HomeMy WebLinkAbout4799-zlr~O~3~ NO. 4
TOWN OF SOUTHOLD
Bun'.rtlNG DEPARTIte~'.NT
Town Cl~k', Office
Soutbold, N. Y.
Certificate Of Occupency
THIS CERTIFIES that the building located at . J~ay~ters .6.0:1~ .Menhadd~l~eet
Map No~..a.s.s.,..P.t.... Block No ........... Lot No.. 3 71~ ..... Ct~i;c ho~te ............
.~-~forms substantially to the Application for Building Permit heretofore filed in fbi, office
_~ted ............ &~g. 1 2..., 19.~9. pursuant to which Building Permit No..1~7~9~.
dated June l0 , 19.?0,
.......................... was issued, and conforms to an of the require-
ments of the applicable provisions of the law. The occupancy for which t_hi~ certificate is
issued is..P.r.i.v?..t.e..a.c..c.e.s.s.o..ry..b..u.~.l.d.i..ng...(..ga..r.a~.. ~:.~.t.b. ~i.~OV ~.. r~,.o.~)...
The certificate is issued toR. q.s .s.a..~.~ :..C.ql.~ ..... .oWD.~r ..............................
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval .i~. ~.. ...............................
UNDERWRITERS CERTIFICATE No. 1/30642.~ .... ~ct...~.. ~-576 .................
HOUSE NUMBER ...1.9~ ....... Street .//e~ater~ ./td ...........................
~07~ 01d Menhadden ltd
.... ........
~ ' B~fildin~ I~pector (
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? 799 Z
~,te ,tuns le i,~....'Z~..
Permission is hereby granted to:
II,...Ot,t, mm~.... Jk~g..I,~t ..~...~ .........
/~ .~
at premises located at ...~...~.~...J~...,~.~.~.J,'&..~...O~IL]I~..]~, ........................................
...................................... l~l~.~..~..o.~,t, .......... ~t~ ............ ~ ........................................
pursuant to application dated .......................... A. ii~..~[~ ................... , 19..~l, and approved by the
Building Inspector.
Examined ....... ~ .....................,19..6.~.
Approved ......~,.../....O. .........., 192..0... Permit No..~...Z..?.../~...?~..... ....
~~_~.~- . ,... ~¢~ _.__.,./._ - ~, ~
· . ~. . '~ , . ' . . .. ~ ' gs p ' ,mat'mshiptoadjoiningpremi~orp~licstr~or~
areas, ana g,w~ a ~ ~npt,~ at ~t o~ p~ must ~ d~ on the diagram which is ~ 0f ~is ~plicati~.~ ~
c. The w~k c~er~ by this appli~tion may ~t b c~menced ~fore i~e of Building Pe~it : ~ ~
, ~.,. U~ ~p(~al of th~s ap~?~, ~ Budding Ins~or will I~ue a Budd,~ Pe~t to the ~licant. S~h.~rmi~
sna, ~ [~t ~ the premi~ a~,~m for i~ctim th~gh~ ~e p~ of t~ wo~. .~
e. No ~ildi~ s~ll ~ ~cupi~ Or u~ in ~le or in pa~ for any pu~ whatever until a Ce~ific~e of ~c~
shall h~ b~n granted by the Building In--tar. '
APPLI~TION IS HEREBY ~DE to the BuJldi~ ~ment ~r ~ i~ce of a Buildina Permit '~m~ to th~
~uifd~ Zo~ O~inance of the To~n of S~tho~, Su~lk C~nW, ~ Y°rk~ and ~r ~Pl'i~ble ~, ~c~ or ~
~ulati~ns, for the constructi~ of buildings, a~itions or al~mti~s, or for m~of or ~moli~ion. as ~ ~rib~.
~ ne appdcon~ ~grees to comply with all ~licab~e I~, o~nanc~, ~ng c~e~ ~ ng c~e,
'1 '
~and~regulatio~s.
(Signature Of applicant, or name, if a corporation)
'
,(Address of 'applicant) ~/
2,
State whether applicant is.owner, lessee, ager~trorch~i~ect, ql3gi~eer, general contractor, electrician, .plumber Or builder.
' '".' ,
' '- '
Nome of owner of premises ........ ..
If applicanr,.is a corporate, signature of duly authorized officer,
(Name and title of corporate officer)
and on ' chp ed wo' will be done Map No '~~'~ ,/,,~,/Lot No ,~,,,~ ,,~..,, .
1: Location of ~ . , . .. ...... '"'~ .: ................
¥ orj~remi~ ~,m:l inr~m~, u.~,,o~l occu~nc¥ o{ pra~:m_~d_ con~'ru~'ion:
...............
Street and
State exi~tng use and °e'~:uppr~w of
Existing use and occupancy
Intended u.~ and occuppr~y
3. Nature of work (check which applicable): New Building .............. Addition Alteration .................
Repair Removal .................. Demolition .................. Other Work (Describe) ........................................
4. Estimated Cost ............................................................ Fee
(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 ....... ~ ............................................ i..i .................................................................................
6. If business, commercial, or mixed occupancy, specify nature, and extent of each type of use .................... ~ ......
~'~" /~' ' ~-'' / Depth ...... .~.~/ .......
7. Dimensions of existing structures, if any: Front ...... ..~...../.....'?...~. ..... Rear ............ ~ .................
'Height ..... ........ Number. of Stories .,.../...: .......................................................................................................
Dimensions of some structure with alterations or additions: Front .................................... Rear ............................
Depth ................................ Height ....... ~ ........... Number of Stories'~-J.w~.~-./-'.-.-.;¢.~?~r.~
8. Dimensions of entire new construction: Front ...... ..~.-..~..../'. ................. Rear ....~...~...~ ........... De)th ...~...;~..../. ..........
' Height ~.~..../. .......... Number of Stories .~...~...~...~...~...~.~'.~.....~.f~..~...~.....~....~...~.~..~e'~....~ .............................
· 9. Size of lot: Front ..... ../..~...~....~......i ..... .Rear ...~..~..'../. ......... ../.... ...... Depth ~..~......./.....~.~,e~,-
1~., Date of Purcha~s~e'~.~.-.~- .~..~· .......................... Nome of Former Owner ........................................................
~111 '~Zone or use district tn Whi~h'pt'emi~e~ are situated ...~...~'~..(.~.~?~.. ....... ~ ......... : .................... ; .................... ,...
12. Does proposed construct,on v,9~ate~eny zon,ng law, oral,nonce o,r,regulot,o.n?..~.,~.~.~.....~....~..._ .~.....~....~...~...~-~.~.;
Name 'of Owner of premises~..~..~.~...~....?...'.....~-...Z-~......Address~- -~.....~.--.~...~..-'~...~/~h°ne ~o?.~...~
13. . .. ~sz-//
Name of Architect .............................. ~..¥ ................... ^aaress ....... ~(~'/..4'_~...~:...Z?.H...., ......... Phone No ......................
Name of Contractorda, .~.~.~..~...~...~..~. .................... Address/~./..~/.~/.....~-?......'~......~;~....~...'~.. Phone No?~.~...~...~....~...
PLOT DIAGRAM
Locate clearly and distinctly oil buildings, whether existing or pr?posed, and indicate all set-back dimensions from
properly lines. Gi~)e stre .et~d block number or description accoraing to deed, and show street names and indicate
~ether ~nterior or COrner lot. '
STATE OF NEW(~I~/ ,~/~ ~ ¢ ¢ ' ~
COUN,,T~ QF ..~~...,.,,~'~' ".,
..................... ~,~~...,.~, .... ~ .......... ~ing
(N~ of individual signing ~licetion)
duty sworn, deposes and soys that' he is the applicant
above na~ned. He is the: ............. ..,...t?...~.....:~~i.:.....~..,.....i~ ............. :; ....................................................................
' (Contr~tor; agent, corporate officer, etc.)
of said .owner or.owners,'and4s duly ~uthe~Jzed to perform "er have perfom~ed the said work and to make and file
this application; that oil 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
..... of .....
No, 52-8~25850, Suffolk
.... ~n~ ~xpire~ Ma~ll 3~, ].9~7.2
w., ~,mi~d o. 5eptemb eT 3 0, 19 7 b *ndfoumt to be in compliance with the requirements o] this ooara.
OVENS DISH WA~,~:?,~S EXHAUST FANS
fiXTURE SWITCHES
OUTLETS
3 16 5 3
DRYERS MOTORS ,FfLIANC$ FEEDERS TIME CLOCKS SYSTEMS
NO, OF FEET
SERVICE DISCONNECT , A.W.O.
D
Th~s cerh,,~,~,,, must nat be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by