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Home My WebLink About5236-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No.Z)4979 ..... Date . ../ran 1.9.. , 19.73 THIS CERTIFIES that the building located at Otc gU2te Lane Street Map No. X~ Block No. -~X .Lot No.. ~ l¢~tttttl~k N,Y. conforms substantially to the Application for Building Permit heretofore filed in this office dated A1OI't~. · 1 ~, 19 ~21 pursuant to which Building Permit No. 5236Z dated . Apl'il 1 ~ , 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 .l~ivate Ollo f. amily .dwet!~_~g...(firat .flo~r. oraly) (. 2nd floor, lmfi~ The certificate is issued to JohIl & Alaeli&. %~oo~ · Owlaer. .......... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval UNDERWRITERS CERTIFICATE No..N HOUS[i NUMBER 31 ~0 Street · .Sep.t .27..t972. lay R. Villa tCay '16. 1972 ......... · .01. e ,,Tu,3.e Lane ............ / l Building Inspector [ FOF.~V~ NO. Z TOWN OF $OUTHOLD BUILDING D~:PARTM£NT TOWN CL£RK'$ OFFIC£ $OUTHOLD, N. ¥. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 5236 Z Permission is hereby granted to: .... ................... ~,jJ~,qlll ....... l.,.~+ ................. to .... ~laJ.~..~...eae.. J~ma~.~.. ~tw~:.:Lt~ ............................................................................... at premises located at ........ ~t/J.....OJ,~..~-a~Le...~.,.~ .................. : ..................................................... ...................................................... l~a~t~%m~k ......... li.~, ................................................................. pursuant to application dcrted .............................. ..~...~.$.~. ....... .J.~......, 19..~...., and approved by the Building Inspector. J:ee $.. JJ~.~,.~. ......... Building Inspector FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. TEMPORARY Certificate Of Occupancy No. ~8~9 · .. Date "· 0Ct '3 , 19 72 THIS CERTIFIES that the building located at 0lc g.~le Lalae Street Map No. xx Block No. Xm; .... Lot No. xX. l~al;titutk conforms substantially to the Application for Building Permit heretofore filed in this office dated &pril. 1~ 1971. pursuant to ;vhich Building Permit No. ~236Z dated .... Ap.ri],...~5 , 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 ~ssued is Pz'±vate one..family .dwe.!..ling ......................... The certificate is issued to John .& &melia .Wood 0wlaors , owner, lessee or tenant) Street ols Jute Lano of the aforesaid building· Suffolk County Department of Health Approval UNDERWRITERS CERTIFICATE No p.en. di~g.. IIOUSF NUMBER 31 ~0 · · 2-7 -'~9~- byR. Villa ' Btuldlng Inspecto~ S-9 SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH TO WHOM IT MAY CONCERN: at The sewage disposal facilities for a structure located ' ' (Give deed 16cation) have been inspected by this department and found to be satisfactory. 1972 THE? NEW YORK BOARD O? F RE UNDERWRITERS ak BUREAU OF ELECTRICITY 85 JOHN STREET. NEW YORK, NEW YORK 10038 TNI~ ~ERTIFIES THAT only ttte ~,lectrical equip~n~'nt ~ described below and introduced by the applicant ~al~[,d o~ lite above appl~catlon number ia Ihe premtses of 5ohn E. WooS, w/s~ae O~e 5u~e Lane, 2/~¢ ~. s/o Krause Ra. Ma~ktuck, FIXTURE ~RECEPTACLE5 SWITCHES FIXTURES j RANGES COOKINGDECKS OVENS ~/ASHERS EXHAUST FANS DRY~RS FURNACE ~O~ORS ~UTURE APPLIANCE ~[E~E~S SPEC~LR~C'PT~ TI~CLOCKS ~ELL ~ I ' T AN J SYSTEMS SERVICE DISCONNECT mo OF } S E R V I C E 1 200 CB x 1 3/0 I 3/0 OTHER APPARATUS ~Future appliance feeder/s: 1-3#6, 1-3#10, 1-2#12, 5-2#14 Water heater: 1-4.5kw MoOr/s: 1-3/4bp 13 blank outlets for electric heat radiators Sandstrom Elec. Co., Box ~45 Aquebogue, L.I. 11931 h~eil. No .building shall .be occupied or used in whole or in part for any purpose _whaler until a Certlfl~ot~ of Ogcupancy s a nay, ..en gmn~ Dy the Bu,ding ~n.p.c~r. /-/~- 1~ ~/t"/C P B .A, ,P. PLI_CATION !S HEREBY MADE to the Building Del;xartment/for tt~e Ilsuance aC a Building Permit I~nlt~nt to the ?,a~ng Lone. O~mance of ~e Town of Southold, Suffolk Count, New Y. ork, end other applicable Lawl, Ocdlnanc~-m ~eeU~atlons, tar the construchon of buildings, additions or alterahons, or for rem~al or demolition, m hemtn d#crlbod · applicant agrees to comply with all applicable I~ws, ordinances, building code, housing code, and mgulatlOrm. (Signature cf applicant, or name, tf a cml~mtl~n) (Add~H at Ppplld~) ¢/ -- State whether applicant is owner, leuee, agent, architect, engineer, general contractor, elKtrlclan, plumber or builder, Name of owner of premleel ........................... ~.....~... ................................... : .................................................................... 1 L~ationof andon~ch m~w ~done Ma-No ~~ I~. ' ......... ~'"~'~-:~' / ........................ ~ ¢ ~~~'""; ....................................................... ~ ~M~I~I~II~ "~ ~"'"f~ ....... o. Bi~ti~ ull ~ ~u~cy ................................................................................... .......................................................................... 3. Nature of wink (check which applicable): New Building /'~ Addition ......... ~ ..... I a :~ ......... Repair ~ Removal - Demolition .................. Other Work (Describe) ' ' 'r 4. Estimated Cost .............. ./...~..,,..~ ................ : .......... Fee ....................................................................... ..'~..; ............. (to be paid on filing this application) 5. If dwelling, number of dwelling umts ...~ ............. Number of dwelling units on each floor ............~ ............... If garage, number of cars ........ ~ ....................................................................................................... i ............... 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 additions: Front .~ ............. Rear .........~ .................. Depth ............ ~ ............ Height ........ ~ .............. Nymber of Stories ..........~ ................. 8. Dimensions of entire new construction: Front ........ .~.../..~..c~.....~.~. .......... Rear ..... ~.....~...!'~...~...;;.... Depth ..~..~..;.~[J. ..... Height ~.;,~..~'.~'..~..i'..~. Number of Stories ...~..~.~..~~...~ ............................................................. 9. Size of lot: Front ..... ..~'..~..f...~.. ........... Rear ..... ./...~...~..~..~.. ................. Depth ...~.~..~....~./...~..:? 10. Dote of Purchase ..... ~.~..~. ........................................... Name of Former Owner ...~...~....~....~'...~...: .................................. 11. Zone or use district i,n which re ~' - -: -K' ed. ?~?,'~ -~-: 12." Does proposed const~uc'tlo/vioJat,e any zoning law, '~rd~nance or ................ regulation? ,~.......~..~~ii' .................................... 13. Name of ~Owner.of premi~./...~.......~..#.~..~...Address .:.~,.~.~.~~..-~. Nome of~--~ ...~/.~.~...~,~ ~. Address ~~~hone No J..~r...~. ~. ?.7~ ~ PLOT DIAGRAM -",,"~,~,'~ ,c~ _ :_-.c~.~,~ Locate clearly and distinct¥oll 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 Jot. / STATE OF NEW ,,YOtJK. ~ ~, ! S.S COUNTY OFm._,._./~ ~ ,' / rLJ 4z/'~"~m'"'"f ''~ ~ ' .: ) .......... i.i ........ T~-.~.~D~......./~..~ ............. being duly sworn, d~es and says t~t he is the applicant' (Na~e of individual si~ind applic~ion) above named. He is the. ...... ~.,..~ ............................................ J : (ContractOr, ag~t, comorate °fficer, ~c.) of said owner or owners, and is duly authoriz~ to perform or have perfo~ the said work and to ~ke ~d file this application; that alt statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner ~t fo~h in the applicati~ fil~ therein. Swam to ~fore ~ this ........ ........ ....................... NOTARY PUBLIC, ~ate ~ New York ~o, 52-8125850, Suf~lkCo o~v Term Expires Ma~h ~, 1 ;I 4'*4'~.pos{ L~ t 9,.".-I,+~'' ~0 d X x o ~'tc ¢~&'v u ¥ ~ "~ &xts v~..~e. &L OLEJ UI.L Llq N F.. W~'LI.- Po k,I P . / \ eo, 4-'-o'/z~. 3! e$/8'' (fO