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HomeMy WebLinkAbout5504-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy THIS CERTIFIES that the,buildin~located at .. E/.$. Y~. in BlVd Street Peeonie Bay Estates ............... Map No..A~m...e.n.d.e.~... Block No ........... Lot No. ~ 6reenport N.Y. conforms substantially to the Application for Building Permit heretofore filed in this office dated ............. $.ep.~....1.0, 19.7!. pursuant to which Building Permit No..~.~.C~..Z.. dated ......... 5.e.l~.t...!3 .... , 197!.., 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 Private one family dwelling The certificate is issued to .H. 0d.o~...C0~s.~..c.t..~.o.~..C..o ....... . .0~..e.r. ................. (owner, lessee or tenant) of the aforesaid building. Suffolk County Dep~tmant of Health Approval .~.ay... 22...~..9.7~.. b~. ?. :. Y.~.I..la .... UNDERWRITERS CERTIFICATE No..N..1~.~.793 .... .Ap.r. 1..1..2.~., .1~..~. .............. HOUSE NUMBER .... 69.~ ...... Street .... Y~rw. in. ~.d ......................... Building InspectorI · OEI~ NO. ~ ?OWN OF $OUTNOLD BUILDING DEPARTMENT TOWN GLERK'S OFFICE SOUTHOLD, N, Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NV 5504 Z Permission is hereby granted to: ~;1t~ ~ ~ ........... ~l~e~t..~e~....ll,Z., ..... ~ .$!r~ .......... to .... ~..mw~...mmm...~...~33,~t ............................................................................... pursucm¢ to opplication dated ............................ f.l~llip~...~O ............ , 19..~.~., and approved by the Building Inspector. THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~ BW 85 JOHN STREET. NEW YORK, NEW. YORK 10038 THIS CER'rlFIE$ THAT was examined o~ Ap :/-1 S ~[ Ist FI. [] 2~ ri. outside Section Block Lot and found to be in compliance with the requirements of this Board. ,,xFURE I' 12 27 16 DRYERS I FU"NACE MOTORS I FUTURE SERVICE DISCONNECT I NO. Of I METER 1 100 CB~ RANGES ,MT. K. W, ~,EC~At REt'PT 1 50 R ICOOKING DECKS OVENS DISH WASHERS A~T, K, W. [ AMT. K.W. ~AT. K, W, TIMECLOCKS $ELL UNIT HEATERS MULTI-OUTLET ~?. f A~p$. TRANS:~ SYSTEMS NO. OF FEET V I C Of: CC. CC)ND, OF HI-LEG #Furnaces: 1-1/ShPs 1-1/15hp EXHAUST FANS DIMMERS OF NEUTRAL Sapan&ro & Mlneo, Inc, 102 Oak Ave. Shirley, New York 11967 COPY ~r~OR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. 0~ 0 UNAUTHORIZED ALTERATION OR ADDITION TO 2he sewage disposal and water supply f~o~)!tlos for this location have been inspected by this department and found Chief of General Engineering Services NOT~ ~ -- MOI~UMEI~T REVISIONS APR 25, 1974. YOUNG & YOUNG 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK ALDEN W YOUNG HOWARD W. YOUNG SURVEY FOR: LOUIS HODOR AT ARSHAMOMOQUE TOWN OFSOUTHOLD SUFFOLK CO., N.Y. SCALE: - R.i DATE: FOII, M NO. 1 TOWN OF MUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE ~TH~D, N.Y. ~//~; ~od ........ ~...(..% ........ ~.~..L ~pro~ed ......................... ~ ........... , ~9..Z. ~m~ NO. APPLICATION FOR BUILDING PERMIT iNSTRUCTiONS! ~:~ a. This application must be completely filial in by typewriter or in ink and submitted in duplic~e to the Building ~ Inspector. -. b. Plat plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving o detailed description of layout ofproperty must 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 tothe applicant. ~uch 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 o 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 ofher 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, housing code, and regulations, (Address of applicant) \ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, elect'riciafl, plumber or builder. . Q~./?..~'~'- ,~u/z.O..~-"-~, ........ re es.~Ooj~z~j-/ ..,.~.O, UI~.~,.,.~.. ~.,,.~.... ~,J~,d Z~,d .~,~,dT/-//~l ~4 ~Ic~n l-d.~' aU - Nome of owner of p ms ........................................... ............ ...... /..../.,.......,.¢..~.......~.. 7~...~ ...... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Mo Location of land on which proposed work will be done. p No..' ........................................ Let No ......................... Street and Number ...~.,/~.... ~c~/~x~4/~Z~-~/~/~-x~~~ ................... State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ..~/.~. ¢ ./~.. ~ 7~ ~,,~ .~, ~ b. Intended use and occupancy ..... ./........~...~...../..~..~ ...... ~....~...~.../..././...~....(~;~.... ......................................................... Nature of work (check which applicable): New Building ...... ~ ....... Addition .................. Alteration ........... .~ ..... Repair .................. Removal .................. _ ~emoliti°n"~ ............... Other Work (Describe) ........................................ 4. Estimated Cost ........... ~...7...~...~ .......................... Fee .......................................................................................... - .' .-~ /~/~r//5 (to be paid on filing this application) 5. If dwelling, number of dwelling units 3'/t'oo~S~- / ;, Number of dwelling units on each floor .......................'.~... If garage, number of cars .......... ./......~......~.~..~.~...~-.. ............................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ............................ .... A~C_ . . . ¢ / - 7. ~lrnenslons or __-.:_.~g s~rucrures, ir any: Front ......... ff. ................ Rear ....~..~. ..................... Depth Height .....Z.Sz.....~. .......... Number of Stories ...... /....~..~.4...~.JZ Dimensions of same structure with alterations or additions: Front ....................................Rear ............................ / Depth ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front .....'/.~..f. ....................... Rear .z~...~. .............. Depth ..?..~. .............. Height ...?..~..../. ........ Number of Stories/...~.~..q~.~C..) ''/~'~''' .... "~;~;~"~,~,~7'"'~'~Zj') ................................ 9. Size of lot: Front ..... ../..~....~..../. .......... Rear .................................... ,.__ .~ .............................. 10. Date of Purchase ...~.?...~,. ...... ./.~. .......... ./,~.~...~. ............ Name of Former Owner ...~....~...~.~.,~.~......./._~...~ ................... 1 !. Zone or use district in which premises are situated ..... .~...~...~.(..~..~...~..~./..~..~,~ ............................................................ 12. Does proposed construction violate any zoning law, ordinance or regulation? ...... ..~.~ ................................ 13. Name of Owner of premises ~'...~.~.~..~...~....'~.....~...~ ........ Address ..~.../.~.~..4~......~...~...~.....7~.. ....... Phone No.~/~.~./.Z..~..~.....~:~ Name of Arch tect ,~ ...................................................... ~aaress ............ ~ ........................... Phone No ..................... Name of Contractor .......... ..~'.~....~....~;.. ............ Address ................ '.~...'....../../.?...~...~. ..... Phone No ..................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW' ¥ORJ~ . ~ I. ~- ..................................................................................................... ~ duly sworn, d~oses ond says that h~ (Name of individuol signin~ op~licotion} above named. He is the ...................... ~ ........ .~ ........................................................................................................ (Contractor, agar, co~orate officer, etc.) of ~id ~ner or owners, and is duly authorized to perform or h~e performed the said work and to ~ke 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 Jn the manner set forth in the applicati~ filed therewith. Swam to before me this ........ ........... ...... .......... , ' pu' ~ ' ~' ~ - /~ ' ' ............ ~~ .......... ~<~'"'~ .............. Nma~ ~ 'c,. ........ ~....c..r~ ............ CounW ~ignature of opplicant) N~ ~ ~A~ ~ ~w ~ N~ 52-21~0 THE CLINTON Spacious--Practical Designed for spacious and comfortable living. The covered porch is not only a mark of beauty but protects the front entrance from the weather. In the three bedroom Plan 1, note the dining area with floor-to-ceiling window and living room in the rear overlooking the garden. Write for specifications. %,~ ,j .I,,,,i ST, j '.--.; PRAISE ALADDIN Dear Sir: We feel the home which we purchased from you is all that you said it w~s and we are completely satisfied w~th everything. This we do want you to know and also the rest of your staff. Your Com- pany has given us complete satisfaction. Your kind atten- tion, interest, and honesty, we feel, is what the people wont and like. Our home is rea;{y becam- THE ALAMO Modified Ranch This modern, hip roof design is available in three floor plans, any one of which will result in the appearance as shown in above picture. Note the large scenic window with side lights which harmonize with the horizontal lights in all other windows. The brick work in front is o separate planter and may be omitted without detracting from the appearance of this charming home. The outside walls are illustrated with Shake Shingles. You may have 8'~ siding if you prefer. Write for specifications.