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Home My WebLink About8218-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17998 Date MAY 3, 1989 THIS CERTIFIES that the building Location of Property 65 FREEMAN ROAD House No. County Tax Map No. 1000 Section 159 Subdivision Filed Map No. ADDITION MATTITUCK, NEW YORK Street Block 3 Lot 35 Lot No. Hamlet conforms substantially to the Application for Building Per,it heretofore filed in this office dated SEPT. 30, 1975 pursuant to which Building Permit No. 8218-Z dated SEPT. 30~ 1975 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 GARAGE ADDITION TO E/~ISTIMG ONE FAMILY D%~ELLING RICHARD & MARIE A. DRAKE The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED Rev. 1/81 ~ " / Bu~jng inspector FOR~ NO. 2 TOWN OF SOUTHOLD BUILDING 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) 8218 Z Permission is hereby granted to: ~eo..JJ~l~.~..~il~...!~c.....~/C...Rt~h~r.~ & l~te Drake ................ Gu~h~g~e .......................................... to ..~...~l.~....~3...~J~:~l.~l.OAL.O~3...eXi~.~i~..-~W~I L%n~.....; ...................................................... at premises located at ...~O.~..3~.~.~.t~.t~.lkCl....~li~-d~ll-.Ht~,t-~.t,b. gl..~ .................................... ................................................... · F~eemam..tteat-.t-.W!:e~h,--z~-"~e ............ l~t~1t~aok ............ pursuant to application dated .......................6e~t,'""~O ............. , 19..~., and approved by the Building Inspector. Fee $,..~.~', ~(} .......... [ '" Buildtng l~spector I TOWN OF SODTHOLD BUILDINC DEPARTMENT TOWN HALL SOUTHOLD, NEW YORK 765 - 1802 11971 TOWN OF ~OUT~OLD APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ......... NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........ Locat ion o~ Property. ~C../~.~:~.~¥~ ~d. ~ ...................... ~ ~. ~.//-~ C ~ ~ ~ . . ~ .~. . EOUSE NO. STREET HAMLET Owner or Owners of Property./[%~.~... ~...~. ~/.<.. ~....~.~ ..... County Tax Map No. 1000 Section /~lock ~ Lot Subdivision ....................... Filed Map ........ Lot .......... Permit No ~ ~ f~..Date of Permit~.~ ~'Applxcant ~. ........ . ~ Health Dept. Approval .................. Underwriters Approval ........... Planning Board Approval ................ Request for Temporary Certificate ....... Final Certificate ................ Fee Submitted: $. rev. 10/14/88 yIELD I,,S,~-tu~ IlDATE I!_ COM~£NTS FOUNDATION FOUNDATION 2. ROUGH FRAME & FLUMBING {1st) (2nd) INSULATION PER N. STATE ENERGY CODE Ye FINAL ADDITIONAL COMMENTS: Examined ~.......~.....~...., Approved t ~ FOB,M NO. ! TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. I*..?.. ormit / Application No. C:~]~/ ~ INSTRUCTIONS o. This application must be completely flll~:t in by htpewriter o~ in ink and submitted in triplicot~ to th~ Ruildlnfl~ 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 or_~ areas, and giving a detailed description of layout ofproperty must be drawn on the diagram which is part of this application. c. The work coveted 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 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 cede, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. Geo~,e Ahlers, Builder, Inc. 250 Cox Lane ........ C~tchogue.,...Z~e~..¥o:'~ ........... .. .............................. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. builder Nome of owner of premises ......... Richan. c~..and..~ar:Le.. Drak~ ................................................................................... If applica~ isa corporate, s~,~t~-?f .duly authorized officer. ......... ~.~ ................ ~ ...................... George A~lers, (NaMb and title of corporate officer) Builder's License No .......... .]:.~...0.....~..~.. ............................ Plumber's License No ................................................. Electrician's License No ............................................. President Other Trade's License No ............................................... 38, 39 1. Location of land on which proposed work will be done. Map No.: ........... -~7..7. ..................... Lot No~...~...a..r...t....°...f..... Street and Number ...... .~.5...~.x'..e..emJ~..A~.~x~..e.~..l~a.t. tLtuck~...N.ew...Yo~ ................................................. Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ....... ~.~,,8:,r,..a.~.e. ................................................................................................ b. Intended use and occupancy .................. ~..~..~...~.e.....~......~...~. .......................................................................... 10. 11. 12~ 13. 3. Nature of work (check which applicable): New Building'. ................. Addition .................. Alterationj~ .............. RePair .................. Removal .................. Demolition .................... Other Work ...... ~ ..~..e. .............;.....~...~.. ...... (Description) Estimated Cost ....... .~. ~. 2 ~...g.~.. :..O.~. ............................... Fee .......................................................................................... (to be paid on filing this application) If dwelling, number of dwelling units ............................ Number of dwelling units on each floor ..... , ...................... If garage, number of cars ........... ..~....O...;~ ........ ~....,:. ....... . ................................................................................................ If business, commercial or mixed occupancy, specify nature and extent of each lype of use ............................ 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 ................................ Dimensions of entire new construction: Front ............... ~..~,.~ ............... Rear ...... 2./~.t. ............... Depth ...~.~..~ ............... Height .~.! ............... Number of Stories ..................................................................................................................... Size of lot: Front ............. ~8..R6 ............................. Rear ...... .].6~..~.~. ..................... Depth ...~.~.~...~2. .............. Date of Purchase ........................................................Name of Former Owner ........................................................ Zone or use district in which premises ore situated ......................................... .A.. ......................................................... Does proposed construction violate any zoning law, ordinance or regulation: ...... Zl_O. ............................................. Will lot be regraded ...~.Q .................... Will excess fill be removed from premises: ( ) Yes ( ) No 14. Name of Owner of premises ...J~,~f~l~..~,..~..~l~L~..~..~. ............ Address ..(~..~.fJl~lllli,D, ...... Phone No. ...................... Name of Architect .................. .D..~..~....e. ................................ Address .~.J:..~.~.?...~..!......N~. Phone No ....................... Name of Contractor ..~.9.~.~,~...~'.~,...]J~.~..~.e...~. ..... Address ...~.~..g....O..9.~....L.~.e... Phone No..~.]..~...~...0.~.0... PLOT DIAGRAM Cutchog'ue~ NY 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. iCc · 7 ? L C) -/- m' /~ ? STATE OF NEW YORK, ~ ~ ¢ COUNTY OF ................................ ................................................................................................ being duly sworn, deposes and says that he is the applicam (Name of individual signing contracf) above 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 all 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~;~erewith. Sworn to before me this ~' ..... ..... ...................... , Notary Public, . ................................................... County ........... ~..,~........~.;. ..................................... ~/ (Slgnature of applicant) OF TttE ~R~ OF.~UF.~_K ~NT~ ON YOUNG & YOUNG 400 OSTRANDER AVENUE, RtVERn~AD, NEW YORK FEB. ~5, t973 PEOFESSlO~AL SURVEY FOR: RICHARD DRAKE & MARIE DRAKE LOT NOS. 38,39 8~ RART OF LOT ~,~0. ¢ "GARD~ HaGHTS" q GUARAN~ ~[~o~ co., ~. Y. i~ ~" = 40' I 00% 18,1972