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Home My WebLink About9422-zFOIL~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Occupancy No. 8.~g6~ ....... Date ' Pb bifil'~:~" THIS CERTIFIES that the building located at ~60' I//~;' ViSit' g~[~% ..... Street Map No. 6'~4'~ ....... Block No ........... Lot No ..... 8 ............................ conforms substantially to the Application for Building Permit heretofore filed in this office datejulyd ..................... 21 ., 19. 99. pursuant to which Building Permit No. '952~'Z ' dated 19 ., was issued, and conforms to all of the require- ' .............. merits of the applicable provisions of the law. The occupancy for which this certificate is issued is .. ~'l~i~ '/)i~3' 'I~'I'L.~' i~'~,~[~' ..................................... The certificate is issued to... ~.~1~~. '~1~l' ~'3~ta'~/~[ '~i~s's~' ~ 't~t') ......... of the aforesaid building. ~~XXX' Suffolk County Department of Health Approval ..... 7;,~'0,;t0~' ..................... UNDERWRITERS CERTIFICATE No .............. N~?~82~ ...................... HOUSE NUMBER..1~0. ........ Street .. 'I~l~"~ 'V~t~'~ '~'¢t .... ; ................ SECOND FLOOR NONaHABITABLE TOWN SOuTHO BUILDING 'PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 9433 Z Date ............................... AUg.....~. ........ , 19..~..~.. Permission is hereby granted to: at premises located at .J,~t..£ .......... J.~.~lo?r...,~,~,S.t,..~-~:l; ................................................................... ................................................ ZB&e.~,,-./.~e:'~..~et> ............ ~,~t~i.'euek ........................................... pursuant to application dated ........................... ~.]:~.....~1}......, 19...~.~., and approved by the Building Inspector. Fee $.6.~.,.0~ ....... fatst floor only ~ , ~ ~spec~tor . [ ," Building Department Town Clerks Office Southold, H. Y. 11971 APPLICATION fOR CEKTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in triplicate to the Building inspector with the following; for new buildings or new use: ]. Final survey of property with accurate location of ail buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposal--(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: ]. 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 $§.00 2. Certificate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1.00 $5.00 Date 2/2/"/8 New Building .......... .X. ........ Old or Pre-existing Building ............................ Vacant Land ............................ Location Of Property ~E/~¢~1~v~E~¥~j[~s~T~`~`2~`-~8~g~[~~T~!~?~ ........ Owner Or Owners Of Property JAr4£$ ~ CLAUDIA HI~ecH Subdivision ..... ~.L.~...E.~.S..T.. ~.$,T..~T.~.S. ......................... Lot No.,,,,,,.,.,,,8 Block No: ............ House No ............. Permit No ...... ~..~.?..2 ....... Date Of Permit .................... Applicant ..... .W..I..L.~.?.~...H..!.N..? ..................................... Health Dept. Approval ............................................ Labor Dept. Approval ................................................ Underwriters Approval .............................................. Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Final Certificate ........... ..X. ............................ ~.00 Fee Submitted $ .................................... Construction on above described building and permit meets all applicable codes and regulations. pp icon ......................................................................................................... ~ILLI AN HI#E Sworn to before me this 2 ,e day of F£eeuAe~,.1~78 Notary Public ,.....~,o,~ ................ County (stamp or seal) ., ............. :.:...' ..... .... . ......... ......... a. ~is a~lic~i~ m~ ~ ~lemly. fill~ in ~ ~wHt~ ~ In~or, with 3 ~ of p~/~. ~ p~ ~ ~., ~ ~ ~. Plot plan shying I~i~ of lot and of ~ildi~ ~ premix, relationship to ~joining premiss or publ c stree~ areas, and givi~ a detail~ ~Hpti~ of I~ ~p~ must ~ dm~ on t~ di~mm ~ich is ~ of this applicati~.~ c. ~ ~; wo~ c~er~ ~ ~is: ~li~t~ ~ ~ ~ c~me~ befom,im~ce~f3B,i~i~ Permit. d. U~ a~al of ~s ~lic~i~, ~e Bui~i~ I~tor will i~e a BuildJ~ Pe~ t to the ~plicam. Such perm shall ~ k~t on ~ p~l~ ~il~le ~r i~ ~ ~ e. No ~ildi~ ~all ~ ~c~i~ or ~ in ~ole or in ~ ~r any pu~ ~r until a ~ificate of ~cu~ncy~ shall have ~en granted ~ the Building In~or. APPLI~TION IS HEREBY ~DE to the Buildi~ ~nt ~r ~e i~uance of a Building Pe~ t pu~ant to the Buildi~ Z~e Ordinate of the T~ of ~d, ~lk C~, New York, a~ ~er ~lic~le ~, O~i~nc~ or ~ulati~s, for the constr~on ~f buildi~, ~iti~s or al~i~s, or ~r m~at' or ~liti~, as heroin d~ri~d. applicant agr~s to co~ly w~th all a~lic~le I~, ordi~, ~1~ ~, h~i~ admit aut~riz~ i~t~ ~ pmmi~ ~ In ~i~i~ ~ ~ I~J~s. .......... ........ 21 SEAGLIFF LANg ........................... State w~e~er o~licont is ~ner, Ieee, agent, o~it~t, engineer, ~enerol c~tmctor, el~tricion, plumber or Name of ~ner of p~mi~ ..~..~..~.~.~.L~.~.~.~ If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ..................................................... Plumber's License No ....... ~-~......~ ...... Other Trade's License No ............................................... 1. (oo0- I00-~- I0.~ -'i-_co -to Location of land on which proposed work will be; done. Map No.: ..... .6..2..4~. ........................... LettNo ..... ;~..~.2..! .......... Street and Number F~.~ I~J~T V. ~.Y. ~.~.~.T~ .:~..2..~Be S~(~ [-].A. Ni.e..I.V EW AVE#ME, MATT~TNOK Municipality State existing use and occupancy of premises and intended use and occupancy of, pr~o~cl construction: a. Exisiting use and occupancy ................................................................................................................................. b. Intended use and occupancy 1-FAHILY RESIDENCE YJUb 3. Nature of work (check which applicable): New Building' ~ ................. Addition .................. Alteration ................. Repai'r .................. Removal .................. Demolition;;..: ............... Other Work ..................................................... ' ;~ r~ (Description) 4. Estimated Cost ........... ~.6..t..O?..O. ................ ;:..,..',..;'~,..,:Fee ,.~.~..."'"'""-' ................................................................. (to be paid on filing this application) 1 5. If dwelling, number of dwelling units ............................ Number of dwelling units on each floor ............................ If garage, number of cars ............................................................................................................................................. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ....: ....................... 7. 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 ................................ 8. Dimensions of entire new construction: Front ....7..4.~.4.." ............. .......... Rear ,~ ........................ Depth ....~!..4.'.'. .......... ................... Number of Stories 2 HelghtAPPRCX 22~ ....................................................................................................................... 9. Size of lot: Front 150~ ..................................... Rear 120t Depth ~.V. ERAOE ~.17~ 10. Date of Purchase ....~.~.~ .......... .1.~..?..7. ........................... Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated ..................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ............ .N..o. ........................................ 13. Will lot be regraded. ........... .N...O. ........... Will excess fill be removed ~r.om0.PreBr~e~~ ) Yes (x) No 14. Nome of Owner of premises .d.A.~.E..S...~...~.I?.A..U..O..!.A....I:I.!..~..~..C..H.....' AddresS~&P.J.P.~..RJ. XF, R~..N~, PhOne No...~=:j~... Nome of Architect .............................................................. Address~'l**.SE.~eL.e.~l~..i.,#&. Phone No ....................... Name of Contractor ~/ILLIAH H. HINE HILLER pLACEs NY ...4.7.~.Z..1.~.2..9. .... ............................................................ Address ................................ Phone No. PLOT DIAGRAM : Locate clearly and distinctly oil 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, I ¢ c COUNTY OF ...~UEEOLK ............... ~'~ ~/H. Li~ H- H~#E . . ................................................................................................ oemg duly sworn, deposes and soYs that he is the applicant (NamW of individual signing,cOntroct~ ~ ~ above named. He is the ................... .B..u..!.~..D...~.~. .............................................. . ..................................................... '~ .......................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said wor~ and to make and file th s app cat on; that a statements contained in this app~i,cotion.,o, re true to the best ~f his knowledge and belief; and that the work w~ be performed ~n the manner set forth n t~he oppl cat on T ~ed therew th. Sworn to before me this 19.7..7. ........ ........ doy, f .......... ..................... , .... Notary Public, .~. ,~,.'~.~ ......... County LtNDA L. j~SpER~ew/' ¥~f~l NOTARY pUiSUC, State of ~ILLIAN H. H I~Eignature of applicant) ~'lo. 52.7076750, SUffoI~ ~ouniy Commission Expi(es March 30~ tr'J,~' HARBoRVIEW AVENUE THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD OBSERVATIONS AND OR FROM DATA OBTAINED FROM OTHERS THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESJDENCE WILL CONFORM TO THE STANDARDS OF THE SUFFOLK COUNTY DEPARTM£N'I Lot ? LOt 9 Lot 3 Lot 2 NOTE . · = MONUMENT SUBD I VISION MAP FILED IN THE OFF/~'E MAY I, 19~SASFI~E NO. 6249. WATER SERVICE = PRIVATE WElL THERE ARE NOHOUSES WITHIN I00 ~' THIS PROP£RTY £XCEPT 77'10SE SHOWN HEREON I IJNAUTHORIZ~D ALTERATION OR A00[TION TO REVISIONS AUG.'4,19Y7 SEPt. P2,1977 /VOI/ //, /.o77 YOUNG & YOUNG 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK ALDEN W. YOUNG HOWARD W. YOUNG SURVEY FOR: JAMES HIRSCH ~] CLAUDIA HIRSCH LOT NO. 8 " INLET EAST ESTATES " MA T TI TU~K TOW~ OF ~SOUTHOLD SUFFOLK CO., N.Y. GUARANTEED TO: CHICASO TITlE INSURANCE CO. dAMES 8 CL. AL~IA HIR~CH SOUTHOID S~VINGS 8[~IK SCALE: AVENUE ' HARBORVIEW LOt 7 N. 84 ~ 46'§5' Lot ITHE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FfELD APPLICANT: ADDRESS TEL .... SUFFOLK COUN:TY DEPAP. TMENT OF HEALTH SERVICES FOR APPROVAL 'OF CONS~TRUCTION ONLY DATE_ _ HS REF. NO._ -- m APPROVED 323. Lot 3 Lot 8 Area "42,858 sq'ft' Lot ~ 9 ,'VOTE - · = MONUMENT SUBO l VISION MAP F/LED IN 7~E OFFICE OP THE CI-~RK OF SU£FOI. K COUNT~' QN MAY I, 197'§ AS F'ILE HO. 6249. WATER SERVICE = PRIVATE VIE~ THERE ~'IRE NOHOUSES WITHIN lO0' OF THIS PROP6RTY EXCEPT ~HOSE SHOWN HEREON STAKE nEViS~ONS YOUNG & YOUNG JULY~6~/.97~' 400 OSTRANDER AVENUE, RJVERHEAD. NEW YORK SURVEY FOR: JAMES HIRSCH ~ CLAUDIA HIRSCH LOT NO. 8 . INLET EAST ESTATES . ~IC~GO rlr~ INSU~E CO. SCALE / "= 50 ' j o¢,~E JULY~-- ~7- ~7, 1977 ,~' c 77_422~