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Home My WebLink About10385-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy No...Z.9.8..6.9 .......... Date February '11 19 80 THIS CERTIFIES that the building ................................................ 2370 Wunneweta Road Cutchogue, N.Y. Location of Property ............................................................... House No. Street Ham/et County Tax Map No. 1000 Section .... ? ?.1 ..... Block .... ? .......... Lot ..... 77 .......... Subdivision. ~a..~..8.a.~..P..~....C.]:.u..b. ~r.o~., ..... Filed Map No...'1.~..~...Lot No...~.~.8. ........ conforms substantially to the Application for Building Permit heretofore filed in this office dated ....A.u.E~. 9~..89. ....... , 19 7.9. pursuant to which Building Permit No ..... ?.0.~.8..~.Z .......... dated ....8.ep.~e..m.B.e.~../:~ ............ 19 7.9., 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 ......... ....................... ~r..~y.a.~.e.. 9?..s.~..~.~..y...~. e..x.~.~.n.g. ........................ Edward Ho Diamond The certificate is issued to ..................... [o~n'e'r, ~ .................... of the aforesaid braiding. Suffolk County Department of Health Approval 2/6/80 9-80-83 R.A. Villa UNDERWRITERS CERTIFICATE NO ..... t'~ Rev 4/79 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING FERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 10385 Z Dote ~.. .......... ~.. .................... , ~9..,Z..~..' ..... , ............... ,~.~ ........... ~ .......................... ,.~.~ ......... :~.~, .............. .~ ...... ,,4~.....~..~:......Y.Z~.~. ,~.~~~.....:. ........... dated ..~,~..d.~ ........................ ~, ] 9~.., ~nd approved by the tr ~p~l~c~ti°n DOLLINGER, GONSKI, GI~OSS/~IAN, PER.UT & }III~$GI-II-IOttN ONE OLD GO~T~ ROAD January 31, 1990 Town of Southold Building Department P.O. Box 1179 Southold, New York 11971 Attn: FEB - 5 1990 Viola ~ [ ,, BLDG LEF'F '" Re: Edward H. and Carolee N. Diamond [ TOv~NOFSOUIHOLD d ~qm .~ ~unneweta Road, Cutchogue, New Y~ ~v t~ ~trlct: 1000 Section: 111.00 Block: 0700 Lot: 017.000 Our File No. 60,066 Dear Viola: Pursuant to today's telephone conversation, we have enclosed our firm's check made payable to the Town of Southold in the sum of $10.00. Please forward copy of the Certificate of Occupancy for the subject premises to our office in the envelope provided. Thank you. Very tru~ly yoLkr_s~ Mary~Ann D' Esposito MAD/jm 60,066.Ltr Enclosure FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, 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 natural or topographic featu res. 2. Final approval of Health Dept. of water supply and sewerage disposal--(S-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. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peoperty showing all property lines, streets, buildings and unuSua~ natural or topographic featu res. 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. 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 ........... New Building ...... ~,. ..... Old or Pre-existing Building ............ Vacant Land ............. Location of Property .... ?.0.."?..?.....~/..~...,~...~/~..~..~, .~..~..:.,. ~..~ 0~ ~..~'./'~/'~t ' Owner or Owners of Property ... 1~O,' .~. ¢~4,/1~' .~..v~. ~ ............................... Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building and pe~?~.~ts~.~p~plic~_f.,~d~t.ions. ~OtO C~ H FP~AI',/NF- ~-,,.; DIT~c2:tt',JAL FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 (Bm~in~ Inspector) ~/_ Date ....... ~... 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, acctirate plot pla~r to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on pr&nises, 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 in~0ections, r /'~ /r~ ... './~.~. './d.~..4ic~.~o~r~n~ee~.. ~ ~'tlo'~) .... (Signature of app ' , ~, il ~ ~,,5v,,~o (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .............. ., . . . . . ........................................ Name of owner of premises .~./g/../~J~/..g:}.: .~. ;~{~/Oq/JV.O ................................................ / (as on the tax roll or latest deed) If applic~ col:p~oa~ n/~~o: duly authori~egl4)fflcer. (Name and title of corporate o ricer) Builder's License No .......................... ~ Plumber's Lmense No..~.. ~..~....~..~..~. · .v.~ · · ·~ Electrician's License No - Other Trade's License No ...................... Location of land on which proposed work will be done.. Y/~......~.~/..~..~.~..~/~. i .~.~. · ./~.. · .~ ................ · z 7.0. ......................................... ................ House Number Street Hamlet County Tax Map No. 1000 SecLion ~1~,_ . . . .< ./f. ....... Block .~.'~ , l,.ot ~)/.7. . Subdivision ........ . .~. ·/~..(~q.a~: · ·~..~. .......... Filed ;/~,'' ', ',~, i. ,~, ?:G:, ~:iiiiiiiiiiiiiii State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...... .~..t~..,.~ .................................................. . b. Intended use and occupancy ................ , · it · · : ............................ 3. Nature f~vor~ check which applicable): New Building .... Addition .......... Alteration Repair ............ Remogal .............. Demolition .............. Other Work ............... 4. EstimatedCost . 't' . ~ .................... Fee .v/. A.~. . .~. ~. ........................ (to be paid on filing this application) 5. If dwelhng, number of dwelhng umts ......... Number of dwelling units on each floor ................ If garage, number of cars .... ~ ~,r~.~. ............. ~ ............................................ 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 ................. Rear .................. Depth ..................... i. Height ............. Nu~r. of Stories i 'I~e'p' ................ 8. Dimensions of e/atire new constrt~ction: Front. ii'. ~'~'.' i.~ .... Rear..O~.~ ........ tk . .~.~ .......... Height .~. NumBer of Stories g~ 10 Date of Purchase t ~.~. , Name of Former O~f ~ 11.. Zone or CS~ district in which premises are situated ........................ .. ............................ 12. ' Does prop.6~ed construction, violdte any zoning law, ordinance or regulation: . ~.~. ....................... 13. Will lot be regraded ..... .~.~ ................... ]Vill excess fill be removed from premises: . Name of Architect ..... ! ..... i ................. Address ....... . .~.O?..~f~...~....~'. Phone No .............. 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 r umber or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, ~ co T¥ OF-,,., .......... -~:~-~ ~,;~.. m. ~ ~.~.,:. :. ............. being ,~uly sworn, deposes and says that he is the applicant (Name of individual ' s~gnmg contmc,t) above named. .. , .~. .. . ~ ,, ~ ', He is the ........ ~ ~. ...~ ............................................ (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 statements conthined 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 filed therewith. Sworn to before me this ........ .~.?. ....... day of:.,. · .~,,. ~