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Home My WebLink About5833-zNO, 4 TOWN OF SOUTHOLD BU~.BING DEPARTMRNT Town Clerk's Office Southold, N. Y. Certificnte Of Occupnncy No. Z~It33 ...... Date ............I~.~., .~.0. ...... , 19~3.. THIS CERTIFIES that the building located at . 8/Ii.. Lake. D~l,,te ......... Street Map No. ~ ......... Block No. xlm ......Lot No... xX... lloutlmlS.. II,Y, ........ conforms substantially to the Application for Building Permit heretofore filed in this office dated .........At)r~,l.. 19.., 19 ~2. pursuant to which Building Permit No...~83~ dated ........... Apr:LX .~..., 1~.2.., 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 . ~.z'$~'&te. ol~e. fa~l~'. 41eelL~ ...................................... The certificate is issued to . ]ll~l'S.e..1~orble ......... (henel, .......................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . .~....R.e ...................... ~ ....... UNDERWRITERS CERTIFICATE No...N..~[.~.$.~) ..... .A.I~..3.0...~[~ HOUSE NUMBER ....~ ....... Street ....L~.#, .I)i['.~$ ........................... · ........... FORM NO. ~ 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) No. 5833 Z Permission is hereby gronted to: ............. ~ !.~,.~-~.~, ~:'i.~zb.~ ~. ................................ .................. .b.2£....lgt.. ~II,~ez~r.. ll~ .................... ......................... l~e.l,~&l, le.....lq.,.~, ..................... to ...~.,i:.].~..e~...a6c~.4:-j:~..~,z~..-ex.~.~,t-i..-:.~.. ~'~,'e'2_'kizz~' ............................................................ at premises located at ..... ~'i~..~.~:k~..~.Zo4~¥~ .................................................................................... ........................................................ ~-.,~.t, he~d.....~.,.Y., ....................................................................... pursuant to application dated ........................... ,~,..'.~,':3.~ ........ ~...., 19..~..Q.., and approved by the Building Inspector. Fee $..1.~.5eg .......... THE NEW YORK BOARD OF FIRE UNDERWRITERS Cfi BUREAU OF ELECTRICITY I-- 85 JOHN STREET, NEW YORK. NEW YORK 10038 THIS CITIFIES THAT ~ly the e~ ~uip~nt ~ ~cH~ ~ ~ int~ by~ t~ ~nt ~ on t~ 9~l~a~n n~q~r, in tb ~ of ~$1~$a~ ~orhXe, ~/~ Lake D~. o30.~o' ~. ~enny-~ Ha., ~oucno~ u.~. in the foll~ing l~ation; ~ B~ement ~ Is~ Fl. ~ 2~ Fl. outside S~tion Bilk ~ ~,.~;~o. AugUst 27, 1973 a~foundtobeincompllance~iththerequlrementsofthls~. DRYERS I FURNACE MOTORS EDTUIm AI~LIAIqCE FEEDERS SERVICE DISCONNECT O. OF S A~T. AMP. TYPE L,8~2W {,8'3W $#3W 3,e'4W NO. OF ¢C. COND. 1 15o SW x 1 OTHER APPARATUS: panelboard/~: 1-5ckt. 125ampE. Electric room heater/s: 1-1.Skw, 2-.Skw RANGES MT. K, W. ;PECIAL REC'PT R IcoomN~ DECKS OVENS DISH WASHERS AMT. K, W. { AMT. K,W. MT. K.W. I TIME CLOCKS~IUNITHRATERSUNIT HEATERS MULTI-CMJTIET · , ~": -~ S"o-YSTd'~"T I I V I C E EXHAUST FANS DIMMERS A, W.O. NO, OF HI-LEG A.W. G, NO. OF NEUTRALS A.W.G. OF CC, CC)ND, OF HI-LEG OF NEUTRAL 3/0 1 1/o William Worhle P,O. Box 714 Melville, L.I. 117~6 ~ Per 11 .'., ' ,. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. TOWN OF SOUTHOLD Building Depaffment Town Clerks Office Southold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instmctiona A. This application must be filled in typewriter OR ink, and submitted in triplicate to the Building Inspector with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposal--(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installations, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicabl~. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent in- formation required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1.00 New Building .................... Old or Pre-existing Building ............................ Vacant Land ............................ Location Of Property ...~.Zb~..{.~..¢.T'. ......... ; ...... .' ......... : ......... Owner Or Owners Of Property ........ /....~....~.~ ................ /~'~ ~ ......................................................................... D~/~. Subdivision ........................ .-. ...................................... Lot No. ~ ' Block No......--~..:". House No......~..i~J N o..~.~,. ~,,~......~.. Permit Date Of Permit ./.:..~..z......Applicant .... ........ Health ~pt. Approval ............................................ Labor ~pt. Approval ................................................ Underwritem Approval U - O- Planning B~rd ~proval Eequest For Tempam~ Ce~ificate ........................................ Final Ce~ificate .......................................... F~ Submitted $ ...~.~.~. .................... Construction on above described building and ~eets/,~,pplica~a~nd~:~lations. Applicant ............. . .~....~ ..~--~.~ ....... ;~: ~:.. ~'...r~... 4~....~ ..................... Sworn to before me this ....... doy of ...... ........ Notary Public .................................... County (stamp or seal)/~, I~ORM NO. 6 TOWN OF SOUTHOLD Building Department Town Clerks Office Southold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in triplicate to the Building Inspector with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposal--(S~9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installations, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent in- formation required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use 3, Copy of certificate of occupancy $1.00 $5.00 New Building .................... Old or Pre-existing Building ............................ Vacant Land ............................ Location Of Property ...~.!.~. .................................. ..~...: ......................................................... ~. ...................... ......... ................ .................................................... Su~ivi~ion ............................. ~:: ......................... Lot No....~::~... Block No ............. House No ............. He=lt~ ~pt. ~pprowl ............................................ ~bor ~pt. Approval ................................................ Unae~rite~ ~pprov~l ~.~,:.~:..~,~ ......... Pl=nnin~ B~rd ~pro~l ........................................ Request Fo~ Tempom~ Ce~ifi~te ........................................ Final Ce~ifi~te .......................................... .................... Construction on above described building and permit meets all applicable codes and regulations. Applicant ......................................................................................................... Sworn to before me this ................ day of ............................................ (stamp or seal) Notary Public .................................... County TOWN OF SOUTHOLD ,~/~/-? 2.- ~'~,~ .~,~' BUILDING DEPARTMENT-/~//' TOWN CLERK'S OFFICE ~ ~r"~ ~ SOUTHOLD, N.Y. ~/7~ ~ ~ ..... , Application ........................ ,em, No ..... ..... ~or) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fe~ according to schedule. 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 of property must be drawn on 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 available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have beer~ granted by the Building Inspector. Ord~nPaP~IeCATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. (Signature of applicant, or name, if a corporation) ........... t~..e..~..v..~.~.~..~:......~.¥.,..Ii2?.gL ....... (Address of appl~ant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ............................................... ............................................................................................................................ Namelf applicant°f owneris a corporate,°f premiSeSsignature~ .I..~..~/., ~.l.../~/.of duly authorizedL~" "0' ' ' "~' ~' ' '~'" ' "~"~"officer. .................................................................................. '~'~ 1. Location of land on which proposed work will be done. Map No.: .................... Lot No .............................................. .,,,~ r/.r/~.- iAi. r-,- ~rd. ~?~,~ ~ I,.,/J,r'~-"~Y'u' t?~. .sou Street and N_...__r ..., ...................................................................... ~..~ ............ t ..................................................... d~ ~ ~- Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...... J~......~...../.,~...~...~...~... ........................................................................................... b. Intended use and occupancy .................................................................................................................................. · e' I~ 3, , Nature of ~vork (check which applicable): New Building ....................... Addition ..................... Altera~ion.,.:.~,.......; Repair ......................... Removal ......................... Demolition ........................ Other Work ................................. :.. (Description) 4. Estimated Cost .,,,~,.~...~.~..o..:...o...o.. .................. Fee .............. .,,~,,~..~.,~ ..................................................................... (to be paid on filing this application) §. If dwelling, number of dwelling units ...... / ......... Number of dwelling units on each floor .......... ~. ............................. If garage, number of cars ........... /. ............................................................................................................................... If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................................... Dimensions of existing structures, if any: Front ......3....~..~. ....... Rear .....3....~...i .............. Depth .....~...~..~. ...................... Height ................... .~.....j~....i. ............................. Number of Stories .............. ./. ............................................................. Dimensions of same structure with alterations or additions: Front ...... .~....~...i ......... Rear ......... ~..'~...~....I. .................... Depth ............. ..~.....~....'. .................... Height ........ ..~.~....~. ...................... Number of Stories ............/. ........................... 8. Dimensions of entire new construction: Front ......~..,.~..~ .......... Rear ..... ...~....~...t. ........... Depth .......'~...~...!. ................ Height ............. /.....~....~. ........................ Number of Stories .............. .]. ......................................................................... 9. Size of lot: Front ......... ..o~'...?...I ................... Rear .......... .~...."~....i .................... Depth .......~.....~....~...~. ............................. Height .................................................... Number of Stories ...................................................................................... 10. Date of Purchase ./?)..~...~.:...~.~...~....~. ........ Name of Former Owner ...~../..~.......C.....L..-...C....C...~.../.~./. ............................. 11. Zone or use district in which premises are situated ....... ..~.....E~..5.../...~.....~..~....~.~... ........................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ........ ..~....~ ............................................. 13. Will lot be regraded . _~.,..O. ...................Will excess fill be removed from premises: [ ] Yes [~] No 14. Name of Owner of premises .,~,..LL,.,L.(.,A,,,~.....,~,,-~./~-/'[.~. ,~, ...... ,,~,,~,.~....~.,.~../,,~,,!,,~, .~.,~,,~,,...,,~.~).....,/.,~..E.,L..,F.L,/c,,z..,q;'..,.~ (Address) (Phone No.) Name of Architect ...................................... ..,~...~....M....~..~ .............................................................. ~..j~..~...~..~..O....~..~.... (Address) (Phone No.) Name of Contractor ................................ ..~....A..../~......~.~. .................................................................................................. (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- erinteriororcornerlot. IN?~3~'IoR. £o~! ~/s/~ k^~¢~ b~. ~'3o,C[. ~1~, ~b~5 ~3, I I1' STATE OF NEW YOR ~J.~ ) COUNTY OF .............. ~._~f.), ..................... ) ~ ..................... .~)..L~.I.~ ......... ~..~.~.~.~.~~ .......................... ~ing duly sworn, depots and says that he is the applicant above named. (Name of ~nd~v~dual si~ng con~act) He is the ....................... C.~.~.~.~..~.~ ................................................................................................................................................ (Contractor, a~nt, co.orate officer, etc.) of said owner or owners, and is duly authorized to ~rform or have ~rformed the said work and to make and file this application; that all statements contained in this application are true to~et~ ~owledge and belief; and that the work will be ~ormed in the manner set forth in the application filed therewith.~gl PUBUC, State of New ~[~ ~ . ~ ~o.. 30-1356870 ............................. ' ' t ~~tureof'~ ~ .............................. ...... ............ ..................