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Home My WebLink About6929-zFOt~ae NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificete Of Occupancy No. '2,$0¢~1 ...... Date ............... Se~ .. ~ .... , lg.~. THIS CERTIFIES that the building located at ...8/8 .J&Qklm. ~ ........ Street Map No.. xX ........ Block No. 'XZX ..... Lot No1~13~ ..... New. ~aff0~. · II,Y, ..... conforms substantially to the Application for Building Permit heretofore f~ed in this office dated ........... ~t -' 19' ' ', 19. ?3' pursuant to which Building Pe~t N0.. dated ........... 0~" ' 19'" 19. ?3' 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 .. 'Ja~aes' ~4a,~ning ....... O~ne~ .......... · .............. (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval ... ~.R+ ............................ HOUSE NUMBER ... ¶~0 ...... Street .... J&eksan..St .......................... I~OBM NO. ~ TOWN OF SOUTSOLD 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? 6929 Z Permission is hereby granted to: ae ~.:.e.....O...~.~L~.~,...[a~..A~...~mL~... ~ .... ,.%6.....~.JX~ ................................. .......... ,.~t.~fam ...... .Ii..,.:[., ........ 1.1~......:... ~all p~ivate swimmimg pool & fenae as ~e uireA at premises located at [J/~ ~l'ecksoi~ ~ .................................................. ..a.~..~..t..o.~ ......... ~.~.~ ................................................................ pursuant to application dated ........................... ..O..e..~. ......... .~.~ ....... , I~,~....., and approved by the Building Inspector. Fee $..1. ~.e....O~.. ........... ........................... ouilding inspector t PE~;,:Ji- I';~CLUDES APPROVAL TO F,r~ .~,.,, c EXCESS FILL FROM /'-,~OVE PREMISES BY DRIVEWAY COt: -C-,&,~ POOL CELLAR C ~,F:L OTHER THE NEW YORK BOARD OF FIRE UNDERWRITERS ak BUREAU OF ELECTRICITY ' --- 85 JOHN STREET, NEW YORK, NEW YORK 10038 t. 0em, er 12. 1973 7o.3 N 132590 THIS CE~IFIES THAT New SuFfolk, L.[. in the following l~ation; ~ B~e~nt ~ 1st FI. ~ 2~ FI. OU~8~dO ~tiofl B~k ~t ~ ..~i~a on De e emb e r 6. 19 7 3 .~fo..d ~ be in complia~e mith ~he requlrement, of this B~. fiXTURE LICEPTA I I fiXTURES OUTLETS ~R C/ES SWITCHES iNCANDESCENT FLUORESCEI~iT ~ DRYERS FURNACE MOTORS FUTURE AI~JANCE FEEOERE AMT, K, W. OP. H.P. GAS H.P. AMT. NO. A. W, G, RANGES K.w. SERVICE DISCONNECT I NG. OFI s COOKING DICKS J OVENS EXSH WASHERS TM4E CLOCKS BELL UNIT HEATRES MULTI-OUTLET k/~i. 'AMPS. TRANS; NO:OF FEET EXHAUST FANS AMT. H, P. DIMMERS I~O, OF CC. CONO. A.W.G. NC. OF HI-LEG A.W.O. NC. OF NEUTRALS (Swimming Pool) This certificate covers compliance at the date of inspection only. Because of UnUEual envlrollments it is advisable to have frequent test and/or Pepalrs made by a qualified person. James T. Ridge 31 Terry Lane Commack, L.I. 11725 COPY FOR BUILDING DEPARTMENT. mm ~u~'~ OF ~I:KlirlCATE MUST NOT BE ALTERED IN ANT:MANNER. TOWN OF $OUTHOLD Building Deportment Town Clerkl Office $outhold, N, Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Ins~uctions A. This application must be filled in typewriter OR ink, and submitted in DUPLICATE 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 P~esidences 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 $5.00 3. Copy of certificate of occupancy $1.00 New Building ................ Addition .. ,.~'...........z Old or Pre-existing Building ................ Vacant Land .............. Subdivision ................................................................ Lot No ............. Block No ............. House No ............. Health Dept. Approval ......... ~ .............................. Labor Dept. Approval ............. ~. .................................. Underwriters Approval .......... :. .................................. Planning Board A~[ov_ql ......... ~. .............................. Request For Temporary Certificate ...... ~.. ............................... Final Certifica ...... ..r:~....~ .............. Construction on above described building and I~rmit meets oil apRlicable codes end regulations. Apphcont ................................................... Sworn to before me this · ...... ...... , t r ~.~v ~',~ -.;~ ....... ~7" No oy Pub,ic .............. County -// (stamp or seal) Pan'" FO~ NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ........................................ , ........ Permit No ............ Disapproved a/c -~ ................ Date ................................................ , ...... INSTRUCTIONS ~ a. This application must be completely filled in by typewriter oK in ink and submitted ntr p icate to the Bui d ng~ Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. ~d b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets o~ 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 perm t~' shall be kept on the premises available for inspection throughout the work. ~r 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 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 described. The applicant agrees to comply with all applicable laws, 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) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .............................. .c.. . .................. Name of owner of premises ....~..~.t'~..9~.:s ....... .~.:.... ~ .~, .~.. 6p...t .~..7. ................................................................................... 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 ............................................... ~. V' 1. Location of land on which proposed work will be done. /~Aap No.: ............... [....'. ................... Lot No ..... ....x. .............. Street and Number .~.~,..e./~ ....... .~.~..~......~..~.. ................................................... ~....~...u~.....(~'~i .... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ........ I~...e~,.~J..~.....'~9.~.,~..~. ................................................... .~x....,~ ......................... b. Intended use and occupancy ........... y ............ ,~......~. ............................................ 3. N~ure of work (check which c~oplicable): New Building .................. Addition .................. Alteration .................. Repair .................. Removal .................. Demolitio~ .................... Other Wa rk ~...~. L ~. ~n ). ~ .~ ... ~D ~ .................. ~[Descript~on) 4. ~timated C~t ............ ) ............................................... Fee .......................................................................................... (to ~ ~id on filing this application) 5. If dwelling, numar of dwelling units ............................ Number of dwelling units on ~ch flor ............................ If garage, number of ~m .......................... : ........................... 6. If business, commercial or mix~ ~cu~ncy, sp~i~ nature an~ extent of each ~e of u~ ............................ 7. Di~nsions of ~i~ing structu~, if any: Front ............................ Rear ................................ Depth ...~.~..~ ....... Height Numar of S~ri~ ~ Dimensions of ~me stmc~m with alterati~s or additions: Front .................................... Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ 8. Dime~sioms ofenti~ n~ const~ion: Front ...................................... ear ............................ D~th ........................ Height~ ..... Number of Stories ................................................................................................ 9. Size of lot: Fret /oo ~ ........................................................ Rear ........ ]. ~..~ ......................... Depth ...~.~.~...~ ............... 10. Dote of Purchase ........................................................ Nome of Former ~ner 11. Zone or use district in which premises are situated ..................................................................................................... 12. D~s propos~ construction violate any zoning law, ordinance or regulation: ..~.~ .............................................. 13. Will lot be regraded ............................ Will excess fill be removed fr~ premises: (~ ( ) No ~o 7 ~?-G~ 14. Nome of ~ner of premises~.~..~.~.~J.~ ......... A~re~R.~...~-.... Ph~ N ...................... o, .............................................................. ....................... Nome of Contractor .................... .~=.~ ................ A~re~ ........ ~.~.~.~ ....... Ph~ No ....................... PLOT DIAG~M ~o~e cl~ly Ond distinctly oll bumldmngs, whether existing or propped, o~ indicate oll set-~k' dimensions from pr~e~ lines. ~ive street and bilk number or description according t0 de~, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, COUNTY OF ................................ f~'~ (Name of i~ividual signing contrac~ above named. He is the .......... ; ............ '.~.~.~.~.~.~.~ ..................................................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform 6r have 'performed the said work ~d to ~ke and file this application; that all statements contained in this application ore true to the best of his knowledge and belief; and that the work will be performed in the manner set fo~h in the application filed therewith. Sworn to bef~me this ~ ~OT~Ry PU3~C, No, 52-2216~15 Qu~lffied , qo' ,doFu-q f",/q A P OF