. 11971 APPLICATIObi FOR CERTIFICATE OF OCCUPANCY !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: ]. 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 dlspasal--(s-g form or equal). 3. Approval of e[ectrioal 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 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: 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 ....... .............. .... New Building ..... ~.~..... Addition .~.~.~...~..~..~-OId or Pre-existing Building ................ Vacant Land ...... Locotion Of Property ../..~ ....................................... ............................................................................ Owner Or Owners Of Property ..~<..O./.~..,G,,,.~.. ......... ~.L~f..~i.t,e....'~.....~::....~....Q./...~.. ............................................... Subdivision ................................................................ Lot No ............. Block No ............. House No ............. Permit No../{...~..~.,~,(~,,~TDate Of Permit,~.~..Y...~.'....,ZP/.kpplioant ~.'?..~?..1~ ........ ~.~z.'~/.:~/.../,.:.~..~d .............. Health Dept. Approval .......~..~...{...~a ...................... Labor Dept. Approval ............. ~.~... .............................. Underwriters Approval ...~%:~....~...;'.v..~ .................. Planning Board Approval ......... (..~..!?.~;.. .................... Request For Temporary Certificate ........................................ FinoJ Certificate t~ Fee Submitted $ ~.....;~. ................... Construction on above described building and permit meets all opplicoble;a:odes and regulations. Sworn to before me this ~ ~5;' '~- ~p4,//~/~ ............ ..................... =...,,,., .......... II*OR, MI TOWN OF $OUTHOLD BUILDING DEPARTMENT Approved ............................ , I Permit No. Disapproved a/c (Building Inspector) App,cat on No. ...... .......... APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Buildin~ 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 areas, and giving a detailed description of layout ofproperty must be drawn on the diagram which is part of this applicatior~ 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 permif~ shall be kept on the premises available for inspection throughout the work. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupanc~'~Ft/ e. 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 SauthoJd, 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. (Signature of applicant, or name, if a corporation) East Marion N.Y. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ..................................................... .A ~.¢.~.¢.....o. ;.f-L..o..~:L~.Le. ~ ............................................................................................................ Name of owner of premises ....... .G..e...o.~.g.~..~..o.1..z~..e.~.Z.E!;..s. ................................................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. ? Plumber's License No ................................................. Electrician's License No ............................................. Other Trade's License No ............................................... Location of land on which proposed work will be done. Map No.: ........ ..~...~.. ........................ Lot No ...... ~.. ............ Street and Number S/~ Aauavie~r A'v-.e...~...g..e..~..r.. ~ .......... ~..~:~..~...~i!.a..r..'.z..o..~.. .................................... ............................................... ~g-q'~e~ ' ' Municipality State existing use and occupancy of premises and in~ended use and occupancy of proposed construction: a. Exislting use and occupancy dwelling " with accessory garage ~"' b. Intended use and occupancy .......................................... : ..................................................................................... 3 Nature of work (check which applicable): New Building, ...X.~ ......... Addition .................. Alteration .............. Repair. ................. Removal .................. Demolitior-. ................... Other Work .................................................. (Description) 4. Estimated Cost .......................... ?.. ............................... Fee ....! 0. ~...0..©. ......................................................................... (to be paid on filing this application) 5. If dwelling, nurnber of dwelling units ..... .o..~...e. ................ Number of dwelling units on each floor If garage, number of cars t~o .................... 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 2LF .......................... Depth ........................ 8. Dimensions of entire new construction: Front .................................... Rear .. 2t+ 2LI' Height .................... Number of Stories ..................................................................................................................... 9. Size of lot: Front .......... 2.0..1 ....................................... Rear ....~.~..LI: ............................... Depth ....1...LI;'..8.../..!.~. ............ 10, Date of Purchase ........................................................ Nome of Former Owner ........................................................ 11, Zone or use district in which premises are situated ..... ~.l..A.~.~...~.$.s..~ ............................................................................ ]2 Does proposed construction violate any zoning [aw, ordinance or regulation: ..~...o. .................................................. 13. Will lot be regraded ....... .~..e..~. ............. Will excess fill be removed from premises: ( ) Yes (X) No 14. Nome of Owner of premises ....6..e...o.?..g.e....~..i..o.~.e..~.l..~.s, ........ Address ......~.o..~.~.. ............. Phone No ....................... Name of Architect .............................................................. Address ................................ Phone No ....................... ? Nome of Contractor ............................................................ 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 whether interior or corner lot'. boj C .I ~TA'I'E OF NEW YO,,R),( ' [~ * COUN'FY OF Suz zblk f~.-~ ............. ~.~.~.,~.~......r..~..,.~.l~..~.. ..................... be,nd duly swom~ Ooposes ond says that he is the ZName of indiv~ual signing contrac0 abow* named. 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 ell statements contained in this applicction ere true to the best of his knowledge and belief; and tha~ the work will be performed in the manner set fo~h in tho application filed therewith. to before me this ~~ 6 July 76 ~ ' wom ........ ........... ~ NO~Y PIIHLIC, ~l~(e of r~, ,,, ~.z ~ $2,8125850, guifoP (%m,~