HomeMy WebLinkAbout5182-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No. Z6291 Date ....... J~n '~3.. · , 19.7.~.
THIS CERTIFIES that the building located at E/8. Seventh 8t Street
Map No. G,I,~thlt~lock No .......... Lot No..26&27. · La~el ~,Y, ......
co~orms substantiEly to the Application for B~ld~g Permit heretofore filed in this office
dated ~ar 25 · , 19. 71 pursuant to which Building Permit No...~1.~2E
dated ~r.. 2~ . , 19..71, was issued, ~d conforms to M1 of the requ~
merits of the applicable provisions of the law. The occupancy for which this certificate is
issued is R~iva. te. ~e. fanily..dwml.1ing ..............................
The certificate is issued to Rober.t .a. ~a. F. inora ...~rs ................
(owner, lessee or ten,t)
of the ~oresMd bulldog.
Suffolk Cowry Dep~tment of Health Approval · g~ 6- ~97~ · bY R,..V~l~a ...
UNDERWRITERS CERTIFICATE No...Pg~P.g .................................
HOUSE NU~ER ..... ~0.~. ·. S~eet ... ~e.venth .St ..........................
... 2~.'~ .~ , . ~ ..r ~ ....
B~Iding Inspector ~
FORI~ NO. i
TOWN O~ $OUTNOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
BUILDING PERMIT
(I'HIS PERMIT MUST BE KEPT ON THE PREA~ISES UNTIL FULL
COMPLETION' OF THE WORK AUTHORI~ED).,
'Permission is re mnte~ to:
................ ..~.;..~e.~ .............................
at premises I~ated at ......... ;'~"~'&"~'"' ~.'X~~ .....................................................
.......................................... J~.---~-.Jt ....... ~. ...... .J.,~ .....................................................
pursuan¢ to application dated ..............: ............... ~(~t,~1~ ....... J~ ..... , 19..~j., and approved by the
Building inspector.
Buildi
SCHD
SUFFOLK COUNTY DEPARTMENT OF HEALTH
Date ~,~.
< -
TO WHOM IT MAY CONCERN:
at
The sewage disposal facilities for a structure located
(Give de'ed location)
have bDen inspected by this department and found to be satisfactory.
~Chie£ of Oener~l ~
~ y ~N OF SOIJTHOLD , ' . - ~. ',~
~ ~- ~ ' / BUILDING DEPARTMENT ~o Ce,,~ ~ ~'"'- ,-~
,,:./.. .
,, . S/~ ~_~/-m.~- ~, ~c.~ ~'~~'
~ ~ ........ Pe~it No. ' ~ ~
........................................ , ............................
............................................................................................................. ~ ~~ ~ ~-~-~
~ ~ //-/~-~(
.......... ~ -(~J(~" ~~ ..........
~. ......................... ~ ......... ~ .......... . ~...~. .....
a. This application must be c~ple~ly fill~ in by ~ewriter or in ink und submitt~ In ~llc~e ~ ~e Buildl~
In~r. -
b. PI~ ~l~n s~w?~ I~tion ~ lot ?~ ~ bu~ldi~s ~ premJm, relationship to ~jolnl~
ar~s, a~ g~w~ a ama,aa ~ri~ o~ ~ aT pm~ must ~ drown on t~ dl~mm
c. ~e ~ c~r~ by this a~licati~ ~y not be ~menc~ blfom i~ua~e of ~lldl~ ~.
d. Up~ ~r~al of this appllcati~, ~e Building Ins~ctor will I~ue a Bulldl~ Pe~lt
~all ~ k~t ~ the premiss ~ilable for ins~ction throughout the p~s of ~e wo~.
e. No building s~ll ~ ~cupi~ or u~d in whole or In pa~ for any pu~me ~a~r until a Ct~lflc~
shall h~ ~en gmn~ by the Building In~r.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Bu Idlng Perm t pumuant to the
~Build!n.g. Zone. O.~1. inance, of the T ,o~n. of Southold, Suffolk County, New York, omi other alii c~ble ~
Kegu,anons, tar me construction or buildings, additions or al.terations or for remova or demollt on, al he~ln deecrlbed.
The applicant agrees to comply w. th all applicab · aws, ordinances, building code, h~ouslng code, and regulatlam.
Rebert& A~na Fi~er&
(Signature cf applicant, or name, If o C~rl~ratlon)
1~ E~wards St Bethpage (Address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder,
owners
Name of owner of premises ......]it~be~$..&..Am)~...F.~.lez~& ..............................................................................................
If applicant Is a corporate, signature of duly authorized officer.
.... .~**~e~ee~e~4~e~e~-~e~Ie~ei~B~*~*e~eee'eeee~e~eeeeeee*~ie~ie(Name and title 'of corporate officer)
1. Location of land on which proposed work will be done. Map No.: ....~.t.~.t.~hl, teb~,~, ......... Lot No.: '~"6"...~.....2..~. ......
Street and Number ........~/.l~..~.t~lt,..~ ......... ~dil, lt~l~,....,~.~.1~.t ................................................................
, ,~ (2..~' Municipality
2. State existing use and occupancy of premises and intended use and occupancy of pmpMed comtructlon:
a. Existing use and occupancy ...l~.a3~.t,..'llL~. .......................................................
b. Intended use and occupant, ......O]3~.....~.~I~....{1,W.~.~,,~,:J,33~ ........ :~ .................................................................
3. Nature of work (check which applicable): New Building ..~ ...... Addition .................. Alteration ...............
Repair .................. Removal .................. Demolition .................. Other Work (Describe) ......................................
4. Estimated Cost ............ ~27~0(~.....+. .......................... Fee ..1...0..e..0..0. .............................................................................
(to be paid on fi~ing this application)
5. If dwelling, number of dwelling units ..... .l~.e. ................ Number of dwelling units on each floor ............................
If garage, number of ~cars ........e/~a ..............................................................................................................................
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 ................
Height ........................ Number of Stories .............................................................................................................
Dimensions of same structure with alterations or ndditJons: Front .................................... Rear ............................
Depth ................................ Height ............................ Number of Stories ................................
8. Dimensions of entire new construction: Front ....... ..b('~,-..8 ................... Rear ...... .Ll'Z.-.J~ ............ Depth ..... 2..~..6..~.~,0
Height .................... NUmber of Stories ...~]2~ ...........................................................................................................
9. Size of lot: Front ...1.0Q .................. Rear ...... .1.20 ....................... Depth .....1.~0. ....................
10. Date of Purchase ............... ~,g, .......... 1.c~..1. .............. Nome of Former Owner .~,~..~,fl'~lZ~t;L].l ..............................
11. Zone or use district in which premises are situated nJLm ¢1. I$t;
12. Does proposed construction violate any zoning law, ordinance or regulation? .......... ~el .............................................
13. Name of Owner of premises ..~...~.....A..s...~.J,T~.~.~. ...... Address ......~.~.~.~l~.e. .................. Phone No .....................
Name of Architect ...................................................... Address ............................................ Phone No .....................
Name of Contractor ....... sa~e. ................................... Address ............................................ Phone No ....................
PLOT DIAGPJkM
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-beck dimensions from
property lines. Give street and block number or description according to deed, and show street names and indicate
whether interior or corner 10t.
7T6 T
STATE OF NEV~ YD_RI~,. t S5
COUNTY OF .~g~iJ[, ............. ~ '
.................................. ~l~i~.&-.~'.~Z~.ll, ................................... being duly sworn, deposes and says that he is the applicant
(Name of individual signing application)
above named. He is the ................. ~.e.~..-....~..u:.../.~.~.el' .................................... ':: .................................................
(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 application; that all statements contained in this application are true to the best of his knowledge and belief; and
tha~ the work will be performed in the manner set forth in the application filed therewith.
Swam to before me this
19..~..~... '
................., . ....... ...........................
..I~__ ELIZABETH M/~ NEVIL/E
~0TAJ~y PUBLIC, State of New York
NO.~ 52'8125850, Suffolk Co
_ Term ExpiresMarch 30, 1~
TOWN OF SOUTHOLD
B',d~d, ing Inzpector's OH:ice
~'~own Clerk B,,ilding
Southold, N.Y. 765-9660
FORM NO~ 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
TEI~OP4a~
Certificate Of Occupancy
No..~..~. 0. ..... Date ......... 80pt · .~12 ......... , 19..
THIS CERTIFIES that the building located at ..... E/$ .Tth. St ........... Street
Map No. G ,Lo. TUtb&I 1Block No ........... Lot No.. 2~ .&. 27. .. La~e~... !~ ~, .......
conforms substantially to the Application for Building Permit heretofore filed in this office
dated .......... 14ar...2~.. ~ 19.7]. pursuant to which Building Permit No ....
dated .... Hal' .2~..., 19.77., 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 . Pr.iYaJ;e..oi~..f&mll~.
The certificate is issued to .Robert & Anna Finora ~mers
of the aforesaid building.
Suffolk County Department of Health Approval
(owner, lessee or tenant)
7/9/73) ........
UNDERWRITERS CERTIFICATE No.. N..90~1.9.6... 3.ept. 29. .. 197.1 ....................
HOUSE NUMBER .... ~0~ ...... Street ....~.~'~ll.~h ~f.. ...............
Building Inspector
eKsnq
L"A~O I~TO P~l F S, IN(:.
260 ISLIP AV'~, XSI.,~, N.Y.
APPROVED BY NEW YORlC STATE D~TM~ ~ ~
~BO~TORY N~ ~ CO~ BY .~ ~i~) DATE
BACTERIAl. EXAMINATION
BERNARD
~Robert Fino~a
Edwards St
Bethpage ~.Y.
Dear Sir;
Your note of ~ept-:Tth recei~e~.~'
Bnclosed I. temporary C/O~
~hile completing
Returned herewith is
and your copy of lab repot
This
mmt be sent to lth pt~
their approval - for~
Your Pernit ~ ~182Z has
eo tha, t you may oee~y
)ourm t~ul~
li~tild~ng Inspector {
$10,~0). -
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