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Home My WebLink About17600-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMEAVf Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17852 Date MARCH 15r 1989 THIS CERTIFIES that the buildin~ Location of Property 20075 MAIN ROAD House No. County Tax Map No. 1000 Section 17 Subdivision ADDITION & ALTERATION ORIENTr NEW YORK Street Hamlet Block 3 Lot 6.1 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 2r 1988 pursuant to which Bulldlng Permit No. 17600-Z dated NOVEMBER 14r 1988 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 REPLACE %7INDOWS ~ CONBTR~CT BALCONY ADDITION TO EXISTING ONE FAMILY DWELLING ~ APPLIED FOR. The certlfzcate is zssued to THOMAS MURRAY (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 Building Inspector !~0~ NO. J TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No- J±/600 Z County Tax Map No lO00 Sect,on ,~.,~ . . Block ........ ~... Lot No ..... ~,/. pursuant to apphcat~on dated ...................................... , 19 ......., and approved by the Burlding Inspector. Fee $.. Rev 6/30/80 TOWN OF SOUTDOLD BUILDING DEPARTHENT TOWN HALL SOUTHOLD, NEW YORK 765 - 1802 1197! APPLICATION FOR CBRTIFICATE OF OCCUPANCY County Tax Hap No. 1000 Section .-i7-- Block Subdivision ....................... Filed Hap Permi£ X NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........ Orient Locatlou of Property .... HOUSE NO. STREET HAHLET Owner or Owners of Property.~O~.~igUU~ ................................... 3 ...... Loc ..~1 ..... No.17600~ ..... Date of Permit ~or O~mer aeal~h Dept. Approval ...~A ............ Underwriters Approval.~ .......... Planning Board Approval ..~.. ~equest Fee Submi£ted: er. I0/14/88 FOUNDATION {1st) =OUNDATION 2. (2nd) ROUGH FRAME & PLUMBING 3. INSULATION PER N. Y. STATE ENERGY CODE FINAL 7-~9/r~_/.ap ADDITIONAL COMMENTS: ? OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y, 11971 TEL.: 765-1803 pproved., ff.~./x~.. .... 19 .~.PermitNo../.-/-/-~.~..~..O..~/ mapproved a/c .................................. APPLICATION FOR BUILDING PERMIT Recezved.o ........ ,19,,. Date .. :~.qye..m.b.e.v...~,n.., 19 .~ INSTRUCTIONS g, Thus application must be completely filled m by typewriter or mmk and submitted to fi~e Budding Inspector, with - ts of plans, accurate plot plan to scale, Fee according to schedule. b. Plot plan showing locataon of lot and of buildings on premises, relationship to a~ommg premises or public street- areas, and giving a detmled descmphon of layout of property must be drawn on the dmgram which is part of this apph ama. g. The work covered by this application may not be commenced before issuance of Building Perrait. d. Upon approval of this apphcation, the Braiding Inspector will issued a Building Permit to the applicant. Such pertns, all be kept on the premises available for mspectlon throughout the work. e, No building daall be occupied or taed in whole or tn part for any purpose whatever until a Certificate of Occupant5 atll~ave been granted by tile Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Braiding Penmt pursuant to th.~ akhng Zone Ordinance of the Town of Southold, Suffolk County, New York, and other appheable Laws, Ordinances m :gulatmns, for the construetaon of braidings, additions or alterations, or for removal or demolition, as herem described te applicant agrees to comply with all applicable laws, ordinances, budding code, housing code, and regulations, and tc alit autlmnzed inspectq~~~ bmldmg for necessary Inspections. .Eqv. i. rpmmen.~ ~.~. !nO (S~g.nature of applicant, or name, tfa corporation) 307~ Indian ~eck Lane .. ?.e.c.q nS.%,. ~..1195Jt ....................... (Mailing address of applicant) ate whether appncanr m~~~chttect, en~neer, general contractor, electrician, plumber or budder. ........................ ~ ~:~ .; ..................... or o . ................................................... ~ ~ ~6D aF (as on th~ tax roll or latest deed) Budder's License No. .5~,~:~I ........... Plmnber's License No ........................ Electrician's License No .............. Other Trade's License No ..................... Location of land on wluch proposed work will be done ......................................... 20075 Main l~.9.a.d Orient ~ouse Number Street Hamlet 3 County Tax Map No 1000 Secuon .................. Block ............... Lot.. £.1 ............. Subdivision ....... .... . .. ....... ..... FdcdMapNo .......... Lot ............... (Name) State exmtmg u~e and occupancy of premmes and intended use and occupancy of proposed construction: a. Existing use and occupancy . , .O~q~. f, arC:l.J. 3r..4w~,.q.,1. J,. og ...................................... b. lntended use and occupancy Otao ramiXy y. ieh ......... 3. Nature of work (check which applicable): New Budding ..... Addition ......... Alterat~?n. ,4~X~!. ..... Repmr Removal Demolition Other Work '~ Estanated Cost .. ~ t29.~., ~ ....... If dwelling, number of dwelling units (Description) (to be paid on f'fling this application) ......... Number of dwelling anita on each floor ............... If garage, number of cars ................................................................. If business, commercial or mixed occupancy, specify nature and e/xff_~nt of each type of u.~ .............. Dmlenslons of existing structures, if any' Front ......... r~' '~)' · Rear .............. Depth ........ Height ............... Number of Stones ....... h~ )q/~x..~ .................................. Dunensmna of same stricture with alterations or addlRofi'~: F~ont ................. Rear ........... Depth ..................... Height ..... .~ ~4% .~. ........... Number of Stones ............... Drmens:ons of entire new constructxon: Front .Qv~l ...... , ..... Rear ............... Depth ........ Height ............ Number of St~mkr~ .............................................. I. Size of lot. Front ................ .,~.. Rear ..................... Depth . i. i ........... ). Date of Purchase ............................. Name of Former Owner t. Zone or use dmtnct ln which premises are situated . ........Res!de..nt....ial. ......................... . ... ...... No ~ Does proposed construction violate any zoning law, ordinance or regulatmn: ............................... L Will lot be regraded . .~o. ...................... Will excess fill be removed from premises: Yes Nc L Name of Owner of premises .~..Mu.r?.a~r .......... Address ~a..5.n.~.d...0,.ip.n..g...N~. Plione No, ~.~ 7~.6.4 .... Name of Architect ............ h): ........ Address .... .<. ............ Phone No ............ Name of Contractor ~.n.v.?9. ,~.e.... il~.a..s.~.,. 'th~ Address .3.97.~../. 9.cl~.a..n. ?.e.k. Yl~one No.. Peconic, NY 11958 PLOT DIAGRAM Locate clearly and distinctly all buddings, whether existing or proposed, and. indicate all set-back dimensions fron- operty hnes. G~ve street and block number or description according to deed, and show streel names and indicate wheflxe, tidier or corner lot. See Attached ~.TEOFNEWY(~RK, ("l"LII/ SS ........ ~ V...~&~.(~ .... being duly sworn, deposes ~d says that he ~ tho apphc~t (Name of ~ndtwdual s~mg contract) ~ ,vC named. gent, corporate Officer, etc.) ~d owner or owne~, ~d is duly a~tzed to perform or have" perfo~ed the ~td work and to m~e ~d file ~s ,~ation; that all statements contmned m thru application are true to the best of his ~owDdge and behof; and that the ck will be perfo~eg in the m~ner set forth m the apphcation filed therewith. )m to before me tim ~'~~ ~ ......... --~ (S,gnature of applicant. m~n ~tres ~r 8, T~