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Home My WebLink About10581-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy Z10386 February 10, 98.! No .................. Date ................................. ] · THIS CERTIFIES that the building ................................................ 360 Location of Property Miami Avenue .a.n. ~..~.qBD.d.v.~qW..A~,.~..15~¢.o.~c, NY ~/~l~s'e 'IV'o/ ....................... Street Ham/et County Tax Map No. 1000 Section . .0.~ ? ....... Block .... 06 ......... Lot .... 0 .16 .......... Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated .... .O.c.t.o. ?.er..2..6! .... , 1~.9.. pursuant to which Building Permit N~.05.8. 1...Z ................ dated ..... .M.a. Ec..h..1..1. ~ ............19 .8.0, 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 ......... Private.. 9.n.e.-.F..a.m.i.l. 7, Dwelling Robert Waddin~ton r~e certificate is issued to ............. , ....... /O¥n'e;, ~'~'~'. ..................... of the aforesaid building. Suffolk County Department of Health Approval ..... 2./..3/.8.1., 9.-.S. 0.-...8.q..~.o.b.e.~..t..A.,...V.i.~.~.a. Board of Appeals Approved $2665 J~nuary 22,W~0 insuf. ~,Y, Set . / Building Inspector Rev. 1/81 FOItM NO. 2 TOWN OF SOUTHOLD 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 AUTklORIZED) N°. 10581 Z Permission is hereby granted to: ...... /. . .C~.~ .z",~ :, . .< z. . . . . . ff,/. ~ ~ ~. /~.~ ./ .~. ~,. .... .~..~. ~_~.. ,~.~:; ................. .. (. ~ o . . ~c~. .~,,~ f : r' c'. ~ c. . . .'p. . . . . .~ .~. . . ~?. /4,,~. ,, ~. . . ~7. . . . . ~.) f./~ ~. /. /. / /,~ ............................ Tr;.. X/, . . . ,~/~,~/~. ~'~. . . . . . . . .'~. . x~. ~.~._. . ........ et ~ ~ ~, ::/~:,z~z...~...~.. ~.~ ~.~z~..~: ................... pursuant to application dated(~.'~....~. ........................ , 19~., and approved by the Building Inspector. Fee $,.,~/. ,~......-'Z.,0''~. ....... /-/ FIELD INSPF~TZ0~ COMMENTS FOUNDATIOM (Ise) FOUNDATION 2. ROUGH FRAME& PLUMBING (Snd) INSULATION PER N.Y. STATE ENERGY cooke 'f FINAL ADDITIONAL COMMENTS: ~(~UiRED FORM NO. 1 TOWN OF SOUTHOL~ BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL,: 765-1803 Examined~ Approved//'~..~.... ~! ...... 1~. Permit No../.O. · .~. ~..~..~I Disapproved a/c .... ~..:.. i.... ........... ~ ...... ./74/, Application No ......... ~,. 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 promises or public stree~ts or areas, and g~viug a detailed description of layout of property must be drawn on the dia,'am 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 apphcaQon, the Building Inspector will issue a Building Permit to the applicant. Such permit shall be kept on the premises available for znspection 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, a, (d/oth, e// applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for r~ ~v~a~,,d, emolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, b. uilding c/o~ ,, hfJ~sing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary lnspecti~o/~v / / /I/L III -- .................. (SignatCe';/~,~ ~i~a'n~,, or name, ifa corporatmn) .......... ~' '~ r '' ~' ' ~ ........... (M~ ling address of applicant) State whether applicant ~s owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .. ~W.L~ .~i'. [ .............................................. ..................................... Name of owner of premises ...................................................................... :' (as on the tax r0tl or latest deed) If apphcant is a corporation, szgnature of duly authorized officer. (Name and title of corporate officer) Builder's License No .......................... Plumber's License No .... '.~ ..2.. [ ?. t.-id.~-, ........ Electrician's License No../.q.. t~...,~, f..~2.~ Other Trade's License No ...................... 1. Location of land on which proposed }w. ork wil! be don,9 ..................... . ........................... ill',,. ,/, . House Number Street Hamlet County Tax Map No. 1000 Section ................. 0'~7 Block ,. ,~. ............. Lot. ................... Subdiwsion ..................................... Filed Map No. Lot ' (Name) ' .......................... 2. ',State existing use and occupancy of premises at~d,i~end¢· us? and ~,cc~pancy of proposed· construction a. Existing use and occupancy .........- ............................. " ............, , ....... ¢. b..Intended use and occupancy ........ ~ .......... .~ ., .. , ,~,~ 3. Nature of work (check which app!icable): New Building ...~../~. ·... Addition .......... Alteration .......... Repair ~ .............. Removal .............. Demolition .............. Other Work ............... ] f_~ /.~. ~ (Description) 4. Estimated Cost ..... ~-./ ..... ~i~ ........................ Fee .................................. ,' ,' (to be paid on filing this application) $. If dwelling, number of dwelling ugitJ_. .............. Number of dwelling units on each floor .... ".. i ......... If garage, number of ears ...... i,~///J//~ ........................................ ~ ? 7; ~ ............ 6. ff business, commercial or mixedloccupancy, specify ~t~u~e and extent of each type of use . , ,/.',l~/.,f~. ............ 7., Dimensions of existing structures~ if any: Front.,., .f~//~7 ...... Rear .............. Depth ............... Height i ............... Number of Stories ........................................................ Dimensions of same structure wi(h alterations or additions: Front ................. Rear .................. · Depth ...................... I. Height ...................... Number of Stones ..................... ' 8. D~menslons,~f ent~Le r~ew constrdct~on: Front . :..~¢.~. ....... Rear ..... ~'.~.~ ..... Depth ..... ~,-~ ........ Height ,....2.4~-. ~.7~... N~mb~er of ,Stgries ........ ?; :~ ....~ ........................... ~ ........... 9. Size ofiot: Front ...... ,~.~.,.f~,. ,.~.'~.~... Rear .... f'~. ~.,. ].. ~.-~ ..... Dep~th .... /..4.~.~..¢¢ ........... 10. Date of Purchase .. O Y~..I.~ .~. '7[. ............ Nit)ne of Former Owner .../.~.(3 .q'.4..~- ............... 1 'I. ' Zone or use district in which pr~ nises are situated ..... /4. ~? ~ .......................................... 12.' Does proposed construction vi9~: .te any zoning law, ordina.n, ce or regulation: .... /3fi) ...................... 13. Will lot be regraded ....... ~ )- ...... ~. ? i..I ......Will excgss fill,be remove? fxom premises: ,. Yes _ 14. Name of Owner of pre/nises~J~' [~:'[a, :(~),t}.d.d '.t~.~'['6..t.t. Address i'~t~:k,c~l,:~.-~./6~,.~., Phone No.. Name of Architect ,..5 ~ .k~. ~..J.~.~ 1..[~, 6.t~, .... I ...... Address . .,~.32'~-~'t~"J.~ ~,-.t~,./. Phone No...~. ............ Name Of Contractor ... I.(¢.0~t t .(,.L)~I~ ~1) .'~t~.. Address . ~/*t~.6~,e~tS y:/. ~.t!..~.,. Phone No...~.~ -.~.- :: ~.~Y.'2~.~- PLOT DIAGRAM ~; Locate clearly and dist~ncfiy all ibuildings, whether existing or proposed, and, indicate all set-back dimensions from gproperty lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. COUI~ OF ~~.. ...~'.~[~,~~"'~ ' '- --..t~.0clq['(It¥t-~3 4~.-,~ ............... being duly sworn, deposes and says that he is the applicant (Name of individualqig~ing contract) above named. (Contractor, agent, corporate officer, etc.) of s~d owher or owners, ~d is duiy authored to perform or have perfomed the said work and to m~e ~d file this ' ' best of app~cat~on; that all statements con~ned ~ this application are true to the kno ledg* ' . 19filed therewith.~ work will be perfo~ed in the m~ner set forth in the application Sworn t0 b~fore me this ,' day ~ L:~c_; ~ ....... , ....... , Notaw Pubhe, .................. County ' ~t EL~AB~H ANN N~I~ ................................ ~OTARY ~UBUC~m~ ~ ~w YO~ (Signature of applicant) J NO, 52.8125850, Su~lk J 7~5-1802 9 AM TO 4 PM FOP, THE FOLLOWING tF4S.aECTiONS; ~'1. FOUND,AT!ON . TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - F~MING & PLUMBING ~. INSULATION 4. FINAL - CONSTPUCTION MU~T BE ~OMPLFTE FOR'C. O, ALL CONSTRUCTION SHALL MEET ZH~EQU~REMENTS OF T~IE N, ~ATE CONSTRUCTION & ENEMY CODES. NOT RESPONSIBLE DESIGN OR CONS[RUqTION