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Home My WebLink About10151-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18639 Date DECEMBER 11, 1989 THIS CERTIFIES that the building. Location of Property 2255 VANSTON ROAD House No. County Tax Map No. 1000 Section 111 Subdivision ADDITION CUTCHOGUE, NEW YORK Street Hamlet Block 6 Lot 4 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 3, 1979 pursuant to which Building Permit No. 10t51-Z dated APRIL 3~ 1979 was issued, and conforms to all of the requirements of the applicable prouisions of the law. The occupancy for which this certificate is issued is FIREPLACE ADDITION TO EXISTING ONE FAMILY DWELLING. The certificate is issued to ELEANOR S. NOHE (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED H/~ J //Building Inspector Rev. 1/81 FOl~'~ NO. ~ TowN- O!~ SOUTHOLD ~ BUILDING>DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD,~ N. Y. BUII~DING PERMIT (THIS PERMIT MUST BE KEtST ON THrE PREMISES UNTIL FULL COMPLETION OF THE WORK ^UTHOR ZED) ' Permission is: hereby .ranted to: ; ~', - :~g~h/-'~:, AP~ROVED AS NOTED DAT,~, ........ FEE BY~ ~TIFY :BUILDING DEPARTMENT AT ~5-2660 9AM to 4PM FOR REQUIR- ED iNSPECTIONS: 1. BEFORE BACKFILLING FOUNDa- TION OR START FRAMING 2. FR;~MING INSPECTION 3. B~J:ORE COVERING PIpeS OF ANY KIND 4,. FINAL WHEN JOB COMPLETED ~OT RESPONSIBLE~ FOR DESIGN ~R CONSTRUCTION ERRORS 'moke ALL CONSTRUCTION MUST MEET r REQU REMENTS OF N.Y' STATE CODE AND TOWN HOUSING CODE& ZONING t~o oc~ J '7' . TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTHOLD, N. Y. 11971 TEL. 765-1802 Tim Gray Masonry Const. Inc. RD~ 2 - ~0 Circle Drive Riverhead, New York 11901 Dear Sir: This is to notify you that Building Permit No. issued 4/3/79 to Stuart Kiehl will ex~ire on ~/3/7~ 1 Ol If more time is required to complete the job and obtain, a Certificate of Occupancy, you may apply, KY letter, for a six (6) month extension. ' If the work is not completed and the Certificate of 0ccupanby not issued after the six (6) month extension period, you are than required to apply for a new building permit. Very truly yours, GEORGE H. FISHER Sr. Building Inspector FOR~ NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ............. ..5~.../....-~.. ............... 19..~.~.. - ~proved ............~./~. ............... , }~.. Permit No. /~.~[.~ ........ Disapproved a/c ..................... ::L....-~.;...--;;~ ..................................................... ~Z' ~, ..................................... ....................................................... .......................... (Bu~ding Insp~tor) Applicotion No... ,~,.(~.,/,, ,~,.,~ ......... ~ APPLICATION FOR BUILDING PERMIT Date ......... : ................ .~./.~. ......... , 19..~_(~..... INSTRUCTIONS a. This application must be completely filled in by typewriter o~ 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 0djoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the'diagram which is port of this application. c. The work covered by this application may not be commenced before issgance 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, end 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 ir~ buildings for necessary inspections. (Signature of applicant, or/name, if a,corporation) (Address of opphcont) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.J ........................................................ ~'¥'"'u'""r'"'w' ...... U"I ................................................................................................... ~ Name of owner of premises .................................................................................................................................................... ~ Jf applicant i~ g corporal, signature~f duly authorized officer. ..................... ........ ......................... (Na~e and title of Jc~so~te officer, ~ Builder's License No ..................................................... Plumber's License No ................................................. Electrician's License No ............................................. Other Trade's License No ............................................... Location of land on which prolapsed work will be (;ipne. Map ~: ...[~..T.{LI...~..'T.~.. ....... L~ No....13.~..~. .......... Street and Number ...;~,,.~...S.~'~......' .~..~...~...~...-~,.....~..~( Muni~o'ality State existing use and occupancy of premises end intended use and occupancy of proposed construction: a. Exisiting use and occupancy ................................................. .'. .................. : ......................................................... b. intended use and occupancy 12. 14. Nature of work (check whic~ applicable): New Buiidin~~· ................. Addition Repair .................. Remove Estimated Cost .................. If dwelling, number of dwel If garoge, number of cars ... If business, commercial or Locate clearly and distinctly a property lines. Give street and bi whether interior or corner lot. .................. Alteration ................. ~ F'~re .................. - Demolition .................... Other Work ............... ~ ................................ (Description) ooo ...F /~" ~ (to be paid on filing this application) lng units ..O...~.~. .....Number of dwelling units on each floor ..... , ...................... mixed occupancy, specify nature and extent of each type of use ............................ Dimensions of existing structares, if any: Front ............................ Rear ................................ Depth .................... Height ........................ Number of Stories ................................................................................................................. Dimensions of same structurb with alterations or additions: Front ....................................Rear ............................ Depth ................................ ~teight ............................ Number of Stories ................................ Dimensions of entire new cohstruction: Front ................... , ................ Rear ............................ Depth ........................ Height .................... Numbe[ of Stories ...................................................................................................................... Size of lot: Front I .... Rear .......................................... Depth Date of-Purchase ................ t ....................................... Name of Forrge~O~,,,ner ........................................................ Zone or use district in whichJpremises, are situated ...................................................... ~..j~ ........................................ Does proposed construction v[iolate any zoning law, ordinance or regulation: ........................................................ Will lot be regraded. ............. J .............. Will pxcess fill be removed from premises: ( ) Yes ( ) No Name of Owner of premises ....~.?..~..~..~..t'......~..~...~...~..~'"" ~/ --t ................. Address .....~..o...u.~..~..?..!..~.. ....... Phone ,No ....................... Name of Architect ..............L ............................................... Address ................................ Phone No ....................... · .,.. ' Nome of Contractor ,~..~.m..~....~.~....~...~.~.?.?.rY...~,?.?.~ t..~...~.,Address........................,.......R'~Oe¢~'~2L~ Phone No ............ ~.. ........ PLOT DIAGRAM I buildings, whether existing or proposed, and indicate all set-back dimensions from ~ck number or description according to deed, ond show street names and indicate q~ STATE 0,~ NE~ YORK, COUNTY br...., ...................... ....r ................... ...~.£1CTX~.~CL~....~.....I~';~'~...~.' ~m ............................. being duly sworn, deposes and says that he is the applicant (Name of indil, idual sigfiing ~=ontracf) above named. / He is the .................... j~J, Ck.~.(~.d....~o~l.X.~..~..~,,.'[F.,o.r. ................................................................................. I (Contractor, agent, corporate officer, 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 statement~ contained in this application are true to the'best of his knowledge and belief; and tl,or the work will be performed in tlhe manner set forth Jn the application filed therewith. Sworn to before me this ........ ..~,~ ~, o,¢,, '"',~1'"~ ....... !'"'~7//3"' ............. , 19..~.~....' ' '" ,,~ · : ~o ~. ...¢. .......... Note,-, pub .................... Co,.,n .. . .... ............................... -- ' l J/ I' · ty (Si/gnature Cf ap~icant)