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Home My WebLink About9698-zTOWN. OF $OUTHOLD BUff.DING DEPARTM~,~T Town Clerk's Office $outhold, BI. Y. Cerfificafe Of Occupancy '~-NS CERTIfieS f. ba~ ~e b~ ~a~ a~ / / ~O Y~ ~ ~ Map No ............. Bl~k No ........... ~t No .................................. co~o~ su~t~ti~y to ~e AppHca~on for B~g Pe~t here~fo~ ~ ~ thls office ~t~ ~L ~l, 19. ~ p~u~t to whi~ B~g Pe~t No. ~ ~ ~ ....................... 19 ...., was issue, ~d co~o~ ~ ~ of ~e ~ men~ of ~e applicable pro~io~ of ~e law. The occup~cy for wM~ ~ c~i~ ~ ~e c~ica~ ~ ~su~ ~ ~t~ ~ ~,~ ~ ~a (o~er, l~t) of ~e ~or~d b~d~g. S~o~ Co~ Dep~ment of He~ Approv~ ~ ~ ~WRITE~ CERT~ICA~ No. ' .......... HOUSE ~ER I I o 0 S~t V~°U ~ ~ ~ V k- B~g In~p~r TOWFI OF SOUTHOLD BUILDING DEPARTMENT TOWFI CIIERK'$ OFFICE SOUTH'OLD, FI. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N.o 9698 Z Date ....... ~'~&~.....2.. ................................... 19.. ~'.8. Permission is hereby granted to: ~P,P~.p~.. Ahl~r~t.. l~u~Lera., iz~ ................. ~/e./..~fi-]A-t~.--D,...'Wet.~.e ............................. to ..... ~d...on~ ..a...Cme"-Fam~'~ ~" d~e~-l'~'g-' 'a~c~" 'c er~oz-~ ............................................... at premises located at .......... .'l..'J.O.O.....'):'.qtl/~.~.../~v.e ............................................................................ ............................................. ~o~./...~e~.-¥~k ........................................................................ pursuant to application dated ..... A~)~J:% ....... .~..1 ........................... , 19...~, and approved by the Building Inspector. Fee $'"J~r(:~ ........... Building Inspector TOWN OF SOUTHOLD 0 Building Depeztment 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 dispesal--(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 fram 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 oil 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. Dote of any housing code or safety inspection of buildings or premises, or other pertinent formation required to prepare a certificate. C. Fees: J. Certificate of occupancy $5,00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificafe of occupancy $1.00 Date June 15 ~ 1978 New B~ilding ................ Addition ....... ~ ...... Old or Pre-existing Building ................ Vacant Land .............. Location Of Property 1~-00 ¥oLmgs Aven~e~ Southo'ld, New York Owner Or Owners Of Property ........ .W/L~L~[.~.am..~,....~t~.]..~ ....................................................................... Subdivision .......; ........................................................ Lot No ............. Block No ............. House No......~..~..,O.? Permit No...~...~.~.~....~... Date Of Permit ~./.~/.~..~..o...,Applicant .q.e...o..r,~,e...~.~...~,.e...~.~.~...~,~.~e,~.~....~.,~..c,,~ Health Dept. Approval ............................................ Labor Dept. ~,pproval ................................................ Underwriters Approval .............................................. Planning Board Approval ........................................ Request For Temporary Certificate ........................................ FinaJ Certificate .......................................... Fee Submitted $ .................................... ................ day of ............................................ Notary Public .................................... County Construction on above described building and permit meets all applicable codes and regulations. Sworn to before me this o-~& q ~t q (stamp or seal) APPLIGATIOH FOR BUILDING PERMIT Date ................ .A..p~L]~.~I, .......... , 19.2~.. INSTRUCTIONS a. This application must be completely filled in by typewriter ac in ink and submitted in triplicate to the Building Inspector, w!th;3~sete o~ plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan shOWing lOCation of lot and of buildings on premises, relationship to adjoining premises or public streets o~ areas, and giving a detailed description of layout of Praperty must be drawn on the diagram which is part of this application· c. The work ~c°vered by this application may not be commenced before issuance of Building Permit. d. ' Upon approval Of this apPlicotion, the Build!ng Inspector will issue a Building Permit to the applicant. Such permit shall be kept on the premises available for inspechon throughout the work. e. No buJldin~ shall be OCoupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy she!l-have been granted by the Building Inspector. APPL CAT ON S HEREBY MADE to the Building Department for the issuance of a 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 describ, ed. 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 buildings for necessary ir-~oections. GEORGE A~S, BUILDEk, INC. ......... ........ b ~ e ............. ~,~;O...~ D.~.. ~ .. j....~.l~'~:hO/~..~.e... ~, .~. s~ .............. (Address of applicant) State whe~er applicant is owne~ levee, agent, a~hit~t, engineer, general contractor, electrician, plumber or builder. ............................. e enaL. on ac.to ......................................................................................................................... · W D Wells NameofownerofpremlseS ................ ~%~..~........, ............................................................................................................... If applicant is a corporate, signature of duly authorized officer. George Ahlers, President (Nome and title of corporate officer) Builder's Liconse No.31 .................................................... o Plumber's License No ................................................. Electrician's License No ............................................. Other Trade's License No ............ 1. Location of land on which proposed work will be done. Map No.: ........................................ Lot No ......................... Street and Number llO0 Youngs Avenue, Southold, New York Municipality 2. State existing use and occupancy of premises and intended use and OCcupancy of proposed construction: a. Exisiting use and OCcupancy dwellin~ and concrete slab b. ,ntended use and OCcupancy ....... ........................................................................ 3. Nature of work (check which applicable): New -. ......... Addition 'E- .............. Alteration ................ Repair .................. Removal .................. Demolitior.,.~ ................. Other Work ..................................................... (Descrimim) 4. Estimated Cost ..~,.~O~,QO ....................... ; ............ Fee ...~../~..":'~ .................................................................. (to be paid on filing this applJcatiorl) 5. If dwelling, number of dwelling units ............................ Number of dwelling units on each floor ............................ If garage, number of cars ........oi'~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 ....... ._~.t .............. Rear ...~, ....................... Depth ,tr~.t. ............ Height ......~J ............ Number of Stories ..............2 ................................................................................................ Dimensions of same structure with alterations or additions: Front ........ ~o~ ..................... Rear ..... ~.J. ................ Depth .......~.i.L .................. Height ....~.~x ................. Number of Stories -5 ............................ 8. Dimensions of entire new construction: Front ................ ~:~ ......... Rear ....~D.! .................. ~ 61 ............... Height .......~Jo' "" Number of Stories ..... .gne ........................................................................................................ 9. Size of lot: Front ...~,G.~.,.,'~2. ...................................... Rear ..-.'l~D']..r,~ ....................... Depth-~'7-r~ ................ 10~ Date of Purchase ........................................................ Nome of Former Owner ....................................................... 11. Zone or use district in which premises are situated .................................. /b ................................................................ 12. Does proposed construction violate any zoning Iow, ordinance or regulation: .1~ .......................................... , ....... 13. Will lot be regraded '"n~ .................... Will excess fill be removed from premises: ( ) Yes ~K ) No 14. Name of Owner of premises ~D~-..~/e]:.3~ ........................... Address'l'100 ¥o~ir~B Av~,, ~,~ ~'0~"~P'i;6~ ~ ~'"" "A~' .......................... Name of Architect .............................................................. Address ................................ Rune No. ................... Con ..... 250 Cox Lane Name of tractorGeo~e..-~T~l:ez,~.~...~T~t:L.lzd~i...!Z-n~.,m.a, ressc.Cll~,1,,l:y~..e~...[~. ~ NI~ ...................... PLOT DIAGRAM Locate cl.early and distinctly all buildings, whether existing or proposed; 'and indicate all set-back dknen~,s fram property lines. Give street and block number or description according to deed, and show street nan.s lind i~licate whether interior or corner lot. See attached STATE OF NEW YO~f:~olk ~¢ ¢ COUNTY OF ...................... .. ........ ~'""~. . ................................................................................................. being duly sworn, d~o~s a~ ~ys ~t ~ is t~ ~liconl (Name of individual signing c~trac~ above name. He is the Contractor (Contractor, agent, co~orote officer, etc.) of said owner or owners, and is duly aut~rized to ~orm or h~e performed the ~id work ~ to ~ ~ file this application; t~t all statements contained in this application ore tree to ~e ~t of his ~ a~ ~f; and that the work will be performed in the manner set fo~h in the application fil~ ~. Sworn to~fore me this -- ........................ ........................ ........ Pu Ii ~ ~'"" ~ .... Nota~ b c, .......... ~ ............... ~.. ..................... ~n~ ................ ~;.~..~ ............................................................... ,'/~r ' ~ ~ / J / /~ ~Signa~re of applic~t) ~[I~AB~H ANN N~lE~ HOTARY pUBLIC, State of ~ew Y~rk T~ [x~ires March 30, 'a /-~[FDE F-L~Y,,~TION 1,F....v'.Oo i.......s' 70 42 o, 42 ~ TO IN F-~F~I-...D, 1SE. FO&p- AP.6: TO I ' Cp-CT:ON '"',"'0 LJ N 0 ~." Ax,,' ¢,' : ALBERT A. SACCO AND GORDON K, ARL~g~ ARCH?TECTS