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Home My WebLink About9531-z]l~)ItM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy THIS CERTIFIES that the building located at ~YO ~%~qTt: ffr^t)~*3 Street Map No ............. Block No ........... Lot No .................................. conforms subst~ti~ly to the Application for B~lding Permit heretofore filed ~ this office dated ............. ~q~.../.., li~. p~su~t to which Building Permit No. dated ~t/v Z 19~. was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which th~ certificate is The certificate is issued to . ~ 5 ~ 5 ~ .... 57.( ¢. IJ ~ ~ ............................... (owner, ~) of the afores~d building. Suffolk County Department of Health Approval ~/.~ ~...~.( .~..T;.~P.-. ..... ~UT cHo6u~ Bffild~g Inspector 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) N? 9531 Z Date .......................... N~y. ......... 2. ........... 19..~/.~.. Permission is hereby granted to: to ..~ J,l~..ne.~.. cm-e.., fami,l.y...d~e i.I ~.~ g. ................................................................................... at premises located at ...~L~.O-F,*.....N~.~....I~t~.~L...~....F,.].:~.~h...I:a. ............................................. .......................................... ~;.~ ................................................................................................ pursuont to opplicotion doted ............................ ~i~...../t .............. , 19..~f'/.., ond opproved by the Building Inspector. Fee $...,~l,.,)~.~. ....... FOII~ NO. 6 TOWN OF SOUTHOLD Building Dejmtfment Town Clerks Office Southold, N. Y. 11971 APPLICATION FOR CERTIFICATE 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: 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 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 p/an 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 $1.00 New Building ...........~....... Old or Pre-existing Building ............................ Vacant Land ............................ Location Of Property .... .]~.Q]~.~1/..~.~.~.~.~.-5~.~..~.~.~.~.j..~..~.~..~.?~.~..C~....~..~...~..~.&1~..~ .................................. Owner Or Owners Of Property ..... S=~Laz~..SheeJ~an .................................................................................. Subdivision .... D..e..~.¢...~.~.e.~...~..~.o.~..e..z'...~.~. ................ Lot No ............. Block No ............. House No ............. Permit No..~).~.~.~...~.... Dote Of Permit ....~,~,/.~/..7..7.Applicant .~.Tk~.~....~.~q.~.A...~...Z~).t. ................... Health Dept. Approval ............................................ Labor Dept. Approval ................................................ Underwriters Approval ....2./...2..2./..7...$. .......................... Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Final Certificate .......................................... Fee Submitted $ .................................... Construction on above described building an~l~ ol/pp~codes and ~e~ulations' Applicant ........................... ~ ....... r .................. .~.,.~.~. ................ Sworn to before me this Nota~ Public ....,~'.~-~......~...~. County N. r' r, ~ublic, State of New York ~o 2 46~07 Suffolk ~unW q'e[m t~x>,res March 30, 19 (stamp or seal) ¢-2-7 THE NEW YORK BOARD OF FIRE UNDERWRITERS ;,. -,.~ BUREAU OF ELECTRICITY :- 85 JOHN STREET, NEW YORK. NEW YORK 10038 ,,iF%, -~li;-=ili+ o.~ Febr ua~y 22,1978 Application~ro' O"~ ~47174 _ ~ _ % THIS CERTIFIES THA~ . -. . G~ynne Consc~; e/sHano~ Hil~ Lane, n/o ~xn Re. ~}UJ uuccnogua, ._ ........ ~-. in th,fottowlng ~ocatlon, ~ B~ement ~ I,, a. U 2nd FI. outside ~iion - Bl~k ' ."'~.' ~t '- i~ ~ was examined on February 17,1978 ,,dyo,,a to be n compliance u. ith the reqtdrement~ of thb B~rd. . . SXHAU$1 FANS OTHER APPARATUS: Joy Elec.Serv. 54 SCratle~ Dr. Shirley, L.I.11967 lic. 712 D This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified BUILDING DEPARTMENT TOWN CLERK'S OFFICE ~UTHOLD, N. Y. · ~ Application .1~o ...................... ~'"*:'-...m ~p v o ........................ ~.~; .......... , lY ........ ~e~it ~o...~ .............................. ~.. ~ , ~/~ '/ Disoppro~ed ...................... .................................................. .......... - .......................... o. Thi~ opplicotion must be complet~l~ fill~d in by ~p*writor o~ in i~k ond *~m~tt~ in lriplic~te Inspector, with 3 s~s of plo~s, accurate plot plan ~ ~ale. Fee acco~ing to sch~ule, g~ b. Plot plan showing I~ation of lot and of buildings on premises, relationship to adjoining premises or pub c streets areas, and giving a detail~escription of layout ofprope~ must be drawn on the ~iagram'Which is pa~ of this application. c. The work covered by this applicatio9 may not ~e commencedbefore issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue o Building Permit to the applicant. Such permlt~ shall be kept on the premises available for inspection throughout the work. e. No building shall be ~cupied or used in whole or in port for any pu~ose whatever until a Ce~ificate of ~cupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY ~DE to the Building Department for the issuance of a Building Permit pu~uant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the constru~ion of buildings, additions or afferations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable Paws, ordinances, building c~e, housing c~e, and regulati~s, and to admit authorized inspectors on premises and in buildings for n~essa~ i~tions. ... G~..Co~s :~:1o~..Co:p .................................... ]Signature of applicant, or ~me, if a co~oration) (Address of applicant) State whether applicant Js owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. L~ Nome of owner of premises ...... ,B.~.a..~.....S...~..e...e..h..a...~. .............................................................................................................. If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ..................................................... Plumber's License No .... ,7, 7. .0, '. .~ ................................. Electrician's License No. 7..~,.~.-.~ ...................... ~"'--Q /ooO .---/ob'-- Other Trade's License No ............................................... Described survey attached Location of land on which prO~po_sed work will b~ done. Mop No.: ................ ~ ..................., Lot b~o...~.;.,~; .............. Municipality State existing use and occupancy of premises and intended use and occupancy of proposed co6struction: a. Exisiting use and occupancy ................................................................................................................................ b. Intended use and occupancy ...... .o...~..e....~.~.~.~.~.....d.~.e..]:.~.~. ............................................................................ 3. Nature of work (check which applicable): New Building-....~- ........... Addition .................. Alteration ............... Repair .................. Removal .................. Demolition .................... Other Work .................................................... ~C~' ~'I~ (Description) (to be paid on filing this application) 5. If dwelling, number of dwelling units ............................ Number of dwelling units on each floor ............................ If garage, number of cars ............... .2...~,..a..r.....~..a..r..a...g..e. .................................................................................................. 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 ........... .6.1...8 ............... Rear ..... 6.1.:.~. ............. Depth ..bfl: ................ Height .................... Number of Stories ..... o~'le ......................................................................................................... 9. Size of lot: Front ....................................... ].5(~! ......... Rear ........ .3..50.! ......................... Depth ..-/~6~:.~.3 ............... 10. Date of Purchase ........................................................ 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.~q ................................................... 13. Will lot be regraded . ........................... Will excess fill be removed from premises: (,,,) Yes (×=~ No · ~nmR tn. ..... Brian Sheehan ^~ .... 7 Wo.o..d.s.....L...a.... ..... Phon-~'o .... PLOT DIAGRAM Locate clearly and distinctly ~11 buildings, whether existing or proposed, and indicate oil set-I;~ck 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, iS.S~] 3~-~ _~/~ COUNTY OF .... ; ........................... 7~- d Rverett ~.,. ~.~g,b,~ ..................... be ng duly sworn, deposes and soys that he is the applicam (Nome of individual signing contract) above named. He is the Vice President (Contractor, ogent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to rr~ke and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and thor the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ~ ,_,~ Gwynne Construction Corp. .......... ./.~... ...... day of ...~. ........... ~...~..~ ........... 19.'-/.-~/- ~ ,------ , ~ / J! y~ Notary Public,,-......,,..~ ....... ; ..... County .~Z"'J~¢¢~.~...... ,~... ~... · · .. -'~.:.. · ./.~...~ ......................... CSignature of opplicont) KATHLEEN SCHV/,~ qT7 ~7 J,07A~Y PUBLIC, State ol he I/: ANY~, HOT SNOWN ARE ~UARANTEEDo I'HE EXISTENCE OF RIGHT OF WAYS AND OR/EASEMENTS OF RECO~[~ IF ANY., NOT SHOWN ARE NOt GUARAN.TEED. I'HE EXISTENCE OF PdG?;T OF WAY; AND OR/EASEMENIS OF RECO~'3 I~ ANY.. NOT SHOWN ARE GUARANIl~D. /EYO~ Y. (~, ~(..) SCALE: ,// C£LLA~ Co~£ ~yP£u~ oM I£" /¢/-I1" ,¸1 AMILV It L S I D I: NC [ I-I[.~MAN II. YORK. P, AY~OND LSCkI[N~L__PLAN A l~:ei C 14 I T 1: C. T .S ~la- O 4- STIr E& 1 ,.I ~, MA I C A NLW Vg~lC Jl432 L L t Pl ON : ~ ~ WOo,c, UP , *..ELL b~LTZ ~ C iINSULATION 'Insulation indicated on plans ma~ vary from '' local requiremente. ' Insulation (R value)and allowable infi,lt~' tion'?atee to comply with latelt r~ulations Of the local,utility ¢okpany, ' I ' I ON[. ~. %. oo~?~q J OV6P- - / ~ T~ up ~ ~ O - I0 o.C. t ,I OIq[ It ~, J~ I L Y t t RECO¥I~IENI)ED NAILING $CHED~JLE - Width of 'Upt~ ~' ~- RL$ I OL~qI-CS,