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Home My WebLink About5818-zl~O~ NO. & TOWN OF SOUTHOLD BUnchING DEPARTMENT Town Clerk's OEice Southold, N. Y. Certificate Of Occupnncy No..Z.7113. ..... Date ............,Tu].F... ~..: .... , 19.76. THIS CERTIFIES that the building located at . R.o.0 oI~,. t~/S. ~hipyel*d. L~treat Map No. x~cx ......... Block No. ~ ...... Lot No, ...z~x. · East. 14ax, io~, · · · N...~, · · · conforms substantially to the Application for Building Permit heretofore filed in this office dated ............. Apr .17.., 19.72. pursuant to which Building Permit No.. ~818Z- dated ............Apr.-'$7" ', 1972' ', was issued, and conforms to an of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is .PrSv~te. one. f.a.m.~..ly..d.w..e.1;[.:l,.ng ....................................... The certificate is issued to . Geer£~ .I~,. Gregory ....... ~wner ..................... (owner, lessee or tenant ) of the aforesaid building. Suffolk County Department of Health Approval .. l~ee...21...1.972s. .by. R, .Villa.. UNDERWRITERS CERTIFICATE No. N1~3938 ..... S®i~t - - 2.$ ·. l ~72 ............... HOUSE NUMBER ..... 680 ......Street . .l~zt..ttd. ~ '~-.East. l~Ia~-ion ............. Building Inspector/ FOR~ NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING P. ERMIT (THIS PERMIT MUST BE KEPT ON THE PP, EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 5818 Z Permission is hereby granted to: ..t.~.-...~.o.,._,:~.~.[~.~:=..!.~/.~...~:-.'..o.~.~.e....,o.~.e.~..o.~. .... to ..~ve..aa~..ex4,s.t,.la~..ame~-:la~..-.-~,i~el~ ~./t~ ~ilakpy&~ .Jab at premises located at ............ .~O..~/~..,~,L~,.~,e..~oa~l..o£~.M.j~-~..~h:Lp.Jtakle~-.$~ialadI ............. ........................................... l~Ul~t..i~x~o~ .......... ~,:Z. ..................................................................... pursuant to application dated ........................~',f~......~.7. ......... , 19.~1~.., and approved by the Building Inspector. NEW YORK BOARD OF FIRE UNDERWRITERS . BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW yORK 10038 L972 ,,pplieation r~o. onj~l~' 5 9 6 3 8 5 N 43938 elow and introduced by tl~ applicant named on the above application number in the premises of Baseme~ 1st FI. [] 2nd FI. O~e Section Bilk ~t ' ~e~" ~ 8 ,.~972 and found to be in compliance with the requireme~ts of this Board. FIXTURES RANGES (lNG DECKS OVENS DISH EXHAUST FAN', SWITCHES FLUORESCENT VA~OR MOTORS FUTURE APPLIANCE FEEDERS TIME CLOCKS JNIT HEATERS MULTI-OUTLET SYSTEMS NO. OF PEET DIMMERS OF CC. COND t A W.O. NO Of pl:R ~r OF CC. COND. I 3 ' NO. OF NEUTRALS OFA~4~'~ITGI~A L · ' Theodore' Rohloff, ~ .~' iL Oreht~rd Street, rhis certificate'must not De aJter~J~i~'ony manner; return to the office of the Board if incorrect. Insoectors may be redentials. ~ -~ ~,A ~WN CL~ OFFICE ~c ~ ~~ ~ ~omin~ ~ f~ 119 ~ ~li i n ~ f~ · .................... , ........ _, cat o No ....... ...................... ~pr~ ....................................... , 19...~... P~it ~...~.~.~...~...~ .... ? ' Disapproved a/c ............................................................ , ............................... (Building Inspector) APPLICATION FOR BUILDING PERMIT ~ Date ......... ~ ......................., 19.....~....~... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building Inspector. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout ofproperty must be drawn on the d agram 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 Certificbte of Occupancy LJ~, shall have been granted by the Building InspectOr. . "~ APPLICATION 1S-HEREBY MADE tO the BUildl~-l::le~3-rf~i~t'-for the issuance of a Building permit PUrsUant to the Building Zone Ordinance of the Town of Southold, Suffolk COunty, New York, and other applicable Laws, Ordinanc..es or~ Regulations, for the construction of bui dings, additions or a terations, or for removal or demolition, as herein deSCr,bed.~"~ The applicant agrees to comply with all applicable laws, ordinances, building cede, housing code, and regulations, (Address of applicant) State whether applicant is owner, lessee, agentf architect, engineer general .contractor, electrician, plumber or builder. Nome of owner of premises .... ,, .................................................. ...................... If applicant is a corporate, signature of duly authorized officer. ......................................................................(Name and title of corporate officer)~ ................. 1. Locat on of and on wh/~ . , . ,~ ,.., ~ ~~....~,_.......:;u. ~...;. _ . :.......................ch proposed work w be done Map No' . Lot No Street and Number ...,~...~..~.~...~'~*" .~...:'"~'..~~'"'"'--'----- 2. State existing use and occupancy of premises and in{ended use and occupancy of proi>osed construction: a. Exisiting use and occupancy b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Addition .................. Alteration .................. Repair ~ Removal ~ Demolition .................. Other Work (Describe) 4. Estimated Cost ............................................................ Fee .................................................................................. (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 ears~ J . .~ ......... 6. If business, commercial or mixed occupancy, specify nature and ext~nt, of each type of use ............................ 7. Dimensions of existing structures, if any: Front ....... .~...~...'. ........... Rear ...,~..~',..: ................... Depth Height ........~.....~...~ ........ Number of Stories ~'- . Dimensions of same structure with oiterotions 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 tot: Front ..... ./...~....a...~ ........... Rear ..... /....~...0...?.~. .............. 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 regulation> 13. Name of Owner of premises--~....~...~..~.,...~.~..Address ~~..~hone No.~7~...~..-..?..~..~...~' Name of Architect ............................ ........... Address ....... '"'"'--"'r' ....................... Phone No ..................... ....~..~,...~..~ ~'.'-'~7~_ ~ ........ Address ...... ~'~ .......... Phone N o.~...~...?...~....~...~.. ~. Name of Contractor 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 whether interior or comer lot. · ............................. ~ ....... ~.~ ....... ~.~....~.. .......... ~ ........ '....-....:being duly sworn, dePoses and tsays that he is the applicant (Name of individual Signing application) above named. He is the ........................... D~,/.~,4~.~,,/~? .......................................................................................... (Contractor, agent, corporate officer, etc.) '~ of said owner or ~ners, and is duly authorized to perform or have performed the said work and to ~ke and file this applicati~; that all statements contained in this application are true to the best of his knowledge and belief; and that tho work will be performed in the manner ~t fo~h in the applicati~ 'filed therqwith. Swam to ~fom me this '~ ......... .................................. ............................ .~ ~ ,' ~ . 800 Suffolk Coun~ , ,erin bXp,ros M~rch 30, 197~ ~OXlD /2_0,0 , FOBM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Application No.. ,~....~,..,/,.,,~,, .............. Disapproved a/c .............................. (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ................................................. 19 ............ INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building Inspector. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout ofproperty 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 avoilable for inspection throughout the progress of the work. e. No building shall be occupied or used in whole or in part fo[ any pu~'pose whgtever until a Certificate ef. Occupancy shall have been granted by the Building Inspector. . ...... · APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New YoriCk, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building c6de, housing code, and regulations. ' i ,~Addr o app ica t) State whether applicant is owner, lessee, agent, orchitoct, engineer, gen'eral cdntrocto~;, electrician, plumber or builder. Name of owner of premises ...... ~.~.....~.~¥,,i~,~l~>~t~- .......................................................................... If applicant is a corporate, signature'~'~ -~*~-'of duly authorized off ic~r.// /J~' (Name and title of corporate officer) " k~ Lot No ......................... 1. Location of lana~rYwhi~h 'P~rol~0~Jed ~ork will be done. 'Mal~' No.: Street and Number .~~..~ ....... .,~,~...~'.~.~,~.,~..,.~'.....-~.;...~..~,.~,.~......"~,~.~,.~'. .................. 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ...... .~,, .,~ ........................................................................................................... b. Intended use and occupancy ..... .~,~,; ........................................................................................................... 3. Nature of work (check which applicable): New Building .................. Addition .................. Alteration .................. Repair .................. Removal .................. Demolitior .................. Other Work (Describe) ........................................ 4. Estimated Cost ............................................................ Fee .......................................................................................... (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, sp~ecil~'y 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 ............................Number of Stories ................................ 8. Dimensions of entire new construction: Front .................................... Rear ............................ Depth ........................ Height .................... Number of Stories ...................................................................................................................... 9. S~ze of lot: Front ............................ Rear .................................... Depth ................................ 10. Date of Purchase ........................................................N~,~,e~of Former Owner ........................................................ 11. Zone or ...... 4~)r-'~ ' use dlstnct m which premises are s~tuated ..... ; ................ ~. . ...................................... 12. Does proposed construction violate any zoning Iow, ordinance or regulation? ]3. r, lame of Owner or premises: .............. ' ........ T-.~7. Z.:~C......Address " ~- - - Nome of Architect ....................... ~ ........... ~.. .............. Address ................... ~ ...... ~, ................ Phone No ..................... PLOT DIAG~ L~ate clearly and distinctly all buildings, whether existing or p~osed, a~ indicate all set~ck dimensions from prope~ lines. Give street and bilk number or description according to de~, and sh~ street nam~ and indicate ~hether interior or met lot. STATE OF NEW YORK, ~, ~ ~ COUNTY OF .~..~..~..~...~..Z..~. .......... ~.~ ..................... ~..~......~.~.~.~.~. ........................... being duly ~orn, d~oses and says t~t he is the applicant (Name of individual signing application) above named. He is the .. ~(ZZ.~ ............... (Contractor, agar, 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 application; that all statements canto:tried in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set fo~h in the applicati~, fil~ therewith. Swam to before me this ....... ..... ........... ............... Nota~ Pubhc, .:.~......~-.:.-.-Z~, -Z,.: ....... ~....~ ............. Coun~;'SZ'~'~[~ignature of appJicant~ .................... ' .o, No. 52-7267800 Suffol~ Coun