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Home My WebLink About8151-zl~OltM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy THIS CERTIFIES that the building located at . J~ii;l~ .D~l.?~..I~0~.~1~ ...... Street Map No. 00.o.~. ~.e~ B~l~o~ No ........... Lot No. · .1. E,..1.6,17.,.18.. conforms substantially to the Application for Building Permit heretofore filed in this office dated ........... ,~g .... ~8..,. 19~.~,. pursuant to which Building Permit No..~.~. dated ......... ~,~g ....l~ ...., 19. ~.~, was issued, and conforms to all of the require- ments of the applicable provisibns o~ the law. The occupancy fo~ which this certificate is issued is .. P.~.~.Va.~.~...~.I1.~..$.~1. i~..~.~., itl.~.~.~, g..~.$.~.h, .~..~.~-.~.~.gb..&..~.]'.~.~. ............ The certificate is issued to . .l~lr.~. .l~e~.l. ~.~1~$~. ..... ~-~.~. i ..................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval l~.,~.,. ............................... HOUSE NUMBER .... .~..~. ......Street .~.m.i.~.~.. p~i..v.~..~.o..r.~ ..................... FORM NO. 2 TOWN OF $OUTItOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, Ns Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 8151 Z Permission is hereby granted to: , ~atz,~ek & l"oma~.a.. ~c~e~...~ne.....~..~..l~rl..C:r~. at premises located at ...~.~.~l...1.~.~6.1-"l~.)J.~.....~'O~'~...~,~..~.~;~.~ .................................. ................................................... ~.~J,l;b...~.L~....~.~r~. ......... ~.o.~tl~o~d, ...1~,~7.,. ...................... pursuant to application dated ................ A~l,g....Jl~ ....................... , 19.f~.~'.., and approved by the Building Inspector. Fee $.~..~?...0~... ............ ...................... B;,ii~;;;~"i;¥;~ .... TOWN OF $OGTHOLD , Building Department Town Clerks Office Southold, No 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 dispasal--(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 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 Date j./~ .~......~. ~...t ..~.?....~.. ........ New Building ................ Addition ................ Old or Pre-existing Buildino ................ ¥oeont Lend .............. Location Of Property ....../.~ ................................................. : .................................. : ................ Owner Or Owners Of Property-- .~. ~ i~, Y Subdivision .......................................................... ~.~ Lot .......... Block No ............. House No ............. Permit No.~..I.~..L...~..... Date Of Permit ~.l~.Z~Applic~t ......... .......................... pprow ............ ............................. Unde~riters Approval ............................................. ann ng B~rd Approval .... ~.~ .......................... Request For Zempora~ Ce~ificate ........................................ Fin~ Ce~ificate Fee Submitted $ ...~...~ ~ ................... Construction on above described building~_nd.~i~ermit meets all .c)pplicable cod.q.s and regulations. Sworn to before m~'~ is Nota~ Public .,,... ~ section 7209 of the New York State Educufior~ Lawo Copies of this survey map not bearing the land surveyoPs I~ed ~eal or embossed ~ec:I shoal nov be '_,~ c.d,fic~,,u ....... I ...... ,;on st~Ii run only to the · ,. whom the survey ~s prepared, and o1~ his behalf to the ~I~ ~mpany, governmenlal agency and lending Jn$tilutlon li~ted ' ~o~1, ~nd to the assignees o1~ the lending Jnd!tufion. Guaranlee~ ~r certifications am not transferable to additional inst~ subsequent owners. , SURVEY FOR PATRICK J. 8; BERYL A. CRONIN AT B~¥V, IEW TOWN (tF~ SOUTHOLD SUFFOLK COUNTY~ N.Y. SCALE: I"~ 'qO ' FEB. 2,~, 1973 FEB. 27, 1973 FILED NOV, ~2~194~8 FILENO. 1663 eu,~,~t~'r~e ~'o, USLIFE',~TITLE INSURANCE COM,~ANY OF NEW P~c~ J. a'e~ ~.c~o~-~ RIVERHEAD~ N.Y. ~ TOWH 01~ SOUT#OLD BUILDIN~ MPARTML~IT /?/?5-- ~.,~ (~;-,~ ~-,-C~ TOWN CLeRK°S OPFIC] SOUTI. IOLD~ No Yo , .............. :::....:;., ..................... , APPLICATION FO~ BUILDING FE~J~IT ~(~ INSTRUCTIONS in triplicate to the Building~ a. This application must~ completely filled in by typewriter or. in ink a. nd s.ubm, jt~ Inspqato~, ~th 3 sets of pl~; c~. ~;urat~e:p~ plan to scale, Fee qcc~orclin, gto scr~eaut.e: ~, '- ~ok.'~'~61c~t j~n showing Ioca~Ibn i~lo~'c~t' 6f-buildings c]~ ~terni~,, re~tl'ohshil~lt to'i~j~ning premises or public streets areas, and giving a detailed description of layout ofpraperb/must be drawn on the diagram which is part of this application. '~i The ~f~rk covered by this applic'~ion ~ nat be commenced before issuance of Bui~_ing Permit. ' '~pproval of this ap~tr~h,'t~eBuilding Insp~br ~iJJ I~sd~ea Bdildlh~Perrrfltlto 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 tho~ Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Lows, O. rdinances or Regulations, for the construction of buildings, additions.bt a~tet'ations, of for removal or demolition, as harem descrlbed.-:~ The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to,~-~J admit authorized inspectors on premises and in buildings for necessary ir-,~pections. (Signature of applicant, or name, if a corporation) (^ddress of applicant) State whether applicant is owner, lesSee, agent, architect, engineer,~.~eneral contractor, electrician, plumber or builder ........................... ....... ................................................................................ · Name of owner of pram,sas ......... ,.,ii.,]mm.,...-m-....~..~.;t.~......rf- ............ ,; .................................................................. If ~pplj~,~ant is a corporate, signature of du~ authorized ~ffic, er. (Name cind title of co~x~rate officer) - '- Builder's LicenSe No ....... 4~.~.....--...~J~ ................. Plumber's License No ................................................. Electrician's LicenSe NO .................................. Other Trade', License No ............................................... L~ation of le~ on which p~o~d work will be done. Map No.: ...t.~.,..,........--,...~,;.;, ..... Lot ............ Street and Numar ..~l.[~,...~.~.....~l.t[~ ...... ~g.~t.~.~.~...,~ ............ .................. ,, .. · Munici~li~ State existing use and ~cu~ncy of premises and intende~ use' and ~q~ncy of p~osed construction: ~. ~isiting use a~ ~cup~ncy ....~.~.~.A~......~.~~..~ ...................................................... b. Intend~ use and ~cu~ncy ..... ............. .................... 3. - Nature of work (check which applicable): New Building.. ................. Axtdition .... ~ ...... Alteration . ............ Repair .................. Removal .................. Demolition .................... Other Work .................................. ~ ................ ........................................................................................./ ~'"~ 0'0 (DescriptiOn) 4. Estimated Cost ...... ...~,.~X).~.&J). ........................... Fee -/ (to be paid on filing this applicatJon._~ 5. If dwelling, number of dwelling units ......... G ............... Number of dwelling units on eachfloor .............. .[ ~ ~e,~...y.. ........ . If garage, number of cars ....... I.~..f~_ ..................................................................................................................... 6. If business, commercial or mixed occupancy, specj,fy oature and extent of. each type of use ............................ 7. Dimensions of e>~is_t,i~l structures, if any: Front ....~.~ ........ Rear ..~..~..~'.. ................. Depth .,~'~...~ ....... He,ght ...~.......~1~. Number of Stones .../.S~.~.....~. ....................... .,....., ...................................... , .................. Dimensions of same structure with alte~tions or additions: Front .;.o..~...~...~.. ................. Rear .~...'.~... ................ Depth ~.~ .................... Height J..~....~.!...~.!.~..~r..Number of Stories ..[..~...~.~...~.....~..~ ....... 8. Dimensions of entire new construction; Front .................................... Rear ............................ Depth ........................ Height .................... Number of Stories ...................................................................................................................... s ' ~,! c~.. Size of lot: Fror~t, ....... ~'~..~?¢ .................................. Rear ....~....~. ............................... Depth ..~.~..~ .................... 10. i Date of Purchos~ ~ ............ J.~..~.".: ................................... Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated ..................................................................................................... 12. Does proposed construction violate any zoning Iow, ordinance or regulation: ..,~ ............................................... 13. Will lot be regraded ....~.0. ................ Will excess fill be removed from premises: ~l~) Yes ( ) No Name of Architect .............................................................. Address ................................ .Phone No ....................... Name of Contractor .~...~..~./~.1}.~...t,~.~.1~...~.~.~.,. Address ,~...~.~..~.....~.~'.. ........ Phor~ 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 whether interior or corner lot. STATE OF NEW YORK, ~cS ..... ~~'"~. 'r,," ~" ........ [~a~lvlauol~lgnlng C~T~CT7 ' ' above name. the ................................ ..................................................................................... ;.: ................. g n c o laa ~r~o~rO~c.) of said ~ner or owners, and~ dulygut~rize4,to perform o( ~e per~9~ed the said work and to ~ke and file th~ ~t~;~t~.a~ ~ ~ined in this application are true'to the best of his kn~ledge and belief; and thor the wo~k will be performed in the ~nn~r set fo~h in the application fll~ ~er~th. Swam to ~f~ me this ...... o, ......... Nota~ Public, . ...... ~ ............... ~ ..... ~n~ ...... . _ . .... ~ ......... ~..~.....~ ............. ~ ~ ~ ~ (Sign~app~cant) ~ ~t~T.~i ~ . · ~ ~ - .~' N~A~ ~BLIC, ~ ~'~ Yerk y says that he is the applicam