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Home My WebLink About9299-z FO~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'~0FFICE $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL CO44PLETION OF THE WORK AUTHORIZED) N? 9299 Z Permission is hereby granted to: ...................... · .................................. at premises located at , , , .................... :~ ,~, , ....... ~ and opprov~ by the pu~uant to application dated ~ ..... ; .........., .......... 19 ,, Building In~or. TOWN OF SOUTHOLD BUH,BING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No..Z.77.~.'l ...... Date .......... /[u~e...'I0..., 19. ?.~. THIS CERTIFIES that the building located at P. in0W~.0(t..Ro.a{i .......... Street Map No...xf!x.. ....... Block No. , .x~x.. .... Lot No, ~ ..... (h~:¢hogue .............. conforms substantially to the Application for Building Permit heretofore filed in this office 9298Z dated . .J.u~..e. . ']0. ..... , 19..?? pursuant to which Building Permit No. R299.Z. dated ...... ,Jp?e....~.O.., 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 issued is ~..l~.i?.~.l?.O. O.b.e...f..8~..i.l~. d..~.~tl]-~, g. w.i.t.h...ltd, d.i~. !.o.I!..&. f.O.l~..~.i.l~ ........... The certificate is issued to ?ho?..&. S .aru.c~..a' . .t~.~.f.n.s... 9..w-q.e?? .................. (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval ...R~R* ........................... UNDERWRITERS CERTIFICATE No...~:.R: ..................................... HOUSE NUMBER .... 2~.~ . .. Street ...... p.]~.e.~.op.d..R..o.~.~. .... .~..~.h.o..~..e ..... Building qnspec/ FORM NO. 6 TOWN OF $OUTHOLD , Building Deportment 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 use: I. 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 "pro-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 housmg 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 ~,.V~ ~241~..~ Date ....~ /. .]. .0./.?. . ?. ......................... New Bdlding ................Addition 3[, Old or Pre-existing Building Vacant Land Locat,on Of Property ..... .'..~....~.~....~.:.~.~,...C3A~.~...~..~..~e~..,~.'..~ ................................. Owner Or Owners Of property~~../~...,~,..,.~...~.~j~..,~.~..,~.~..~. ,~.,,.,.:--/, ~3, ................................. Subdiws~on ................................................................ Lot No ............. Block No ............. House No ............. Permit No. ~..~...~.~,...2r~... Date Of Permit ~/../,()/47. X,~.,....Applicant .............~.~ .............. Health Dept. Approval ......... ,~....~.. .......................... Labor Dept. Approval .......... (~.....~. .............................. Underwriters Approval ........ .~.,..,,,/~..., ........................ Planning Board Approval .... ~.,..,~., .......................... Request For Temporary Ce~ificate,~ ....... , ............... : ............... ~incd ,C, ertificjate ...n ....... .~.~. ............. Fee Submitted $ .~.~..~'~..1~......~.'.~.~.~lllJ~ ~~~~ Construction on above described building and~//~~,lic. LaEe ~~egulations. Applicant .. ,,,,~. ~~ . .~,,:tx~... ~,~ ................... Sworn. to before me td ~ f ~ n .... .Lv.. .... ............ -- ° ...... ~' Notary ~>ubhc, State of New lam No 52-08a0410 Qualified m Suffolk County Term ~xp~re~ March 30° ! CRUSER & IIILLS June 9, 1977 Southold Building Department Town Hall Main Road Southold, New York 11971 Attention: Re: Mr. Terry Thomas A. & Sandra J. Higgins Pi.~ewpod Roa~, .Cut. cho~gue, New York Dear Mr. Terry: In accordance with my conversation of today, I enclose copy of survey of property, dated September 21, 1973. We have reason to believe that an addition to the rear of the dwelling was made subsequent to 1973. Riverhead Savings Bank is placing a mortgage on this property, and if at all possible, we would like to have a Certificate of Occupancy for the addition. Thanking you for your cooperation, we are, Very truly ~y_ours, CRUs~ & HILLS GLC:jb Enc. 1~0~ ~0. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N. Y. Disapproved a/c ................................... ~ ~....,,..~._....._.-~ APPLICATION FOR BUILDING PERMIT ~ !.~ ~ Date ...................... , ]9 . .. INSTRUCTIONS a Th,s application must be completely filled in by typewriter or ~n ink and submitted in triplicate to the Buildin Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing Iocahon of lot and of buildings on premises, relationship to adjoining premises or public streets · areas, and giving a detailed description of layout ofproperty must be drawn on the diagram which is part of this applicatior c. The work covered by this application may not be commenced before ~ssuance of Building Permit. d Upon approval of this application, the Building Inspector will issue a Budding Permit to the applicant. Such perm 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 Occupant shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to th Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances c Regulahons, for the construction of buildings, additions or alterahons, or for removal or demolition, as herein describe, The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and t admit authorized inspectors on premises and ir~ buildings for necessary inspections. State whether applicant is owner, lessee, agent, q, rchitect, engineer, general contractor, electrician, plumber or builder Name of owner of premises .... ~....~-~..~....~.<~w~.~......~.......,~.=....~.;~j~~ ........................... If applicant is a corporate, signature of duly authorized officer. (Name and htle of corporate ofhcer) Builder's License No ............ ~ ......... Plumber's License No ................................................. Electrician's License No ............................................. Other Trade's License No ............................................... 1. Location of land on which.a3zopo, sed work will be done. Map No ............ ....~.. ............... Lgt Na.~. ................... L Street and Number ....~..~.~.....~...~.....~....~....~ ......... ~~ ........ v Municipality 2. State existing use and occupancy o~ded use and occupancy of proposed construction: b. Intended use and accul:mncy ................................... 3. Nature of work (check which ~ppllcab[o): I~ew Bullc~mg .................. Addition .................. Alteration ............... Repair ................. Removal ................ Demohhor. ................ Other Work .................................................. (Description) 4 Estimated Cost ..........................................................Fee ........................................................................................ (to be paid an filing this application) 5. If dwelling, number of dwelling units .......................... Number of dwelling units on each floor ........................ If garage, number of cars ..................................................................................................................................... 6, If business, commercial or m~xed occupancy, specify nQture and extent of each type of use ......................... 7 Dimensions of ex~shng structures, if any: Front ........................... Rear ................................Depth .................... Height ........................ Number of Stor~es ............................................................................................................ Dimensions of same structure with alterations or additions' Front .................................... Rear ........................ Depth ................................Height ......................... Number of Stories ................................ 8 Dimensions of entsre new construction: Front ................... , ................ Rear ............................ Depth ..................... Height .................... Number of Stories ........................................................................................................... c) Ssze of lot: Front .................................................... Rear .......................................... Depth ............................. 10. Date of Purchase .................................................... Name of Former Owner ..................................................... 1 I. Zone or use district in which premmes are situated ................................................................................................ 12 Does proposed construchon violate any zoning law, ordinance or regulation' . .................................................... 13. Wdl Jot be regroded ............................ Will excess fill be removed from premises: ( ) Yes ( ) No ] 4 Name of Owner of premmes ................................................... Address ................................ Phone No, ................... Name of Architect .............................................. Address ................................ Phone No. ................... Name of Contractor ..................................................... Address ................................ Phone No .................... PLOT DIAGRAM Locate cleaHy and distinctly all buildings, whether ex~sting or proposed, and indicate all set-back dimensions ftc property lines. Gwe street and block number or description according to deed, and show street names and indict whether interior or corner lot STATE OF NEW.._Y~OP~Y~,//~' l ¢ c COUNTY OF ..,[,,,..~l¢~,.g~.~ ....... ~'" '"' (Nar~TST~Jndivifual signing contracfk. ., above named./r - ,~] _ ~]// ,~/~ He is the .................................. ~~ ...... ~......~....~ ............................................ ~ (fZ, bntract~, agent, corporate bff~cer, etc.) of said owner or owners, and Is duly authorizedJto perform or have performed the said work and to make this application; that all statements contained ~h this appJmot~on are true to the best of his knowledge and bell: tha~ the work will be performed m the manner set forth in the apphcation filed therewith· ................... f. Oday of ..... , Notary Public, . ............ County ..................................... · nature of '