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Home My WebLink About9458-zl~~w NO. 4 TOWN OF SOUTIIOLD BU~nI~qG DEPART~O~r Town Clerk's O~iee Southold, N. Y. Certificate Of Occupancy No.. Z9005 ..... Date ....l~y ......9. ............ ,19.7~ THIS CERTIFIES that the building located at . ~250... Bridge .Lea~e .....Street Map No ....7~c~ .....Block No ...........Lot No ...... l~ ......................... conforms substantially to the Application for Building Permit heretofore fried in thi, o~ee dated .....Sept .... 19 ...... , 19..7.7 pursuant to which Building Permit No.. ~458Z. dated .....Sept .... 19 ....... , 19..77, was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is i~ued is .... ACCESSORY. BUILDING .............................................. The certLfieate is issued to .: .... ~.. Henry. Fainkel .............................. (owner, ~ac~l~t ) of the aforesaid building. Suffolk County Department of Health Approval ......... N/IR ........................ UNDERWRITERS CERTIFICATE No .................. ~T/IR ....................... HOUSE NU1VI~ER ...~250 ....... Street ......]3v±clge .Lane ...................... ............................................ .Cutchogue.~..Igew..Yo~k ............ Building Inspector FOH~ ~0. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N., Y. BUILDING PERMIT (THIS PERMIT MUS]' BE KEPT ON THE'PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 9458 Z Permission is hereby granted to: S..I~ ~ ..-B,,e ~ ...-.~/<d ..~e~rT· .~[~et. .............. .............. 4~u.t~e~e ............................................ to ,..}.).!~J,l~..~.c~:..~r,i.V~...t,~a r. ~ge......(...r.e plata s...old..~hr~d., huztl ~i~ ~ ..................... at premises located at ....~..~,...l.].~.....r.e.s.ub...s~.tJ~an.....~:~s.s~...p.t .......................................... ............................................... /LV.t ..i~d..... ~m i,~.y, a .. ~a .......... Cut c~ho&ue. ........................................ pursuant to application dated ........................... ~.~..t..,...1,.~. .......... , 19...~.Z, and approved by the Building Inspector. Fee $... ~ ..0..,..0...0. ......... Building Inspector FOItM NO, 6 TOWN OF SOUTHOLD , BuJ/din9 Deportment Town Clerks Office Seuthold, N. Y. 11971 APPLICATION FOK 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: ], Final survey of property with accurate location of oil 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: 1. Accurate survey.of property showing al/ property lines, streets, buildings end 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: I. 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 New Building ..../.~..~ ........ Addition ................ Old or Pre-existing Building ............... Vacant Land .............. Subdivision ................................................................ Lot No ............. Block No ............. House Iqo ............. Permit No ..................... Dote Of Permit .................... Applicant .................................................................. Health Dept. Approval ............................................ Labor Dept. Approval ................................................ Underwriters Approval .............................................. Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Final Certificate .......................................... Fee Submitted $ .................................... Construction on above described building and/permit meets all applicable codes and regulations. Sworn ,o before me this Applicantf~~''''~/~'''~-t~'' ................ day of ............................................ Notary Public .................................... County (stamp or seal) INSTRUCTIONS ~ a. This dl~plication must be completely filled in by typewriter o~..in ink and submFcted in triplicate to the Building ~ Inspector, with 3 set~ of plan~ accurate p!ot plan to scale. Fee according to schedule. I~ b. Plot plan showing location of lot and of buildings on premises, rejationship tl adjoining premises or public streets oF ~) areas, and ~JvJrlg a detailed deSCription of layout ofpraperty 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. Up°n approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit shall be kept en 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 o 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 code, and regulations, and to~'~ admit authorized inspectors on premises and in buddlnl~s for necessary inspections. , ~ 8~.cl~ey Beebe (Signature of applicant~ or name, if a corporation) Cutcho~ue (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.~ bu:[lder Name of owner of premises ..~...e...~...~....&:....B. etty. ](~nlrel If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. Plumber's License No ................................................. Electrician's License No ............................................. '~ Location of land on which proposed work will be done. Mop No.: ~, .... , Let .lblo..1..1...~. ................. / Street and Number ...... (~,v~..,~,~a..~l~e...(~.~..~l~ ........ ~l~,,s~,..~...~......(~'ll~.e,~l;l~l~e. ............................... Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ....~...~..e..~...]:...:~..~. ................................................................................ " ~th ney r~v~te ara · re aeon old shed b. Intended use and occupancy ................................................ ~. ................ [ ....... g......( ....... ~.~..~ ......... ~. ................ 3. Nature of work (check which applicable): New Building.. ...... ~ ...... Addition .................. Alteration ................ Repair .................. Removal .................. Demolition..L ................. Other Work ..................................................... (Description) 4. Estimated Cost ............................................................ Fee ....130.~00. .......................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units .......... .1. ................ 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 ..... ~. .......................... Rear ..... ~..1~ .................. Depth ....... ~ ............ Height .................... Number of Stories ...... Ol~e ........................................................................................................ 9. Size of lot: Front ........................................................ Rear .......................................... Depth ................................ 10. Date df Purehase ........................................................ Name of Former Owner ........................................................ 1 1. Zone or use district in which premises are situated ....... ~.....~,S.~. ............................................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation: ....... ~O. ........................................... 13. Will lot be regraded . ...... ~.~ ............. Will excess fill be removed from premises: ( ) Yes (~r) No 14. Name of Owner of premises ..~...~'l..&..l~. .......... AddreSs ...~.~.~1~1 ....... Phone No ....................... Name of Architect .............................................................. Address ................................ Phone No ....................... Nome of Contractor ...... ~_.~.~.~..~. ................................ Address ...... ~,~(~t~ ..... Phone No ....................... 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. STATE OF NEW~ YORK ~ c ¢ (Name of individual signing ¢ontracf) 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 ~plication; that all statem~ts contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the ma~ner set foffh in the application filed therewith. Swam to before me this ~ ~ ~oto~ Public, . ................... ~.0~ ............... Coun~ (~n~ture