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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