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Home My WebLink About9810-zFO]~I[ NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Town Clerk's Office South&d, N. Y. Certificnte Of Occupnncy No..Z9.2..~.~. ..... Date ...... .o.c.t.o. be,...1.? ......... , 19...7.8 Manor Hill Lane THIS CERTIFIES that the building located at q60 .PDt....Rd-,..#. 3 ......... ~ MIN~x .......... ..... 9?' ' ' Block No. ,Lot Bio ......... .1 ........................ conforms substantially to the Application for Building Permit heretofore filed in this office dated ... ~une.. 22 ......... , 19.7.8. pursuant to which Building Permit No .... 98.~0Z dated ... J~me.. 28 .......... , 19.78., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is ........ ~ · .Briva.te. 0n.e .Fami~.y .Dwe~lling. ............................. The certificate is issued to ...... Jame~ .McGt~i~e .................................. (owner,~n~ of the aforesaid building. Suffolk County Department of Health Approval .... 8r.S.0-. 65 .... .S.e.p.t .e.m.b.e.V. 25.,...~978 UNDERWRITERS CERTIFICATE No ...... .P.e.~d.$.n~ .............................. HOUSE NUMBER ...1.~.0 ........ Street .. PDt. Road # 3 Cutchog~.e~ New York Building Inspector County Tax Map # 1000-108-3-13.6 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) Ne 9810 Z Dine ........................................................ , 19 ........ Permission is hereby granted to: to ............................ ~. Z ................ /N 'f~LI.~( L~ O~ hY~~/- l 57~F;'f at premises located at ............................................................................................................................ ................................................................ dUk)E ~ pursuant to application dated ........................................................ , 19 ........ , and approved by the Building Inspector. t3t. 3 Fee $ ........................ Building Inspector FOI~I NO. S TOWN OF SOUTHOLD , Building Deportment Town Clerks Office $outhold, 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: ]. Final survey of property with accurate location of oil 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 fram 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: ]. Accurate survey.of property showing oil property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner os 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 Bt. .......... New B~ Idmg ................ Addlhon ................ Old or Pre-existing Building ................ Vacant Land .............. Location Of Property ~-C)`~?..~.~*~`~.~~`[?~.~[~.D~q~`C~Qg~[~*~ ............... (Ma~.n ~oa~) ' ' ' Owner Or Owners Of Property .. ~.fl-m.~.s....~!.q.r;.~.~.~;~.q ..................................................................................... Subdivision ................................................................ Lot No ............. Block No ............. House No ............. Permit NoO810z 6/,28/78 I' n ,- ........ = .......... Date Of Permit ................... App ~ca t I.~...~..~..~....~.9..~.q~.~.~T~e. ........................... Health Dept. Approval ..,.8,~.~?..-.,6.,~.....~./.~.?../...7..8....Labor Dept. Approval ...... .].~!/...z.. .................................. Underwriters Approval .............................................. Planning Board Approval ...~.?:?.. ............................. Request For Temporary Certificate ..o..~J~~inoJ Certificote ..... .~..~. ............................. Fee Submitted $ ,5,00 Construction on above described building and permit meets all ap~licabJ~?~es end regulations. A Ii cant ~~~ pp .................. Sworn to before me this day of October Notary Public .................................... County (stamp or se~) ~ TOWN OF SOIJTHOLD r'IFFIr3E OF BUILDIN6 INSPEOTO~ TOWN 0L£1~K'S OFFICE SOUTHOLD, N. Y. 119~1 FOBM NO. ! TOWN OF SOUTBOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Disapproved a/f/ .............~..,..,..~-~,.,~ ............................... .~ ........................ (Building Inspector) Application No. ~/~-J 0 APPLICATION FOR BUILDING PERMIT Date June 22~ 1978 INSTRUCTIONS a. This application must be completely filled in by typewriter or 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 let and of buildings on premises, relationship to adjoining premises or public streets or 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 commenced beforeJssuance 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 far inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until o Certificate of Occupa~ncy 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 necessary inspections. INLM4D ~, INC. (Signature of applicant, or name, if a corporation) Box llT, M&ttituck~ N.Y. 11952 (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber ar builder. Genez&l Contzattor Name of owner of premises James McGuire If applicant is a corporate, signature of duly authorized officer. ................... RaD.ar.~, .. ~ ,... H~,.I-.~,. ................................ (Name and title of corporate officer) Builder's License No .........-. ........................................... 517-P Plumber's License No ................................................. Electrician's License No. 2148-E Other Trade s bcense No ............................................... kocation of land on which proposed work will be dane. Map No.: ........................................ Lot No ......................... Street and Number Main Road (Rte 25) Mattituck, N.Y. Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy Vacant b. Intended use and occupancy ................ ~...~..~. ............................................................................................. 3. Nature of work (check which applicable): New Building'. ................. Addition .................. Alteration ............... Repair .................. ,Removal .................. Demolitior ..................... Other Work ..................................................... (Description) 4. Estimated Cast $20,000°00 F (to be paid on filing this application) 5. If dwelling, number of dwarfing 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 ............................ Rear ................................ Depth .................... Height ........................ Number of Stories ................................................................................................................. Dimensions of same structure with alterations or additions: Front ....................................Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ 8. Dirnensions of entire new construction: Front ........ .6_9_ ....................... Rear ...... .6..9. ................. Depth ..... .~..[ .............. Height .................... Number of Stories 2 9. Size of lot: Front 3,~0 See Survey Rear 4[7 Depth 444 10. Dote of Purchase ........................................................ Name of Former Owner ........................................................ 1 ]. Zone or use district in which premises ore situated ..................................................................................................... ]2. Does proposed construction violate any zoning Iow, ordinance or regulation: ........................................................ 13. Will lot be regraded ........~.?.§ ............. Will excess fill be removed from premises: ( ) Yes ~ ) No 14. Name of Owner of premises .,J....~...e..?.....M..e...G..u.,.~.~.e.. ................... Address ................................ Phone No ....................... Name of Architect .............................................................. 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 block number or description according to deed, and show street names and indicate whether interior or corner lot COUNTY OF .......... ~..U~....Z.9.. -'~....... ~ '~' I .... .~...q~..e.,~..~.....E;..~...~T.~.~.~..~,i .................................................... being and soys that he is the applicant (Name of individual signing'cofltracf) above named. He is the Contractor (Contractor, agent, corporate ', 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 ii-,ar the work will be performed in the manner set fo~h in the application filed therewith. Sworo to before me this ~ . ~ ~ ........................ oay o ............................................ , 1978 Notory~ PuNic, . .......... 6.~g,~ ........................ Coun~ ....... ~t' ............................ Rober~g~,~f ap~ NOTARY PUBLIC, St~e ~ ~ Suffolk ~unty No. ~ ~