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Home My WebLink About10661-z fORM NO.4 TOWN OF SOUTHOlD BUILDING DEPARTMENT T own Clerk's Office Southold, N.Y. Certificate Of Occupancy 79g'31 Date .. . .. . .. .1':'I~r .~? . . . .. . .. . . .. . . ., 19 ~q No.........., . .... . THIS CERTIFIES that the building. . . . . . . . . . . . . . . . . . . . , . . . . , . . . . . . . . . . . . . . . . . . . . . . LocationofProperty . .400. J;}~~P~. .P:t;';ly.~........,......... .G\1:t.C.l1<?~.~.. .~..X"""" House No. Street Hamlet County Tax Map No. I 000 Section .. .97. . . . . . .Block ....7...... . . . . .Lot . . . . . . :;;. . . . . . . . . . Subdivision. MqQ~!". .GQVI". . . . . . .. .. .. .. .. . .Filed Map No. .. .~~;;9.Lot No. .. ?~. ... ., .. . conforms substantially to the Application for Building Permit heretafore filed in this office dated .... M&y.!3..........., 19 ~.Q pursuant to which Building Permit No. .. .!9?~1.~........... dated .... ~.a,y . 13. . . . . . . . . . . . . . . . . 19 ~9. , was issued, and conforms ta all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is . . . . . . . . . . . . . . . . . . . . . . . . . . . . , , . . ,P,Cf9!3.s.I'!<?rY. .E?'\:91:'.8:8~ . ~~€!4. . . . . . . , . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to ....'. \"t.€\:r:g?1:'.~~ . f ~. .~1?-9!3~ . . . . . . . . . . .. . . . . . . . . , . . . . (owne ~ of the aforesaId building Suffolk County Department of Health Approval .......... .~I.~. . . . . . . . . . . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE NO. . . . . . . , . . . . . . . . . . .~I.!'l, . . . . . . . . . . . . . . . . . . . . . . . . . . . ....e~j...~,,~b~-.. Building I spe tor Rev 4n9 . k " j,d', FOItM NO. 2 TOWN OF SOUTH OLD BUILDING DEPARTMENT TOWN CLERK'S OfFICE SOUTHOlD, N. Y. BUilDING PERMIT (THIS PERMIT MUST BE KEPT ON THE pREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~ 10661 Z Date ..........M~Y....~'.,.............. ..............., lli'9..... Permission is hereby granted to: ...~!!-n~.~.r.!?~..)i:r....~~.(?,~;J,...~. 9.'fm~);"..,.., .. ", Richard F. Lark Main Road .........................................,...................... , ,.. ... .P.. O.~ ...E~;;.,.. 9.13.,.., C.u:t.QhQ.gui':~. ..N,. y,. U935 to .g9.~~.~J:.".If.g~..~..Ag9.~1!.~!?ry...$.~!?.r.~g~,..?.1l.~~.~,.....,................,..............,...........,........,. " , ................................................................................... ..........................................................................., ~', ,. ,'.' ot premises located at ...!t.QQ...:aI7.f!P.~..p.+.;I..:v.!'I.....,................ ........,.......,.....................................,.....,. Cutchogue, N.Y. ............................................................................................................................................................ .. ..9.~J?::p..~x.~...M9.!?~~...g!?y.~. ..~!?-.P., .~?.!., .???9. ,.~~,. .f'?.!.... ....................,.. ............ ......',..' ,.......,.., . pursuant to application dated .............M~y....~........... ,.................., 1 ~9....., and approved by the Building Inspector. ,~OO Fee $..........~............. 1000-97-7-3 of' ~'~J ?y/~~ " ................................................................................ Building Inspector , JL,. j .' " .' - - :z 0 -I '" C',q -Ir-a .. :1:0. 'V,q<: f "J-i~ ozo " r-oz ./ "'lne: "'c ",' II: ><"'", o~z ...,..-1 In'" ,{ e:-I ....0 '..< "'3: "~ o:t> . ~" 00 " .0'" 0 e:.iI: ...., ~o .! -<0 8- !' 011> ;,f- 2'" ,(, )>0 " ':'1.,J" , c:~ ~'-, -'<~ _.~, !,'c.' 'if"" "". .~'" " W- 0 0'" "y . - -r- ID", "'0 0_ )>2 ",-i , X ::!!'" ,... r-O 0 :i "'... "y Z... y 0- .0 ",c.. (01'" tlO / !='... / \J'" ~ / ~ o ' / <>~ .' '" , ". < .$' <i' " ..:tOo / . ~ '. ~ /.g ~;~- .to ;S:OZ<n IJ>-ifT1<V> & I,.~ tr. , l;ofT10() CO:l>_C ~~& ~ ~()<J> '"I1;:;;lJ>r;:O ~ , . r '"I1;Z-ir< , . 1\)-- fT1 0 fT1 (l)1\).--l.. rO()--< -:..:"_- "''T]C}:> I, ~.$'..t. ":. ,'" I()I()\O; -is'"l1 'II ~ 00 p._ _""" ,.,,," """~.., '0)0)0)" glJ>() 0 '\ ~ '-..,<t?.!J/V- .' ..-.,..IJ) --l --l .,. . c@ 6 0 ;:0 f ij-. ~ J- .g..)O', _____ .' 0_ Z -i C) ~~ '"~I IJ,. __"~__ , ~ ,r,;" -i:Z:C<J () ,,(i> v '" --- ...-- '.-< 0 fT1 :r: 3^\~O 39338 Z r 0 ~ . 0 :< IT) ':or.l)l;} r -me: ;;Q:Zr" . '<0". <;"~f "'co", "'"".. ~~o " :r- ff1-1Z :rCtJ) . ...-<-1 ",oc: 0-1'" -'" )>. '" Ih-io o~< J.:. ~~-i . '" ) ~~K J1:"'0 -- ---------- z' --~- :<~ -'. C>o Ih" .. IDe:. ~ )>... z", ~:t> :z .... -< " p .- -----~. ---'.i , t ,if -." ,- ".'~' ~. ---_.- . --. -~~ - --- ._-~ ----, ,-. ~ , FOaM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ........................................, 19........ Applicotian No. ................................ Approved .1ll.~./..3.........., 19.~a Permit No. .L.tI..6.6'./.:z-...... Disapproved a/c ...... ,.................................................................................... ......................................................................................................................., .........C.4.~.i.id.i:?l~...................... APPLICATION FOR BUILDING PERMIT May 8, 80 Date ................................................, 19.......... . 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 plat plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings an premises, relationshIp to adjoining premises or public streets 01 areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this application. c. The work covered by this application may not be commenced before issuance of Building Permit, d, Upon approval of this applicatian, 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 pursuont to the Building Zone Ordinance of the Town of South old, 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 opplicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and ta odm" o"~o'"d '0-"", 00 ,rem',~ """ '0 ;-""=2~~mmmm yY1 i (Si~ature of a~lican\. or name,~f a cOIJjoi'fion) R char F. Lar , at orney or a p cant ~~.~.~...~~.~~.~...~.~~.'?~~~~.~.~...~~~..~~~~...~.~?.~.~............ (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. OWner .....,.,.....,..............~.................,.............................................,................................................................................,................ q/lofhov .:;a-- Margaret F. Phoe1 Name of owner of premIses .................................................... .........,...................................... ..........,...........,..,......,............... If applicant is a corporate, signature of duly authorized officer. ..................................................................................... (Name and title of corporate officer) Builder's License No, .........~(~.................................... II Plumber's License No. ................................................ II Electrician's License No. ............................................ /J; u-r,U av-<!.-. II Other Trade's License No. .............................................. 3230 31 1 Location of land on whIch proposed work will be done. Map No ' ..,........, ...., ..................... Lot No. .. ..,..............., . Street and Number 'i.C?.9....~~~~.~.. .~~~~~............... ........... ............ ...... .... ..... .......... ". ......... ~~~.?~.?~.~~. ......... .... (000 .- "I f - 7 - .3 Municipality 2, State existing use and occupancy of premises and intended use and occupancy of proposed construction: 0 Exisiting use and occupancy ..............~....fm~,....~!'I:....................,...........,.................................. b ~ ~ accessory shed Intended use and occupancy ................................ ................................................ ................................................ '1../ -y, --< ... . 3. Nature of work (check whicli applicable): New Building .................. Addition .................. Alteration ............"..' , I Repair .............,Removali .................. Demolition.................... Other Work ...~g~.~~.~g.;'y....~p,..~4........... ... , (Description) 4. Estimated Cost .... .,J...(!.{!.,d..a,.... ........ .... ... .... .... .... .Fee ........$..~.,.g.9...................................................... ....... ....,...., , ' (to be paid on filing this application) 5. If d,welling, number of dwell,ing units ............................Number of dwelling units on each floor ..........................., If garage, number of corS ....'.,.... ...............,..... ......',.....,..............................................................................,...,.......... 6. If business, commercial or' mixed occupancy, specify nature and extent of each type of use ............................ 7. Dimensions of eXisting struct~res, if any: Front ............................ Rear ................................ Depth .................... Height ........................ Number of Stories ..............................................................................:................................., , Dimensions of same structur~ with alterations or additions: Front ..,................................. Rear ........................ Depth ................................ Height .16~..................., Number of Stories ................................ 8, Dimensions of entire new cahstructian: Front ..............."..,................ Rear ............................ Depth ......................" Height .................... Numbe'r of Stories .................... ..................... ..............,.......................... ................................' 9, Size of lot: Front ..,............L..................................... Rear .......................................... Depth ................................ 10. Date of Purchose ................,.....................,..................Name of Former Owner ........................................................ 11. Zone or use district in which~ premises are situated ...................................................................................................., 12, Does proposed construction violate ony zoning law, ordinance or regulation: ........................................................ , ' 13, Will lot be regraded .............'............... Will excess fill be removed from premises: ( ) Yes () No 14. ~~alTle of Owner of premises ...j.~~;.9:~;r;.~~...:r..~...?.~~.'!!.*......Address .eJ1.~S.89~fii.~:..... Phone No. .7.~~:::::i.?;t~... Name of Architect ....,..,..,.."..........................,.................... Address ................................ Phone No. ...................... I Nome of Contractor ...........,... ....................' ,...... ..,........ Address ................................ Phone No. ...................... PLOT DIAGRAM Locate clearly and distinctly dll buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and bl.ock number or description according to deed. and show street' names and indicate whether interior or COI ner lot See attac~ed survey. STATE OF NE"'SU$LK ISS COUNTY QF ....,...........................f ' attorney for the ...............~.~.:~~~.~..~.~....~~.:~....:.........................................being duly sworn, deposes and says that he IS th.lappllcant (Name of individual signing contrad)" .. above named. , , . attotney He IS the ...................................... ,................ ........................... ..... ............ ........ ........ .......... ..... ............ ..................... ...... '..... ; (Contractor, agent, corporate officer. etc.) of said owner or owners, ond is d~ly authoriz~d 'to perfo'(;" 'or have' performed the said work and to make and file this application; that all stateme~ts contOlned in this application are true to -the best"of his knowledge and belief; and that the work will be performed in ithe manner set forth in the application file herewith. S~m ro ""'ore m' >h;" / ~ I 9th Uay 80 . '....................... day of .................1.........................., 19........ I ~J:::rfLLm Coo"" ,.~"... '.,m a Ro\ii~iiii~iP~~~~;;;;~:;:~;;;~ A.J..f: I BARBARA DlACHUN Notary Public, State of New York No. 52.4635190 Suffolk County Commission Expires March 30, 19f'''1..o