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Home My WebLink About5601-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No...2~. ....... Date ............. .~'~l~O... 2 .... , 19.~2. THIS CERTIFIES that the building located at .. llaJorl .Pat;la ........... Street Map No.~ .......... Block No. ~ ....... Lot No. ~ .... ~. 0~tla0!~1. . .II~X~ .......... conforms substantially to the Application for Building Permit heretofore filed in this office dated ......... IIOV.. ! ......, 19.'Z!. pursuant to which Building Permit No. dated .......... .I~oV ..... ~..., 19.7~., 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 .. P~!Va~;? .OaO..fam;.1.y. .d.F.~.l.3: .t~.g ...................................... The certificate is issued to .,[&Ok .(}old~.~hollO ...... O'gll~l' ......................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . ~ay. 26..~.9~2. , ~y.R,..~il~a. .... UNDERWRITERS CERTIFICATE No.~. 2~$ ......................................... tt()US~ NUMBk~R.. ~5 ....... Street .... Ra~ors. P. ath ................................ Building Inspector T~N ~F $OUTHOLD ~BU!LmNG DEPARTMENT TOWN CLERK'S OFFICE ~OUTHOLD, N. Y. ~ ~ ~;~BU!LDING PERMIT (THIS PEI~IT ~LMUS~T BE KE~.PT ON THE PRAISES UNTIL FU.L COMPL~ION OF t~E WORK A~HORIZED) Permission is hereby, granted to: ............. lle~..~....V,o..ltl~..ll$ .................... to .., .~J~.. J~J~,. j/J~.. ,~jr...4~t~ ................................................................................ at premises located at ........ ~JJ..~IJ~JL~IL~I&~J.,.J...~t~...~I~). ........................................................ .......................................................... ~mtJio34L ...... IifX, .............................. ~ .................................. pursuan¢ to application dated ..................................... .~..J~.....~. ....... t, 19....~, and approved by the' Building Inspector. J~ee $..*..JOelJjlJ) ....... THE NEW YORK BOARD OF FIRE UNDERWRITERS [- ad BUREAU OF ELECTRICITY ) 85 JOHN STREET. NEW YORK, NEW YORK 10038 ri,,,,, May 16, 1972 ~lppti.-,tio,, x,,. ,,,,~u,, 560297 N THIS CERTIFIES THAT Mr. Jack Goldscho~l N/S in the following location; ~ Basement [~ Ist FI. ...~ e~..,i.ed o. May 11, 1972 FIXTURE OUTLETS ~RECEPTACLES~ SWITCHES 23 24 20 23 DRYERS FIXTURES *Furnaces: 1-1/8bp., 1-1/12hp., 1-10 Amp Food Blender Majors Path 450'e/o Horton Lane Southold, L.I ~ ~,d FL outside se,.~io,, and fou~td to I~e itt compliance with the requirements of this Board. RANGES COOl(lNG DECKS OVENS DISH WASHERS EXHAUST FANS SYSTEMS NO. OF FEET S E R I C E CC COND A.W G NO. OF Hi. LEG A W g 4NO. OFNEUTRALS A WO I 2/0 j i 2/0 Towle & Sons Elec.Contr. 33 Lincoln Ave. Mastic This certificate must not be oJtered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by thei~ credpntiaJ~ APF~IC~.TIO~ FOR APP~L~L TO ~?STRUGT F....~ , ,,. ,4 5., D~,.. ,,,, ,.,,~,~,,, i-App!tcant~ f~,~[[',: ~,c ~__ Phon% .... 6-Sub ~mle~fM~~22 ~'~' ..... Term ~.27;~'~,'~ --9-Przvate 3-~btic %~ter supply name ......... Distance to nearest main ~-~t Size: Width'~7 ft. Length~[:_ft. (also enter on center plob pla,, 5-~etting: Sinf!e Family ~ T~'o Family? ~_/Cellar7 ~j~piab? lO-~oposcd ~sten: Septic tank ~Precast ~Czsspoo!s ~Shai!o~f t t-Septic ~nk i~ide dimensions:, ~(ol~o ~als,Lcn~t~'%. WidU: ft. 12-Precast sectmons. ~ber~ /~q~are Ft. Cesspools. Block Total blocks below in].et: ~t~jT,~2.f~,~3__ PlOT FI,~N 4' /' / lndl ' ~ ~'~' .................. ...... ' ............ i':o~'~ The Undersigned CERT~F~S: "Const~ction of a~thorised installations ~ccomaance with the Suffolk County Health De~rtmonts* current Standards,.:,*- ~ amendments thereto, covering Private Sevago*/t~sEo?~!. S~fat~ms", O~ ~ALTH DEPART~NT USE ONLY. Based on the info~ation p~esented hero~ith~ :pinion of the Health De~ment, that an adequate and satisfacto~ Sc;m~e D~ aa be installed on this Hot. depth ins. H.~ ~he ........ System SUFFOLK COUNTT DEPARTMENT OF ~J~TH Date May 25, 1972 Fldg. Permit No. 5601Z TO WHOM IT NAY CONCERN: The sewage disposal facilities for a structure located at _ _ N/~ Malors Path. 450' E/O Horton Lane. Southold. N. Y. ' (Oi~e dee~ locati'o~l .... have beeu inspected by th_is Department and found to he satisfactory. Di~tr{ct Engineer' TOWN OF ~OUTHOLD o . . ~ BUILDING DEPARTM~('/'~-~'/~' ~ TOWN CLERK'S OFFICE~ ~;~ ~X.~ OU n~u, ~.. ~. ~ '~. ~, ..... ................ , ............. ~pproved ~ ~ ]9 ........ Permit No. ~.~.l ~. ~ ........................................ , .................. . , ~ Disapproved ~/c ............................................................................................ ~ . ..... ............. ............... ~~ -~ APPLICATION FOR BUILDING PERMIT o. ' 'Th~ op[ mint be comp{et~ly filled~ in by ~pewritor or in ink ond su~mitt~ in duplicot~ to th~ 8uildin~ Inspector. b. Plot pl*n showin~ I~otion of lot ond o{ buildings on premi~, relotion~hip to od~oinin~ pr~mi*~, or public *tr~ts or or~a~, ond 0ivln0 o d~toiled description o{ layout o{ pr~r~ must ~ drown on th~ die,mm which ~ work covered by this o~lication may n~ be commenc~ before is~uonce of 8ui~din c. d. U~n opprovol o{ thi~ ~pplication, the Buildin~ Inspector will i*~ue ~ Buildin~ ~rmit to th~ ~licont. Such p~rmit sh~ll be k.pt on the pr~mi~ ovoi~obl~ {or inspection throughout th~ pr~r~ of th~ work. ~. ~o buildin0 sholl be ~cupled or us*d in whole or in pa ~ for ony purpose what,er until ~ sholl h~w been ~ronted by tbe 8uildin~ In*pector. AP~kI~TIO~ IS HfiREBY MAD[ to th~ Buildin~ D~portment ~or the is~uonce o{ ~ ~uildin~ ~rmit Buildin~ Zon~ Ordinanc~ o{ tbe T~n of Southold, Suffolk Count, ~ew/York~ and other ~pplicobl~ kaw~, Ordin~nce~ or Reoul*tions, for the construction of buildinos, additions or alterationst or {or r*movol or d~molition, ~ heroin d~cribed. ~ opplicont oOrees to co~ly with all opplicabl~ Iow~, ordinonce,~ .......... ......... (Address o{ ~pplicont) State whether applicant ~architect, engineer, general contractor, electrician, plumber or builde~ If opplicant is a corporate, signature of duly authorized officer. ~ (Name end title of corporate officer) 1. Location of land on which proposed wo~'k will be done. Map No: ....~...~... Lot No: ~......YT~... ...... Street and Number N/S Hajor~s Paths 450t E/O Horton Lane, Southold ~ '~/"~",~ 0 ="'.~.] 5- Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy None b. Intended use and occupancy ..... ~3.e..~'4~ltt.],3~..J)~e],],~,t~; ..................................................................................... ~ 3. Nature of work (check which applicable): New Building ...... ~ ..... Addition .................. Alteration .................. Repair .................... Removal .................... Demolition ........ ~. ......... Other Work (Describe) ........................ · $2 000.00 ; O, 4. Est mated Cost .................. ~. ....................................... Fee ...................................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ............q~..e. ............. Number of dwelling units on each floor ............................ If garage, number of cars ........... one ............................................. 6. If business, commercial or mixed occupancy, specify notureand extent of each type of use ................................ 7. Dimensions of existing structures, Jf any: Front .......................... Rear .......................... Depth .............................. Height ............................ Number of Stories ............................................................................................................. Dimensions of same structure with alterations or additions: Front ................................ Rear ................................ Depth ............................ Height ................................ Number of Stories ........................................ 8. Dimensions of entire new construction: Fro_nt....j~;.:..~.....7..2.~ ............ Rear ...il ......... .7..2.! ......... Depth .......... ..D..0.~ ............ Height ........ .1.2 ................ Number of Stories ............ :~, ................... 9. Size of lot: r r Front ....... 2q7. ................... Rear 16,~ r ..... ~11 ................... Depth ....................................... 10.. Date of Purchase ........................................................ Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated ................................................................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation? ............ ,.. ... L... .No. ........................... 13. Name of Owner of premises..~Ttig~. ~.o..1..d.~.h..o.].l..~ Address ..,S.3..-.~..l~{.~t~' N.¥:' Phone No ..................... Name of Architect ..H..q~.o..1..d...~.o.~.t;.e.~ ........................... Address ..~.&~,T~i~r....~,9:.e.,~..~l,.~'~X'~.e.al~hone No....7..2.7..'.~.g..1..0.. Name of Contractor ....R~..v..e.~E.t..8..e....H..o.m..e.~ ................... Address ~.,...Q, ~.P.~ ~7..6c.~ ]~.:l:.y..e.~.b..e.~one No 727-3395... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-beck dimensions from property lines. Give street and block numbers or description according to deed, and show street names and indicate whether interior or corner lot. ELIZABETH ANN NEVILLE NOTARY PUBLIC, State of New York No. 52.8125850. Suffolk Cou~nl;~. Term, Expires March 30, 19~ STATE OF NEV~YC~e// ) COUNTY OF .~.....) ~'~' .......................... ~~..'...W~.: ............ being duly sworn, ~deposes and 'says that he is the applicant (N~e of individual signing applicon) ~ above named. He is the ..................~~ .............................................................................................................. (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 ~plication; that all statements contained in this applicution ore true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in th~appli~tion filed ther~ith. Cio ._ [ ,ff-'XX: Y'.t! 7Z/