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Home My WebLink About12448-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Cerfificafe Of Occupancy No..g..1.2,4.8..3 ......... Date ......... ~.a¥..2.2. ................. 19 84 THIS CERTIFIES that the building'x'rqte.c.~. ~t.d-.d.~.L. ~-gA .............................. Location of Property . .7.1.5. .................. 9.a.k..S..~.r.o,o.t.... Cutchogue House No. Street .................... County Tax Map No. 1000 Section ...1.36 ...... Block .... 0,~ ......... Lot . .'..0.3.2. .......... Subdivision....E. qg.e.n.e..H..e.i.q.h.'9..s ...........Filed Map No..8.5.6. .... Lot No, 70 & 71 conforms substantially to the Application for Building Permit heretofore tided in this office dated ...... .d..u¢~..1.3. ...... , 1913.3. pursuant to which Building Permit No .... 1..2.4.4.8...g .......... · dated .......... JUJ-g. g 7 .......... 19.13.3, 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 ......... a deck addition to existing dwelling. The certificate is issued to ..... ROBERT W. & ANNIE E. KLEINSCNMIDT . ................ ..................... of the aforesaid building. Suffolk County Department of Health Approval ...n,o.~...r.o. qu. $.r.o.d. ......................... UNDERWRITERS CERTIFICATE NO not requ.ired Building Inspector FOB~ NO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PEIU~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 12448 Z Permission is hereby granted to: .......... ~/...~:../~..~ ....... ~~ ............ .......... ~..~/.~.....~. .......................... .......... ~..~.z~o.~z/....~,...% ...... to ... ~.~.~.~..e..~ ...... ~..~.....~.~T.z..~....~...~...C.~./.~....~..r.~.~.Z(~ .... .......... ,.~,. :,:.....t~....~_..~.~.~..~...~/~.~z..~..e~ .......... at premises located at .....~.../~ ........ .~.x~.'.~ ........ ~Z...., ............... ,,..~.~.Z~..Q).~..~..~..~./...~.v~...., .. ~ .................... z ...... .~....7.~..~ ............... County Tax Map No. 1000 Section .... .,/. ~....~.. ......... Block .....~..../. ........... Lot No..~...~ ...... pursuant to application dated ...... /*~*~.~...~*.~. ........ ':./...~... ................... , 19 .......and approved by the Building inspector. Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall ,~;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 Inspec- tor with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natura~ or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposal-iS-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 installa- tions, 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: 1. Accurate survev of peopertv 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 housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 / 2. Certificate of occupancy on pre-existing dwelling/ land use 3. Copy of certificate of occupancy $1.00 New Building .... ~ ..... Old or Pre.existing Building Location of Property ...~../.~. ..................... __l~re-Existing C.O. $15.00 Vacant land C.O. $ 5.00 Date. .4,~/../../~0c. .~.. .... . Vacant Land ............. . L/ Hamlet House No, Street Owner or Owners of Property · · ~.~..~. ·:: · .~0~. .~V ....... County Tax Map No. t000 Section .,/~ .i~.. ......... Block . .4~./. .......... Lot...~.~..~"~. ...... Subdivision ~ .... ~ ............ Filed Map'No. ~*~ .... Lot No. 2~.~/ ..... Permit No:'~.~ Date ofPermi,./ .~t~/~.Applicant' '~' '~x~ ....... Health Dept. Approval ........................ Labor Dept. Approval ........................~ Unde~riters Approval ......... ~ .............. Planmng Board Approval ........... ~ Reque~ for Temporary Certificate ..................... Final Ce~ificate ...~ ................. Fee Submitted $ ............................. regulations __~ Construction on above described building a~5~it meets all applicable codes and ~' ~ FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: Memorandum from.., BUILDING INSPECTORS OFFICE TOWN OF SOUTHOLD TOWN HALL, BOX 728, 8OUTHOLD, N.Y. i 1971 765-1802 GARY FLANNER OLSEN COUNSELLOR AT LAW P. O, BOX 38 · MAIN ROAD ' MATTITUCK, LONG ISLAND, NEW YORK 1195~ , PHONE 516 298-4844 June 21, 1983 Dear Mr. Beebe: Let this confirm that I am representing Robert Kleinschmidt who is purchasing Lot #72 "Map of Eugene Heights" from Arthur J. Sarno and others. GFO:mew Mr. Kleinschmidt is under contract to purchase same. We are presently awaiting a title exception to be cleared before scheduling a closing of title. Sidney Beebe Cutchogue, NY 11935 FORM NO. I ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Examined .l~..~..~. ........ ,19 O~.J Approved .t/.~. 7. ....... , 19 .~.~. Permit No../. ~.~..~..?! Disapproved a/c ....... ~ ....... .'¢ .............. (Building Inspector) APPLICATION FOR BUILDING PERiVIlT INSTRUCTIONS Date~../...3. ....... , 19 ?.~ a. This appfication must be completely filled in by typewriter or in ink and submitted 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 or areas, and giving a detailed description of layout of property must be drawn on the diagrmn 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 issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection tlxroughout 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 building for necessary inspegtjons..,. ' · .... 'c'o;' .... (Signature of~/pplicant, or name, if a p ' ) State whether applicant is owner, lessee, agent, architect, engineer,~ne.~ contracto~ electrician, plumber or builder. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No...~./ ..................... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work wit[ be done ..... ..~. ...... ~ ................................. ...× ...................... ................... ......... / HoRse Number Street / County Tax Map No. 1000 Section .. 4( 3.~. ......... Block ... ~../. ........... Lot .~. ~..~-~ ........ ' .... Subdivision...~(A~'~ ...... ~% ............... Filed Uap ......... / J (Name~. 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...... .~.{~., ........ ~. ............................................ b. Intended use and occu.pancy ...... ~c~ ...... f~...~...4r. ~E~ ' ~-~ -. ........................... o Nature of work (check which applicable): New Building .......... Addition.. ~. .... Alteratig~_ ' 'r ....... Repair .............. Rembvai ......... Demolition. ... Other Work. ~ (Description) .......... Fee .... ~. ~. (/.P. ........................ (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 .... i ............ 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 . .Z[ .cd t. ...... Depth .~..~..t ......... Height .,/,),.,~ .......... Number of Stories .. ] ..................................................... . Dimensions of same structure with alterations or additions: Front ... ~[ 51-:I. ........ Rear B. ~'. ............. ~' Depth .... 4(..cf..*. ......... ;.. Height ..... /. ~. i .......... Number of Stories.. l ................... 8~* Dimensions of entire new constrUction: Front .. J.~/.q ......... Rear . ITT'! .......... Depth .~.5(./. ......... CHeight ............... Number of Stories ......................................................... 9, S~ze of lot: Front .................. Rear ................... De ................ 10. Date o.fPurchase .......... i .................. Name of Former Owner 1 I. Zone or use district in which prbmises are situated ..................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: .. ,~/d~ ......................... 13. Will lot be regraded ...... './~ .A. ·, ',~>m ~,. · r' / ',,' ;.' · Will exce~s fill be removed from premises: .Yes, No 14. Name of Owner of premises ~..~Addresst~..~/'.~ ..... Phone No .............. Name of Architect . --d~ ~' Name of Contractor.,~q~4~d. i(~Y~i i i i [ i ..... ..... Address ................... ,3~ 'q~j ?,'L] ' ~,' Phone No ................ PLOT DIAGRAM Locate clearly and distinctly all! buildings, whether existing or proposed, and, indicate all set..back dimensions from reet and block!number or description according to deed, and show street names and indicate whether property lines. Give s: interior or coruer lot. 44t STATE OF NEW,YORK, y ouF~Zo~ ~ .. :S.S COUNT OF .......... .i .... ....... .~.. (~.~1..~..../~.~...~3~...! .................... being duly'sworn, deposes and says that he is the applicant (Name' of individual signing contract) above named. . He is the ......................................................................... :. ............... . (Contractor, agent, corporate officer, etc.) of said owqer or owners, and is dul~ authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application ai'e true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith· Sworn to before me this · day of ....... /.~ ............. '~t4 E_ ........... 19 .~.~. N°tary Public'' u ~q(7/q°&' '~'''' ~.27___~ w/. ..... ~[5~J--~ v. sqew^~r: ...... ' ..... Coun ~ NC, ,0[',Y PUBLIC~ Slate of Now York ................... , N6. 52- 4663485 (Signature of applicant) i ' Quahfi~d ~n Suifolk County j Corem sslon iExp res Ma ch 30, 198~