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Home My WebLink About5673-zFORM NO. & TOWN OF SOUTHOLD BUHJDING DEPARTM~,~ Town Clerk's Office Southold, N. Y. Certificnte Of Occupnncy THIS CERTIFIES that the building located at C~rrSngton ,l~d ............ Street Map No. Naas.. P.t.. Block No ........... Lot No. 382 ........ .~utch~gue .......... conforms substantially to the Application for Building Permit heretofore filed in this office dated ............ Aug..L~..., 19. ?~1. pursuant to which Building Permit No. dated ........... Deo...16 .... , 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 . ]~'~v. 6.'c.e..~ .~L..m~.~,T~ j~o..o~..w..$.t.h. ~.c. qq.s.s.o.~.y.s ........................... The certificate is issued to .. Boy. .Har~'~.ng.'con. & .W~Li'e .... 0wngl~.$ .................. (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .N. :.R.: .............................. UNDERWRITERS CERTIFICATE No.. N..1 ~860.... N.o.~,..~ 3.. 19.7,] .............. HOUSE NUMBER .... ~.0. ...... Street ........................ g Inspe~r ' FOP,~I NO, ~ TOWN OF $OUTHOLD BUILDING DEPARTMEN~ TOWN CLERK'S,OFFICE, SOUTHO:.D, N. ¥. BUILDING PERMIT /THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 5673 Z Permission is hereby granted to: to at premises located at .,~.~ ...................... ~t~.~t~..~.{~.~..~,.~Ot~ ................................................... ~ ............................................. ¢~-r ~g-bo~-.{t~ ........ i...-i..¢~I~ ............................................. ~! pursuan¢ to appllcotion doted .............................. .~....~. ......} ....... , 19.2~.~., end opproved by the } Building Inspector. Fee $...~gJ~ ........... TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved ...... ~....!..~. .............. , 19~.~ .... Pemit No ..... ~.~...[(..~.~' .... Disa roved a/c ....~.~ ....... ~.~ ......... (Duilding Insp~tor) ~ APPLICATION FOR BUILDING PE~IT o. This ~pplicotion must be compl~tel~ {ill~ in by ~pawriter or in ink ond submitted in duplicote to the Buildi~ Inspector. b. ~lot plon showin0 Ioc~tion of lot °nd of buildinos on premises, relationship to odloinino premise~ or public stre~t~ o~ ~re*s, ond OivinO ~ dot~il~ do~cription o{ layout ofprop~ mu~t be drown on the die,ram which i~ pa~ of thi~ ~pplic~tion. J c. Th~ work covered by thi~ application m~y not bo comm~nd before issuonc~ of Buildin~ Pormit. d. Hpon opprovol o{ this ~pplication, th* Buildin~ Inspector will i~sue o Buildino Pormit to the opplicont. Such permit sh~ll be k~pt on tho pr~ise~ ~v~ilobl~ for inspection throughout th~ pr~re~ of th~ work. e. ~o buildino ~h*ll b~ ~cupied or u~d in whole or in pa~ {or any purpose whoever until ~ sh~ll have bo~n ~mnted by th~ Buildin~ 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 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, housing code, and regulations. (Sigfll~ture of applicant, or name, if ~'corporation) ..................... .... State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ...............- + .......................................................................... , .... ¢1 If applicant is a corporate, signature of duly'13~thorized officer. (Name and title of corporate officer) 1. Location of land on which proposed .work will be doj3e. Mpp No.: ........................ , ............ Lot No ...................... Street and Number .~..~.~--~...~.~.L..~ ....... , ......... ~-.~.~~ ...... ..~....~ ........... --/~ ~ p~ Municipa~ - U 2. State existing use and occupancy of~emise~ and in. tended use and occupancy of proposed construction: o. Exisiting use and occupancy ............. ~'~~'"'X'~ ..................................................................... b. Intended use a d occupancy ............................................................................................................................... 3. Nature of'~SrE' (~heck which able): New Building .................. Repair .................. Removal .................. Demolitiar .................. Other Work {C~cribe) ............ ........... ~.. 4- Estimated Cost ...~,,~,.~,,. ........................................... Fee --'/~"~"':':-- (to be paid on filing this application) 5.. If dwelling, number of dwelling units ............................ Number of dwelling units on e~ch floor ..... · ...................... If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each t3/pe of use ............................ 7. 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 ............................ Nurober oJ~itoriel~l ............................... 8. Dimensions of entire new construction: Front~...~..~..~....~....~...~ .......................... Depth ........................ Height .................... Number of Stories .................................................................................................. 9. Size of lot: Front ............................ Rear .................................... Depth ................................ 10. Date of Purchase .................. : ..................................... Narn~l~f Former Owner ........................................................ -1 ]. Zone or use district in which premises are situated ......... ~.~ ..................................................................................... 12. Does proposed construction/~l.ate~/n.y~zgning I~a.~ordinance~~:~ ................................. ]3. Name of Owner of remise re . '~'. .................... Name of Arch tect ....................~/,~,_.,,,.,.~...~.~/,~..l~uu ................................................. ~ . Name of Contracto~...~[Address~ Phone NI,,7'' '*~"~Y; [J J ............... Cl' ....................................... PLOT DIAGRAM ' -- Locate clearly and distinctly all buildings, whether existing or prc~oosea, and indicate all sera, ack dimensions from properh/ lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. STATE dF~NEV~.YOI~,~/' · COUNTY OF~ ....... ~,.~;.f~'~ . ........ ~~~;~'."."L':"'"¢ ........... ,be~i. ng du y,~Om, d~es and says ,~ he is the applicant above named,~e is the .,~,~~~,...,~ .......... ~ ............... ~' ........................... ~ ' . (~ontmctor, agar, comorote offi~;r,';;;:j ........ of said ~ner or owners, and is duly authorized to perform or h~e pe~ormed the ~id work and to ~ke and file this application; that all state~nts contoin~ in this application am tree to the be~ of his knowledge and belief; and that the work will be performed in the manner set fo~h in the ~plic~i~. fil~ ther~ith. Swam t~fore me this THE NEW YORK BOARD OF FIRE UNDERWRITERS (~$ BUREAU OF ELECTRICITY ~-- 85 JOHN STREET, NEW YORK, NEW YORK 10038 ,.,. " 126860 THIS CE~IFIE5 THAT ~ly the e~t~ ~u~t ~ ~scdb~ ~ a~ int~ue~ ~ t~ ~t,~m~ on t~ a~ ~pl~at~n ~um~r in t~ prem~s of N~cy Ha~rtn~on, Carrin~on Rd., e/o Haywaters, Cut~ogue, L.I. in the/oiling t~atio.; ~ S~e~ent ~ ~ . r:. ~ ~ r~. o ut side ~c~io. s~ ~t ~examin~on Nove~e~ 8~ 1~7~ and fou~ to beln compllance with the requirements of thls B~rd. FIXTURE OUTleTS ECEPTA ~ SWITCHES iNCANDE.SCE 2 ~T ~vRCA~r~ 1 DRYERS FURNACE MOTORS FUTURE AF~UANCE FEEDERS AMT, K. W, OIL H, P. GAS H. P, AMT, NO. A, W. O. OTHER APPARATUS: RANGES SPECIAL REC'PT R TIME CLOCKS BELL UNIT HEATERS MULTI'OUTL~'T NO. OF I~ET I C A, W.G. NO. OF HI-LEG A.W.G. EXHAUST FANS DIMMERS NO. OF NEUTRALS A.W. G, OF NEUTRAL (S~IminF Pool) Th~s certificate sovel's compliance at the date of l.,-,pect.,on only. Because of unusual environments it ia advisable to have £requent test and/oP 1-epai~s made by a qualified person~ · ,ney Harrin~ton Carrinffton Rd. Cut choffue, Per COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.