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Home My WebLink About14330-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building inspector Town Hall Southold, N.Y. Certificate Of Occupancy No.Z.~..B .9.0.4. .......... Date ..... .0.c.~.qb. 9 ?..7. ................. 19 ,~.5, THIS CERTIFIES that the building .. A. ,d .d.~. ~. $ 9 .n ..................................... Location of Property ...1.7.5..~..S.~.e..~.Z.~.n.¢..~.o.&. d. ...... ~r'e~t' .......... C'u'$9'h'q¢ 'u'e' ' ' House IVo. Hamlet County Tax Map No. ] 000 Section ...1.0.4. ...... Block ...0.2 ........... Lot ..... 2. Q .......... Subdivision...N .&.s?.a..u..F.a.~..m.~ ............... Filed Map No ......... Lot No. 5.0...&..Sfi ...... conforms substantially to the Application for Building Permit heretofore filed in this office dated ·..O.c..~....7. ........... ,198.5.. pursuant to which Building Permit No. ~ 4330Z dated .... 0. c..~ ....7. ................. 19 .~. 5., 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 ......... Dock addition to an accessory garag, e. The certificate is issued to LOUIS J. GUIDO (owner, of the aforesaid building. Suffolk County Department of Health Approval .......... .~./.~. ............................ UNDERWRITERS CERTIFICATE NO .................. .N./.~. ............................ Building Inspector Rev. 1/81 l~OJl~ NO. il TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTNOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~ 14330 Z Permission is hereby grante~ to: · ~ ....... .............................. /~ ...... ~' ..... ,,, ~ ................. ..... ,o ..~~...~..~.....~...~........o~......~..~.~.. ' ~ '~-a~remise, located at ../..2..~....~........,~..~I......~.(..C~. ............ ~~. ~ ................... County Tax Map No. 1000 Section ...~....O.....~.. ......... Block ..... ..~....."~.. ........ Lot No.......,~.....O.. ........... pursuant to application dated ...... .~.~.~,..../...~. ....... , 19.~..~..'~, and approved by the Building Inspector. Fee $ ....................... Building Impector Rev. 6/30/80 FIELD INSPECTION uu~*~'~ ,, FOUNDATION FOUNDATION 2. ROUGH FRAME & PLUMBING (1st) (2nd) INSULATION PER N. Y. sTATE ENERGY CODE ADDITIONAL COMMENTS: FINAL Examined .~.~. ?..., 19.11~~' ~FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1803 Approved .O.~..~ .... 19 ~.~/. Permit No..~../.~.0.0.~. · Received ........... ,19... Disapproved a/c ..................................... ................................ ........ (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted 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 issued 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 cbde, and regulations, and to admit authorized inspectors on premises and in building for necess~mspectio~ns,. ~ff~,~ ,- ~ ~ _d_' (Sigcatur~~Lfi~%cor-~ra~n) ~.. :,~..~/;~O/..,. ~ ...~....~ .~. e.. (Mai~gfng address of applicant) v State whether applicant is ~, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. (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 wor~wili be done ..... r% .......................... : ................. ' 7.X..~ ....... . .,Pt_..~/,.,~.~.../~..z. ........ ~~ .,~... ..... ,. :-././/..~. ~.~ ........ Hous~ Number ~' Street v Hamlet County Tax Map No. 1000 Section .... / .O..~.. ....... Block .... ~ ............ Lot....c~....~. ........... Subdivision.../'~/~/.3~ ~.. ..... . ./~'-.~Zd/.,~ .......... Filed Map No...//.~, ~. ....... Lot . .c~..~..d~. ~. .... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: - a. Existing use and occupancy ...................................................................... b. Intended use and occupancy ...~. * · .~ ~.~-3.'~T~.~. ~O...~.q../9..~.~.~..~ .~}02~,~'}'~.~i ;'.." .......... ' ...... 3. Natureofwork(checkwhich pplicable): New Building ..... '.'....'Addition .......... Alteration ........ Repair .............. Ren oval ............ Demolition .............. Other Work ............. (Description) 4. Estimated Cost .................................. Fee .................................... ~ " (to be paid on filing this application) 5. If dwelling, number of dwelling units .............. Number of dwelling units on each floor ................ If garage number of cars ' 6. If business, commercial or mix.Rd occupancy, spec/fy nature and extent of each type of uso .................. ~ 7. Dimensions of existing structuies, if any: Front ............... Rear .............. Depth ............. Height ............... Number of Stories ...................................................... Dimensions of same structure with altarat~ons or additions: Front ................. Rear ................ Depth · .' Height Number of Stories Dimensions of entire new construction: Front .......... Rear Depth lq ' StnH~'S Height~}ze of lot: ............ Fro~t ~- J~'ml2e?~__°f~ . 1.0~.0. ~: i i:. i i i i i 'Depth~ . ~,/.~Wi~-rA~Z... ...... ....... _.°] ,,..... Rear.. . Date of Purchase ......... i ................... Name of Former Owner ........................... · Zofie or use district in which p?emises are situated .................................................... Does proposed construction viplate any zoning law, ordinance or regulation: ............................... Will 10t be regraded .......... Will excess fill be removed.from premises' Yes No Name of Owner of premises ~0.~..I ~. ~ ~..~. ,, .q~/Y~ddress ~....~.. C/~..~.. Phone Nos~../.~~. .~O'.. ~.-.~/ Name of Architect ... '. .... I .................. Address ............. 0..... Phone No ................ Name of Contractor Address Phone No 10. 11. 12. 13. 14. 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 number or description according to deed, and show street names and indicate whether intezior or corner lot. STATE OF NEW YORK, COUNTY OF ..... S.S ............................ . ............ ~ ......... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named.. He is the ' .: .... i (Contractor, agent, corporate officer, etc.) of said o~ner or owners, and is dhly authorized to perform or have performed the said work and to make and file this application;that all statements co~tained in this application are true to the best of his knowledge and belief; and that the work will be performed in the man,er set forth in the application filed therewith. Sworn to before me this tc~ .day 0f '. ......... ,19 NOTA~U~'Su~f''llewYe~kNo. 07 , ~r.~ ~~ r (Signature of applicant) ~ lm'm Expires Ma~h