The URL can be used to link to this page

Home My WebLink About5914-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupnncy THIS CERTIFIES that the building located at .C. ~.e.a.r..v.l.e.w., (~..B.r.e..J..t.s.t..ad.t.. ~reet Map No...8.~.~.t..h~.~e.l~lo~ No ........... Lot No. ~.0. ....... .S..o~..t.h.o.l.d....N.: .Y: ....... conforms substantially to_the Application for Building Permit heretofore filed in ~thjs. office dated .....AUg...~.~. ...... 7.~, 19 .... pursuant to which Building Permit No.&?9..TZ.... Ka~ 31 1972 dated ....Aug.. ~ ~...19~'3..., 19 .... , was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is The certificate is issued to . .R.J:e..1~. ?.d...P~.l.3:.e..s ..... . .0~..e.r. ........................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval..N. :.R: .............................. UNDERWRITERS CERTIFICATE No..~..~. ? .~..e.~. ....... .~.U.Z... ?~.. ??.~. ........... HOUSE NUMBER . .7.~. .......... Street . .B..r.e.J:.t..s.t.a.d.t. ............................ 100~ ¢learview Ave B~ilding Inspector FO~M NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT 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? 591 Z Permission is hereby granted to: ct premises located at ...... ,~O~,...~O...~tm:~ll~'.:l~,~-..~lq~ .............................................................. ............................................... ~I~AW~A~..Ave. &..Bz, eSt~ta4t~.~,~ ........ ~ .................................. purs,,ant to application dated ................. :~ ...... ...~..~. ......... ~..~. ........ , 19..~.., ond approved by the B,,ilding Inspector. Fee $..~.~.~1 .......... ~ BO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMINT TOWN CLERK'S otqll~E SOU?HOLD, N. Y. Examined ....... [ ................. , Approved ........................................ , 19 ........ Pemit No. APPLICATION FOR BUILDING PERMIT a. This. ~di~tion mUe{~ be~cemple~lv,~fiiled ]n~ }W ,typm~,ritqp~(Jr~ in~ ~ i~ ~j~ ~ ~e Buildi~ Im~, wil 3 ~u of ~a~, ~ur~ ~ot ~ln ~ ~le. ,~ ~i~ ~q ~ule.., . b.: ~JOt~ ~ '~owing ~n'~f~ lot ~'~d ~ pr~ ~l~lp~ giving a ~tailed de~ription of Iw~t of pro~ mu~ ~ dr~n on di~ram ~ Il ~ of ~ll a~ll~ion. o. T~ wo~ ~red ~ this a~li~tion ~y not ~ ~m~n~ ~ i~ of Bui~i~ ~mit. d. U~n approval of' thi; appll~tion,, ~e Bu Id ng. Ins~r will i.~ a Buildi~ ~rmlt to t~ l~lMnt. ~ ~rmit,~ell ~ ke~t ot tM ~mi.s available for inl~ion throu~ut the ~. " e. No buildi~ ~hall ~ ~pl~ or uM In whole or in pa~ for any ~r~ ~r until ~n~ by the Buildl~ Inl~or, A~LICATION IS HEREBY MADE to the Building ~mnt for tM Ordinan~ of the Town of ~u~hold, ~ffo~ ~unW, N~ YoA, and otMr l~li~bk building, ~diti~ or al~ration~, o~ for removal or demolition, al ~mln MI~. o~inan~l, building ~, housing ~de, and ~ulations, and to admit authori~d In~m ~ ~mlm ~ In ~ildin~ ~r ~ I~lonl. (Signature"of applicant, or name, if a corporation) ~½50 Veteran. #emro:La1 lief (Addre-~ of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. builder Name of owner of premises ....... ~LQIIAEII..F~LIbA ...................................................................................................... If applicant is a corporate, signature of duly authorized officer. [Name and title of corporate officer) Builder's License No ..................................... ............... . ..... Plumber's License No ......................................................... Electrician's License No ..................................................... ,, ~,., Other Trade's License No ................................................... suLt...h.t .o. .... 1. Location of land on which proposed work will be done. Map NO ................ ~r~ ~'.... ;~ ~ x 0 Southold N -~- Bre~tet&dt Co~t Street and _u,,,u~, ................................................................... ~ ............................................... ......... , 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ........... ~l. la~[L.~am-Ll~r...'h'e2.~J-a& .............................................................. ' .... ' b. Intended use and occupancy ......... fJ. ii~].&..;~.t.l~,...ll~;Ll~llJJ:l~..peztz ..................................................... "~1~ 3. Nature of work (check which applicable): New Building ....... 'z ............. Addition ..................... Alteration....,~ ....... .', ' Repair ................... Removal.. ............ ,,, ,,,. ,.,. Demolition ........................ Other Work ................................ , ... ...... (Description)., ~ (to be paid on filing this application) 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, specify nature and extent of each type of use ..................................... 7. Dimensions of existing structures, if any: Front .....................Rear ........................... Depth ................................... Height Nu be of Stories ................. Dimensions of same structure with alterations or additions: Front .......................... Rear ......................................... Depth...... .............. ... ..... .............. . .. Height ......................................... Number of Stories ........................................ 8. Dimensions of entire new construction: Front ..... ~,~..~...~.~... Rear ............................ Depth ........ ,~..-.~.~ ............... Height Number of Stories ............................................. 9. Size of lot: Front ......... .~../L,~. ..................... Rear ........ ~.~Q ........................... Depth .......... ~.~...~(~J:X'.II~,). ................ 10. Date of Purchase ..................................... Name of Former Owner ............................................................................ 11.. Zone or use district in which premises are situated ..................................................................................................... 12.' Does proposed construction wolate any zen ng law, ordinance or regulation: no 13. Will lot be mgraded .............................. Will excess fill be removed from premises: [x] Yes [ ] No 14. Name of Owner of premises Richard Ptlleo. Brtetetadt Court, Southold 765-1095 (Address) (Phone No.) Name of Architect .... g~'.e&&..JJ,.¥.eF...]~.a3...C~,..~,,5,G...~II.~L~, ~OJl& ......... J.I/Bm33.6~. ..... " (Address) " (Phone No.) . _ Groat Rlvor Pool Corp, ~½50 Veto H~y, Bobeula JU8-~bb Name of Contractor ........................................................................................... ....... · ... .......... · · · ....-.-. · · · -.-.. · · · (Address) (Phone No.) PLOT DIAGRAM Locate clearly and distinctly all 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 wheth- er interior or corner lot. STATEOF NEWYORK, ) COUNTYOF ........................ ~.~.~ .......... ) PLEASE HOLD FOR PICK UP SESAME CONSTRUCTIDN SERVICES iNC. .......................... .~],~L:[.~,Jll...~a...~.~.~l~l. .................................. being duly sworn, deposes and says that he is the applicant above named. (Name o/individual :igtt~ng ~otttract) : :~ ; .,. builder He is the ................................................................................................................................................................................................................. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to o~rform or haw ~rformed the said work and to make and file this application; that all statements contained in this application are true to th~ll~s~ of his knowh~e a~d bel.ief: and that the work will be p~rformed in the manner set forth in the application filed therew;th. ........ ......... Notary Public, . ............................................. ~J~tROJ~k~ty .............. ~~.....~...~ ........ ~ .................. C0mmi~i~n Expiraa March ~,19 ~ ~ {~re~fapplic~t} THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY' *. 85 JOHN STREET, NEW YORK, NEW YORK 10038 THI~ CE~I~I~5 THAT ~ly the ~t~M ~u~nt ~ ~c~ ~ a~ int~ ~y t~ ~t ~ on ~ a~ ~pl~a~ n~m~r in t~ p~mises o~ in the following l~ation; ~ B~e~nt ~ lst FI. ~ 2~ FI. outs~e S~tion Bilk ~t ~o. ~ug~ 20, 1973 and found to be in compliance with the requ~rementz of thls B~rd. FIXTURE OUTLETS DRYERS FURNACE MOTORS FuTuRE APgUANCE FEEDERS r RANGES SERVICE DISCONNECT NO. OF S ~T. A,,~,. ~'~ ~. ~,2w ~3w 3~,3w 3.~4w OTHER APPARATUS: ICOOmNO BECKS I OVENS I DISH WASHERS TIMECLOCg$ BELL~UNITHEATERS MULTI'OUT~ET AMT,. S; NS. '] jA~T' I ~'P' NO. OF ~EET V I C E EXHAUST FANS DIMMERS R A. W.G. NO. OF NEUTRALS OF HI-LEG (Swir~ming Pool) This certificate covers compliance at the date of inspection only. Because of unusual environments it is advisable to have frequent test and/or repairs made by a qualified person. Frank T. StepnoskiR ~20 Little Neck Rd.R Cutehogue, L.I. 11935 Per COPY FOR BUILDING DEPARTMENT. THIS COPY OF C,'KiiFICATE MUST NOT BE ALTERED IN ANY MANNER.