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HomeMy WebLinkAbout6524-zNO. · TOWN OF $OUTHOLD BUILDING DEPARTMENT Town Clerk's Office $outhold, BI. Y. Certificate Of Occupancy No. Z~'6.0.Q ...... Date ...... Apr ..... ~' ...... , 19. -7? THIS CERTIFIES that the building located at . .South. La. &. Oak .Ct ..... Street Map No. Gard. Ba.y .E~ock No .......... Lot No ...... -East .Nar.ion ............ conforms substantially to the Application for Building Permit heretofore filed in this office dated ........... Apr. · '3Q 19 '?3' pursuant to which Building Permit No..6~2~+Z. dated ....... Apr:iA.. 3D..., 197.~.., 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 . P-r-irate .o~e. famil, y .elwelling. w.i~h addi~;.i, on ................... The certificate is issued to Ro. D.~xon . (. D~ot~. Dixon on. ~x. Ro~L%) .......... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval N;R, .............................. UNDERWRITERS CERTIFICATE No. -lq~ 0~+6Y6.. ~.uly..2y-. '~973 ................. HOUSE NUMBER kS~ ...... Street .. S~u~;h. Lane .... E,. Ear[cra ............. .... .... ..... Building Inspector TO~N OF SOUTHOLD BUILDING DEFARTMENT TOWN CLERK'S OFFICE SOUTHOLD, ~1. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 652] Z Permission is hereby granted to: ~.?..s....~..t..a...~......~/.~..q~.e...r. ~....n. ~..x. ~ ................... ............. 6=ee;np~.t,.: ........................................... ( to ...~,.u..t...Z..a...,..~.,...~.a...i.~.i...q,n.....o..n.....e, ~..a~.l...n. ~...~.e.t;L~g ............................................................. at premises located at ..~o~..~..~ ..... /;~[~l...-o~'e~;~&..see.~ ................................................... ................ · ~ .......................... ~a~.-~a.~Len ......... lf~l~-¥ ....................................................................... pursuant to apl~lication dated ......................J~p,~J2]. ....... .~ .........19.~.3.., and approved by the Building Inspector. Fee ~5...~..: .......... FORM NO. 5 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ORDER TO REMEDY VIOLATION .......... (owne~:~r auth6rlzed agent ~ owner) PLEASE TAKE NOTICE there exists a wolat~on of Ord,nance z'~'~ / ~ O ....,~..~../.~. Zoning Other Apphcable Laws, Ordinances or Regulations ........................................... at premfses here,halter described in that~.~Tr~.....~~....-d-~..~~... (state character of v~olat~on) ..... in vtolat,on of ..,~C~/....~...~'...~.~/..C-Z..~/.....~../......./~. ..... .~......~.../..~.~..:.../....~..~....~.,..~.. ............. (State section or paragraph of apphcoble law, ordinance or regulation) YOU ARE THEREFORE DIRECTED AND ORDERED to comply w~th the law and to remedy the cond,t,onsab~ve mentioned forthwith on or before the ................ ~ ......................... day of .-~.,~c'~C.~..~~ ................ , 19.Z~.. The premises to which this ORDER TO REMEDY VIOLATION refers are situated at ~.~..~./~.....~:..~~..County of Suffolk, New York Failure to remedy the conditions aforesaid and to comply w~th the opphcoble provis,ons of Iow may constitute an offense punishable by fine or imprisonment or both. THE NEW YORK BOARD OF FIRE UNDERWRITERS ~- CG BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK. NEW YORK 1003~3 '.,.' ~uiy 25, i973 Ap,,.co,,..~o.o.s,,~ 66984~ N 1 04656 THIS CE~IFIES THAT {.~l~ the e~ ~r~cal equipment ~ ~cribed be~ a~ int~duced b~ t~ applicant ~med on the above application .umber in Robert Dixon, South La., Gardiners Bay Estates, Old Orchard La. E~st Mar~, L.I. ,.~.,yozv.,,,,.zo~.uo.~ ~ s.~.~ ~ ~rt ~ ~.d r~ Outside s~io. S~A "" ...... "'""~"" July !9, 1973 andfoundtobeznconzpl~ance.'iththerequlretnentsofth~zBo.rd. FIXTURES RANGES COOKING DECKS ~ OVENS DISH WASHERS EXHAUST FAN FIXTURE ~ECEPTACLESi SWITCHES [INCANDSSCEN?~ FLUORESCENT M~C~y T K ~ AM1 ~ W I UNIT HEATERS gULT~-OUTLET DI~MEE~ APPLIANCE FEEDER5 ~PECIAL RE~'F TI~ECLOCK~ BELL ~ ~YSTEM~ ~D~YE~ ~ FURNACE ~OTOR~ I FUTURE ,~. A~¢ I K ./.. O~ ~ H ~ ~ GAS , H p ~T NO A W O ~T ~, ~T } AM,S .TRANS ~T H P NO OF FEET AM~ i- SERVICE DISCONNECT NO OF I S E R V I C E , i~1 METER ~ PER ~ OF CC COND OF HI LEG p~ NEUT~ z J ~oo cB i ~ 3/0 ~ z 3/o OTHER APPARATUS Mike Sillrls East Marion, L.I. 11939 GENERA[ pe~ ~ D ~h~ cedJ~le mu~t not be oHered m on~ m*nner~ re~urn ~o the o{hce o{ the Board ~{ mcorrec* In~pedors m~y ~e ~denh{md b~ ~he~r ........................................ , 19 ........ Pemit No .......... Disapproved a/c ....................~.-- ........................ (Building I~o;i ................................. / APPLICATION FOR BUILDING PERMIT Date ........ ~ ......................... , INSTRUCTIONS a. This application must be cempleteiy filled in by tYpewriter or in ink and submitted in triplicate to"t~ Building le~oector, wi 3 sets of plan~, eecmtte plot plan to scale. Fde eccording to schedule. b. Plot plen ihawing location of lot and of buildin~ on premMs,, rela~io, n~hii~ to ~ljoining Ixemise~ or. .public etr~t~ or areas, and giving a detail~ description of layout of property mu~t be drawn oh diagram which is part of this application. c. The wo~ covered by this N:qMication may not be commenced before issuance of Building Permit. d. Upon ~ of' this Ip~lection,. the Building Inlpactor will issue a Building Permit to the applicant. Such permit.shall be kept the premises mmtll~e for inspection throughout the work. . ' ~'. e. No be~ling ~ be occupied or umd in whole or in pert for any purpose whatever until s Ce,rt~flcate of Oeeupen~ shall grented by the Building Inspector. APPLICATION IS HEREBYMADE to the Building Department for the issuance of a Building Pm'mit purmmt ~ Ordinance of the Tow~ ~f Southdid, Suffolk CountY, New York, ~1 other sgpliseble Laws, Ordirm~cas or geg~ctia~s, ~ ~ion of buildings, edditions or alterations, or for removal or demolitiOn, ~s herein described. The applicant agrees to eomldy with ordinances, building code, homtng code, and regulations, and to admit authorized inspectors on promises and in buildlng~ for nemsseW imMctiom. ~/(Signatu~ of applicant, or ~if a corporation) Name of owner of premises .............. ...~.....',..~../.....~.....~...../'...~.......~~..-...~...~.L.~ ............ If applicant is a corporate, signature of dulv authorized officer. · ;~'~//w~ ~,~.. ..................... ..................... Builder's License No .......................................................... Plumber's License No ...... ~..~..~...~.~T.....~........ ...................... ~ Electrician's License No ...... ~'~./~...'~....~..., ........................ '7'- ::L- Y / Other Trade's License No .......................... ...... , .................. ~ 1. Location of land ~m ~vhi~ proj~ work will be done. Map No .............................................. Lot No ........................ .~ Street and Number ...~.~.~ .,~...'.~...~-,~.:x"...../~..t./.X'g.¢.~'..~,~.. .................................................................................... Munieil~lity 2. State existing use and occupancy of premises and intended use and occupancy of prolx~ed cortstruction: a. Existing use and occupancy ....... ~...~..~.~:.~..<.~.~ ............................................................ ~.:; .............................. 3. Nature of work (check which applicable): New Building ....................... Addition ..................... Alteratiod'.~T~:,.'.~...:. Repair ......................... Removal ......................... Demolition ........................ Other Work ..~C~,..,~ ..~.~F,,eC.. ...... ( Descripti~ 4. Estimated cost ../.~/. .............. ~ .... 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 occuoancy, specify nature and extent of each type of use ..................................... 7. Dimensions of existing structures, if any: Front ...~[~..Z.~ ....... Rear ...~..~.../.. ........... Depth ....,~..~-.....~. ................. Height ..... ./~;..~ ....................................... Number of Stories ......... ~ ........................................................ Dimensions of same structure with alterations or additions: Front .......................... Rear ......................................... Depth ..... ,.9...~.. ............................... Height ...... ~.~.../~.eL...-w. ........ ,... Number of Stories ....,-,-,-,-,-,-,-,-,~z.¢2. ........................ 8. Dimensions of entire new construction: FrOnt ......................... Rear ............................ Depth ................................. Height ' Number of Stories ......................... g... Size of lot: Front ............... , ...................... Rear .......................................... Depth .............. - 10:' Dateof Purchase ..................................... Name of Former Owner ............................................................................ 11. Zone or u~e district in which premises are situated ............... 12. Does prOlX~ed construction violate any zoning law, ordinance or regulation: ........ ~...~'~Z'.,~ ........ [ ............................ 13. Will lot be receded .................... ,., .............. Will excess fill be removed from premises: [ ] Yes [ ] No 14. Name of Owner of premise~s,~ ...~..'~=./c.~.~...~..../~.~,.,,¢=~P,'.....,.~...~..F~.~t~ ................. .~,~..;Z'..Z.=~.~:c,~..~ .......... 1/ ~ ~_~-~ ~ ~,~ _ (Aoore~) _ , _, (Phone No.) ,,me o, ^rch,=t ........ ,,m.o Cont, or ....... ~ '---'~'-' '" "'"'""-'-" z~',',' -""'~ ~ (Add~ess) ~' / (Phone No.; PLOT DIAG RAM Locate c_~arl_y.~n_.d di~.~,?.y ,1t b?lding., .wh~_t_t_t_t_t_t_t~. existing or propo.d, and indicate all set-back dlmen.ion, from property Iln~. uem ,u,~t ana mock numoer or d~crlptlon according to deed, and ~how street nam. and indicate whetlt; er Interior or corner lot. : , < ) COUNTY OF ....,.~....~....~..~,.~ ......................... ) ................ .,o...~...,~,. ~ ....................... being duly sworn, deposes and says that ha is the applicant above named, [Name of indi.idt~ll 'ls~i~ff con~'~'~') (Contractor, 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 rn the application filed theraw;th. ¢.~O day of .~ew York' ,19 .~...~ .... 7'":: ....... ...... . ........................... _ I I Notary'Publjc .~,~,.,~o.~, Zg.~un.,' · .............. g~mm,-----~- ........ · ........ y~...}~ - ~._.:t~....-.~..¢. ~.~:7..~ ...............................