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Home My WebLink About6998-zTOWN OF $OUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupnncy No. ZS.Q3~ .... Date .......... DO~...~ ....... , 19.7.7. THIS CERTIFIES that the building located at · I4/8 gox. Lane ........... Street Map No. ;tx ....... Block Nc~cX ..... Lot No,x~. ¢~tehogue... ~] ,][., .......... conforms substantially to the Application for Building Permit heretofore filed in this office dated .. Nav. 23. , 19.77. pursuant to which Building Permit No..699.8Z. dated ..... .N.o.v.. ~3..., 19 ?.7.., was issued, and conforms to all of the require- merits of the applicable provisions of the law. The occupancy for which this certificate is issued is . Indus.t~ial..storage. building..&, casting .yard .................... The certificate is issued to WI~,,, .Gref~ ............................................ (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . HOUSE NUMBER ... 8~.0~.. Street .... .CO~..L.O~0 ....... C.u..t.c.l~o. gB.e. ........... FORM NO. 2 TOWN OF $OUTgOLD BUILDING DEPARTMENT TOWN GLERK'S OFFICE SOUTH'OLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL CQMPLETION OF THE WORK AUTHORIZED) No. 6998 Z Permission is hereby granted to: ~..~...t.~..~.~..e..~.e. .............................................. to ..~t~...~.~.. ~..~.~... ~ ~.~.~.~e~Q~.~ ~ ~.)....~...ttt~3~t~...~.~t3~t ~t~ .................. ...... .(3,.e.k~.~...~..e, .e~..e~..~%~...~.~.~ .. ~...~...A~.~;km) ........................................... at premises located at --~/~-.~-.~gdl~ll~ .......................................................................................... pursuant to application dated .......................... ~g~.....,2~ ........... , 19~.~ .... and approved by the Building Inspector. ~ee ~.t~..,.~. ........... FO]~.M NO. 6 TOWN OF SOUTHOLD Buildiug 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: ]. 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 buddings, Industrial buildings, Multiple Residences and similar buildings and installations, a certificate of Code compliance from the Arch,tact ar 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 inspecbon of buildings or premises, or other pertinent in- formation required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certihcate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 //_ × Date ...... ................ New Building .................... Old or Pre-existing Building ..................... .~. ..... Vacant Land ............................ Location Of Property .... ~...~..~ ...... 0~.~...0...~....~/..~..'...~.. ...... ~ .....~...~...~...~....~.(~.~.......~. ................. Owner Or Owners Of Property ............ ~-.~.//.../~..~.~x~')....~.--. ~..¢~'..~-'~T..~. ...... .T. ........................................... Subdivision ................................................................ Lot No ............. Block No ............. House No ............. .... ..... ..-. .................. Health Dept. Approval ....................... ~.~ ................. labor Dept. Approval ................................................ Underwriters Approval ...~..~..~....~,...~',....~... ............. Planning Board Approval Request For Temporary Certificate ........................................ Final Certificate .......................................... Fee Submitted $ ..~....~'~.. .................. Construction on above described building and permit meets alt,~l;~olicable cedes ao~ regulations. App ,cant ~.. ................. ~/.~.._~....;:~ ............ Sworn to before me thi~ /~ ~.~ / / da,,of '~ ZZ7 / (stamp or seal)~ ~',~ ................ - .......... ................. THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELEC, TRIC_,ITY ~--- nr 85 JOHN STREET, NEW YorK, NEW YORK 10038 ,,...~a~a~ ~, :~ ~,i,,,,,,,,,,, ,'-. -,,l,,, 7o~o N 205520 THIS CERTIFIES THAT only the electrical cqulpme~t as descrtbed below and ~ntroduced by the applicant ~med on the a~ve appllcat~o~ ~um~er in the prem~ses of Wm. Grefe Jr., Cox's Lane, Ore~n Rd.& Rt.27, Cutchogue, L.I. ~ ~..,,,~a o. j ~ uary 2 0, 19 7 5 and /ouna to bo Dt comphance w, ta the requlremea ts of this Board. -; ..... OTHE~ APPARATUS Daniel A. Fo garry Jr. ~~/~/ Box 601 New Suffolk, L.I. 11956 O~CRAt D Per_ This certificate must not be altered m any manner, return to the office of the Board if incorrect Inspectors may be idenhfied by thmr ke~¢nfials TOWN OF SOUTHOLD ,.,' .,d. ' * -. / ,~,. ' ~ ' BUILDING DEPARTMENT /~a~n- .~.~-'-/ ..~ ~ ~. ' ~ //- z~- ~ TO. WN ~ERK'S OFFI~ ~ ~/ ~ ~ cxaminea ...~..r..7 ............................. , ly ........ ~ ~ .... :~ , ,;~ ............... ~ ....... ............ ....... .............. . · ~,~pp~o~ed ~/~ ................................................................................ ~ ~ ~, ~ ............................................................................... :...¢ .......... :-.~... ~ ~ ~ ~ _,~)/ ~ ~ ~ ~ ............................... ~;i~;~ .... ~ .......................... APPLICATION FOR BUILDING PE~IT ~ ~. ....................... ~.~ ....... ~....., zg.~.....~ INsTRu~IONS ~ a. T~is QpplicQtion must be completely fill~ in by ~pewriter oK in i~k ond s~mitt~ in triplicate to the Building~ Insp~tor, with 3 sets of plons, accurate plot plan to ~ale. Fee according to stipule. ~ b. Plot plan s~owing Iocatio~ of lot ~nd of b~ildings on premises, relationship to adjoining premises or public stree~ o~ areas, Qnd giving ~ detQiled description of layout ofpr~e~ must be drawn on the diagram which is ~ of this opplicati~. c. The work covered by this a~licGtion may not ~ comme~ed before issuance of Building Permit. ~ d. Upon ~pp~val of this applic~ti~, the Building ~nsp~tor will issue ~ Building Permit to the oppticant. Suc~ permit~ sh~ll be kept on the premises available for inaction thr~g~out the work. ~ e. No building shall be ~cupi~ or u~d in whole or in Pa rt for any pu~e whatever until a Ce~ificate of ~cupancy ~ s~oll b~ve been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Deportment for the issuance of o 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. 0~ ...,~......i. ~. qe,~c~ ~z~/77 r~'.~e.~...~..tt..?..~..~.~s.... ~.~.~?.~.~ ............................... P~*~ ~T'~e ~ ~7 r(Address ofapplicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder, Owner -bui~ der Nome of owner of premises ....'~.~.llia,~..,~3~,e.fa ................................................................................................................. If applicant is a corporate, signature of duly authorized officer. (Name end title of corporate officer) Builder's License No ..................................................... Plumber's License No ................................................. Electrician's License No ............................................. Other Trade's License No ............................................... 1. Location of land on which proposed work will be done. Mop No.: ......... ..3~:......~. ...................... Lot No ...... ~ ............ Street and Number ....~.~../.~.....q.o.~.....~{~ ....... .~.I~.~Qg~.~.....~T.~., ...................................... i .............................. Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy vacant b. Intended use and occupancy ....L1..~..Z,~,~.Y,...,(.s..~9.~,a.§e..)...,.b,.L]-..~.,Z.~.~.~,g .............................................................. $.'-¢Nature of work (check which applicable): New Building ....~ ....... Addition .................. Alteration ................ ~'- Repair .................. Removal .................. Demolition .................... Other Work ................................................ .... (Description) 4. Estimated Cost ............................... .1..~.~...0...0.....,~+ ......... Fee ~'o00 (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 structure with alterations or additions: Front .................................... Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front ........ ~.0. ....................... Rear ...... .~..0. ................. Depth ...~..2. ................ Height .................... Number of Stories ...... .9.~..~ ........................................................................................................ 9. Size of lot: Front ...... .~.c~.,R'.~. ........................................ Rear ....... .1..c)..~..+. ......................... Depth ...... ..~..2...~. .................. 10. Date of Purchase ................ ~.9.~.,,R. .............................. Name of Former Owner .~l'A~n~.QPeqA ................................. 11. Zone or use district in which premises are situated O-1 GeT~. Tnd. 12. Does proposed construction violate any zoning law, ordinance or regulation: .... T~9. ............................................... 13. Will lot be regraded .....~.O. ................... Will excess fill be removed from premises: ( ) Yes ( ) No 14. Name of Owner of premises .~f ~ l:Lam..G~.e~.~ ................... Address ..~.~.~.~...~..c...~. ........ Phone No ....................... Name of Architect .............................................................. Address ................................ Phone No ....................... Name of Contractor ..... ,~.~,~e .............................................. 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 t° deed, and show street names and indicate whether interior or corner lot. see attached plan STATE OF NEVi' YJORK. ~, ~,, COUNTY OF ....... .~...$~.. ~ .o.....~:.. ......... ~-*.-~ William Grefe ................................................................................................. being duly sworn, deposes and says that he is the applicam (Name of individual signing cont~oc~) above named. He is the owner - builder (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in fhe application filed therewith. Sworn to before me this .................. ...... , Notary Publ i~~:,,J4~~ nty ./,K~- ~....-~;;;/./... ,~y~.....l~'~'~...~ ........... ~ ~'~ ' (S~gnoture ot app,lc~t) -- JUDITH T. BOKEN Nola~/ Public, State of New Yolk N~. 52-0344963 Suffolk County.~ ~'ommis$[on Expires March 30, 19~.~ t