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Home My WebLink About8519-ZTOWN OF SOIYI'HOLD BUILDING DEPARTM~.NT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy --~__~N_No~ .Z78.~ ..... Date ............... A. 11~...~. ...... , lg..~.~. THIS CERTIFIES that the building located at . .~/.e..s.tp.h.a..1.~.a..H. 9.~.d' ........ Street Map No.. x~ ........ Block No..xx ....... Lot No.. xx... ~4at~.tuck..I~,~... ....... conforms substantially to the Application for Building Permit heretofore fried in this office / dated ............. ~,p:il...2(19.76. pursuant to which Building Permit No..8~ dated ............ Ap=.. 20.., 19.75, was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is . P;.lvate · one..£amE~Ly, d~ il ~.n§ ....................................... The certificate is issued to I/a~nc~nd. & .Ethal. Skaa ....... 0~mey. s .................. (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval · · July. · 2~. · .~977. · .by. R, .Vil,~a. UNDERWRITERS CERTIFICATE No ..... pen~ln~...~. ~.~.~..$. ~ .7. ............... HOUSE NU~IBER ....... ~.0.0,.. Street ...~.e~.t~.~.~ .~..o~ .... .~.~..t.t.i.t.u..o.k. ..... Building Inspector ~ FOILM NO. 2 TOWN OF SO~THOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N~ Yo BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 8519 Z Date Apr~l 20 19 76 Permission is hereby granted to: · .~=Y~o=d..~...J~b.e 1..~he= ............................. ..................... 5~:~t..... ~.~...~.o...~eA ..... .................................... ~.v.~.r.~.e..aA ...................... ~o ku...i.L.d....n...e..V....o...n..e.....ta..~ ~...~ .W.~.~.! Ln. ~ ...................................................................................... at premises located at ....F~.S...W~.~I~I~, .Road. C l~a~.e:l~e., mt t~O~..~....~.~t ....... ........................................................... .z.~.~..t. ~..t .u..~ .k ................................................................................ pursuant to application dated ........................ ~r~, ...... .~. ....... , 19...~.~., and approved by the Building Inspector. Fee $G~6..2~. ........... a. This Inspector, b. Plot areas, and giving 0 c. The d. shall e. No building shall have been.~l~ Building Zone Regulati~ Tl:i~'~j~-Iicanf''a~ admit outhorize~ (Building APPLICATION FOR BUILDING INSTRUCTIONS must be completely filled in by b/pewriter or in ink and submitted in triplicate to the Building )ions, accurate pIo~ plan to male. Fee according to schedule. location of lot and of buildings on premises, relationship to adjoining premises or public streets o~ description of layout ofproperty must be drawn on the diagram which is part of this application. by this application may not be commenced before isSuance of Building Permit. of this appli.cal~. J. on; the Building I,r-.~ec.tor wil! issue ,a Building Permit to the applicant. Such permit premises available for inspection mroughout the WOrK~ Ihall be occUPied or used in whole or in part for any purpose whatever until a Certificate of O~cupancy ~ed by t~ Bulldi r. HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the once of the T?n of Southold~ Suffolk County, New York, and other opplical~le Laws, Ordinances or · -' ~='7--[;~, ~ Duflamgs, addiltons or alterations, or for removal or demolitidn, as herein described. es to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to nspactom an premises and i~ buildings for necessory inspections. (Signature of applilrk~t, or name, if a cmporation) (Address of applicant) [ State whether applicant is(~lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No....~..~..~..~...~. ............................. Plumber's License No. ' Electrician's License No ........... i.~. ............................... ~ ~ ~' I 0 ( -~ Other Trade's License No ............................................... 1. ~:::~=:f ~:m= ' '. . .N..o..: ....................... .. ........... ]: ........ : .......... r .... ;. Municipolity 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: o. Exisiting use .and occupan~v--..occu~a~c~ ~) -- ................................................ ~ ........................................................................... ' I~. Intended use and ..~.~t~.~..~ ......... ...~....~.j?Zg~.~.~.~.. ......... .................................................... 3. Nature of work (check which applicable): New Building' .~....... ......... Addition .................. Alteration .............. Repair .................. Removal .................. Demolition .................... Other Work ................................................... ~ ~. (Description) 4. Estimated Cost ..~..~...~.~...~. ......... ~..~ .......................... Fee ...... ~.~.:....o~...~. .................................................................. (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 mixed occupancy, specify nature and extent of each type of use ............................ 7. 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 ................................ 8. Dimensions of entire new construction: Front ......... ..~....~.. ................ Rear ,,...~...~... .............. Depth~-.~....-..~. ........ Height ./...~,. ............ Number of Stories ...................................................................................................... :. ............. 9. Size of lot: Front ............. /...~.....O......: .......................... Rear ....... ~,~...G....~....~ .................. Depth ....~L~.~..~....~. ............. 10. Date of Purchase-'~..~-.~ ~, [q"~ ~J~ame of Former Owner [~;,;.~..:.....~..~,l{~,_ ................... 11. Zone or use district in which premises are situated .....t~...,~..%..~-~n.~.~.9~..~ .................................. ......... i .................. 12, Does proposed construction violate any zoning law, ordinance or regulation: .... ..~...O,. ............................................. 13. Will lot be regraded ..~..~..,,~. ........ ..~.. Will excess fill be removed from premises: (~)'~Yes ( ) No 14. Name of Owner of premises ."...~-/~.~,- ........................ Address ................................ Phone No ...... · ................ Name of Architect ........................ .~ .................................... Address ................................ Phone No ........... ; ........... Home of Contractor ............................................................ Address ................................ Phone No ....................... PLOT DIAGRAM ' Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-l~3ck dimensions f'rom property lines. Give street and block number or description according to deed, and show street names end indicate whether interior or corner lot. -el-ATE OF NE~V Y~)RK. I c S COUNTY 0 ~*..... f~'' ................. ~.....~..~,,~....~/~.,~'~.......~.~.~...~....~-....i ......... being duly sworn, deposes and says t~t he is the applicar,, (Name of i~ividual signing contract) above name. ~e is the .... (Contractor, agent, cat,rate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the ~id work and to ~ke and file this applicatibn; that all statements contained in this application are true to the best of his knowledge and belief; and thor the work will be performed in the manner Set fo~ in the application filed therewith. Sworn to before me this .... ........ ~ .~ (~ature o~ applicant) No :52.~522026 ' Su~=ik Ceu~ ' Com~isslon Expires March 30, I~,~ - ,~0~/~ ~ _ ~ ' been ' ~ ~ ~__ ~ / l~pected by t~ dep~t~nt ~d fo~d ~. ~ / ~ cOt t ~no~ or ~s ~ oo~ tOf~ of GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE eEv,s,oNs YOUNG & YOUNG~ SURVEY FOR: = ~ m RAYMOND SHEA ~ ETHEL SHEA MATTITUCK USLIFE TITLE INSURANCE COMPANY ~ NE~ YORK · ow. o~ SOUTHOLD SCALE: 111=501 I DATE: JAN. 5, 1976 I NO. Y75.914 / / ~t~ /// / / ,~(~c°~ // ~ / / Of '~ /<~ / / ey 0°~ LAW · -- MONUMgN~ THE LOCATION OF WELLS AND CESSPOOL~ SHOWN HEREIN ARE FROM F/ELD OBSERVATIOI~ ~MD/OR FROM DATA OBTAINED F~OM OTHEU oo UNAUTHORIZED ALTERATION OR AOOITION TO THIS SURVEy IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STA?E EDUCATION COPIES OF THIS SURVEY MAp NOT BEARING REVISIONS YOUNG & YOUNG 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK ALDEN W. YOUNG NOWARD W. YOUNG SURVEY FOR: RAYMOND SHEA & ETHEL SHEA GUARANTEED TO: AT MATTITUCK USLIFE TITLE INSURANCE TOWN OF COMPANY OF NEW YORK SOUTHOLD SUFFOLK CO., N.Y. SCALE: ill 50I = JOATE= dAN. 5,1976 I °'~75-91~ REVISIONS YOUNG & YOUN ,':, '.>,--,.' 4.00 OSTRANDER AVENUE RIVERHEA~ ALDEN W. YOUNG owA~bW. ~u~ RAYMOND SHEA ~ ETHEL SHEA ~;'~ -'"~ iAT MATTITUCK ~UA~A~T~D TO: USLIFE TITLE IHSURANCE , ~NY OF HE~ YOR~ SOUTHOLD SUFFOLK CO., N.Y. [ , ly-IO L ~. R APPROVED ~/,~ =, , DA:rE: ~ ~OTtFY BUIL~INC 765:2~ 9AM ~ ED ~SP~IO~ 1~. 72.~ 3. FIN~L Wlrl_J,t~ J( NOT' RE~PONSIBJ~E F( STRUCTION ERRORS t o A~ NOTED ~e~: FO* Rt.~uIR,. ~.LING ~c£ UNDA- ~G P~LLJNE DESIGN ~ t ~.2, -0 lO- ~ ~ F'T. I? 1.8 18 -2 9-3 L i / "f/~ ¢o¢,,A'$£$ [ I . .I .I *.~oR TH $ou'T'H