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Home My WebLink About6497-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCUU~ANCY No Z17962 Date APRIL 20~ 1989 THIS CERTIFIES that the building ACC~E~ORY Location of Property 110 ~NLANE SOUTHOLD House No. Street County Tax Map No. 1000 Section 76 Block 01 Lot 03 Hamlet Subdivision ~EST C~K DEV. Filed Map No. Lot No. 7 conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 19~ 1973 pursuant to which Building Permit No. 6497Z dated APRIL 19~ 1973 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 STORAGE ACr~8ORY BD~ING. The certificate is issued to MICHa~. F. (owner, of the aforesaid building. SU~'OLK~OUNTYDEPARTMENTOF HEALTH APPROFAL N/A UNDERWRITERS CER'£'AF£CATE NO. PLUI~S CERTIFICATION DATED N/A Building Inspector Rev. 1/81 ~OEM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N!. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PP, EMISES UNTIL FULL COMPLETION OF THE WORK ^UTHORIZED) N? 6~97 Z Permission is hereby granted to: ...,~l~lg[]]iZ.....I,l.t.e, ha.e 1 .. ~lr~ ii ..................... ....................... ~.t.....~..~ ...................................... at premises located at ..~,~.t~..~...~......~e-~;...(~z'~e~..D~r~ ................................................................ ......................................... ~3.. ~La.,ue ............... ,qauthal~ ....... N.,J[.,, ................................................. pursuant to application doted .........................~Z'J.'I .....1.8 ......... , 19.~.., and approved by the Building Inspector. Fee $..~.0,00. .......... Examined BUILDING DEPARTMENT // TOWN CLERK'S OFFICE ,ou'r.o D, .. ,. Disapproved a/c ............................................................................................ APPLICATION FOR BUILDING PERMIT 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 premises or public streets or areas, an~l~ ~wng a detailed description of layout of prOperty must be drawn on diagram which is pert of this application. c. The work covered by this application may not be commenced before issuance of Building Permit. gl d. Upon approval of this application, 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 Ce,rtificete 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 bemin 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 buildings for necessal~/inspections. ~d~"(~r~ of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ..................... ............................ ...................... ................................. ..:.: ....... .................. Name of If applicant is a corporate, signature of duly authorized officer. ..................... Wi ';i .................... Builder's License No .......................................................... Plumber's License No ...................................................... Electrician's License No ..................................................... Other Trade's License No ................................................... 1. Location of land on which proceed work wil~ne. Map No ................... /..~....~.....-~......~Lot No.. ~...'.~../~..~ Street and Number ....... ~,_,~-:~,.,,,~k_'.~-,~ ........ .~....~r~_~.~.q ....... , ............................. ~ .......... .... ~-'~/:~.' z~,~;. :""~7 ~"~'~ Municipality 2. ;State ex~stmg use ana occupancy of premises and intended ~._and occupancy of proposed construction: a. Existing use and occupancy ........ ~,<~.0,,,-~-~ ................... .~ ........ Z~' ....... ' ...... ; ...................................... b. Intended use and occupancy ....~~...;,~ 3." 'NatUre of work (check which applicable): New Building ....),~.... ............. Addition 9. 10. 11. 12. 13. 14. ..................... AlteratiEn.:......'. ...... Repair ......................... Removal ......................... Demolition ........................ Other Work .................................... (Description) Estimated Cost ..........~/..~..P..:..~) ................. Fee (to be paid on filing this application) If dwelling, number of dwelling units .................Number of dwelling units on each floor ......................................... If garage, number of cars ............................................................................................................................................ If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................................... Dimensions of existing structures, if any: Front .....................Rear ........................... Depth ................................... Height ........................................................... Number of Stories ............................................................................. Dimensions of same structure with alterations or additions: Front ...... ~ ................... Rear ......................................... Depth Height ......................................... Number of Stories ......... Dimensions of entire new construction: Front ....... L.q..! .......... Rear ......... ~.~..! ..... / ..... Depth ...... ..~. ...................... Height ................ ~..../ ........................... Number of Stories ....................................................................................... Size of or: Front ..... ..~..~.,;,.~... ]. .....Rear . ~..~..:...~....Z:. ............... De~th .~,.~.'..~..~. Date of Parchase ...... ,~...°L.~i...~.~ ............ Name of For~.~_.~ll~c,~ ............ Zone or use district in which I~ernises are situated ...... JTJ~L,L~[,~.~.... ............................ U/. ............. Does proPOsed conStrui:tion violate' any zoning law, or~linance or regulation: ..~ .............................................. Will lot be re~'aded ..... :~ ........... ~... Wil}~excess fill be remov~:l from premises: [ ] Yes [ ] No Name of Owner of pram.sas ~~ ...... ~..~ ........................... ~.~...~.....~J...~=./. ........ (.~ (Address) (Phone No.) Name of Architect ....................................................................................... (Address) (Phone No.) Name of Contractor .............. , ................... ~ ................................. (Address) (Phone No.) PLOT DIAG RAM Locate clearly and distinctly all building, whether existing or proposed, and indicate all sat-back dimensions from property lines. Give street and block number or description according to dead, and show street names and indicate wheth- er interior or corner lot. STATE OF NEW_YORK, ) COUNTY OF ......~...~....~.~.c~.~ ........................ ) ....... '""""""""'~'"~'~'~'~"Q~'~'....-.."~...-'.-..~....-.~.~(~ ............................. being duly sworn, de~., and says that he is the appli.nt above .amed. , _(Na~ o/indivi~l si~ing con~act) He s the 0 ~ ~ (~nt~tor, a~t, coyote o~er, etc./ of said owner or owners, and is duly au~riz~ to ~Horm or have ~rfofmed the said work and to make and file this appli~tion; thet all statements contained in this a~lication are true to t~ ~st of his knowle~ and ~; and that the work will ~ ~dor~ in ~e ~n~r ~t forth in the ap~ication filed t~rewith. .-. .............. ................ a=v osuc, sm, ............ ~..~......~..~,~ ........'~ .... ~=~. ~C ~sion ExpireAMarch ~, ~ / // ~ ~ L Notary Public, ~ ..~.~.~.~....,.~ :....~..~~ ................. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NEW YORK 765 - 1802 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........ Location of Pronertv~/~/)~ ~ HOUSE NO. STREET HAMLET Owner or O~ners of Property..~/ ....... ~b~, ~o~Y. ~!~l~ ........ ~ ~ ........ ~o~..~ ....... Perm/~ No. ~.~. .... Hate of Permit ~..~.~.Applican~ Planning Board Approval .... ~.~ ........ Request for Temporary Certificate ....... Final Certificate .~..'. ............ Fee Submitted: rev. 10/14/88