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Home My WebLink About2314-zNO. 4 TOWN OFSOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building':located at S,/.B...O~..cha.~.d..~+.,,. .................................... Street Map]~BoX~.d...O~...~?..~... Block No ......... .'t~. ......... Lot No..Z],~ .......... ~otltlhQI~.t....,N~Z. ................. conforms substantially to the Application for Building Permit heretofore filed in this office dated ....................................... ~a~'.cth,....?l~ ...... 19.~... pursuant to which Building Permit No. ~.~I..~...F.. dated ................................ I~e, rch.....1.~.., 19.~.., 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 ........ ...Pri~a.te...or~..£amily..d,~'elling. ............................................................................................. The certificate is issued to .,~ra~e.s..~i~e;F. ........................... QI~Qe~'. ............................................... (owner, lessee or tena,nt) of the aforesaid building. FORtl[ NO. 2 ~ TOWN OF SOUTHOI~D BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 2314 z Permission is hereby granted to: A~ Fle:~ .Ll.y.. &. · ~ ea,... ~/g · ....iT~ee.. ~Iielfe~' ............ ........ , ........ l~a~;.l~lL.~ual~ ........................................ ~. to ......... ]i)ll!['~d" .aa.. ~tdit~i~olt.. O*A" an" ~x, is t/iril~..d~e.~tt, ng..... .~ .............. ,., ....................... :, at premises located ai~,/....l~,~l~..l~.!l......]:~t}...1.~.¥..,~e~.litel!i~i~l..Bill.~.&~. ............. ~....f ................... ......................... · .... ~,/i~..~a~ e~ s...~ea6.t.....l~,t~t~o..lit ................................... : ................................ ................................................................................................ ; ........... ,, ................. ~ ....... ~L..~ ............. ~ ...... pursuant to application dated ................. ~ ............. ~lL~,itt. l.....1;~...~..., 19..~.~., and approved by the Building Inspector, Fee $...... ........... FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y: ......... Approved [ x 19 ........ Permit No. Disapproved a/c ........ ~~~ .................. ........................ ..... ............................ APPLICATION FOR BUILDING PER&tIT Date ........................................ .q .......... ~...., 19..~.~ ...... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building Inspector. 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 propertymust be drawn on the diagram which is part of this application. 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 issue a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the progress of 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 oil applicable laws, ordinances, building code and regulations. A ...t[e&lly..&..Son.....Ir~ ................................................. (Signature of applicant, or name, if a corporation) Nattituck (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .............................. .c. ........................................................................................................................................... Name of owner of premises ..~.alaes...FL~cke]r. ..................................................................................................................... If applicant is a corporate, signature of duly authorized officer. (Nome and title of corporate officer) 1. Location of land on which proposed work will be done. Mop No: .,.~.~.~.~.(;].QD...~.$.~.$..1~.~.~..'. Lot No: ~]....~.a....1..~..~.~'l Street and Number ...~./..~....~.~.~.d..,.~.,l~,t.....~O~lt]lo].d ........................................................................................ Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ....d~ll;[~ ............................................................................................................ b. Intended use and occupancy " .~,,/ Addition 3. Nature of work (check which applicable): New Building .................. Addition ...... ~.... Alteration ....... ,][]~ Repiner .................... Removal .................... Demolition .................... Other Work (Describe) .................................. 4. Estiirnated Cost ...... 6.~...QO0.....~./~.M ........................... Fee ..~., ................................................................................ (to be paid on filing this application) 5. If dwelling, number of dweIling units ......... Q~I.~I ............ Number of dwelling units on each floor ....................... If gbrage, 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 ....O~ ................. 9. Size of lot: Front ............................ Rear ............................ Depth ................................ 10. Datb of Purchase ........................................................ Name of Former ~ner .................................................... 11. Zone or use district in which premises are situated ........... ~L..~e~ .............................................................. 12. Does proposed, construction violate any zoning bw, ordinance or regulation? ................... ~ .......................... 13. Name of Owner of premises ..,~....~.~.~. ............... Address ............ ~9~¢~ ............. Phone No ................. Name of Architect ...... ~A...~$~,.~,,~8 ......... Address ....... ~C~ ............... Phone No ................. Name of Contractor .................................................... Address ............................................ Phone No ................. PLOT DIAGRAM Locotb clearly and distinctly oil buildings, whether existing or proposed, and indicate all set~bock dimensions property lihes. Give street and block numbers or description according to deed, and show street names and indic~ whether interior or corner lot. [~O~ '~ STATE OF'NEW YORK, / S.S. COUN OF ..... ......... f ............................. ~.~..~ ................. being duly sworn, deposes and gays that he is the app[ic~ (Name of individual signing application) (Contractor, agent, corporate officer, etc.) of said owher or owners, and is duly authorized to perform or have performed the said work and to make and this appHcbtion; that all statements contained in this application ~re true to the best of his knowledge and bell and that the work will be performed in the manner set forth in the application filed there~th. ~ Sworn to b'efore methis ~ ~,~. q/~ ~ ~otory Pubhc, ... .e~ re o~ ~pphc BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU Of ELECTRICITY 40 FULTON STREET ~ NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by ,~'~ DOROSKI ELEC. INC MAUREEN OSTERMANN P.O. BOX 781 575 OCHARD RD CUTCHOGUE, N.Y. 11935, SOUTHOLD, NY 11971 Located at 575 OCHARD RD SOUTHOLD, NY f 1971 Application Number: 2084568 Certificate Number: 2084568 Section: Block: Lot: Building Permit: BDC: ns11 Described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Outside, A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the 3rd Day of April, :2006. Name QTY Rate Rating Circuit Type Service 1 Phase 3W Service Rating 200 Amperes Service Disconnect: 1 200 cb Meters: 1 seal 1 of 1 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.