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Home My WebLink About9084-zTOWN OF SOUTHOLD BUr~I~G DEPARTMENT Town Clerk's Ofiee Southold, N. Y. CertifiCate Of Occupancy No. Z9501~ Date April 18 19..7~., ram c~armms that the b~i.S ~o~a~ at Map No ............. BI~ No ........... ~t No .................................. ~o~ su~y ~ ~e App~ca~on for B~g ~t h~fore ~ ~ this o~ da~ .. ~F~. J J ........... , 19. ~ p~t ~ whi~ B~ding Pe~t No.. ~. ~ March ~0 19~ was ~su~, ~d ~o~ m~ of ~e applicable p~io~ of ~e ~w. ~e ~iva2e ~e F~ily ~elling ~u~ M ........................................................................ ~ ~ica~ M ~u~ ~ ................................................. Pe2er B~govic ..... (o~e, of ~e ~o~d b~. S~o~ Co~ Dep~ent of He~ App~v~ &uly 5, ~978 7-SO-ON ...... ffd~' ~' V~iiA ........... ~~ C~T~ICA~ No ........................................... HOUSE ~ .... J~O ..... S~t ......... ~q~h .~m~ .~..~A~ ........ ............................................... Sou~l~ .~..Yor~ ........... ...... ~ _~. ~ ~..~ ~.~ ..... Building hlspector County Tax Map Nu~s~ 1000-70-12-~6 FOI~M NO. :$ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTH'OLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 9081 Z Permission is hereby granted to: ..P..a ~e~..3~ o~ o.v.i~ ............................................... ................... ?~u.t.h caZ d .......................................... to .. ~u .~ &.~...ne~.. erie... £aa.i.t .y... d~e .1.i .i.n g .................................................................................... at premises located at ..~/-3-.~o~.th...R~a~...C~c-.~y¥.zL.~,J .....~/..-Goes~..¢.~ ............................ .................................................... ~o ~,¢ ho 1~, ........................................................................................ pursuant to application doted ........................~.,~:~. ............ :[.1 ........ , 19...~.~2., and approved by the Building Inspector. Fee $...?..~.o.10 ......... APPLICATION MR BUILDING PERMIT INSTRUCTIONS a. This application must be COmpletely filled in by typewriter ac. in ink and submitted in triplicate to the Building Inspectm, with 3.~tw of plans, accurate plat ~ to scale. Fee occording to echedule. b. 'Plot Plan shOWing lOCation of lot and of buildings on premises, relationship to adioJnina premises or public streets o~ '~'~ a eas, and giving a detailed descnptmon of layout ofpreperty must be drawn on the d agram which s pert or_this app mation. c. The work covered by this application may not be commenced before issuance~of Building Permit. d. Upon approval of this application, the Build?g Inspector will issue a Building Permit to the applicam. Such permit shall be kept on the premises available for inspecbon throughout the work. e. No building d~all be oc~upl~l or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have ~een grant~dby the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pur~Amnt to the B~uild!r~.. Zon,e Ordinance of the Town of Southold, Suffolk County, New York, and other.~mplicable La~, OrClinances or ~egu~ah.o. ns, tar the constmctl, on of buildlag?., additions or alterations, or for removal or demolition, as heroin described. ~ne app,cant agrees to comply with all appI,cable laws, ordinances, building code, housing code, and ragulath~.% and to edmit authorized inspectors on premises and in buildings for necessary inspections. William B. Smith (Signature of applicant, or name, if a corporation) Southold Q State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber 'or builder. Agent of owner Name of owner of premises Peter Bogovte If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. owner Plumber's License No ................................................. Electrician's License No...~.~.g.~..V.J~. ......................... Other Tmde's License No .............................................. . Location of land on which proposed work will be done. Map No.: ....... ...X~... ........................... Lot No. Street and Number ~/$ N.o..r.t.h.....R...o..a..d....t...o.....B.a.~...iew, N/Goose Creek Municlpelity State existing use ~ncy of premises and intended use and occupancy of proposed construction: vacant land a. Exisiting use.and occupancy .................................................................................................................................. b. Intended ~se a"d'oc ~.e.....~.~.~.t.~..~.. d.~...e,l..Z.~.~..g 3. Nature of work (check which applicable): New Building.. ...... 3,~,... Addition .................. Alteration ..:. ............. Repair .................. Removal .................. Demolition .................... Other Work ..................................................... (Description) 4. Estimated Cost .................~.~X.0....0~.-..~+ ....................... Fee .~.~..*..!..0..., .......................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ....... ..o..~..e.. ............. Number of dwelling units on each floor ............................ t;~rO 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 ............................ P, ear ................................ Depth ....... ............. Height ........................ Number of Stories ................................................................................................................. Dimensions of same structure with alterations or additions: Front ....................................Rear ............................ Depth ................................ Height ............................ Nrumber of Stories ................................ 8. Dimensions of entire new construction: Front .......... ~'.~ ..................... I~eor ...... ~.J~ ................. Depth ..... ~.1. .............. Height .................... Number of Stories ........ .t~';jg.(?. ...................................................................................................... 9. Size of lot: Front ........................................................ Rear .......................................... Depth ................................ 10~ Date of Purchase ........................................................ Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated .......... ,lk....-~.~..t; ....................................................................... 19. Does proposed construction violate any zoning law, ordinance or regulation: .... ~.[LQ ............................................. 13. Will lot be regraded .....~..e...s. ............... Will excess fill be removed from premises: ( ) Yes (Z) No 14. Name of Owner of premises ?et, er ]Bo~,ovic .... Address ....~!J..~.~L.~,~ ........ PhoneNo ....................... Name of Architect .............................................................. Address ......................., ........ rphon~l No ....................... Name of Contractor ........... .s...a:..~..~. ....................................... Address ................................ 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 black number or description according to deed, and show street names and indicate whether interior or corner lot. See filed plans STATE OF NEW YO~I~_., iS S COUNT'( OF ...... ..~....l~...~..o..~J: ....... [ - ., . .......... ................ ~Jlk..;.J~i.~r,,~l. ............................................... being duly sworn, deposeq ~nd says t~t h~ is t~e opplican~ (Name of individual si~ning c~trac~ ' above name. He is the ........ ~-..~.-.~ ............................................................ "" ............................................ ~" (Contractor, ag~t, co~rote officer, ~c.) of said owner or owners, and is duly aut~rized ~ perform or have perfor~d the this application; t~t all statements contain~ in this application are tree to the b~t of his kn~ledge and belief; and t~t the work will be performed in the manor set foffh in the application fil~ t~i~. Swam to before me this M _ . ~ ~ ~ I / ...................... ~ay o' ........ ~.;~ ..................... , 19..~.. // . Notaw Public,...~ ........... ~....- .................... C~n~ ~~...,. ....... 's..~~'~-~ ................ ELt~8~H ~N NEVIL~' NOTARY PUBLIC, S~te ~ New York ~. 52~8125850, '~" YO~i ST~E ~)2PAAT Z%!T OF Ei~IROi;~ CONSERVATIOI~ Environmental Analysis Building 49~ S~Y Stony Brook~ ~Pi 11794 ~ ~ ~ i,~ /.. If ~ 516 751-7P09 December 9, 1976 Mr. Peter Bogovic North Bayview Road Southold, NY 11971 Re: Petition No. TW 15276-0191 Gentlemen~ Your petition for a Tidal Wetlands ~Dratorium Permit has been reviewed by this office~ As a result~ we have determined that construction of a one-family dwelling on parcel on south side of North Bayview Raod, Southold, ~ewV~rk, approximately 250~ ~est of Goose Creek, will have no adverse effect upon adjacent tidal wetlnds. There is to he no construction or fill within 60~ of line of ~ of Gosse Creek. Therefore~ pursuant to Section 25-0292 of the Environmental Conservation Law and 6 NYC~, Part 660°3 (c)~ you are hereby notified that no per.it will be necessary° A copy of this determination must be available at the job site at all times during construction activity° Very truly yours~ Danie'~J. Larkin Local Tidal ~etlands Permit Administrator DJL~slm cc~ Pile Corps of Engineers~ iVf District Louis ~i. Concra~ Albany FORM NO. S TOWN OF $OUTHOLD , Building Depmtment 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 DUPLICATE to the Building Inspector with the following; for new buildings or new u.se: 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 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 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 Date N. ~ ................ New Bu. ding .,~.~-~..~.... Addition ................ aid or Pre-existing Building ................ Vacant Land ....... O ner Or O ners Of Property ................. Subdivision ~.~...>~.~ .................................................. tot No ............. Block No ............. House No ............. ~/~o~,/-~-~ /-~., /0 (~7,7 ,~--->._~ Permit No.~'~,. Date Of PermJt~t~'t.~q.~plicant ...~.~Z./~.,..~..~.....~..qg..t2..{/..~.~.:.. ................. Health Dept. Approvalj~.~.L.;.n.)~,//..~.~.~--;~ ................... Labor Dept. Approval ................................................ Underwriters Approval ........................................... Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Finctl Certificate Fee Submitted $ ......... .~..~.... ............... Construction on above described building ~d')pJ~rmit meets all applicable ~3des~a~ regulations, Appl,con, ....... .... Sworn to before me this ' --~'-¼ LOT I$ LOT /2 LOT // The sewage disposal md water ~ppl7 fac~lL~Les for this ~ocat~n have been inspected by th~s department ~d found Chlef of ~eneral ~slneertn8 fly THE BR ¥" -- WATER sERVICE LOT I0 sJ"oo'5o"~t LOT NUMBER~ REFER TO "PAR/O/SE BY NOY FILED AS Otm DA~ ON Tills SURVEY( SCALE 1% I00' *', xVo r/v YViEw ~..77' Ue t I I I Area .-~, ~7~ * -sq, ft ROW or formerly George I "-- 40' NOTE: m: MONUMENT , " NEAREST WATER MAIN ' I MILE i , WATER SUPPLY - PRIVATE WELL H ~ Oan/~l T, Sm/th PETER 8OGOV/C now or George H SCALE ' Ocr: M, z97e I'~ 40' ft. NOTE: ·: MONUMENT NE AREST WATER MAIN - I MIkE WATER SUPPLY-PRIVATE WELL 3~18 36' YOUNG & YOUNG .fiURVE~ FOR. PETER BOGA VIC SO U THOL D '"~ ' ~ SOUTHOLD ~L.IFt-.ZK (I), N.Y SEPT/0/..°76 ~ APPROVED AS NOTED [)ATE:_ ~ 'q-" 0 :' d OTHer(? ~o u R~; £ ,T ~/ 0 '~