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Home My WebLink About6295-zNO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Town Clerk's Office $outhold, N. Y. Certificete Of Occupnncy THI RTIF - that the b 'mg located at ~ ~ Street Map No ............. Block No ...........Lot No ..............~. ....... Y ........... conforms sul~tantially to_the Application for Building Permit heretofore fried in tht~ office dated ~ ........ ~.~..[. };..., 19...~ ~..~suant to which Building Permit No ......... dated ......................., 19 .... , was issued, and conforms to all of the require- ments of the~lic~ble ~visio~ns of th/riaw. T. hF~oc_cu/~mcy ~T whicly~c.~if~tentt_,~ ~, issued is .. ~...' ........... 1~:. ~ ...... t ~- . ~.. 'c '~ ........... I .................... .... ~ ~, ~~-~. · lne certificate is issued to .k/ ..................................................... (owner, lessee or tenant ) of the aforesaid building. Suffolk County Department of Health Ap~al I~' .................................. ~.~ ~- ..... ~.~.~,.. ~.~ HOUSE NUMBER .............. Street ....... ~....' ........................ ~. ..... Building Inspector FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEFARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N~ Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PP, EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 6295 Z Permission is hereby gronted to: N.tdl~;~y..&..~o~tea.....A/C....~,,eh~..Get.~emaa. .............. C~t~ ............................................ to .~L~..a~..~d~,t,~ea..&..amke..a.~t~ra~n~..on..~t~g..~l~3:~ ................ et p~emises locoted otLc.t~...l~.....C~e~ve~..~.o.i~t..~;ee...I. ............................................................ ................................ ~l~r~...~ s.t ..~a~t ............. ~e~pet,~ ..................................................... pursuant to application dated ....................... D~¢.....$~ ............... , 19..~.., end opproved by the Building Inspector. Fee $1.~...~0 ............. I ' Building ~nspector [ THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF= ELECTRICITY tab ~ 85 JOHN BTREET, NEW YORK. NEW YORK 10038 THI~ 6E~IFI[~ THAT o~ t~ e~t~ ~u~ment ~ ~scH~ ~ ~ i~t~ ~ ~ ~pli~t ~m~ on t~ a~ ~pl~at~n numar in t~ prem~e~ of John Oet~an, Osprey Ne~t Rd,, Oreenport, L.I. inthefollowing~cation; ~ ~ement ~ IstFI. ~ 2nd FL ~e~.~o. December 17, 1973 a~foundtobelncomplia~ewlthther~uirementsofthisB~rd. RXTURE ~E~AC~S SWITCHES FIXTURES~ ES ~KING D~KS I OVENS DISH WA~ERS EXHAUST FANS OUTt. S NCANDE~ENT FL~E~E~ ~' ~T-NGK' w, ~T. K.W. ~T. K.W. ~T. K.W. ~T. H,P. 1 150 C~ x 1 1/0 Tow~ }{arbor Lane :~ougho!d, L.I.11971 i! COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. · /~' ~'~ Examined ......... ..C~.......( Dim~ ...................................... APPLICATION FOR BUILDING PERMIT ~ ...L].~c....!...~ ................................. , ]9.Z~. INTRUSIONS a. ~is ~plicati~ mu~ be completely fill~ in by ~writer or in ink a~ submi~ in ~plic~ to ~e Buildi~ Inm~tor. a~; a~g ~ ~:~e~t,':~ :~ ~t ~gd of ~jldi~s on p~i.s, mlati~ship to adjoini~ p~mi. or public , g g ~ p o, at ~totprope~must ~dm~ on the di~ram which is~of~Aapph~ti~. c. ~e work c~r~ by this a~hcation m~ not be commenc~ before i~ce of Building Pe~it. h~l~, Up~. a~/pval of this app?~tio~, t~ Buildin~ Ins~ctor ~ill i~ue a Buildi~ Pe~it to the ~plicant. S~h ~' s a I ~ Kept on tne pmmi~ ~i~ame Tar ink.ion thmugho~ ~e p~re~ of ~e wo~. e. No ~ildi~ s~ll ~ ~cupi~ or u~ in whole or in pa~ for any pu~e what. er until a Ce~ificate of ~c~ s~ll h~e b~n grant~ by the Building Insp~tor. . APPLI~TION IS ~REBY ~DE to the Building ~ment for ~e i~uance of a Building Pe~it pu~am t° ~e ~ild~n~ Zon~. ~g~e of ~e T~ ~f ~uthold, Suffolk Count, N~ York, and ~her a~licable L~, O~i~nC~ or ~egu~at~ons, tar the construct~ of buddings, additions or alterations, or for mm~al or demol t on. as hem n d~ri~ ~e applicant ~s to comply with all applicable !o~, ordinance, building c~e, h~sing c~e, ~d regulations. / 0- g-g 6 .~.~.~ ........ ~ ................. /~re~ of applic~t) .................... ....... ................................................................................... : .................. ...... ....................................... If~licant is a co~e, signore of duly au~orized officer. ...... (Na~ and title of co~om~ officer) _,.~/ 1. L,at', of land , ~ich ,~ ,,k ,,11 ~ d,c. Map No.~;..~ ........ L, ~o.: .....J..~. ...... ....~ St, and Numar .~~...~g.~.~.....~~~ -- 1 .....I Munici~ll~ 2. State existing u~ and ~u~n~ of premiss and intended u~ and ~cu~ncy of pr~m~ construction: a. bisting ~ and ~cuNn~ ..... ~t...~ ................................................................. ~. ~.~e .. ~.~ ~:.~.:~ ....... ~ ~~ ................................... '........ ............. Nature of work (check which applicable): New Building .................. Addition .......... Alteration .................. Repair ................. Removal .................. Demolition .................. Other Work (Describe) ...... A : 4. Estimated Cost~...~,.-~'..~....~..~.~..~.. ............................. Fee ..~ ....................................................................................... (to be paid on filing this application) ': OF NEVi. ~ S S n~deposes anti'says ..-..--.-..-....--...-.-..-- .................................................................. being duly ~or t~t h~, ,he applicant above na~d~m~e°~si~dhi:i~l..~:~:~:~fi:~i.~.7.~..~..~ ...................... ~ ................................................. (Contractor, agent, co~orote officer, etc.) of said owner or owners, and is duly authorized to perform or have perfo~ed the said work and to ~ke and file this application; that all statements contained in this application are tree to the best of his knowledge and belief; and that the work will ~ performed in the manner set fo~h in the applicati~ filed therewith._ Sworn to before me this ~ ~ .'~. ~_ ~ ~~ ............... ........ ............. , ........................................................... ............ ....................... whether interior or comer lot. .5. If dwelling, number of dwelling units ............................ Number of dwelling units on each floor ............................ If garage, number of cars ............................................................................................................................................. 6. If business, commercial or mixed occupancy, specif7 nature and extent of each type of use ............................ 7. Dimensions of existing structures, if any: Front ..... ..':/. ................... Rear ....'2..~. ...................... Depth .................... Height ....[...~. .............. Number of Stories ........... ~ ............................................................................................ Dimensions of sar~ structure with alterations or additions: Front ...;....~...~. .................... Rear ......~...~... ............... ~ Depth ......... ~.~.. ................ Height ..J...~. .................. Number of Star es ..~ .................... 8. Dimensions of entire new construction: Front .................................... Rear ~ .............. ; ............ Depth ........................ Height .................... Number of Stories ...................................................................................................................... , 9.Size of lot: Front ............................ Rear .................................... 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 r_.ea~a~jor~ ............. ~C~ .......................................... Nome of Architect ...................................................... Address ............................................ Phone No ................... .. Name of Contractor .~el~e~,.~....~.~ ......... Address ~.~.~ ........... N o ~.~..~....~..~.. ~'.. ?. / Phone PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or prop6sed, 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