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Home My WebLink About7833-zNO. 4 TOWN OF SOUTHOLD BUff.r~ING DEPARTMENT Town Clerk's Office Southold, bi. Y. Certificate Of Occupancy No~6~2.~ ....... Date ............. Lpril...2q..., lgT.~.. THIS CERTIFIES that the building located at gt.±tlwa.t~r, Ave ........... Street Map No..xx ......... Block No. x~ ....... Lot No, . x~x. · C.utchc~ue ............... conforms substantially to the Application for Building Permit heretofore filed in this office dated ............. Apr.i.t · 1 $ 19.~. pursuant to which Building Permit No. dated ......... ApPall...18. , 1~.., 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 2. ri.rate, one. £~ily..dwelJAng .wi.f,h. fencing ...................... The certificate is issued to . Ed~'a.rcI · ~ia~hno~sk~. ............................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval ... ~,'.~ ........................... UNDERWRITERS CERTIFICATE No. 1~,~, ........................................ HOUSE NUMBER · · .7~5. .. Street .... ~tf!~,mte~..~ve ..................... TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PI~EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 7833 Z Date ......................... ~p~.~.....1.8 ......... , 19..7.~.. Permission is hereby granted to: ; ....... E~-~r. ~ ..~chn ~ski ................................ ....... 7--5,~. ........... ~&ll~a.te~...Jlve ................... to ,.~r ~.~ c...an~.. ~a,~n~a~..~,e~.r ...ya.rd,,.~ene~mg.....a~.. ~er...~p. pli~ ~ ................. at premises located at ..~..~.~ .......... S.~..1.i.~'~;~.r...A,ve. ....................................................................... ............................................... ~tt~ce~og~e....~,.~., ............................................................................. pursuant to application dated ........................Apl~.i~L.....1..] .......... , 19...~..%, and approved by the Building Inspector. Fee $'"'1'5',~0' ........ Building Inspector ( TOWN OF SOUTNOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Exam,ned .....' .... f.. prove,, ........... .............. ,,...ZS Permi, Disapproved a/c ....................__ Application ,o...~.?......~...~... ............. INSTRUCTIONS a. Th~s application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building 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 prem,ses or public streets or areas, and g~wng a detailed description of layout ofproperty must be drawn on the diagram which is part of th~s apphcation. c The work covered by this apphcation may not be commenced before ~ssuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the apphcant Such permit shall be kept on the premises available for inspection throughout the work. e. No budding 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 Deportment for the ~ssuance of a Building Permit pursuant to the Budding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Lows, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described The apphcant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and tc admit authorized inspectors on premises and in buildings for necessary inspections. ...................... (S~gqature of app~cant, or name, if a corporation) ................................... ~x7 ~ ~ (Address,~f applk:ant) State whether apphcant ~s owner, lessee, agent, architect, engineer, general~'contractor, elecfl'~cion, plumber or budder. · .~..'~.~ ................ ~ ......................................................................................................................... ..m. o, o, ........................................................... If apphcant ~s a corporate, s~gnature of duly authorized officer. (Name and title of co~orate officer) ~.ua~v~ b,~e ~o .......... ~kY~ ................ Plumber's License No ................................................ Electn[cian's License No ............................................. Other Trade's L~cense No ............................................... Location of land on which proposed work will be done. /v~p No ..................... , ........... Lot No..; ................... Street and Number ..~....~.~...~'~.'t~.~.~.....~..tx~...~..r ....... ~..~..C.~..~..~.~..w....'~.....-~.~.~. / ./' ' '~' / ~' Municipality i t al eE;,~l, lit 'nn; u~e aOnndd o°cCcCuUpPaanncCyy..°~rP r~.l.~.ez~i..~t, e n~;i. ~.i .~..~.~ .d...~.~i.~.~.~ .~.~...~f...~ r..~)ed . .~.~.tt. i.~.~ti.~.~:. .............. b. Intended use and occupancy 3. Nature of work (check which applicable). New Budding .................. Addmon .... ........~ .... Alteratiqn ..... ~ .... Repair ................. Removal ................. Demoht~0r. .......... Other Work ..~..~~'-'''-'7~4 ......... ' .......... (to be pa~d on filing thru applicabon) 5. If dwelling, number of dwelhng umts ........................ Number of dwelhng umts on each floor ........................ If garage, number of cars ................................. 6 If business, commercial or m~xed occupancy, speofy nature and extent of each type of use ........................ 7. Dimenmons of ex~sting structures, ~f any: Front ..... .O ~...~.. .......... Rear ....... ../Z../. .................. Depth ....~. ~ .......... He,ght ........ ./~..:...: ...... Number of Stones ....... ../.. ............................................................................................... D~mens,ons of same structure with alterabons or addmons: Front ................................... Rear ................... Depth .............................. Height ........................ Number of Stones .............................. 8 D,mensions of ent, re new construct,on: -Pram ...... /.J..: ~e/~ .~...~' He,ght .....~.../. ....... Number of Stones ........ /. .......................................................................................... 10 Dote of Purchase ................................................. Name of Former Owner ....................................................... 1 1 Zone or use district in which premmes are s~tuated .................................................................................... 12 Does proposed construcbon wolate any zoning law, ordinance or regulation' ...,~....?....~..' .~-"~... .................................... 13 Will lot be regraded ..~,.:~.~._ . ; W)ll/exgess fill I?e, removed fr,9.~ premises: ( ) Yes ( ) No Name of Architect ............................................ Address ................................ Phone No ...................... Name of Contractor ........................................ Address ................................ Phone No ...................... PLOT DIAGRAM Locate clearly and dmtmctly all buddings, whether ex~stmg or proposed, and indicate oil set-back d~mensions frorr property hnes Gwe street and block number or descnpt~on according to deed, and show street names and ~nd~catc whether intermor or corner lot ~,i~/~,i~ I STATE OF NEW ~OR~_ COUNTY~/] ~ / __QF .:~.~/~ ......... ..... ~~....~C~~ ........................... be,ng duly sworn, deposes and says that he ,s the appl,can, (Name of indiwdual signing contracf) above named He ,s the ....... ~.~.~.. ~....~~ ................................................................................................... (Contractor, agent, corporate officer, etc ) of sa~d owner or owners, and is duly authorized to perform or have performed the said work and to make and this applicabon, that all statements contained m this apphcat~on are true to the best of hm knowledge and belief, an~ thor the work will be performed m the manner set fo~h m the applicabon filed therewith. Swor~re me this ..... ~.]~ ...... day of~~i(~ ........... , ............. ~ JOHN J. ~ZO (Signature of opphcont) Nola~ Pubhc, Slate of New York No 52-7758385 QuaJ,fied m SufFolk County ~mml~an Expires MQrch 30, 1976