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Home My WebLink About4407-zFORM NO. · TOWN OF $OUTHOLD BUILBING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupnncy No..Z7.~.1.2 ..... Date ...........July... 6 ......., 19..7.6 THIS CERTIFIES that the building located at . .(}l'ch~xd. Lane ............ Street Map No. e.e.c~ar. ~.aClBl~k No ........... Lot No. 29... ~.cutko~d.. K,Y, .......... conforms substantially to the Application for Building Permit heretofore filed in this office dated .............Aug...~.., 19 .~9. pursuant to which Building Permit No.l~..0..7~.... dated ............... Aug...~.., 19.~.?., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is . Pr.~,-~&t~a .o~xe..:~a~,y. dw~l].~.ng ....................................... The certificate is issued to .. Lm~,~enca .P o. B~annlgan ....... 0~nez, ................ (owner, lessee or tenant ) of the aforesaid building. Suffolk County Department of Health Approval . .N. :B.~ ............................. UNDERWRITERS CERTIFICATE No .... p.e.n.d.$ug ................................. HOUSE NUMBER ...... ~.O~...0~$$~fl~I...Orchard. S.t~eef~ ... Sonthold. ... I~.~TE ~. 14~.sc. Inter, or..t.o .be. co~p].ated, h~..ow~e-_~ ........................ FORM 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? 4407 Z Dote ........................ At~t~.....~. ......... , 19...~9 Permission is hereby granted to: ....... ~e~oe..;l~ia~aa~ ............................. ............ ~et~t~3,d ................................................. to .... ~1/ld ..az~ .~ £tlcm..~z~ .an..ez/~t ln~.. ~wai lin& .................................................. at premises located at ............. ~d~.t..~..~'~.....~.~.~,~'~...~.?.~.~.k..~.a.~k ............................................... ........................................ l~.....~a:cZ~ax.d..J-a~e .............. ~o~tJ~o3~ ............................................. pursua~ to application dated ....................... A13~.....~ ...................... , 19..~., and approved by the Building Inspector. THE NEW YORK BOARD OF FIRE UNDERWRITERS TJ.r ~ ', ~ - BUREAU OF ELECTRICITY ~- ; 85 .JOHN STREET, NEW YORK, NEW YORK ]O0-q8 THIS C E RTIFI~S ~ THAT , r q only ~ el~trical equipmen~ ~ ~scribed below and in~r~uced by ~he applicant ~med on ~he above application number in t~e premises of Lawrence Brannigan, 505 Orchard S~.,.Sou~hold, L.I. . garage, oursx~e ~ --..,,{,,~d o. July 1 2 , 19 7 6 ' and found to be in compliance with the requirenlents of this Board. fiXTURE ' I . ~ ' . FIXTURES ' : '; RANGES ICOOKINGDECKSl OVENS ~DISH WASHERS EXHAUST FANS .OUTLETS ~EPTAC~S SWIJCHES~ iNCOHerENTj Fj~RESC~N~ , ~v ~ ~T. K W. ~T K W. ~T. ~W, ~? K W - ~T H P DRYERS J FURNACE MOTORS. ~TURE A~ANCE FEEDERS SPECIAL REC'PT TIME CLOCKS ~ BELL ~ITHEATERS MULTI-OUTLET DIMMERS Peter Bogovic Main Rd, Lzc 13 E OERERALM~N~I~GE. Southold, L.I. 11971 ' . 7 This certifica,e ~ not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identi~ b~ei~ cr~entials. ~li~i~ No ............................. ~. This Qpplicdtion mu~ be compl~ fill~ in by ~Hter or ih ink end s~miff~ in ~plic~e ~ the Building I n~ector. b. Pl~t plQn showin~ I~tion of lot ~ of buildings ~ premix, mlQti~ship to Qdjoini~ premi~ ~ p~lic ~ts or c. ~e wor~ cover~ by this Qppli~ion mQy ~t ~ c~nc~ ~fore i~ce of Building Pe~it. d. Upon ~pr~Ql of this Q~licQti~, ~ Building Ins~or will i~e ~ Building Permit to the ~plicQnt. S~h ~rmit shell be Eept on the premiss QvQileble for i~i~ ~mugh~ ~e p~rm of the ~. Building Zon~ Ordinance of the T~ of ~old, Suffolk. C~n~, N~ York, ond ~her eppliceble ~, O~i~c~ or EegulaHons, for the construction of ~ildings, e~itio~ ~ oltemti~ or for mm~el or ~molition, es ~min ~r ~ The applicant ~grees to co~ply, ~th GII.applicob~e I~s, or, inane'building c~e,~ c~ ~ ~ulQtions. State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electridan, plumber or builder. Name of owner of premises ~/~' h/..~....~../~rc-~- ~ ~ J~'~ I If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which proposed work w[llo be done. Map No.: .......................... : ............. Lot No.: ......... /... ........... Street and Number Municipality 2. State existing use and occupancy of premises and intended use and occupancy of praposed construction: a. ExiSting use and occupancy ...... L., ../...~.. ~ I .z.. ~.. ...... b. Intended use and occuponcy .................................................................................. ~ .............................................. Nature of work (check which applicable): New Building .................. Addition / Alteration Repair .................. Removalc-~.^ z .................. Demolition ................../-o~_Otheer Work (Describe) ........................................ 4. atimated ..................... ...................... F. ....... ............................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ...... ..O....~...~. ......... Number of dwelling .units on each floor If garage, number of oars ................... ,..; ..................................................................................................................... 6. If business, commercial or mixed occupancy, speci~ nature and extent of each type of use ................ ~ ........... 7. Dimensions of existing structures, if any: Front ............~....~...~7~_Rear! ........... -~....~.. ............ Depth ...~,.¥.__ ....... Height ......o~,.O.. .......... Number of Stories ................................................................................................................. Dimensions of same structure with alterations or Front". ............. .............. Rear ...... ..~....~... ............ Depth .......... .?....~.. .............. Height ............. ~ ....... Number of Stories ...........I..!./.~ ..... / ' 8. Dimensions of entire new construction: Front .................................... Rear ............................ Depth ........................ Height .................... Number of Stories ..................................................................................................................... 9. Size of lot: Front ........../../....~'.. ....... Rear .......... Z..O. ..~.... .............. Depth ...... ..~...'~......~.....~...~...~. 10. Date of Purchase ......... ..~....~'.../~'....~'~'..........~..7.. ................... Name of Former Owner ...../~[....~.. ........ .~..~./'....¥.. .................. 1 ]. Zone or use district in which premises are situated ............................................................................................... ]2 Does proposed construction violate any zoning law, ordinance ar reaulation?-. ..................................................... I. t4~c~ 7~ l~tl~g l~:~It~1 1~ l = /~/- / 3"%e't ~ 13. Name of Owner of premises ................... ~: ................... :Address ...~4/1~1:t:~.~?~_~;7 .......... Phone No ..................... Name of Architect ............................ ...~.. .................... Address .............................. /... .......... Phone No ............... Name of Contractor ........................... .~. ...................... Address ............................................ Phone No ..................... PLOT DIAGRAM Locate clearly an~l distinctly oil buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. 'Give. street and block number or descriotion, according to deed, and shew street names and Indicate whether interior or ~ corner . STATE OF NEVVL~, ~J~ (-~~CgUblTY OF ....~J::JJ~..~T........~~'~' , ~/'~~ .......... being duly swam, deposes and says that h~ is the applicant (Name of-individual signing al;ll~ation) ....... .................... above namea, r~e is rne .................................................................. ~z"'~ ........................................................ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Swam to before me this L/~ .................. ~ day of ........ : ..... ~ ....... , 19..~..~-. ,zw)L { ........................ u. ....... ..... Notary Public, (~/~f~j81~J~~e~oun~l~j~ (Signature of applicant) /~/