The URL can be used to link to this page

Home My WebLink About9429-zNO. · TOWN OF SOUTHOLD BUK~ING DEPARTMENT Town Clerk's Office Southold, BI. Y. Certificate Of Occupancy No...Z. 92.~.9. .... Date ..... 09.'c.o.b..er...~.~ .......... , 19.7.8. THIS CERTIFIES that the building located at . Map No.../I.~7.9. ..... Block No ........... Lot No .... P..~'. ~..qff.. p.l.q~...~ 5.0. ........... conforms substantially to the Application for Building Permit heretofore filed in this office dated .. ABgB..s~c...2..~ ........ , 19..?f. pursuant to which Building Permit No...9..~. ~.Z. dated .. A.u. gB. S~E .... .2~ ........, 19.. ~ 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 ....... Priv. a~ce..One. F. ami~-~ .Dwe~.]./,,~g. w~Ych, addi'cian ................ The certificate is issued to Richard Bozsnyak (owner,~ of the aforesaid building. Suffolk County Department of Health Approval .............. N~R ................... UNDERWRITERS CERTIFICATE No .... N.40~7.01 .... S.ep~ember..2~,..1978~ ....... HOUSE NUMBER .... 6~2~ ..... Street ......... .S..]~akr~....L..rog..e ..................... ............................................... . .~.~..c.h.o.~..e,..~..~...Y.o..r.k .......... ..... .... County Tax Numbe~ Building Inspector 1000-10~--~-5 FO~ BUILDING TOWN SOUTHOLD, N, Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) TOWN OF SOUTHOLD , Building Depmtment Towo Clerks Office $outhold, N. 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 October 12, 1978 New Building ................ Addition ...... ~ ........ Old or Pre-existing Building ................ Vacant Land .............. Location Of Property Owner Or Owners Of Property Mr. l{iah8.rd J3ozsnyak Subdivision ................................................................ Lot No ............. Block NO ............. House No ............. 8/24/77 E. Horton & Sons Inc. Permit No. 9429 Date Of Permit .................... Applicant Health Dept. Approval ............................................ Labor Dept. Approval ................................................ Underwriters Approval .... ~ ...................................... Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Finczl Certificate Fee Submitted $ 5.00 , Sworn to before me this Applicant ....,'~.~4.~".~,, .,.~?~,.u-w,,.,-';=~, ..v:,,,_~ .............................. ................ day of ............................................ Notary Public ................................... County (stamp or seal) o/to/ r THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ST.ET, .EW OR., .EW OR. 1OO,, THIS CE~IFIES THAT ~chardo Bozsny~.n/a Sk~k Lane~Cutchoque,L.I. in t~ f~lng ~tion; ~ B~e~nt ~lst FI. ~ $~ Fl. ~t~n Bilk ~t ~.=~i~o. ~epte~er ~8, 1978 ~f~to~incomplia~e~ithther~ulm~nt~of~h~. FIXTURE NXTURIS RANOES OUTLITS SWITCHES 10 12 DRYERS FURNACE MOTORS FUTURE AI~JANC! FRE~RE DISH WASHERS EXHAUST FANS TIMI CLOaCS LJNIT HIATI~ MUL~LET DIMMERS SYSTIMS NO. OF FlIT OTHRE APPARATUS: ~ot or~ ~ 1-F Z-Smoke Detector S E R V I C. E. Dettner Elect. Co. P,Oo Box ~82 Rlverhead,N.¥. 11901 LIc.6~3E his ce~ate mu~ ~t be al~r~ in any manners, r~urn to the office of the ~ard if incofred, Insp~ors may ~ COPY FOR BUKDBiB DIPAIL'IMBiT, THIS COPY OF CIRTIFICATI MUST NOT BI '1 I Approved Disapproved a/c TOWN OF SOUmOW '. . . . BUI~ING DEP&RTMm? ~ "' 'L~ e ~-,s~.. ~ %~,~ TOWN e.,LERK~S OFFICE / ~ ~ .~ Y. - APPLICATION FOR BUILDING INSTRUCTIONS This application be completely filled in by typewriter o~ in ink and submitted in triplicate to the Building Inspector, with 3 sets of plans, accurate plot plan t~ 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 giving a detailed description of layout ofproparty 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 Occuponcy~, shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Perm t pursuant to the Building Zone Ordinance of the Town of Southold, Suffotk 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 lows, ordnances, bu ding code, housing code, and regulations, and to t ~,adm!t authorized inspectors on prem~s ,'s and in buildings for necessary inspections. ~ ~ /~ b (Signature of applicant, or name, if a corporation) _ State wh-"eWb~app~ner, lessee, agent, architect, engineer general contractor, electrician, plumber or bu der. Name of owner of premises If applican~ is a corporate, signature of duly authorized officer~ Builder's License No. Plumber's License No. Electrician's License No. Other Trade's License No. - -~ .. ~'~ /-~ ~ F ~/---~ ~ ~ Cb ~-//77 Location of land off whic~h prgp,~sed work VjllJ~e done.~ap 1~.: ................... .~.. ................. Lot No..,~ .................... Street and Number ..~..~....~..~.......~....4~-~?~-~ ......................... ~ ....... State existing use and occupancy of premises and intended use and occupancy of proposed constr(~.tion: a. Exisiting use and occupancy ....~'/~..6tl~~,~f~ ...................... . b. Intended use and occupancy ...... ~.... ........................ Nature of work (check which applicable): New Building-, ................. Addition .................. Alteration .............. Repair .................. Removal .................. Demolition .................... OtJne r Work ............. ~ .................................. . .... ~,~ (Description) Estimated Cost .................. ~..,~,.~O~d...~ ....... ... ee ~/..~,~. ................................................................................ (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 .................................................................v .......................................... : ............................... If business, commercial or mixed occupancy, specify nature and extent of each type of use ............................ Dimensions of existing structures, if any: Front ............................ Rear ................................Depth .................... Height ........................ Number of Stories ................................................................................................................. Dimensions of some structure with alterations or additions: Front .................................... Rear ............................ Depth ................................Height .....................' ....... Number of Stories .................. ~ ............ ' · Height .............. Number of Stories .............................................................................. 9. Size of lot: Front .............. ..,.~..: ................................. Rear .......................................... Depth ................................ 10. Date of P,rchose ................ 2: ....................................... Nome of Former Owner .¢.L....~..~.~r~O~ ....... 1]. Zone or uso district in which premises are situated .................... 5.~,t~..tf. ..................................................................... -- 12. Does proposed construction violate any ~oning law, ordinan~:e or regulation: ........ ~...~....'. ................................... 13. Will lot be regroded' . ........................... Will excess fill be removed from premises: ( ) Ye* ( ) No 14. Nome of Owner of premises .................................................... Addre~ ................................ Phone No..; .................... Nome of Architect .............................................................. Addre.~ ................................ Phon* No ....................... Nome of Contractor ............................................................ Address ................................ Phone No .......... .'. ........... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-bock dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner Jot. i' :- - - ...... :': -¥ STATE OF NEW YORK, COUN2:~ OF ....; ....................... ~ ,,~'"~°'~ .......... ~.~.L~ ....... ~...~.~%~.~ ........................ being duly sworn, deposes and says t~t he is the applicanl (Name of individual signing contracf) above nam~: ~... He is the ................ ~ .... ~ ............................................................................................................. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the sa~d work and to ~ke and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set fo~h in the application filed therewith. Swnrn to before me this .......... ...... o, ................ , x ~ot** ¢~b~,. ............. m ................................. Co~ ..... ~~.....~ .......................... ~/~: U~ ~ig~ature of a pp,icanf) ~ ~' ~ E D~WSON ~. 524~3721, SuflMk ~un~ Term ~r~s March ~,