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Home My WebLink About6587-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Tow~ Clerk's Office Southold, N. Y. Certificate Of Occupancy Bio. Z. 6.1. .2.7. ...... Date ........... .2.6. ...... ~..ep.t...., 19. THIS CERTIFIES that the building located at .~//$. ~rS..tload, ..........Street Map No.. X~ ........ Block No. l~x ....... Lot No...~ .... .E.a.s.t.. l:i.a.r.i. 9 .n' .~....Y; ..... conforms substantially to the Application for Building Permit heretofore filed in this office dated .............R~y... ~. -, 19. ?3. pursuant to which Building Permit No../~.8.7.Z.. dated ..........Ea¥...22 ..... , 19..73, 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 . P~J,y~.t.e.. $90d~. ~g .999.1...~..t.h..f. qn. 9.e' .&...a.c.c.e..s.~9.r.y. ~s ................. The certificate is issued to . .Ph.S.l.~. P....l~')~e....n.t..~ ..... . .0~..e~ .......................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval ...EAR.: ............................. UNDERWRITERS CERTIFICATE No..N..1.1.0.6..83 ..... .A.u.g...2.2....1 ~.7.3 .............. HOUSE NUI~ER ............. Street Stars Road ~82~ .......................................... Building ~ ,pec/tbr '~ '~ THE NEW YORK BOARD OF FIRE UNDERWRITERS al': BUREAU OF= ELECTRICITY ' ' ' ~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 ' .,,., .,',u~u.t ~. :].97].,,.,,.,.t,o./Vo.o./.. 66~988N 110683 "/'HIS cERTIFIES THAT only the e~ectr~ equipment as described below and introduced by the .app~licant named on the abo~e application number ~n the premises o~ Philip F~'umentl, Stars Rd.R ~Jw/of So. Tpke. R East MarionR L.I. ~.mi..ao, AugUst ~0, 1973 RXTURE OUTLETS RXTURES [] 2nd FI. ~ar, & OUt. S~ction Block Lot and found to be in eornpliance with the requirements of this Board. RANGES MT* lC. W, DRYERS FURNACE MOTORS [ RJTUSE &ppuANCE I~EDERS AMT. K.W. 0 H.P. OA~ H.P. AMT. SERVICE DIS~NECT NO. O~ S AMT, AMP. TYPE I,.~2W 1.3W 3,1~3w 3.~4w OTHER APPARATUS, ;PECIAL REC'PT R TIMII~:LocK$ J ~ ~ MULTI-OUTLET SYSTEMS ¥ ~ ¢ ~ , EXHAUST FANS AMT. H.P. OLMMERS AMT.' WATTS Panelboard/s: 1-9cir. 125a~Ps. (Swimm!n,L Pool) 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. G & S ContracttngR P.O.Box 215 Southold, L.I. 11971 Per I ' I COPY FOR BUILDING DEPARTMEHT. THIS COPY OF CERTIFICATE MUS tDIN ANY FO~ NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTJ~ENT TOWN CLERK'S OFFICE SOUTHOLD, N; Y. BUILDING PERMIT {THIS PERMIT MUST BE KEPT ON THE PP, EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Ne 6587 Z Date ......................... ~.~ ....... ~ ............ 19.7.3.. Permission is hereby granted to: ......... .Q~5.en~ ........................................................ install new private swimming pool & fence etc at premises located at ..~/.~.....~ta~.s...J~d3.~. ................................................................................... .................................................... t~at...Jfa.~:;l.~.l~ ...... Jt.,.~., ................................................................. pursuant to application dated ...................... J~. .............. ~ ....... , 19...~.~., and approved by the Building Inspector. Fee $..1.~.(~0 ........... PE>,M! INCLUDES APPROVAL TO PEMOVE EXCESS FILL FROM ABOVE PREMISES BY REGRA:;I%G, LET Z..-/'' DR~¥FW~,Y CONSTRUCTION ~ CE SPOOL CONS[RUCTION ~ CELLAR C-~NSTRL;CTION ~ OTHER / Building Inspector / FORM NO. 1 r'~-,._, /_ TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Application No ........................... Disapproved a/c .~.....-.-~;;;...'t.~u.. ...... ~.~... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ...................... ~,~., ....... ,2,.~.. ....... i 9..~... INSTRUCTIONS a This apphcat~on must be completely hlled in by typewriter or in ~nk and submitted ~n trlphcate to the Building Inspector, ~ 3 sets of pi,ins, accurate plot plan to scale Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoimng premises or public streets or areas, gwmg a detmled description of layout of property must be drawn on diagram which ~s part of th~s apphcat~on. c. The w~)rk covered by th~s apphcat~on may not be commenced before ~ssuance of Building Permit d. Upon .approval of this apphcatlon, the Braiding Inspector wdl ~ssue a Budding Permit to the apphcant Such permit .shall be kept the premises available for inspection throughout the work. e. No budding shall be occupied or used m whole or m part for any purpose whatever until a Cert~hcate of Occupancy shall have ~ granted by the Bulldmg Inspector APPLICATION IS HEREBY MADE to the Budding Department for the ~ssuance of a Budd,ng Permit pursuant to the Budding Z Ordinance of the Town of Southold, Suffolk County, New York, and other apphcable Laws, Ordinances or Regulations, for the construct~o buildings, additions or alterations, or for removal or demoht~on, as hereto described The applicant agrees to comply with all applicable Ir ordinances, budding code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspectlc (S~gnature of apphcant, or name, ~f a corporation) (Address of apphcant} State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or buil¢ ................................................ .CL ~ ~1:, ~ a..~ .1;, ~.,~ ..................................................................................................................... Name of owner of premises ...~.h_~ ~i~..~.~,~.13,~.;i, ................................................................................................ If applicant is a corporate, signature of duly authorized officer. IName and title of corporate officer) Builder's License No .......................................................... Plumber's L~cense No ....... ..~.~ ........................................ Elecmcian's Lmense No ...... ~o~3, o££ .............................. Other Trade's License No ................................................... 1. Location of land on which proposed work will be done. Map No .............. ~ ......................... Lot No...~ .......... Street and Number .......... .~.....~.~..~.~ ......... ~..~.~.9.~ ..................................................................... Municipality 2. State exi~ing use and occupancy of premises and intended use and occupancy of propo~d construction: a. Existing use and occupancy ....... ~.~.~.~. ........................................................................................................ b. Intended use and occupancy s~e w~ s~.,~.,~ Doo~ 3. ~' Nature of work (check which applicable): New Building ....................... Addition ..................... Alteration.....; ........ Repair . ........................ Removal ......................... Demolition ........................ Other Work .....S~..~.o..~ ............ (Descr~ptmn) 4. Estimated Cost ................. 3.~.~.0...~ .............Fee ...... .1..~ :..0...0. ............................................................................... (to be paid on hhng this application) 5. If dwelling, number of dwelling units .... .0.. .......... Number of dwelling units on each floor ........................................ If garage, number of cars ........................................................................................................................................... 6. ~f 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 ........ .1.6 ............ Rear ....... .~ ................ Depth ....... ~ .................... Height ................................................. Number of Stories ....................................................................................... 9. Size of lot: Front ...................................... Rear .......................................... Depth ............................................... 10. Date of Purchase ..................................... Name of Former Owner .......................................................................... 11. Zone or use district in which premises are situated ......... ?~!!...~k~..~ ........................................................................ 12. Does proposed construction violate any zoning law, ordinance or regulation: ....... ~..o. ............................................. 13. Will Iotberegraded---~z.e..~. ........................ Will excessfill beremoved from premises: ~] Yes [ ] No 14. Name of Owner of premises .... ~'~;;i..~;i.p..~..~.'0..m.~J. ............................................................................................ (Address) (Phone No.) Name of Architect ................................................................................................................................................... (Address) (Phone No.) Narne of Contractor ....O.~.~.~..~....?...~_~.c...~..i...~.~....~....C...o..~..s...~. ..................... .O...e..J:.e...~.~ ..................................................... (Address) (Phone No.) PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions fr, property Ilines. Give street and block number or description according to deed, and show street names and indicate whe er interior or corner lot. STATE OF NEW YORK, ) COUNTY OF .................... .~....~....~..O. ~ ........ ) f,.5,f ........... ~.O...~...~.,..~ ~. ~,O.~.~.~ .S. ........................................ being duly sworn, deposes and says that he ,s the apphcant above nan (Name of mdt~dual sign#~g contract) He ~s the ........... (Contractor, agent, corporate officer, etc.) of sa~d owner or owners, and ~s duly authorized to perform or have performed the sa~d work and to make and file th~s apphcation; th. statements contained m th~s apphcat~on are true to the best of h~s knowledge and behef; and that the work set forth m the apphcat~on hied therewith ~an~m~ss~on Ex~,rc~ ~.~t, ~ 1~ ?~/ zture of ap