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Home My WebLink About12129-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Buildin§ Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No...Z. 1. 1. ~.0.6. ........ Date ...... F..e.b.p.u..ary' .2..5 .............. 198..2. THIS CERTIFIES that the building ...e.n..c.t.qs..u ?.e ................................... Location of Property . 1. 99,5 ............ P.a. .5 r.~.~7.., pr.±.v..e ...............q u..t.c.h.o.~.u.e ...... House No. Street Ham/et County Tax Map No. 1000 Section .. 1. 99 ....... Block . .0.5. ........... Lot . .0. ! .4...0.2. '.0 ....... Subdivision .... .F.a.~.p.¥ .a y..F.a..p.m.s. ........... Filed Map No..6..0 .6.6...Lot No...2.0. ......... conforms substantially to the Application for Building Permit heretofore filed in this office dated ..... d. a. ¢.u.a.~. 7.5 ...... , 19.8. 3. pursuant to which Building Permit No.. J .2.q.2. 9...Z ............ dated .... .d.a.n..u.a.p.y...25 ............ 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 ......... ..... ~n..c.Z.q~ .ur.e..q.~..e.x.~..s.t.±.n.g.p.o. rc..h.. .......................................... The certificate is issued to . . WILLIAM J. & EBBA CONCAGH ................... io¥.'o;.:~i~.*:~,,q'b:.,>hi- ..................... of the aforesaid building. Suffolk County Department of Health Approval ...~..n/.~ .................................. UNDERWRITERS CERTIFICATE NO ............ ~/.e~ .................................. Rew 1/81 Building Inspector BUILDING D~PAKY~ TOWHz!:HALL SOuTHO~D; N.¥, BUILDING PEKM!'T ~HIS PEru T ~UST BE KEPT oN +HE p~E~ COMPL~ION OF THE WOR~ AUTHORizED? per~nissiofl is hereby granted to: ~u?y Tax' ~op No, 1000 !Se¢ila~ p~s~laht to application dated i : - ): , FORM N0, $ TOWN OF $OUTHOLD Building Depar~men~ Town Hall ,~P ,-,C~T ON FOR CERTIFICATE OF OCCUPANCY instructions This ~pplicat on must be filled in typewriter OR nk, and subrr~ittad in duplicate to the Building Inso~ tot '.'//th the following; for new bali!dings or new use: 1. Final sun~e'/ of property with accurate location of all buildings, property lines, street, s, and UnUSL . ~¢~,oval or e!ectrlcai mstaNatlon from Board of Fire Unde~ritars. ' , ~ ~c~ compHanc~ rr~m the Architect or Engineer responsible for the 5. SubmkPlanning Board approve of completed skeplsn requirements where applicable. Fcr existing buildings (prior to April 1957), Non-conforming uses, or buildinas ahd" ' land uses: ~ pre-exlsdn= 1. Accurate ~p/ey of peoperW showing all proaerty lines, %r~ets, bulJd~ngs and unusual natural topographic ~eatures. ' 2. Sworn s~a~emen~ o¢ owner or previous owner as to use, oc;upancy and condition of buildings. 3. ga{a o[ any housing code or safety ~nspecdon of buiidincs,or premises, or other pert{Rant Jnform- tion required to prepare a ce~ificate. / 1. C~rzif/cate of occupancy S5.00 2. C~rtd[cate of occuoancv on ,,'~-= ' ~' .... xtsJng dwelling or'land use 2. Copy of certificate of occupancy $1.C0 S5.00 Ne,.,/ Buitdin~ Old or Pra-exist~ng ' ~' "" X .............. Budumg'~,~) ..... = /Vacant Land ......... Loc~don of Property ~.' ............................................. Owner or Owners of Property ' ' o0o o ,o, ..... '. .... ..... ...... _ .... ....... Health Dept. Approval ........................ Labor Dept. Approval Unde¢ zriters Approval .............. ' .......... Planning Board Approval ................. Reques~ for Temporary Certificate... ' ................. Final Certificate ...... - ......... Fee Submk~ad S ............................. Construction on above described buildinq and Per~k meetsall ap~c351~ s urger, ~.~.,' FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined ..... .j .,rT:. ...... , 19 Approved ........./O~/ .57-.., 1 ~..~. Permit No...//..~... (..~. e ~_~ (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date a. Tins application 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 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 isshed 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 building for necessary ins ecti.~/~.._ (Signature of ~pplicant, or nan~ if a corporation) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ..... ..... / ..................................... Name of owner of premises ...~~.... ~.:. ~.~-~. .................................. (as on thorax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ....... .~-.7 .............. Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location ofland on which proposed work will be done. . ,<~ ~~ J House Number Hamlet County Tax Map No. 1000 Section ...... f..t>..~. ..... Block ~-~ Lot /~/, oQ (3 Subdivision...~..¢~...'cDr..°4-/...~-~. .......... Filed Map No...~.'..~..~...~.... Lot .... ~ ...... (Name) 2. State existing use and occupancy of ~_.~i~e;sd~,intended use and occupancy of proposed construction: a. Existing use and occupancy .... ~'..'-'.?r :-.q'~.V.. ~ ............ ' .................................... b. Intended use and occupancy ~[2.-~--~. . . ..................... . Nature of work (check which app icable): New Building .......... Addition .......... Alteration ...... Repair ............... RemoV~al ............Demolition .............. Other Work ............... ~jJ~/~.~'--- (Description) ,,. Estimated Cost ..... ............... Fee ...................................... ~ (to be paid on filing this application) 5. If dwelling, number of dwelling ugits . . ./ ...... Number of dwelling units on each floor .... . ............ If garage number of cars ...... i .~. .............................................................. 6. If busmess, commercml or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structuresiifany: Front .... .~.d:) ......... Rear ... ~. (.,) ....... Depth... ~.~d. ....... ' ?5. Height .. :~.,.~ ........ Number of Stories .................................................... Dimensions of same structure with alterations or additions: Front ..... .~.O ........ Rear, .~.~,) ~.~ .......... Depth ....... .~.(d ........... i. Height ....~ ............... Number of Stories ........ ,d. ~ ...... 8. Dimensions of entire new construction:. Front .. 'J~-t-,-~. · .... Rear ............... Depth ............... 'ght b ' Num er of St ...... ............... orles . .. ,, . ,....,..., .... ,..,, ......,, ...~ .............. 10. Date of Purchase .......... /~.~.~. ............ Name of Former Owner .............. 11. Zone or use district in which premises are situated .......................... ~.,;, ........................ 12. Does proposed constructi~,n .violate any zoning law, ordinance or regulation: .... ./~/. ~3 ...................... 13. Will lot be regraded ... tr.l~qL ;~ .~.. ................ Will excess fill be removed from premises: Yes No 14. Same of Owner of premises ~r~Address ~ ....... PhoneNo..Z-~.~. ....... Name of Architect . . 2 '/~;-;-]/~' i'l::~'J J/dd ......... Address 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 NEI~RK... ,-~ ~ S COUNTY OF ~~:. '~.~... ~... being duly sworn, deposes and says that he is the applicant (Name of individual §ign}ng contract) above named. . :I ~ (Contract~ent, corporate officer, etc.) of sa~¢l owner or owners, and is dui'. aut?rmSzed~erform or have performed the said work and to make and file this ined in this application are true to the best of his knowledge and belief; and that the set forth in the application filed therewith. application; that all statements cont~ work will be performed in the manne Sworn to before me this .............. day County · ')Q ' (Signature of applicant) NOTIFV ~:UH..D~JG ~EPAWTM~NT AT 7~ ]~2 9 AM TO 4 PM FOR THE F.':: '.;;Jr) CONCRETE 2 "?~:" ~:~M'~>t & PLUMBING I'UF P:r' ' ','' F~,S OF TFIE N.Y. 5TA','F (3-';';',:3UC':I()N & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN ~ll CONS~RUC I IOb~ ERRORS 516/7~4:66~I Lot 9 vacant D V£ Lot 21 vacant THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENO~'~ WILL CONFORM TO THE STANDARDS OF THE SUF~FOLR COUNTY DEPART~EN1 APPLICANT. __ __. ADDRESS._ TEL WOOD WA Y Lot 2~ VOCOn t Lot 25 vocon t NOTE: 'I = MONUMENT SUBDIVISION MAP FILED IN THE OFFICE OH THE CLERK OF SUHFOLI~ COMNTY ON &S FILE NO, ~0~. NEAREST WATER MAIN q MILES~ WA TE~ SERVICE - P~IVA TE WE&~ S RE¥1SIONS Y(~UNG & YOUNG S£PZ'£0,1977 40{) OSTRANDER AVENUE, RIVERH~-.AD, NEW YORK ALDEN W YOUNG HOWARD W. YOUNG SURVEY FOR: .... ~"'~"''~'I"'~'r~"[~'~(~'('~ WILL~AM CONCAGH ~ EBBA ~ CONCAGH CUTCHOGUE c~/cAao r/r~ /~SU~A~C~ ca ...... W/LL/AM CONCAGH 8 EBBA ~ ~OWN o~'SOUTHO~D CONCAGH ............. ; ....................... L ................. ~ ...... ~ ....... J ' ' ' I =50 AUG I~ 1977 ' 77-595 Lot ~ vacant ~- Lot 21 vacant 20000' ~ WOOD WA y Lot 2~ vacant Lot 25 vacant NOTE: 'm = MONUM£N 1' SUBDIVISION MAP F/LED IN THE OFF/CE C&ERK OF 5~P~OL K ~OUN ~Y ON FEO. I~ N~AR~BT WATER MAIN 4 MILES~ Revl$,ons YOUNG & YOUNG SEP~20~1977 400 oS'rRANDER AVENUE, RIVERHEAD, NEW YORK ALDEN W YOUNG HOWARD W. YOUNG SURVEY FOR: ~ ...... ' ..... ~ ;'~ CHICA60 TITLE IflSU~AflCECO, '" : ~' "" town oF CONC~GH SUFFO[K CO . {q.Y. __ ,..