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Home My WebLink About10809-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No..g.'lJ. 7.2.'1 ......... Date ........... g.v~¢..~ ............... 19~5. THIS CERTIFIES that the bmlding .. ~,d.q~o.I~ .................................... Location of Property .~05.0..G..~.mp..l~Ii¢.e.q%O. ~Rc[, ............. lv[a~i~.uck. fious'e No. Street ...... County Tax Map No. 1000 Sechon ...'~ 2~ ...... Block ..... 0~ ........ Lot ...... 2.Q ........ Subdivision ............................. Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ....... g.~..n.e..9 ., 19 8Q pursuant to which Building Permit No...~08D9Z ............ dated ......... -¢kxg~$. ¢. ......... 1980., was issued, and conforms to all of the requirements of the applicable prowsions of the law. The occupancy for which this certificate is issued is ......... ........ ~ d.e.qk, a.ddi~i.o.n. ~p..am. ~xisting. b~ildir~g ......................... The certificate is issued to . Pg. TRICJ~ .B,. & .1Ylg2gTf .AiX~..~&IX]~.ON ........................ (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval UNDERWRITERS CERTIFICATE NO. Ixl/A Building Inspector Rev. 1/81 COMPLETION OF THE WORK AUTH,~RIZED) i . N°. lOSOS z '~o~e ":'"!*?~ ........ ~ .......... ' ............... , ,~ffO Permission is hereby gra~ted to: /~ { ~ ~ ~ d~ ........ C~ ~m~.,. ...... ~ ~ . ' . .................. ~' ." ~" ...... "'x "~ Coun~ Tox Mo~ No. 1000 5~cbon ...................... , ~1~ ~....~ ................ ~Lot ~0 ......................... .~..,....,.....~ ' ~ ~ pursu*nt to ~pplic~tion~ dotod ............ :~. ....... ~.,~-.;.?; .... 1 ~ anti opprovod by the g~ildlno Inspector. ~ ~ Fee $ ............ ~ <~ Inspector YOUNG ~ YOUNG ~oo O$¥RANDER ~VEN. UE~' I~IVP. RHF,AD, NEW YORK rr~ 980 ~r. Potrick B~ }N,~rule~ 80 Tarence Street Roekvil ] e Cent re, ~ 5'70 · :"~ (6) print;a of su,rvay ~Or ' Transm]t~od herewith are ,.,~x Rita Young ab N~rLt, it;uck, To~,m of Sot~:h,>Id, New Y'o~k which,was revised showings[ pro~o?et ,?ack for You had r~s~> ,:ec~uested ~;hat we advise 'the averagO dis;.- t~.ce oT J tone ,yar',~ of' ],ouses c,n , ~' ' sid~ ~of your prope.rty proper ~,y the average front ?/,~r'<~, be{n~ the minimur~ :llsf;anae fro~ ~bree~ line to ~;he house;,,, ~,; P6 feat,, To bhe ~e~,, of yomr proper~y ~he av,arsge fro.or.~'"~"'1~, ~'~O~t,o a wood deck on ~he only. house within :500 feet, i~ 10 f'eet~ We are t;r~ztsm[' ' {i:~,,~, ~n nx1:r',~ copy o~' Lhis 'letter So that; - ,~:r,, - 1'he Bui. lding DeparYme~ of the To~ of you may prc,,_nt sm:.,r Southol d. Vor.. p ~rl~ty yo~lrs, Alden W. Yb~'mg -- ' FORM NO. 3 ToWN OF SOUTHOLD BUILDING DEPARTMENT ToWN CLERK'S OFFICE SOUT}tOLD, N.Y. NOTICE OF DISAPPROVAL FileNo ................................ ~,at~ ..~,~ · o .~,~r,~c~..~-. ~./~.~.~. .... . ~..T~c~. ~ ........... /~/.~.~. ~7~: ~- ~ ....... · ~. -.F .~.c. .,,~ ~. PLEASE TAKE ~OTICE that your application dated .............. ~o~ ,~,~ ,o ~o.~,.,~. ~:~..~...~ ~/~ ~ ~use ~o. ~ Street ~ ~amlet County Tax Map No. 1000 Section ...[.~ ...... Block . .~ ~ ........ rot . .G. ZO ...... Subdivision .... ~ ........ Filed Map No ................. Lot No .................. is returned herewith and disapproved on the following grounds 7 . ~/~7...~ ~p.. ~~.. ~..z~ .~e ~ ~.Z ~ Z~xe. A .............. Building Inspector RV 1/80 FIELD IN~PECTION COMMENTS FOUNDATION FOUNDATION 2. ROUGH FRAME & PLUMBING (2nd) INSULATION PER N.Y. STATE ENERGY CODE FINAL FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y. 11971 TEL,: 765-1803 E amined ., 19&.Permit No.. Approved :./.C ...... V ~ /--~Jl~ APPLICATION FOR BUILDING PERMIT 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 applioation, the Building Inspector wilt 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 Departme~nt for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, NewYork, 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, buildfi~ode, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary ins~ect~.ns./~'/],~ (Signature of applicant, o/r~name, if a coFporation) ~. . (Mailing address of applicant) / I .1 ~ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises' '~ '~' ' ' '~" ' ' '/~' '('a~~~) ......................... If applicant is a corporation, signature of duly authorized officer. (Name and title o~.~c.orp orate officer) ]t~ ~f~/ Builder's License No..~.[~fg~,l.~.t~.~..~.!~.t. r~.~Cot~ l r~ ff~tD r I Plumber's License No ......................... Electrician's LicenseNo ..................... Other Trade s License No ...................... Location of land~ which proposed work lqill be done .................................................. .... ...... ...................................... House Number Street Hamlet County Tax Map No. 1000 Section .... !k.g .......... mock ....O?.%0..o ......... Lot:..'...07.O:.O.O. ...... Subdivision .................................... Filed Map No ............... Lot ....... : ....... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a Existin~useandoccu~anc- ~)~-~J~7. b'O ff/'~ ~.~d~/B.~.. /q~/~t~- b Intended use and occupancy .~. ~....6~...f.~..0...../~..~....~..~..~./:'l.f-t...Rt.....~...%..~. ...................... 3. Nature of work (check which applicable): New Building .......... Addition .G~.~. , .~..~./.~ Alteration .......... Repair .............. RemOval .............. Demolition .............. Other Work ............. (Description) 4. Estimated Cost...~.. ......................... Fee ....... /.~'~.'~. ......................... ' (to be paid on filing this application) . 5. If dwelling, number of dwelling ¢nits ~ Number of dwelling units on each floor. 3 If garage, number of cars ..... I ................................................................... 6. If business, commercial or mixec~ 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 wlth alterations or additions: Front ................. Rear .................. ' Height Number of Stories Depth .................................................................. 8. Dimensions of entire new construction: Front ............... Rear ............... Depth ............... Height ........... ~... Npmber of Stories .......... ; .............................................. 9. Size of lot: Front .../.~-~,'~...~ ........... Rear .../.0. ~,,.p/? ............ Deptl~ ...t'/.~...~. ............. 10. [)ate of. Purchase. ..... tO[,l'~.'~5._~ r .................. . Name of Fo_rml~r Owner .... /~t.t~t.~. ~O.~.r '~' ............ 11. Zone or use &strict ~n which premises are s~tuated...'~l~J~J..0 ~7-..,~ O.~d. et.~ ........................... 12. Does proposed construction,vioiate any zoning law, ordinance or regulation: .... ~O ......................... Will lot be re-faded J~/o ' . Will excess fill be_removed from premises: _ Y_es . No 13... .~ ~ ' ""'--f~a~5;/ll,'~i~'"~ddressO°~r~r,~./t/0~' PhoneNo .~..~(~F..o~'.~ . 14. Name oI uwner oi premls¢~ rol~-e-r~.-,i.~r~. '."~'*'~'. .... t-~ ...................... Name of Architect . tX: ..... ~ ............... Address .................. Phone No. : ~.O~ .~. .... Name of Contractorq~.Ot~.Q/~0~.~[~.( ....... Phone No. ' ' ........ ~ . i PLOT DIAGRAM ~ Lgcate 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 ~orner lot. STATE OF NEW.Y_,.ORK, COUNTY OF..,~../::..1~.. ~9.~..t~..., S.S , t~,4 'f'r( ~ ~ t<' ~. P/.~.~ o being duly sworn, deposes and says that he is the applicant (Name of individual sighing contract) above named. ' i He is the ..................... ~ .................................................................... (Contractor, agent, corporate officer, etc.) of sa'id owner or owners, and is d~ly authorized to perform or have performed the said work and to make and file this application; that all 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 filed therewith. Sworn to before me this i · ..i ..... q..v~.~. .......... day qf...'~..~.M..'.~. ............ 19~'(~. ~ NotaryPublic~, . ...t~..~..~..~t.c)gt~..~.~.o..~.T.7 .... County [J.~, ~,,,-'/Q //7 - DIANE LA BARRIE-BEY ' / ...... ~ ...... [ 1' "4~ ~ .... ',~,: ' '; .... .~ ' ' '.;' ., Notary P~ob!,c~lS. t4a6t~5o6f2Npew York ! -- ~ ~,mgnamre o, appncam) i Qualified in New York County .~[ Commission Expires March 30, ~9 ~'~ R EE VES A VENU E'~ ~LSO KNOWN ~S ~ cAMP MINEOLA RO~D \ ~0 0 parr/cia Murphy S 4 °49 'O0"E I05 45'I N. 4049'00"W paul J. Ip6. 2"7 ' Kelly