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Home My WebLink About12234-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall 5outhold, N,Y, Certificate Of Occupancy No.Z.!.I~.9.3. .......... Date A r±l 7 ...... P .......................... 19.8.3. THIS CERTIFIES that the building ................................................ Location of Property 350 Briarwood Lane Cutchogue h~ hie ....................... 's't/e~i ....................... County Tax Map No. 1000 Section . J .3.6. ....... Block ... 9.1 .......... Lot .... 0.0. 5. .......... Subdivision...X ............................ Filed Map No...X ...... Lot No..X. ........... conforms substantially to the Application for Building Permit heretofore filed in this office dated ·. fi. p c.i.:L..6. .......... , 198..3. pursuant to which Building Permit No. 12234 Z dated .... ~ p.r.J..l...7 ................ 19..8.3, 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 gazebo accessory structure. The certificate is issued to ..... .~J~!~...~...~9.B.B. .................................... (owner, fe~Fe-~ ~'ellaT~) of the aforesaid building. Suffolk County Department of Health Approval ... ~n./.~ ................................... UNDERWRITERS CERTIFICATE NO ........... ~./.~ ................................... Rev. 1/81 permission is hereby granted TOWN 'OF ~OUTi. i~OI BUILDING 'DEPARTM TOWN HALL SOUTHOI~D,,N. ¥., · BUILDING;' PE~I~ ~ ~HIS pE~IT MUST BE ~EPT ON THE PRE~ S~UNT L~ULL COMPL~ION OF THE WOR~ AUTHORIZED) ~ ~ - ~ .... ?~.. ................. ~.... ......... , ............ ~.. at premises located at Coun~ Tax Map No. lOOO Section ..~ .................. ~Block ..... ~?..? ......... - pursi4ant to application dated ................ .i ..i...~. .... ~....;...., I~spector. Fee $ ........ ~., ..... i..; and i3pproved by the Building I~to~ FORM NO 6 TOWN OF SOUTHOLD Buildmg De~artmen~ Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY >nstructions A. This application must be filled in zyoewriter OR ink, and submitted in duplicate to the Building tnspec- tot 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 nature) or topographic features. 2. Fmai approval of Health Dept. oCwater supply and sewerage disDosal--{S-9 form or equal). 3. ApProval of e~ectricai ~nstalladon from Board of Fire Unoerwriters. 4. Commercial buildings, Industrial buildings, Multiole Residences and similar buildinas and installa- tions, a certificate of Code comoliance from the Architect or Enomeer responsible f~r the buildin;. 5. Submit P~anning B0~rd approval o1' completed site ptan recuiremer~ts where applicable. B. For existing buildings (prior to Al~ril 1957), Non-conforming uses, or buildings and "pre-existing" land uses: l. Accurate survey of peoperty showing ali property tines, streets, buildings and unusual natural or topograph ic features. 2. Sworn statement of owner or orevious owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or oremises, or other pertinent informa- tion rec~uired to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1.00, $5.00 Date March 31, 1983 New Building .... Z. ...... Otd'or Pre-existing Building ............ Vacant Land'. ............ Location of Property . ~.a~..b.or...~-~..e. ~..~.~ ,e~..og, u.e/..~.. ........................................ House No. Szreet Ham/et Owner or Owners of Property ....... ]~NA .AO~B ............................................. County Tax Map No. 1000 Se~;tion . . .~.36...QQ ....... Block ...0.~: .00' ........ Lot....0.0.5: .00,0. ...... Subdivision ................................. Filed Map No.. 856 ...... Lot No .............. Permit No. '.Z'~.~.'~'.~..~.. Date of'~Permit ~/~.~..Applicant. ~'.~(~:~~.~.. '.''- .... ............. ....... Beque~ ~or Tempara~ Certificate...' ..... ;.. · ~ ......J..Final Ce~ificate Fee Submitted $ .~,OO .................... ..// ' ~ ' Applicant .... // / /. /Z~ ////~ :-[ ..................... ' ....... ' W~~,~a~y for ~a ~b · . WICKHAM, WICKHAM & I~I~E$SLER, 516-Z98-8353 April 7, 1983 Southold Town Building Dept. Main ~oad Southold, NY 11971 Att: Edward Hindermann, Building Inspector Ret ftlna A. Robb property Briarwocd Lane, Cutchogue I am enclosing application for building permit for the gazebo on the Pmbb property about which I spoke to you on the telephone some time/ ago. I was unable to submit the application until this time since there was no survey. Since the gazebo was on location, I amalsoenclosing an application for a C.O. hoping that the two maybe done simultaneously. The firm's check in the ~nount of $10.00 is enclosed to cover both applications. WW:lje Encs o N/F ~ ~ 0 E¥ ~gt~ EUGE DF C~? T/FIE D TO: FI t~ 3 T ASSO4 FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN 'HALL SOUTHQ..L_D:,~ISLY. 11971 TEL.: 765-1802 E a ined ..: ^pproved : ./.. :. .,1 .:.,,e No. Disapproved ....... .': ..... .--7 ...... . . / .... · .~~: ..... ~ (Building Inspector) APPLICATION FOR BUILDING PERMIT Application No../.~. ?.:% ....... 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 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 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 TR~egt2;~l~cn;;tf°argrtehe; ~TcSto~;tlT~vi~fh balU~ladp~iS'ca;dledilt}~ o°;d~tae~teis°,~' ~~;;:itinodn:~Ca~fi~etd~ admit authorized inspectors on premises and in buildings for necessary~~..'iff ,. ' ' ' i~i~"r~urecY6P'6~,'ca'~~c~fly~ra~") .... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ...EcOn..a..A,..lyo.l~. ............................................................. (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 whijxh proposed work will be done..South..~5.d.e .BTcf.a.k-~cg:gl .I.~a,~.,...Cu...tC~..o..cj~..,..N.Y. ........ ..... 3 -o. ..................................................................... ' House Number Street Hamlet County Tax Map No. 1000 Section .. ~.3fi,00 .......... Block ...0.1. :0. Q .......... Lot .q0>...q0.q ........... Subdivision ..................................... Filed Map No .... $56 ........ Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: Existing use and occupancy.., xe~.~.clo.n.~cOJ.. . .t:927,C.~;~ .7~./.~_i~ ~ ' a. b. Intended use and occupancy ....~...~...~4~.~5....-~../~../~....~"~~...~.~..~..'., .......... 3. Nature of work (check which applicable): New Building .......... Addition ........ Alteration ... ;~ .... Repair .............. Removal .............. Demolition ............. Other Work. gazebo..". ..... (Description) 4. Estimated Cost ........ .;~'. ~. ~ ~ ..~-. ................. Fee .;~../15) --~ (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 ............... Rear ...... ~ ........ Depth ............... Height ............... Number of Stories ........................... ~ ............................. Dimensions of same structure with alterations or additions: Front ........... i ...... Rear .................. Depth ...................... Height ....................... Number of Stories ...................... 8. D/mensions of entire new construction: Front ............... Rear ....... i ........ Depth ............... Height ............... Number of Stories ........................... i ............................. 9. Size of lot: ~ .70: .x.2O0'- ........... Rear ...................... i Depth ...................... 10. Date of Purchase ... 1/23/63 ................... Name of Former Owner i. Morton. Mortensea% ............ 11. Zone or use district in which premises are situated.."A"..-..r..eaid.eD.tia~/a~ric~ultural ...................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ... ~ ............................. 13. Will lot be regraded ............................ WiI1 excess filI be remov&d from premises: Yes No 14. Name of Owner of premises . .Edna .A, .Rahh ...... Address Briarwood. La,nO ..... Phone No ................ Name of Architect ........................... Address ........ .c .~. .c .n ~ .' .N~[hone No Name of Contractor .......................... Address .............. : .....Phone No ................ PLOT DIAGRAM J Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate ail 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 YORK, S.S COUNTY OF. SiIFFOlI~ ........ attorney for the ............. g/J.] ].iam. Wickham .................... being duly sworn, deposes and says that he is thee/applicant (Name of individual signing contract) above named. . lie is the ....... ~tto~y ............................................. ............................. (Contractor, agent, corporate officer, etd.) f~![said owner or owners, and is duly authorized to perform or have performed thei said work and to make and file this application; that ail statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application ~ed therewith. Sworn to before me this Notar,/Publio, · Suffc,.lk No.4688534 ~,ou William Wickham,l (Signature of applicant) attorney for Edna Robb FR. 0.0~ 'ti. ~/F ~ROvtN e~e~ 6 9. Z STY. '~ HSE ' /'~ ?~. cONG' 51'Y- t.g 0'2'5' t ¢ FR. HSE' ~.6$' t.9 t4 ~0,~. MA P OF EU 6E N E'S DE'SCI?/BED PI?OPE'I? TY AT CUTC HOGUE TOWN OF SOUTHOLD SUFFOLK COl; N. AR£A : IJ, 98~ =, ' Ct~E~K C ~N rIFleD rO : FI,EST ,?ATIONWIDE' SAVIIV~$ 6~ LOAN A$$OCIA T/ON US lIFE TI?'I~' IIVSUBAIVO~ Ff~D d CA R C/CH MAI~Y ANN donock ossociotes lend surveyors (:]nd consulting engineers ~15 west moin street riverheod,new york 11901 (516) 569-1717 Mar. 14, 198:~ I000- 1~6-01-05 (212) 746-5020 Job N°- B5-21:~ Scale: 1"=20!~