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Home My WebLink About5160-zFORM NO. i TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office $outhold, N. Y. Certificate Of Occupancy THIS CERTIFIES that the building located at W./.$ K.e .n~.y..~oad ........... Street Map No~.'.e.n~.eY~..°.o.d. Block No ........ Lot No...2....S..ou.t.h.o..1.d...~ .,.Y.: ........ conforms substantially to the Application for Building Permit heretofore filed in this office dated ...... M~..~7 . 1.2 ...., 19 7,]. pursuant to which Building Permit No. ~] SQZ... dated ........ .M~. r... 1.2. , 197.1., was issued, and conforms to all of the require- ments of the applicable provisions o£ the law. The occupancy for which this certificate is The certificate is issued to .Ja.lne. s.E., M~!.h.a. 1..~ ...... w.ne.r. ...................... (owner, iessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .N, R., .................... UNDERWRITERS CERTIFICATE No. ~.1.2~..}+96. ..... .09.1;..5!...1.973 ................. HOUSE NUMBER 7.?[ ....... Street .. ~.o.n.¢~y..I~Og.~ .......................... TOWN OF SOUTHOLD BUILDING DEFARTMENT 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? 5160 Z Permission is hereby granted to: at premises located at ......... ,~tt.~..~t..~. ....... ~J'lli~ ..................................................................... ........................................... W/i~-...~m~r..~ ............. a~t~e~ ............................................... pursuon~ to applicotion dated .......................... !~ ....... ~J~j ......... , ]9..;~j~j, and approved by the Building !n~:tor. I ' - Building Inspector THE NEW yORK BOARD OF FIR:E:UNDERWRITERS /' 08 BUREAU OF ELECTRICI'~I'~/f: "/ · ' ' ~' 85 JOHN STREET, NEW YORK, NEwr¥ORK '10038 ...O=tob. 3 ,1973 "',"' N 124496 THI~ ~E~IFI]~ THAT Ja~s M~h~l, Kenney's Rd. So~d%lew Ave. ~. ~7, 2uuthold, L.I. in the followlng location; [] Basement [] ls~ Fl. .,- e.,"'i,.a O,, October 29, 1973 XTUR! RXTURES [] 2nd Fl. O ~lt S ~l d O Section Block Lot ~nd foumi to be in compliance with the requirements of this Board. RANgEs OVENS DISH WASHERS EXHAUST FANS 7 11 3 DRYERS heater/8: R V I C 1-2,Skw, 2-1.5kw, 1-.75kw OF HI-LEG OF NEUTRAL Jsmaes E. Mulhall Kenney ' s ]"Id. Southold, L.I. 11971 r TOWN OF SOuTHoLD -~G,4~ BUILDING DEPARTMENT T~N CLERK~ OFFICE ~omin~ ............. ~.....~..~...., 19~.~.. .......... ....... ........ .............. (Building Inspector) APPLICATION FOR BUILDING FERMI1 ~ / Date · -~ ~///~-?- 19 ./~./. ....... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink und submitted in duplicate to the Building ~_ Inspector. b. Plat plan showing location of lot and of buildings on premises, relationship to adjoining premisee ar public streets or areas, and giving a dMailed description of layout of property 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 to the applicant. Such 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 a 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 Perm t pursuant to the RBUild!ng Zo~, O~inance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or egumtions, ror the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply ,with all applicob,e laws, ordin~/~ces, buildi/i/i~ ,~e, hou:/~ 3/~ and mgu,ations. .,~'""7~'~i~tu~ ~f applicant, or nam'-'"'"'"'""-"-'-'""~'i~'~'~'~'rl~'~i~'r~')' ........ :: ............... State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ' Name of owner of premises ...... ~.~.,~...~.....~..,....,,~...4/:Z,/-//~.../...,~.... If applicant is a corporate, signature of duly authorized officer. (Name and title 'of corporate officer) 1. Location of land on which proposed work will be done. Map No.: ...... .~../...~.~.. .................... Lot No.: ...~. ............... and Humber "'~"~'~'/~" '/'"~'"~'~'"~'"~---- ...... ~'~"~ '/"/'/'"'~"'~'"'~"/"~'~'~:"i/~''~' '~'-Mun cioalltv .................................... Street 2. State existing use a.nd occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ......................... : .... ~. ....................................................................... : ......... b..ntendeduse ~/,~/~' ~',~"'~"~>~..~'"~',,~'~',~ /,"t/ ~'::~,~'~ ......... 3. Nature of work (check whici~ applicable): New Building .................. Addition t// Alteration Repair .................. Removal .................. Demolition .................. Other Work (Describe) ........................................ 4. Estimated Cost~,~.~'.~....~.~./.z~/j~.,~.....~..:...4~...~.. .......... Fee ..................................................... ,"~;¢/~ ~Y ~u~/fz~/~.) (to be paid on fi~ing this application) 5. If dwelling, number of dwelling units~4~.'~'....,.,~...'....~..~-..,)....iNumber of dwelling units on each floor~..~.~....c(~...~'~'....,.~ If garage, number of cars ';~ OX~ ~c~,.u~g 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ............................ 7. Dimensions of,existing structures, if any: Front ...~...~.....~...~.. .......... Rear .../:~/~....~:.~ .............. Depth -~.~....x~..ZZ. .... Height ....... ./..~....,~'...~.,.... Number of Stories ...... ./. .................................................... Dimensions of same structure with alterations or additions: Front ..... ..~...~...../~....~., ................ Rear ...~'..~....,~..../~. .......... Depth ......~.....~...~f~....7~:. ........ Height ,..,~=~...,~....Z~... ...... Number of Stories ..... ~. ...................... 8. Dimensions of entire new construction: Front ..... ,~../:fi:...~.: ................ Rear., .~..~......,~..~ .......... Depth ..~..~..c.?.~'..Z: ....... Height ....~...~..~...~.. Number of Stories ..... ...~:.. ............................................................................................................ 9. Size of lot: Front ....~..~Z...x~..~ ........ Rear ..,,7...~......~...7:,. ................ Depth ..... ./.~.../c_.:/.~.,~ ......... 10. Date of Purchase ...a~...~.:., .,~. ,~/~Z.~....i.../..~...-~..~? .............. Name of Former Owner .../-~.,~../,Z,/.,~..~.......~./..~/ff~.. .............. 11. Zone or use district in which premises are situated ..~..~../..~..~.~.'./,d/....Z:. -~.~..~/~/../T..cr...~...~..~., 12. Does proposed constructlon ~'io/ate any zoning law, ordinance or~ regulation? ...~...~. .................................................. 13. Name of Owner of premisej,~.r-/zF-,).~.....~..'..z~...~.~/../g..Z'.,~..Addresc~X-.~.~/rg/..F~/..'.-g..~..:y...~.~/..o.Z/./(.'~ Phone No. 7.~..~.z.~..~.~? Name of Architect ........................ ~ ..................... Address ' ' Phone No ..................... Name of Contractor .................:...~.. ............................. Address ............ :.' .......... 7. .................. Phone No ........... ; ......... PLOT DIAGRAM Locote clearly ond distinctly oil buildings, whether existing or proposed, and indicote all set-bock dimensions from proper~y lines. Give street ond b~ock number or description occording to de~cl, ond show street nom~ ond indicote ~hether interior or corner lat. I Adap ~,~/ ~o STATE Of NEW?-qDRI~- ,. ~,.~ COUNTY OF ...~....~.../~..'.~C....O..~../.~...$~'m- · -~...~..~.. ~-.-~.. [ ~~.~ ..... being duly sworn, d~oses and says t~t he is the applicant (Name of individual signing application) above nome& He is the ................. ~~ .................................................................................................................. (Contractor, agent, co~orate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to ~ke and file this a~licotion; that oil statements contained in this application are true to the best of his ~owledge and belief; and tk.a~ the work will be performed in the manner set fo~h in the application filed therewith. Notart Public, .. ~ ~/ ~- ( ignature of applicant) .................. ' ' ~ ~o,~u ~folk Ce nt