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Home My WebLink About2374-zFOR~I i~0. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERKS OFFICE SOUTHOLD, N.Y. CERTIFICATE OF OCCUPANCY No. Date Deeember I 19 6t* ( West ) THIS CERTIFIES that the building located at .}~,~ .,[~J-,3~L ~D.a~.t ~,~..ffi.~T/~QZ'.~ ........... Street Map No .........Y~Y,2f ....... Block No .....~ .......... Lot No...Y,3Q[ ............ .O...~..e..e...~.~..°..~...t.!....L..*...~..*..t...~t.Z* conforms substantially to the Application for Building Permit heretofore filed in this office dated ................................... J~.Oh ....... 31 ...... , 19.~.l~.. pursuant to which Building Permit No....~.~?..~...Z. doted ............................... A][:~;L1,....~,.~/...., 19..~.t{*., 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 ........ ........... ¥tee.t,~.~e ..Gete~e~. ~t~..ng...&..S~bs.~a~ ~.~1P. ......................................................................... The certificate is issued to ..... .I~..~LJ.~h~;LtQI~,..(~.O. ................. ..O~,..,..~..e...~. .............................................. (owner, lessee or tena,nt) of the aforesaid building. NOTEI Approved by Board of Appeals Building Inspector FORUM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 2374 z Permission is hereby grqnted to: :/~o~ :[~aP~.. ~,ZhtJJ:~ ..C, omi)az~. .......................... X6~O ~Z.~..A~m~..~~..L,~, ................. to ....~...~.~.~..~.~.~o~..g~er~ .~l~...~.~ce~a~..~,~llatiom ~t premises located at ...~..~.Ao~,......~~~3....~..~O~..~..C~peX .................... ~e, ............... ~2~.,...~- .............................................................................. · ~A~l..,~e~..~a~..~...~A.p~at,..-.~ ~..16~..~ ......................... pursuant to application dated .................................. ]~al~l~..,...~ .... 19.~+.., and approved by the Building Inspector Fee $.l.Qt.~...~...ch~ Building Inspector FOIt,~ NO. ! Examined ...................................... 19 ........ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, FI. Y. Application No. c~ ? ~/ APPLICATION FOR BUILDING PERMIT Date N~Z*¢h 31 19 61~, INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building 1 nspector. 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 Deportment 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 all applicable laws, ordinances, building code and re~gulations. (Signature of applicantz ~na?_e, if.a corporation) A. C, tusden, V~.ce Pz'es~.dent; (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ............................... ........................................................................................................... Name of owner of premises ....... ,,,L~,..~.~....~..~...~.,~...~..d.....~.~.~.,,h.~. ~.l~f~..C..O.~...I~. ......................................................................... If applicant is a corporate, signature of duly authorized officer, .............. (Name and title of corporate officer) J. Location of land on which proposed work will be done. Map No: ............................................ Lot No: .................... ..~.~.~ aout;h Ro.&.d. (Route ~,~ To..~... oF Southolcl ~ee ~ . Street and Number ......................................................... ,t ........................................... .( ............... .~. ................... Municipality 2. State existing use and occupancy of premises and intended use ond occupanc~ of proposed construction: a. Existing use and occupancy ~OFi~ b. intended use and occupancy .~,]Lec~J~O (Je~e~,~J.~ ~&~;~O~l. ~1. SJ, lbl~t~OJl 10. 11. 12. 13. Nature of work (check which applicable): New Building .................. Addition .................. Alteration .................. GIB ~Mme Repair .................... Removal .................... Demolition .................... Other Work (Describe) <las Turbine & Aoooc,Fac~lttJ. es _ Estimated Cost "&'~'-{)~'~OO9 ................................. ~ee ............. S.:L~ .......................................................... S~l~p-U~-S~bjt~t~on $160,2~0 (]ro-I]e'pa,-"rd on fTng this apphcation) If dwelling, number of dwelling units ........... -. ................ Number of dwelling units on each floor ........................ If g,arage, 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 ....~...,~....~.I~.~....~..'~,~'~F,~.~...'..O. ..................... Depth ......................... Height ............................ Number of Stories ............................ Size of lot: Front ..~e.e......J~..J~t...?...~l~..-.,0. ...................... Depth ................................ Date of Purchase ........ UIt~,:~..OOBI~I'~G.~ .............. Name of Former Owner .MeI~O~..~V~...~:I'~ ........... Zone or use district in which premises are situated ....... ,JJJktljCl~e~l::;;J~'l ........................................................... Does proposed construction violate any zoning law, ordinance or regulation? ......... ¥.,e.';~ ................................... Name of Owner'of premises .i ....... [~(~0 ................... Address 2..~00~l Cotll~t;Fy J~,~. , Pzol~el, Name of Architect .......... ,L;J,T~O ............................... Address 'J~'kB¥J']:~"~' '~'r,'"" Phone No. "'J~rJ~'" Name of Contractor .................................................... Address ............................................ Phone No ................. PLOT DIAGRAM Loc.ate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions fr, property lines. Give street and block numbers or descriptio,n according to~Jeed, and shew street names and indic~ whether interior or corner lot. '~/ ~ ~" . ,l/,/ ~" see Dw~s. F-~7333, F-n7335-0, F-~7339, F lq~O0, ~-n7~O~ STATE OF NEW YORK, COUNTY OF ........ l¢8o-aau ......... / S.S. · ..~..~...I~.,.. JJ,.t~r~en~,...~..~e..~:F~lkt.d~li.t; .......................... being duly sworn, deposes and says that he is the applicc (Name of individual signing app ication) above named. He is the ............... J~p~lll~n.~l&tJ.Y~..~J';..~'~. 0,~ .............. ..................... y; ............. .,, .......................... i, ~aonrractor, agent, corporate otticer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and f this application; that all statements contained in this application are true to the best of his knowledge and beli~ and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this c ...... ~....~../L~,. ....... day of ....... .............. , 19...~..%~.. ..... Notary Pul?lic, . ........... N&SS~I~ ................... l~tt?.l,,~]~'l~ ']"" '~'""~"'"'"'""""~~'('~'i'l~~,~l~,~;i":'"'": ............... .~ I ¥\ .2o'/ /'~ =/ZO' il// I / / I ~~ [ / / / '/ | | i ENGINEERING DEPARTMENT , / / I / .,/ / I ~7~ EAST OLD COUNTRY ROAD // / / /// ~,c~sv,,--E. NEW ,'OR,: I DWN ,4%=='~:%¢~,~:' SCAL£ N ,~LOT PZAAI N / x 175 EAST OLD COUNTRY ROAD ~/1~': tt~' ,2 Ak. t APPD DESCRIPTION APPD LONG I~LAND LIGHTING COMPANY ENGINEERING DEPARTMENT ~?~ CAST OLD COUNTRY ROAD HICKSVILLE, NEW YORK F- 27+oo '% ~6CT~Ot4 "F-F' ~,) ALL k L ~'~N/~ I N U ~.~/~ I~, ~-J $ I 'lCJ -- z'l £ - NO, DATE' W, O, BY CKD APPD FLEV&-¢ IOkl5 ~ LONG IS~ND LIGHTING COMPANY ENGINEERING DEPARTMENT 175 EAST OLD COUNTRY ROAD HI~KSViLLE, NEW YORK [ 3-50-~4 Iwo AO ~7 ~r F- ?-7'101