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Home My WebLink About9719-zNO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No..z...9 .~.6.q .... Date ........ Au.g.u~sA..9, ......... ,197 .8.. THIS CERTIFIES that the building located at . .6.2..9,5. ~% .dg.e..L..~.n,e. ....... Map No... 6.390 ..... Block No...XXXX...Lot No...1.0. ............................. confoms substantially to the Application for Building Permit heretofore filed in this office dated ........ M~y. 8., ....... , 19.78. pursuant to which Building Permit No. $.7.19 z.. dated ........ I~L~y. 12., ...... , 19. TS., 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 ....... ACCESSOa¥. BU2[LDIN.G ........................................... The certificate is issued to ....F.P, AN.I~..L.e.P. 2.E ........................................ (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval ..... ~/.2 ........................... UNDERWRITERS CERTIFICATE No ............... ~/P~ ......... ...~ ............. / HOUSE NUMBER . .6295 ........ Street . . i ~. ~ii~ .Lan:: i .~.~f~i~:: ~.: : FOKH NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERKS OFFICE SOUTHOLD, N~Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL' CQMPLETION OF THE WORK AUTHORIZED) 9719 Z Permission is hereby granted to: ~...F.:.:f:?...,,:.~x. ~,:.~:: ........... £.,,t,..~d ~ .......... L ~.L~..~.. at prem ses located at ............................................................................................................. ...... 4~.Z.....~ ....... .~Z &.~.~ ............................................................ and approved by the Building Inspector. Fee $..&~ ................ Building Inspector TOWN OF $OUTI'IOLD , Building Depnrtment Town Clerks Office Southold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application ,~ust be filled in typewriter OR ink, and submitted in DUPLICATE to the Building Inspector with tine following; for new buildings or new use: ]. Final survey of property with accurate location of all buildings, property lines, streets, end unusuul 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 end 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 ]957), Non-conforming uses, or buildings and "pre-existing" lend uses: ]. 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. Date of any housing code or safety inspection of buildings or premises, or other pertinent in- formation required to prepare a certificate. C. Fees: ]. 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 8/9/78 New Bqilding ..... x ......... Addition ................ Old or Pre-existing Building ................ Vacont Lond .............. Location Of Prooe~95 Bridge La. ,Cutehogue Owner Or Owners Of Property Fr~,nk I,ePre Subdivision .... £Yi~'~t..JZs.ta.~.as.....~...,~...~..,~......Lot No...10 ...... Block No ............. House No...6..2..9...5... t-' ..................... 5/12/78 Gwynne Construc~zon Corp. Permit No 97].9 Z Date Of Permit .................... Applicant ...................................................... Health Dept. Approval ...... ,../~..//..~:~ ...................... Labor Dept. Approval .......... ~( ./. /. ¢/-- ' .............................. Underwriters Approval ........ ~.~...~'..~...: ............... Planning Board Approval .../~..//Z.~.....* .................. Request For Temporary Certificate ........................................ Fin~ Certificate Fee Submitted $ ..~..]..:...;; .................. Construction on above described building and~oe_~rmit meets all,applicab e codes ~nd retaliations. ...... ........ Sworn to before me this ...... day of ..~...~ ........ (stamp or seal) Nota~ Public ~'/~ Coun TO~VN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. proved ............. 7Z--per_,. .9 19 ........ ,.', No .................................. Disapproved o/c ..... ~ ....... ~:c ................................................... (Building Inspector) Application No. APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter o~ in ink and submitted in triplicate to the Building Inspector, with 3 sets of 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 ofproperty must be drawn on the diagram which is part of this application. c. The work covered by this application may not be commen, ced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit 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 Occupancy 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 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 buildings for necessar~ inspections. ~ne Construction Corp. ......... ............ 'g p~lio , or .qame, if a corporation) Everett J. Fuchs, Vzce President ..16.3 ~ ..Mmn.~auk.. Hw~.W.. ,....Ha .m~t o~.. ttays .................. (Address of apphcant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .................. B.ui.ld~r ................................................................................................................................................................ G ' Name of owner of premises ....... ~.~...e...Co. nstructlon Corpo . ........... If applicant is a corporate, signature of duly authorized officer. ..... ......... r (Nam~ an~ title Rf corp_orat.e officer) Everett J. Fucns~ Vzce Prelsdent Builder's License No ..................................................... Plumber's License No ................................................. Electrician's License No ............................................. Other Trade's License No ............................................... Location of land on which proposed work will be done. Map No.: ...6..~?...0. ............................ Lot No...~..O. .................. Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: b. Intended use and occupancy . ................................................................................................................. 3. Nature of work (check which applicable): New Building' ...X. ............ Addition ..X .............. Alteration ................ Repair .................. Removal .................. Demolitior ..................... Other Work .................................................... (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 ............................................................................................................................................. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ............................ 7. Dimensions of existing structures, if any: Front ........... ~.{5 ............. Rear ........ 32 .................... Depth ....3.4 ............ Height ........................ Number of Stories ....... 2, ....................................................................................................... Dimensions of same structure with alterations or additions: Front ....................................Rear ............................ Depth ................................ Height ........................... iNumber of Stories ............ i ................... · 20 20 ........................ 8. D mensians of entire new construction: Front .................... . ............... Rear ............................ Depth 20' Height ...... (~...f. ....... Number of Stories ....:~,, .............................................................................................................. 9. Size of lot: Front .....1..5..0.. ............................................. Rear ....2..0..9. ................................. Depth~3.~.8 .......................... 10. Date of Purchase .~.:~./..7.~.7..7. ...................................... Name of Former Owner H~¢]3ma~..&...Weis$ ..................... 11. Zone or use district in which premises are situated ....~'~5.~..~.~,=~1~ ............................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ...... ..~..O. ............................................. 13. Will lot be regraded ..... .1~ ................ Will excess fill be removed from premises: ( ) Yes ( ) 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 YOR. I( ..... [ c c COUNTY OF .......... ~..u.E.E°..~.E..... f "~ ................... ~.E~.~f~.~l;...,,J.,...~';I.i,c~b.s ....................................... being duly sworn, deposes and says that he is the applican~ (Name of individual signing contracf) above named. He is the Vice President (Contrflctor, ~gent, 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 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 fo~h in the application filed therewith. Sworn t~b~re me this ~ / G ' ~c~ . ( /~, ~..~ ,~ ~nne Constructzon Corp. ............ /..~.. day ~M..v~.-/~ ................ , ~y..~..w. ~ ~ ~ ~~ ~ ........... Co,, ................ .... ~ -/~,, ~ f~ ~(~ Z ~ , ~Z (Signature of applicant) . ~~.;,~,,~~ Everett J. Fuchs, Vice Preszdent J 'I ~ / 765-2660 gAM to 4PM FOR REQUIR- eD INSPECTIONS: ....... 1. BEFORE BACKFILLING FOUNDA- ~ ~ .o TION OR START FRAMING ........ ~ " ', 3. B~FORE COVERING PIPES OF ANY KIND AND TOWN HOUSING ~'~'-- i'. ZONING