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Home My WebLink About8443-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24944 Date MARCH 20, 1997 THIS CERTIFIES that the building ACCESSORY Location of Property 1750 PEQUASH AVE~U~ CuTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 103 Block 11 Lot 14.3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 25~ 1976 pursuant to which Building Permit No. 8443-Z dated MARCH 25~ 1976 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ACCESSORY STORAGE BUILDING IN REaR Y~2RD The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPA-RTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED PETER F. HELINSKI N/A N/A Building Ins~ Rev. 1/81 FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPART/vtENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING FER~IT (THIS PERMIT MUST BE KEPT ON THE PI~EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 8~43 Z Permission is hereby granted to: .................... r.?..~.s..~..A,..?. ....... ~..-.~.~ .... ot premises located at ....... ..~.~..8....~..~..~.~..~..~.....A..V...~- ................................................................................ pursuon? to oppllcaHon dated ...........................~tL~--.-2~: .......... ,19.,~., and al;proVed by the ,~ Building Inspector. I L. F~n-i surrey of ~rc~ern7 '-nh ~cc=raca /~caz~on on ~! buc,lc:n~', ' B~G. DE~: --r___- g~d ~us-~l ~a~ur~ ~r c~pcgrap~c ~=. koorov~ of e!acurmc~ ~sca~aum~n fr~ 3o~ of Fir_= Un=_.~ !ass cnan 2/!0 of [.% rasponsL5ia for ~e Eegl:n 9eo:. ippruva! .......................... gndar~-:-_:ars ipurova~ ......................... 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY REMARKS: [ ] ROUGH PLBG. [ ]/INSULATION [ ~ FINAL DATE INSPECTOR F~RM NO. 1 Approved ........................................ , TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Apphcat,on No.~...('(....c~- ..~.. Disapproved a/c ...... ~::~ ................. ,, APPLICATION FOR BUILDING PERMIT ..... .Z ........ . INSTRUCTIONS a. This apphcation must be completely filled in by typewriter or in Ink and submitted m duphcate to the Buildm, Inspector· b Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or pubhc streets o areas, and gwmg a detaded description of layout of property must be drawn on the d~agram which ~s part of this apphcatio~ 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 wdl issue a Budding Permit to the applicant. Such permi shall be kept on the premises available for ~nspection throughout the progress of the work. e No building shall be occupied or used in whole or in part for any purpose whatever untd a Cerhficate of Occupanc shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the ~ssuance of a Building Permit pursuant to th Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other apphcable Laws, Ordinances c TR~geUal~)~ I°~'n~aargtrhe~sC~S~roUmC ~lTwC~ft hb~illldianpgp~cC~C~dl~t il°a~sTro racJ,tne~sn, S'b~ [l~;g r~rr~(~v, ahl o°urs,dn~mc~L~t~,°n~ n~S rhe~ ru~iar~,odnesscr'bec .:. ............................... .Z/~;Signature of apphcant, or name, if a corporation) (Address of applicant) State whether applicant ,s owner, lessee, agent, arch,tect engineer, general contractor, electrician, plumber or buddei · ............................................................................. Name of owner of premises ..~./..~....~/..~.~.~4'¢~;~z~/~.~ ........................ If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) I Location of land on which proposed work wdl be done Map No ................. Lot No Street and Number ./...~..~..~.....~.~r'~r,/-~.~/'.~....~.~...~.~...~.....~,...~.~.~....~...~.~...~... ........................................... Municipality 2 State existing use and occupancy of premises and intended use and occupancy of proposed construction. o. Existing use and occupancy ..... Z,)..~'. ·...'~. · · ./..4¥,: .'~. ,~. ............................................................................................. b. Intended use and occupancy .... ,.~?~, .~., ~, ,_~, 4~,. .................................................................................... 3. Nature of work (check whmh applicable): New Building ...... ..~..... ..... Addmon ............... Alteration ....... Repair .................. Removal .................Demolmon ................. Other Work (Describe) .............................. 4. Estimated Cost ...... ./..~..~.. ............................................ Fee j' 6~ ~ (to be paid on filing th~s apphcat~on) 5 if dwelhng, number of dwelhng umts ............................Number of dwelhng units on each floor ......................... If garage, number of cars .......................................................................................................................................... 6 If bus~ness, commercial or mixed occupancy, specify nature and extent of each type of use ......................... 7 Dimensions of existing structures, if any: Front ...... .~..~.67 ............... Rear ...... .?..~..~.. .................. Depth ...,.~.....~. ....... Height ....... '"-' '~...~...~.. ....... Number of Stories ..... ../.. .................................................................................................... Dimensions of same structure with alterations or additions' Front ....................................Rear ......... Depth ................................ Height .......................... Number of Storms ................................ 8 Dimens,ons of entire new construct,on. Front .... ./.~.....~. .................... Rear ...~.~...~.. ............. Depth .../.~ ?--~. ......... He,ght ....~..~...~. ......... Number of Stories ......... ../. ....................................................................................... 9. Size of lot: Front ...... ./.~..~.D... ............. Rear .... ./....~...O. .................. Depth . .../...~'....C). ............... 10 Date of Purchase ................................................... Name of Former Owner .~'-.~..~..~...z~.~ .~.Z~?~ .......... 1 1. Zone or use district in which premises are s~tuated ............................................................................................. 12 Does proposed construchon ~, late any zomng la.w, ordinance or regulahon:) ....... ..2~. p .................................... 13 Name of Owner of prem,ses~/~x~.¢...~-..Z~/.~Z'~s ./.~.~..Address .~'~..4z.~..~.z~. ................ Phone No .~..~..~...~../..~ Name of Architect .................'~. ................ '/ ..... Address ........... :~ ......................... Phone No ...:..C ..... Name of Contractor r' " ...Address " Phone No. " " PLOT DIAGRAM Locate clearly and d~st,nctly all buddings, whether ex~sting or proposed, and indicate all set-back d,mens~ons fro, property lines. Gwe street and block number or descmptlon according to deed, and show street names and ind~ca[ whether interior or corner lot STATE OF NEW~qp_.~I¢~ / ,(u ~ ~ ~ COUNTY ~. ~~ L.I~, ........ ,f .... ~ ~ ......'TJ--~.~,~..("r~,~., be,n duly sworn deposes and says that he ,s the appl,ca~ (Name of indw~dual s~gning applicahon) above name~e ~s the ~~~ "~"~ ............................................................. 7": ............. ~ ......................... ~ ................ (Contractor, agent, corporate officer, etc.) of sa~d owner or owners, and ~s duly authorized to perform or have performed the sa~d work and to make and fil this apphcahon; that all statements contained m this apphcahon are true to the best of his knowledge and belief; an that the work wdl be performed m the manner set foah ~n the application filed therewith Sworn to before me this .... ......... ............ .................................. o, " ~ ~Z~B~H ~NN N~tLL~ PUBLIC State o~ New ~k No 52 8~25850, Sufiolk County Term Expires M~rcb ~0, 19~