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Home My WebLink About6915-zFO]I~ NO, 4 TOWN OF SOUTHOT.D BUH,DllNG DEPARTMENT Town Clerk's Office $outhold, N. Y. Certificate Of Occupnncy No. Z6Y3.~ ....... Date ............ June...19 ...... , 19. THIS CERTIFIES that the b~_~ilding located at E/S. Borton .Lana ......... Street Map No. ~ ....... Block No...x~c~. · .Lot No. ~ .... Boutho~.~t · · 1~.~, ....... conforms substantially to the Application for Building Permit heretofore filed in this office dated ............ 0.ct. J 0., 19.7~ pursuant to which Building Femit No. dated ............ 0~;.. ~1~.., 1973., 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 ~s . Pr~.va~a .s,~u~ng .poo~, .~.~h. E. ence. & .ac.cesso~'ys ................. The certificate is issued to .AXb. er2. ~4,A~Lba~2zon .J~ ..... 0~e2 ................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .]~,R, ............................. UNDERWRITERS CERTIFICATE No.. li.~l~89 ..... ~tov, ~ 2..~97~ ................. HOUSE NUMBER . .~60 ..... Street... -Hot(on- Lom~ ......................... .... .......... Building InspectOr FOR~ NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTH'OLD, N. Y. BUILDING PERJ~41T (THIS PERMIT MUST BE KEPT ON THE PJ~EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 6915 Z Permission is hereby gronted to: ......... 2~. .......... 0~ta~La..s~ .............................. .................. ~.o.~..o.~. .............................. to ..~.~;L;l~..P, el~,...i~i..~e..s~t~Ltag,..p~ol..&..£enea ................................ : ........................... at premises ,located ot, ,:~.~.....~d:a~t;D~..~ara~ .................................................................................. .............................................. .~.o..z..~ ......... .~.~.~ ............................................................................ pursuant to application dated ..........................~_,~;.~ ..... t,.~ .............. , !.,~/~...., and aRproved.~by, thq THE NEW YORK BOARD OF FIRE. UNDERWRITERS BUREAU OF ELECTRICITY~ · . [-- 85 3OHN STREET, NEW yORK, NEw YO'hK '10038 THI~ C~IFIE~ THAT in th~ following location; [] Basement [] 1st FI. 1 1 1 DRYIRS FURNACE MOTORS RJTUIm AI~tJANCE [] 2nd FI. Outsi(~c Section Block Lot a~ fouo~d ~o be ih c~rnpliance with the requlr~mentz o~f this Board. OVENS DISH WASHERS EXHAUST FANS TIME CLOCKS MULTI-OUTLET DIMMERS SERVICE EHSCONNECI' S E R V I (Swimming peel) 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. OF NEUTRAL Spuds Electric Service PO Box 166 St. James, L.I. 11780 Inc. Per BUILDING COPY OF MUST NOT BE ALT~EBED IN ANY ~ Approved ........................................ , I~OB~ NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. 19..7.~. 19..?..~.. Permit No.~.....~..../...~.~.../~....:.: .......... Disapproved a/c~ ....................................... .... APPLICATION FOR BUILDING PERMIT Date ................. /...o../~. ..................... , 19....7..Z,.. .... INSTRUCTIONS a. This application must be completely filled in by typewriter o~ in ink and submitted in triplicate to the BUilding~i Inspector, with 3 sete of plans, accurate plot plan to scale. Fee accor,cling to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets 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 wdl ~ssue a Budding 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 pa rt 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 ora 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 b~ ildings, addition~or alterations, or for remdval or demolition, as herein described. The applicant agrees to comply with all applicable.la.W~, ordinances, building code, housing code, a~d~9~ulations, and to admit authorized inspectors on premi(ieS and in buddings for necessary inspections. ~ / ~ ' ........ (Add'ss of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. P...%t ~' . . Name of owner of premises ......... Z}..~...~.~...~%..~'.. .......... .~...~_~..~..,.~:..~..~i.,5...o...~.. .......................................... 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 ............................................... Location of land on which proposed work will be done. Map No.: ~.~..~..~9..¢.~..~.~..?...~....~....P.:. L?.t No. ........................ Street and Number ...... .~:W...~-~...'Eg...~...-~.......~...~......~....~.....?..u.~..~;...~.. .................................................................. Municipality State existing use and occupancy of premises and intended use and occupartcy of proposed construction: a. Exisiting use and occupancy .......... /~.-.~..l...b..~..~.....~... ......................................................................................... b. Intended use and occupancy ..... ?....o...¥...~..~ ........ /...~....er...~....~..y.~ ...... ..~..~..o...~. ....... ..~../.TZZf.../...'-~....~..-"c:~".......-~.......c~....~...e- 3. Nature of work (check which applicable): New Building ...... ~ ..... Addition .................. Alteratior~ ' ... · Repair .................. Removal .................. Demolition .................... Other Work .......................................... · ......... /~ ~ 0~.'~ (Description) 4. Estimated Cost ....... .~..~...~..R.~ ................................... 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, specify nature and extent of each type of use ............................ 7. Dimensions of existing structures, if any: Front .............. .~....q ....... Rear .......~T....,~. ................... 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 .......... ~3....o.. .................. Rear ............. ~ .........Depth ..... .~...o.. ............ Height .................... Number of Stories ..................................................................................................................... 9. Size of lot: Front .......... /..~.?~...~..4~. ............................. Rear ......... /...?..~..:.~..?. ............... Depth ......... ~...~../.;..~.~ ....... ]0. Date of Purchase ........................................................ Nome of Former Owner ........................................................ 1 ]. Zone or use district in which premises are situated ..................................................................................................... 12. Does proposed construction violate any zoning law. ordinance or regulation: ......... ..~,..~. ........................................ ]3. Will lot be regraded ............ : .~....o. ........ Will excess fill be removed from premises: ( ~"~'Yes ( ) No 14. Name of Owner of premises -.~.~..~.~...~...~.......8...~..~...~..~..T..s..e.~Address ....~....~'~...~.~.£ Phone No.....-~.....~.Z.~./..~...~ Name of Architect .....~..:..~..E..~...~...~...~...7~..../..~. ......................... Address /~: ~'~ ~'~Phnn~ No..~.~.~'..T.~..~.~'.. Name of Contractor .....~...4.{-......~..~..~...5..~ ....... ~...~...~..: ......... Address .~.k.~...~...Y.~;...~...l:'.-Phone No. ~.~...~.~..~.~.? PLOT DIAGRAM Locate clearly and distinctly all b~ldings, 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 corner lot. STATE OF NEW YORK, ~ c ¢ couNtY OF ..... ....................... ..~.r.~.].~ ............ :'::-. .......... ~-"~...~. ............................. being duly sworn, deposes and says that he is the applicon! (Nome of individual signing cohtr~cf) above named. He is the ........................................... ~...~.....~..~ ................................................................................................................. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said wark and to rtmke and file th s application; that all statements contained in this application are true to the best of his knowl~ge and belief; and tt-,a~ the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ~ ~,. ~--~ ~' ......... /....~..... da ofy~~19 ................................... .7.~-.. ~~ Notary Public, nty ....~-. .... ;;~.). ............................. ~cHARO A. ZORN , Ivor'$s oz. G,qzv~'~/z~ OoPP~'~ ' ~ $oui'ilER.~l~vh /V'£S C O/v'Sb"T"'*/V.' I OOL RLE' VI/V PLFTN $,