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HomeMy WebLinkAbout9259-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCHPANCY No Z17766 Date FEB, 22, 1989 THIS CERTIFIES that the building Location of Property 3800 DUCK POND ROAD House No. County Tax Map No. 1000 Section 83 REBUILD FIRE DAMAGED UNITS CUTCHOGUE Street Block 02 Lot 01 Hamlet Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 20, 1977 pursuant to which Building Permit No. 9259Z dated MAY 23, 1977 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 REBUILD FIRE DAMAGED UNITS & ADD SECOND STORY~ WEST WING. The certificate is issued to POND ENTERPRISES INC. NICHOLA~ kLIANO, PRES. (owner, X~ of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N295193 JULY 28~ 1976 PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 ~ ' ' ' Insp~ector ' J FORK NQ 8 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) Z 146W..... ........... 19..77. N° . 9259 Date ......................:..... Permission is hereby granted to: pOtlQ„14l1to�'pt,',�s0p.....(.,�adhA0�68T,.s01s+11 ................................................Po . Hoed $Ii6A)l�r ....... • . to b ...f.#.p..d t uaita B ndc2..: eaond...ptor e.. msA .. .................... 5 ..M! !# lF.)..................................... ................................................................................. at premises located at ....VA..]1116k .F?and..i34w9d . ..1r.Z+ .......... ..................................... ..........................................................wimm. '................................................................................ ................................................................................................................................................................. pursuant to application dated ...........................tAw.........20......., 19.77... and approved by the Building Inspector. Fee SAMAR ........................................:........................... .......... Building Inspector TO~N O~ SODTHOLD BUILDIN6 DEPARTMENT TOWN HALL SOUTHOLD, NEW YORK 765 - 1802 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING ...... VACANT LAND HOUSE NO. STREET Owner or Owners of Property. ~ ........ ~....' ............. ~ ............. County Tax ~ap No. I000 Section ..... ~lock .... '... Lot ......... Permit Health Subdivision ....................... Filed~ Map ........ Lot ...... ,... No. ~-)2 .Date of Permit Planning Board Approval ................ Request for Temporary Certificate ....... Fee Submitted: $ .................... APPLICANT.. Final Certificate ................ rev. 10/14/88 "" :THE NEW YORK BOARD OF FIRE UNDERWRITERS 85 JOHN ~T'REET NEV~ YOR~ NEW YORE 10038 ' - 5193' Beachcomber Motel, e/side Depot Bane, n/o Sound Ave., Cutchogue,L.'I. int~f~o~ing~atlon; ~e~nt ~lstn.'~2ndFI. 0utslde~ ~ S~ ~t 35 64 DRYEI~ Ju~y 22, 1976 RXTURES SWITCHES 33 35 and found to be in compliance with the requirements of this Board. RANGES OVENS EXHAUST FANS TIME CLOCKS UNIT HEATE~ ~ S · PER ,~ 250mcm C TMs ce~ficafe ~usf nor be altered in an~ manner, retorr~:~'o the ~ffi~e ' ' b~ identified /2,/77 FO= xo. i TOWN OF SOUTHOLD RTMEN BUILDINGDEPARTMENT DET TOWN CLERKS OFFICE SOUTNOLD, N. Y. Examined s S Examined ........... ... .....1 d_ � Application No. ... ........ .. l �......., 19........ permit No. .. .. Approved ................................. Fa...1�...�...�...... Disapproved a/c .................... .......f.................. .......................................................................................... ... ... _I (Bu ding Inspector) d APPLICATION FOR BUILDING PERMIT d Date .................... /v' a .....'1. ..........., 19..77 INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Buildingfi 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 of property must be drawn on the diagram which is part of this application. 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 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 Occuponc � _shall have been granted by the Building Inspector. y 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 ori 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. R ........................................... ............................. ............. (Signature of applicant, or name, if a corporation) .. x 9s�7 �.. . l` �aa�o .(%*�.� e,°( ...............°........ (Addre§s of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .................................. .......... Name of owner of premises ...�5?.k.n..... �.2.�2c1,/,{�(,•, ............................................................................... Ifplica iofuly s a corpo e, signature oauthorized officer. �/� rLo.O (Nome and title of corporate officer) Builder's License No. .................................................... Plumber's License No. ................................................ Electrician's License No. ............................................ Other Trade's License No. .............................................. u 1. Location of land on which proposed work will a done. Mop No......................./.. ..•..... . of �Q. .��....�•' Street and Number ......� Q.E ,g �.. , Q„t p,j;",J �ku J/ M�icipality t' 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy .........1. 1 nn .0. Q/ ._....................................... b. Intended use and occupancy .........1.. (.®...............OvVll�, ,,,•�� i 1� 3. Nature of work (check which applicable): New Building .................. Addition ....1/..... Alteration ............,. . . Repair ••••••• Removal .................. Demolition.........,.......... Other Work ...................... . ....................... ... .. / p ago- 4. escription) 4. Estimated Cost /..r!y.. Q..P..........................Fee 1.. .. .1.......................................... .................................. (to be paid on filing this application) 5. If dwelling, number of dwelling units ............................Number of dwelling unitsron each floor ............................ Ifgarage, number of cors ........................................:.................................................................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................�........ 7. Dimensions of existing structures, if any: Front .......�.0../......... Rear ......l0O�........... Depth ...a. ........ Height ....��.............. Number of Stories ............................................... .Q�................. . . . ..../CO0/ ........... Dimensions of some structure with alterations or additions: Front .................................... Rear ............................ Depth ....OZd./................. Height ...A©.�.............Number of Stories .....Z�........................ 8. Dimensions of entire new construction: Front .................................... Rear ............................ Depth ........................ Height .................... Number of Stories ..................................................................................................................... 9. Size of lot: Front ......................................................... Rear .......................................... Depth ................................ 10. Date of Purchase ....... f?. .:..L....1.C.�J9.. . .. ........Name of Former OwnerPG�`iPOLN 11. Zone or use district in which premises are situated ...... . ....••••••••••••........................•••• 12. Does proposed construction violate any zoning law, ordinance or regulation: ..A).d............................................. 13. Will lot be regraded .......Nn............ Will excess fill be removed from premises: ( ) Yes ( "a 14. Name of Owner of premises .. I•`� rt•1?•9 2<.lof. aAddress ca ft k..0 � .I..P/Phone No. 7 V---�.' Z 0 Name of Architect �..Q.�II.r....F Cl �` .P..D..�X.............. Address .R1....��1. .��`ril(!: Phone No �a.,7/-.��Z Name of Contractor ... J. `1.U./�!�..../.�.Z.a y.6�.......... Address .�.�!(y.&gq04(e-4Phone No. 73., -A—P!1 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. w S � N l �\ v STATE OF NEW YORK, ISS COUNTY OF ..../..... ................. f �(Glfd(�f f( ep 4,G „ ,,,,,,,,,,,,,,,•„being duly sworn, deposes and says that he is the applicant (Name of indivi uol signing contract) above named. Heis 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 than the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this n �3.n. ... day of .....,1'1.. ............................. 19./.2 ............ Notary Public, .. ........���......�%fT............. County ... ........................... (Signature of applicant) C ' La)-t . SN NOTARY Buc EState Wof New York No. 52-4643721, Suffolk Cou iRrm Expires March 30, 19 4 � ` I ' I I ' SL' , F : V I '_' __--- I __ E K I � Y t (•I G — .____� _ E x S 't' 1 x.f v -. �___.--�. )= Y-r —�-T-,:..c�.� 1 I f - - APPROVED AS NOTED DATE: cs�23/77 0_ FEE - 9 . NOTIFY BUILDING DEPARTMENT'AT - - I �j �i , I� d - ' 766 2664 9AM to 4P'M FbRRE4UlR• - n- I`F[-t b m4 4 `�-e G'} - ED INSPBCTIO"IS ' nA CEFORE. BACKFILLING GQ"'I, . . N.OR START FIZAry u.G 2' C?A?^.LNG INSPECTION 11 3 RE ,COVERING P''+`. CF ANY KIND .,f0 4. FINAL WI4EN JOB COMPLETED NOT RESPONSIBLE ER Dr OSIGN ' . R CONSTRUCTION ERCGaS x OR 5 5, ALL CONSTRUCTION MUS P 1.?EST r n .REQUIREMENTS 4F N.Y.,STATE CODE ! AND TOWN HOUSING CODE & ZONING I , 5 �q� N>m I�cxbaM�?� till iL, , k: .. .4 W 3 t ,.Z a t. -? ._ .J r. .. ..,x .:,1,� F „ .,:.._ ., •fli, t , ':n I, .. _.:�., .�,,i�.v. o � yrF '', �i •��:5-%r .� ,s;%'!#r. T�.��,, r . A : t • .[ z _x[I Y -x- F. � ! . Idu v J 3 _ t , I • yi5 ., „i,.e .`. o '�'. ✓. 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