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Home My WebLink About5841-zFOItM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, BI. Y. Certificate Of Occupancy No. Z~L:~ ...... Date ............. .l~:Feh,... ~..., 19...~. THIS CERTIFIES that the building located at . II/S. 14~tn. Road ........... Street Map No..x~ ........ Block No. x~ ....... Lot No~... I~thold.. }{,~[, .......... conforms substantially to the Application for Building Permit heretofore filed in this office dated .......... F~reh .. 3.-, 19.72. pursuant to which Building Permit No. ~81~lZ .. dated ........ 1lOlL],...28 .... , 1972., 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 .][C~. ~aa~iJl~sa. ~ldJ, llg..(eleotl'lcal .r~palrs. ~ .s&lal. l~.t.e), kpl~roved by The certificate is issued to .~a .Hal~. (8o~lthot4 .~'aeelaa. Cleaner. Csnt~r. ). ~$nnant., Joseph St®pnosk.~[ ovrler of land (owner, lessee or tenant) of the aforesaid-building. Suffolk County Department of Health Approval .1188..®xi, at~, .~yst$1i ............ UNDERWRITERS CERTIFICATE No..]gJ~;~.~l ...... .Oat. ].1.~197~ ............... HOUSE NUMBER ...1~.~92.~ ..... Street .. Main. Road ...... , ...................... Building Inspector ,~ FO~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN ¢:LERK'S OFFIGE SOUTHOLD, N.. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 58 1 Z Permission is hereby granted to: ......... ~e-l~ ............ ~o~. ............................. ~o ~,:.:...~.~...~.~..e. ~.~.. ~.$.Le...i..~ .......................................................................................... at premises located at .........~..~.a.fl~t..:~O~A .................. ~ ................................................................ ..................................................... ~.~h~d ....... ~I.,,'~., ........................................................................ pursuant to application dated ...................... ~[~1~....~ ..................... , 19.~t'2.., and approved by the Building Inspector. Fee $' J~4'~l~' .......... vuilding inspector THE NEW YORK BOARD OF FIRE UNDERWRITERS *cab j- ss ,o.. STREET, .~W ¥OR%~I%~0V~'R. TNI~ CERTIFIES THAT in the following l~ation; examined on 0 C~ob~ ~9; ~7~ and found to be in complia~e with the requirements of this B~rd. FIXTURE OUTLETS 13 FIXTURES RECEPTACLE; $WIT ES INCAN EN1 FLUORE$ T ].7 SERVICE DISCONNECT NO. OF S OTHER A~ARATUS~ RANGES SPECIAL REC'PT R TIME CLOCKS BELL UNIT HEATERS /~T. A)4pS. TRANS. H.p. C p~R ~' OF CC. COND. NO. OF HI-LEG A.W.G. OF HI-LEG MULTI-OUTLET SYSTEMS NO. OF FEET EXHAUST FANS AMT. H.P. DIMMERS WATTS *Service Disconnect: 1-100amp CB !-30amp Swttch Water Heaters: 1-1.~KW NO. OF NEUTRALS A- W. G. OF NEUTRAL 2/O COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. · ~~'~6~'~',/~O A, FMCATION FOIl RUlMJlNG I'ERMIT Date March ~ 19..~2..2. ..... INSTRUCTIONS t~ a. This appliCation must be completely filled in by typewriter or in ink and submitted in tripliCate to the Building Inspector, wi 3 sets of plans, accurate plot plan to sCale. Fee according to schedule. b. Plot plan showing loCation of lot end 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 shell be kept on~ the premises aveileble for inspection throughout the work. e. No building shell be occupied or used in whole or in part for any purpose whatever until a CertifiCate of 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 York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein descn~oed. The applicant agrees to comply with elf aPPlicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necassery inspections. Charles Hall (Signature of applicant, or name, if a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, amhitect, engineer, general ~contractor, electrician, plumber or builder. Owner of business & A e a ......................................................................................... g..~ .~...~...1.. ~...~wn~r. ............................................................ · ~ose h Ste noski ~ame of owner of premmes .............. ~. ............ ~. .................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which proposed work will be done· Map No.: .~ ...... Lot No...,~.~,~ar, .............................. Street and Number N/S Main Road Southold N.Y. /-/..5' ?~ Municipality 2. St'ate existing use and occupancy of premises and intended use and occupancy of proposed construction: Dwelling & Business .... a. ~×i~in9 u~e and occ-~ancv ............................................................................................................. T ............... b. Intended use and occupancy .....s..~..~...e....w..~.t.~.)l{~'...A~m..~...~.~j.tle.~.S...tgLtl.d.:Lilg~ ...... ~.....~.~e,,,_.... ,~[ e Nature of work (check which applicable): New Building ....................... Addition ..................... Alteration ......... Repair ......................... Removal ......................... Demolition ........................ Other Work ................................ (Description) 4. Estimated Cost ........ .1.:.2.e.QOO..,'~. ................... Fee ...~..0.~..0..0. ................................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ..... ~.o.~.e.... 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 ........................................................... Number of Stories ............................................................................. Dimensions of same structuPe with alterations or additions: Front .; ........................ Reef ......................................... Depth ............................................. Height ......................................... Number of Stories ........... ; ............................ 8. Dimensions of entire new construqtlon: Front .......... .2...LI: .......... Rear ........... ~ ............ Depth ..... ,~.(~ ....................... Height .......... ~ ...................................... Number of Stories ........ .9.TAm.. ......................................................................... 1. 1 S. Size of lot: Front ...... cJD. ........................... Rear ........... ~. .......................... Depth 1 Height .................................................... Number of Stories ...................................................................................... 10. Date of Pul~hlse ..................................... Name of Former Owner ........~T:~,,,,,~,,,,,;l~,er c~- ................................................. ' "A" - f e n n 13, Will Iot'be re'reded ~ ........................... Will exoe# fill be mmeved from pmmMs~ [ ] Yes [ ~ No (Address) (Phone Ne. PLOT DIAGRAM L~te ~le~rl¥ e~d dl~ln~tl¥ ~11 bulldl~il& whether exi~in~ ~r ~rop~ ~d i~di~ ~11 m~Mk dim~is~ from pro~ IIn~, 01~ ~ ~fld bilk ~um~r or d~ripti~n ~oor~i~Q ~ d~, q~ ~w ~et n~mP~ an~ i~i~a~e ~e~ er lfl~rlor er eorner lot. See attached plus ~ATE 01~ NI~W_YORK, ) COUNTY OF ~te~n~ ~n~ned in ~hi~ R~lJ~Jpn 8Fo tFue {o~{t ~~W ~nd ~lief; ~R~ that ~h~ woFk will ~ ~er~ iR ~he ~n~r ~ ~ C~mlss~n Expires March~ -,j