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Home My WebLink About10436-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z18139 Date JUNE 23~ 1989 THIS CERTIFIES that the building. Location of Property 250 MIDWAY ROAD House No. County Tax Map No. 1000 Section 90 ADDITION SOUTHOLD Street Block. 01 Hamlet Lot 09 141-142 Subdivision CEDAR BEACH PARK Filed Map No. 90 Lot No.P/O 143 conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 3¢ 1979 ~ursuant to which Building Permit No. 10436Z dated OCTOBER 10, 1979 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 ADDITION TO ONE FAMILY DWELLING. The certificate is issued to of the aforesaid building. JOHN C. CHRISTIE (owner, ) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. H010194 JUNE 20~ 1989 PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N~ Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PI~EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 10436 Z Permission is hereby gronted to: ......... J~. ~,~ ,. . . . ~:., . . . (z--Z,. ~ ~. ~ z., ~ ............ ...... .~.~....¢~...,....z':~..~..../~..~. .................... ...... ,,.~,~.c,,.~.,~.~L..~.....-....~.. ......................... to ...... f~'.Q ~.~.../.~;:.c,.~ .~....... ~0.~ ~.(.../..~.~.~ ....... /. i~...... ~.~.'z:.~. ~,~;?~:......<-~. ~,,~ ............... ..... .~..~.~.~.r.~,..%.../~.'~.~ z,.~ .~.,~..~ ...................... ,~ f '-~ ,,~':' ................................................................ at premises located at ..~....~:.~..:~,?. ....... ~/..~..~.'..y......~(~..~.....~._~...Z[~.,.~. .............................. ,. ......................................................................................................... .~ .~ .~.~.~-f./.c: .L.4u....-:.~.~ ..~. ..... / ~ ~' ' t~ .... '(./:~:,6zxc~...../..'~z~ ........ ..~.....~ . .:.....X.~.. .r.~......z.~..::.z.v..~.:...~.,.....~/:.. .. pursuant to application dated .~..~...~., ................................. , 19Z.~.,, and approved by the Building Inspector. Fee *./..~..-:.....--. ..... TONN OF SOUT~OLD BH~LDIHG DEPArTmENT TO~N HALL SOUTHOLD~ NE~ YORK ~65 - 1802 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Location of Property .<~.'-.~.~. Midway ~oa~ Southold , HOUSE NO. STREET HAHLEI John C. Christie Owner or Owners of Property County Tax Hap No. I000 Section . ~ Block / Lot .,.~.. . .~--.. -~. -4 :/2~&- 141-142 Subdivision ..... Filed Map ..~0. ..Lot .... Permit No. ......... 10436Z .Date of Permit ......... 1~/10/79 Appticaot' John Christie ............. . Applied For Health Dept. Approval - ~/~- Underwriters Approval .............. Planning Board Approval ..~/~ ........... Request for Temporary Certificate -~/~... Final Certificate ................ Fee Submitted: JOHN CHRISTIE rev. 10/14/88 F r~ A I-/~ F__ Examined ~.~...'. Approved .~.2..~. ~.'.../. ~. i i FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 ., 19 . .~. Permit No../.O..~..44 -~ Dasapproved a/c ....................... ~ ........... ctor) APPLICATION FOR BUILDING PERMIT Date .O.c.e. qb.e.r..3 ..........197.9.. 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 avadable for inspechon 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 Budding 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 alteratiorl~ or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, l~de, hou~ng ~de, and re~,,~lations, and to admit authorized inspectors on premises and in buildings for ne~, ~~D ...~ (Signature of applicant, or name, if a corporat~lJ~ - (Mading address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Owner John c. Chxist±e and Name of owner of premises ....................... ~ .................................................. (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 will be done .................................................. Midway (private road) Southold, N.Y. House Number Street Hamlet County Tax Map No. 1000 Section .................. Block ................. Lot ................... Subdivision..C.~.d.a.r..B.~.ap.h. ?.a.r.~ .................... Filed Map No..99 ............ Lot .1.4 .17 .Z .~ .2 7 .1.4 .~ .... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction' a. Existing use and occupancy .. p,e~£.cl~n.t&~l. .... ~,,~.__ ...................... b. Intended use and occupancy .~..a~e...'~..~: .................................... 3. Nature of work (check which applicable): New Building .......... Addition . . .X.... .... Alteration .......... Repair, .............. Rembval .............. Demolition .............. Other Work ............... ~' (Description) $8,000.00I $15.00 4. Estimated Cost ............. . ......................... Fee ...................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units .... one 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 structure~, if any: Front. 70. ;~ee~ ....... Rear . 7.0..f.e.e.t ...... Depth..2.5..f.e.e.~ ....... Height~ ~. ~gQ~y ........ Number of Stories . 9g.e .................................................... DimenSions of same structure with alterations or additions: Front same Rear same Depth I same ' Height sar0~ Number of Stories same 8. Dimensions of entire new construction: Front ................ Rear ............... Depth ............... Height ............... Number of Stories ........................................................ 9. Size of lot: Front .. 200. £eetr ............. Rear. 22.4. £e~: ............. Depth 2.7.0. ;~.e~.t .............. 10. Date of Purchase ~Lg~ ....... . .................. Name of Former Owner ............................. 11. Zone or use district in which premises are situated...Zg.n.e..~ ............................................. 12. Does proposed construction viol:ate any zoning law, ordinance or regulation: no 13. Will lot be regraded ... no .... i ................... Will excess fill be removed from premises: Yes N/ANo 14. Name of Owner of premises .. ~ohn. Ch~is.t~e ..... Address ................... Phone No..7.6b.-~.5.0.2 ....... Name of Architect ........................... Address ................... Phone No ................ Name of Contractor ' Address Phone No Locate dearly and distinctly all property ilnes. Give street and block interior or dorner lot. PLOT DIAGRAM buildings, whether existing or proposed, and, indicate all set-back dimensions from er or description according to deed, and show street names and indicate whether STATE OF'NEW YORK, , S.S COUNTY OF ................. ~ ................................................. being duly sworn, deposes and says that he is the applicant (Name of individual sig~ lng contract) 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 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 flied therewith. Sworn to before me this ........................ day of ..................... ,19 ... Notary Public, . .................. · ............. County ~ NOTARy PUB[lO, ,St~le at ~19~ ¥o,r~ ./.'% .; . . Q mmlssmn Exp[re~ Marc~ 3Q; 1%80 (Si~E, ature of applicant)