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Home My WebLink About11721-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18672 Date DECemBER 22~ 1989 THIS CERTIFIES that the building Location of Property 3030 DIGNAN ROAD House No. County Tax Map No. 1000 Section 83 Subdivision ADDITION CU~CHOGUEr N.Y. Street Hamlet Block 2 Lot 6.5 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated J%~NE 1~ 1982 pursuant to which Building Permit No. 11721-Z dated JUNE 9r 1982 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ARBOR ADDITION TO EXISTING ONE FAMILY DW~T~.ING. The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 FORM NO, ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PER~IT MUST BE KEPT ON THE P~EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 11721 Z ..... ...~..~:..c.~.~.~..~.... ....... ~..:.~:. ........ ~-,F ,o ....... .~.~~.~.~~....~¥~..;~.....~.........o.....~.~../~&~ ......... 7 .................... :'-:~-~- ',,~_~. '~))~'~j ....... [ ~"~ -:,i ': .................. ':' .................................................. ~.~.~.~.~~.~.~.....K.~._~..~../. ...... .......................................................................... _. .............................................. .~..~ .... ~.~..., ..... ~... co~,~ Tox Mop ,o. ~000 Sec,,o. ...~.~-~.~ .... ~ ....~.....~... ..... Lo, ,o. Building Inspector. Rev. 6/30/80 TOWN OF SOUT~OLD EUILDIHG DEPARTHENT TOWN gALL $OUTDOLD, NEW YORK 765 - 1802 11971 APPLICATION FOR CERTIFICATg OF OCCUPA[[CY HEW CONSTRUCTION ....... OLD OR PRE-gXISTING BUILDING ...... VACANT LAND 3030 DIGNAN ROAD CUTCHOGUE,. N.¥- LocaTiOU o£ P~oper~ ~OUSE NO. STgEET DAHLET MURRAY KLAPPER Ouner Or O~ncrs o£ Proper~y 83 2 6.5 County Tax Map No. lO00 Sec on ...... Block ....... Loc ......... Subdivision ....................... Filed Hap ........ LoT .......... 719/82 ENVIRONMENT EAST PeraiT No.-.JJl~J~...DaTe o~ Permit .......... App/icauU ................... ~eal~h Dept. Approval .................. Under.riCers Approval Planning Board Approval ................ Request lot Temporary Corci££caCe ....... Final 25.00 Fee SubmiTted: $ .................... Certificate rev. 10/14/88 ~IEL~' INSPECTION COMMENTS FOUNDATION (1st) FOUNDATION 2. ROUGH FRAME & PLUMBING (2nd) INSULATION PER N. Y. STATE ENERGY ?ODE FINAL ADDITIONAL COMMENTS: FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 76,5.1802 Examined~ A,,proved: .... i,e ..Perm,t o.,ZZ? ..Z ,/ Disapprov~ a/c ... ~ ~ .............. -.~., . (Building Inspector) APPLICATION FOR BUILDING PERMIT Application No./[ .Td./. ......... Date .... .~ .~. ......... , 19 .~. INSTRUCTIONS a. This app.lication 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 tot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. c. The work covered by this application may not be commenced 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 necessary inspections. (Signature of applicant, or name, if a corporation) ~ 'tm_ ailing address of applicant)~_ . _ (~/ofi the tax roll or latest deed) ' Builder's License No .... .'~.../~.. .... '.~,.C....~-~'~0~' Plumber's License No ....................... Electrician's License No ....................... Other Trade's License No ...................... . - I. Location of land on which proposed work will be done ./.~.?.ZC.../..~..,...~_..A~...c~..r'T5 /~c-~, .......' "" ...................... · ....... ...... ........ ........ House--~i~6mber -- - ' Stree~/ Hamlet /~ County Tax Map No. 1000 Section ...~...~,~.,~ ....... Block ........ O~ ....... Lot...(~. 4 '~' ...... Subdivision .... .~. ' Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..... ~ 3~d.~-;...~,2-~...~ ............................................... b Int ud~ do cupancy .~.~,.'."C~.~ ~. ',..~: '.o,r.~ ~ · . e u~ean c ..... '.: .6 .... 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... 4. Estimated Cost ......... ~)¢~)./~..~. ·...'~. .............. Fee ..... /. ~.; .dj .~!.. ~..(. ;~.~.~; C'~.: .C~.4 ~:.,.~ . .~. ~.~ (to be paid on filing this ap~) ~..~__c.~ 5. ii ,J..., .Z!_.~ . _ ..~ber of dwetiing units ............... Number of dweliing unilul on each lit)o,'. ............. J'~.~.~-~') If garage, number of cars ........................................................................ 6. If business, commercial or mixed occupancy, specify r~t4~ and extent of each D'p~ of use ..................... 7. Dimensions of existing structures, if any: Front ...... ~' ~ ...... Rear .... .~. ~. ...... Depth ... ~ I~. ....... Height . .. ~-.~. ...... Number of Stories ..... .~. .................. ~ ............... Dimensions of same structure with alterations or additions: Front ....~..~ . Rear. "'$..~.~"' i .... Depth .... ............. He,hr ..... ........... i ..... iii .... iii. iiii 8. Dimensions o~f entire new construction: Front ..... .~....~'.... Rear .. ~ 4C.. Depth . ,/.~ ~ .. Height ...~. .......... Number of Stories ....... ./ .....ii ..... ii .... i.i.iiiii..~.iii...iiii..iii 9. Size of lot: Front ...... ~.~..~ ......... Rear ....... ~...~ ......... Depth . ..~c{ ..O. .............. 10. Date of Purchase ............................. Narae of Former Owner ............................. 1 1. Zone ~)r use district in which premises are situated ..... ~-.~. ~.~.'~-~ ~ ~. 12. Does proposed ~onstruction violate any zoning law, ordinance or regulation: ................ .~..~ ............ 13. Will lot be regraded ............... ............. Will excesl f'fll be r~,moved from premises: Yes - No 14. Name of Owner of premises . ~..t.,. ~ (q~o~ ~t.~.... Address ...~ .~..~..e,.~p.~.. Phone No. ~.~.~.. ~ $. ~. ~ Name of Architect ................. ~ ......... Address No. Name of Contractor .~e,~t I t'~.~..,,e-~-~.. ~-,~-? Address PLOT DIAGRAM Locate cleluiy and distinctly all buildings, whether existing or proposed, and, indkml~ all s~t-b~ck dim~msio~ fnam property lines. Give street and block number or description according to deed, and show st~et names and indlm~e mhsthm- interior or coruer lot. (Contractor, agent, COZl/~rate officer, etc.) of said owner or owners, and is duly author/zad to perform or have l~rformed the s~d work and to make and file application; that all statements contained in this application are L"ue to the be~t of his k~led~ ~d l~l/~f; a~l that the work will be performed in the manner set forth in the application ~ therewith. Sworn to before me this TOWN OF SOUTROLD BUILDING DEPARTHENT TOWN HALL SOUTHOLD, NEW YORK 765 - 1802 11971 County Tax Map No. Subdivision ....................... Flied Map Permit No. APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE .~ember 22,1989 NEW CONSTRUCTION .... OLD OR PRE-EXISTI~G BUILDING ...... VACANT LAND ........ Location o£ Proper~y..o20~p DIGNAN ROAD ~UTCHOGUE,. N.Y. HOUSE NO. STREE~ HAMLET MURRAY KLAPPER P~operty 1000 Section 83 2 6.5 ...... Block ....... Lot'. ........ -JJZ~l[...Date Health Dept. Approval .................. Planning Board Approval ................ Request for Temporary Cer~,ificate Fee Submitted: 7/9/82 ENVIRONMENT EAST of Permit .......... ApPlicant ................... Underwriters Approval ....... Final Certificate ................ 10/14/88 II Il it I ii II II II