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Home My WebLink About17806-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ha11 Southold, N.Y. CERTIFICATE OF OCCUPANCY No 217752 Date FEBRUARY 9, 1989 THIS CERTIFIES that the building ADDITION Location of Property 1900 YOUNGS AVE. SOUTHOLD House No. Street Hamlet County Tax Map No. 1000 Section 63 Block 02 Lot 10 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEB. 2, 1989 -pursuant to which Building Permit No. 178062 dated FEB. 6, 1989 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 ADD DECK TO EXISTING TWO FAMILY DWELLING. The certificate is issued to EDWARD & ADRIENNE WALICKI (owner, of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N/A PLUMBERS CERTIFICATION DATED N/A Building lspector Rev. 1/81 Foam xo. s TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHALD, N. Y, BUILDING PERMIT (THIS PERMIT MU5T BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 017806 Z Dare ..~~L~/ ~1 19.f7....~ Permission is hereby grantend to:'/ ` to ..........~c~~i. ..G..f J' ct premises located at L~~~..:"".'~1.......................... ~ ..~%r~...~....................,.............. County Tax Map No. 1000 Section Block3 ...,.v~,~.........pLot No.......1.~......... pursuant to application dated ...............~...~....C~...P~.. 19.17...y~and approved by the Buildfng Inspector. Fee ~,.f.-Q.~.a~~.... Building Inspector Rev. 6/30/80 f ~ ~[~~~L~~~ y~ ~r TOWN OF SOUTHOLD Fps a ~ BUILDING DEPARTMENT TOWN HALL FSLLC,. CSEPT. 1'OVVN t)F~ :~GUThSOL0 SOUTHOLD, NEW YORK 119'7°I"~"""""'"""`°""""`""'"`~"~""'P 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCIIPANCY DATE.. 2(289.......... NEW CONSTRUCTION .......OLD OR PRE-E%ZSTING BUILDING..X...VACANT LAND........ Location of Property.. 1900 YOUNGS_AVE.._..-..SOUTHOLD:NEW YORK HOUSH NO. STREET HAMLET Owner or Owners of Pro ert EDWARD & ADRIENNE WALICKI P Y County Ta% Map No. 1000 Section .63 Block Lot ....10.... Subdivision Filed Map ........Lot.......... Permit No. ~.`~.CTD(~~Date of Permit4^ .Cl. ~ ~ ~ ~j..~.Applicant ~.'~/^I~~':~ Health Dept. Approval Underwriters Approval Planning Board Approval Request for Temporary Certificate Final Certificate v...,........ Fee Submitted: $....~e'~.~~~ APPLICANT.. ~/..~i~G~a'.r:at.:`=h-- i ,G~ 5 6 'U alp o' c rev. 10/14/88 T ~a a a a ~l~A~<.¢oAO Avc•~ ~ iv Z Ui ~ J ~ ~0 ~ //7.G3• Zvcm v X11 v o N C 1 ~o 3 N 1 N W n o(, tpn A 1' 1 F ~ a ~ A .93 4. rR~ yi4.e ~ S' P ~ b T p -I h> ~ ~ 0 f4 p -0 i ~ ~ ~ D rl p n t- Q.e P .-0 j J e.i v a t ,v O ~ Ap n O ~ 5 i~ e ~ z` ` o ti 1A'' =,Y'~ 3 2 ~ e ~~~°w ayyo~,~ •zDPI ;a~~ ~ aa~~y~ No ~ wea NI, ~p,R~{ ?tby ~~o n ~I C a 1 ~ o o~ C i R, ~a~~ M Z y o ^ X z~., .r• R~ v ~ ~ F4Ar..~` H ~a \ \ ~ " FAQ C u ° y ~ A ~ N ~ o ~ ~ a n tp y c ~ N~ Zu/t.vs N Pt 4 ` 3 U i BOARD OF HEALTH 3 SETS OF PLANS FORMN0.1 SURVEY TOWN OFSOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC FOR-M TOWN HALL SOUTHOLD, N.Y. 11971 NOTIFY / p TEL.: 765-1802 CALL .~(z~r.~fP.~2 a......... . Examined O• • .(O...., 19 Q ~ MAIL T0: - / .G. p Q Approved 19p.~Permit No.~. (,7.~.u~. Z.- i E ! 0 iii. r. s Disapproved a/c ~ u ; FEB 2 : -1989 R j (j 1 L~ eLO~. WEPT. TQWN OF 5t1UTlit)L® (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ~~2000I.L%y~..> Icx~`. . INSTRUCTIONS ~C/f///{"' a. Tltis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 s oS~plans, accurate plot plan to scale. Fee according to schedule. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets of 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 Southo]d, Suffolk County, New York, and other applicable Laws, Ordinances or Re;ulations, 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 code, and regulations, and to admit authorized inspectors on premises and in building for necessary i tspections. (Signature of applicant, or name, if a corpo anon) (Mailing address ofapplicant) //lf~ State whether~,a~p~plic)ant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ...~~~-u~!P~, , ,~~yJ, ,/7~~/~/SiIU~.... ~!JG /~'~l , , , , , , , . , . (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 . . I. Location of land on which proposed work will be done. House Number Street, ~ ~ ~ ~ ~ ~ ~ ~ ' " " " " 7 Hamlet I County Tax t.Iap No. 1000 Section fll. Block ....QC/. , , , , , , , , , , Lot .....fU Subdivision Filed slap No. Lot . (Name) State existing use and occupancy of premises and intended use and occu Pane of ro osed onstruetion: . , P. P a. Existing use and occupancy i:~'.': , b. Intended use and occupancy `v`C .'9/~ 3. Napure of work (check which applicable): New Building Re air I • • • • • • • • • • Addition . I:....... Alteration . 'l 'emoval Demolition Other lyork . 4. Estimated Cost .p~QQ,Q~~i ~r--~y (Description) Fee . ~~7.f!..~~ n (to be paid on filing this application) 5. If swellin number of dwelling units • • . . Number of dwelling units on each floor . If era e, number of cars . 6. If business, commercial or mjxed occupancy, specify naturc.and extent of each t • ~ • • • • • 7. Dimensions of existing structures, if any: Front . ~ YPe of use , ; , , , • • Height Rear Depth.............. . Number of Stories . Dimensions of same structure with alterations or additions: Front Rear . • Depth.., ,;,,,.Fleight . .Number of Stories. 8. Dimensions of entire new construction: Front . Rear . .Depth Heigltt Number of Stories , . 9. Size of tot: Front Rear .........:.............Depth...................... p p •••••••••••••.......NameofPormer Owner I I. Zone or use district in which premises are situated , , , , , , , , • , , , , , , , , • • • , . • • , • • 10. Date of Purchase liolate any zoning law, ordinance or regulation : . 2. oes ro osed construction u 13. Will lot bere~raded o 14. Name of Owner of remises . ' • ' ' ' • ' ' Will excess fill be removed from premises; ,Yes Nc p •••••~•••~•.......Address. .PhoneNo,. Name of Architect ..................Address ...................Phone No.............. . Name of Contractor . .Address . .Phone No. . P P y 15.Is this ro ert located within X00 feet of a tidal wetland? *YES....NJ., *If yes, Southold Topn Trustees Permit may be required. PLOT DIAGRAM Locate cleazly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and blook number or description according to deed, and show street names and indicate whether interior or corner lot. I i ~ . G~ %2 STATE OF NE\V YORK, COUN~OF~.f~ N~, II\\S,.IS • • ~ ~ _ ~ 'r'v'~ `1 • • • • • • being duly sworn, deposes and says that he is the applicant (Name of individual sigejing contract) above named. He is the ~iJE~ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dul',y authorized to pe~rfe~ m or have performed the said work and to make and file this application; that all statements contained in this applicatj'on are aruc to the best of his knowledge and belief; and that the work will be performed in the mannei set forth in the application filed therewith. Sworn to before me this ~n.~ .........day of .~"-S-OAS-~.~-..... , 19 Notary public, ~ . • • • `~`!P",'"~`_:~,- County UNDAJ. COOPER (Signature of applicant) Notary Public, State of New York No. 4822683, Suffolk County Term Expirea December 31, 78~