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Home My WebLink About6607-zFOKM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificete Of Occupancy THIS CERTIFIES that the b~lding located at ~/~ l'~i~ ~Oe~ .(RT2~).. Street conforms subst~tially to the Application for Building Permit heretofore filed in this office dated }~y ~ , 19 7~ pursuant to which Building Permit No..6607~. dated · · · ~ 29 , 19 ~3, was issued, and conforms to M1 of the require- ments of the applicable provisio~ of the law. The occupancy for which this certificate is issued is .~.cess.ory b~td~g( ~ower..,. ca~t .~ ~c~e~y atorage.e.tc). The certificate is issued to I~l~d E~. G~ Club- ~e~ ................. (owner, lessee or ten.t) of the aforesaid building. Suffolk County Department of Health Approval N,R, ................. UNDERWRITERS CERTIFICATE No.. N..~.20~9 ..... A~- ~. · ~9~3 .............. HOUSE NUMBER ~02~ . Street . ~i~ ~d .(~T2~) .................... , ' Building Inspector ~ FOR~ NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT '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) N? 6607 Z Permission is hereby granted to: Y4t ;L~U& · J[z~¢l · · ~ o,~. · ~3,~h · ~ ........................ ............ ~np0~:~; ...................................... ~ ..... ~o ~.z.:~.....n...e.~...~.~...*..e...~.~...~....(...~.~..t.....s.~..~.~.~.e...~..~.~.~.). ............................................................. at premises located at ..~/~....~e_~L._P~....G~.ee, lcto.~.t,..~,i~..~)z[s~.,L']__~F,) .............................. ............................................. ~. ....... ~5....~.~......O~..~.e.~.t ........ ~..~., ............................................. pursuant to application dated ..........................~,~7,. ...... ~9 ............ , 19.~.~..., and approved by the Building Inspector. Fee $..1 .~'..QO ........... THE NEW YORK BOARD OF FIRE UNDERWRITERS ~-- ~ BUREAU OF ELECTRiCII~' 85 JOHN STREET, NEW YORK, NEW YORK IOO3E TNI~ CE~IFIE~ THAT in the fol~ing l~ation; ~ B~e~nt ~ lst FL ~ 2nd Fl. o ~ ~ ~ ~ ~ e S~tion B~k ~t ~o. August ~7, ~97~ a~foundtobe~n~mplia~ewithther~u~rem~ntzofth~B~rd. HXTURE OUTLETS DRYERS SERVK:E D~SCONNECT SPECIAL REC'PT, R ICODRIHG DECKS OVENS DISH WASHERS AMT. K. W, I AMT. K,W. , .MT. K.W. TIMECLO~KS BELL IUNITHEATBESUNITHEATBES MULTI-OUTlET T ~ SYSTEMS V I C E OTHER APPARATUS: OF CC, CC)ND. 500MCM EXHAUST FANS' DIMMERS 5.00MOP G&S Contracting P.O. Box 215 Soutnold, ~.Y. lll?l COPY FOR BUILDING D~RT~M~T. THIS COPY OF CERT~iCATE MUST NOT BE ALTERED IN A MANHER. TOWN OF SOUTHOLD BUILDING DIPAI~TMB~T TOWN CLIRK'S OFFICE SOUTNOLD, N. Y, Application Ixb, ................ Z ............ Disopproved a/c ......... i..' .... ~ ~.. APPLICATION FOR IUILDII~a PERMIT ~'~ INSTRUCTIONS ~ a. This application mint be completely filled in by typewriter or in ink and submitted in triplicate to the Building Inspector, wit 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildi~gl on premMs,, relationship to adjoining premises or public s~reats or areas, and~ giving a detailed delerJption of la,out of Ixoperty mu;t be' drawn on diagram which is Part Of this application. c. The work ooverad by this 81~lication may not be commenced before issuance of Building Permit. ~ d. Upon approval of' this al~lication,, the Building Impector will i~sue · Building Permit to the applicant. Such permit ,shall be kept o the premim'lvtlLd:~ for inq~ction throughout the work. e. No buiMi~ d~ll be __,~-"~-__,plad or uwd in whole or in pert for any purlx~e whatever until a Ce.rtificate of Occupancy shall have been granted by tho Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the iuuanca of a Building Permit pursuant to the Building Zone Ordinance of the Town of ~toldf ~uffMk County, New York, and other afq)lisebte Lawl, Ordinancal or RegUlctlom, for the eonltruction of bulldin~l, addltlom or ~ltlrl~dm~, or for removll or demolition, m herein de~ortbad. The applioant agreee to comply with ell Iq~liMble I~w, ordinanoel, building emil, homing oode, and regulations, and to admit authorized in~m~i~rl on pre milJp~nd in bulldlnp ~r neM#ary ink, actions. *. %., (Acldre# of applicant) % ~t~ ~heth~r ap¢lcent I= o~er, I~, a~nt, amhl~, enlist, ~neml contour, el~iclan, ~lu~r or builder. '. ..................... ................ ............................................................................................................................... Name of ~,r of premi~ .... ~&I.C~.~ ................................................................................................... (Signature of applicant, or name, if · corporetion)/~~ If nt is · co , ~igneture f duly m. Jthori offi.cer. ......... ..... (~ (N~me and'ti~f~l~rporate officer) Builder's License No .......................................................... Plumber's License No ......................................................... Electrician's License No ..................................................... Other Trede's L cense No .............................................. 1. Locet,on of lend on which proposed work will be done. Map No ..~......~..(~' .~.. ....... ;.'...~... ........ Lot No. --~....~. Street ,nd Number .................................................................................................. ~"~(:~,M.,i~."~'.."'.~. Mun~il:elity 2, State existing use and occupancy of premises end intended use and occupancy of proposed construction: ,. u,,nd .................................................................................. ~ ...... 3. N~ture of work (check which applicable): New Building .? ..................... Addition ........... Alteration.....;..::¥ Repair ........ ~r .......... Removal ......................... Demolition ........................ Other Work .............................. ,, .... (Description) 5/z/ oo 4. Estimated Cost .z..4~/ ............... v-- ................. Fee ......................................... (to be paid on filing this application) .............................. 5. If dwelling, number of dwelling units '"'~'"a~'"' Number of dwelling units on each flo,r ....~.,.~.~. ........................ f I garage, number of cars ................ .,~/....,~/. ..................................................................... ~....~..~'., ........................... 6. If business, commercial or mixed occuDancy, speCify nature and extent of each type of use ....ZZ ./..../.. ................. 7. Dimensions of existing structures, if any: Front~Z~..~.J~..~--~ Rear ........................... Del)th ................................... Height ..................................................... .: .... Nbmber of-Stories//,~ .................................................................... Dimensions of same structure with alteratlol"lS or additions: Fro~v~....,~.... ............... Rear ....... ....~.../.... Depth ............................................. Height ........... ~...: .......... .,~......~..... Number__oJ? Stories ......<...~,. ........................... 8. Dimensions of entjre~new construction: Front ....t~...~...~e~ar ~.~......~.-...g'~... ..... Depth ,......~..~.....~...~... ..... , Height .............. ~....~......~ ............Number of Stories .~.....~'~/.~.~..~..~../~. ........ .~...~....(~.../~.4..~...~....~../~- 9. Size of lot: Front ...~.Y........~.. ........ ~/,~_~ .......................... Depth .................................................. 10. Date of Purchase ....Y~..I~4~.. .................Name of Former Owner ....~/.....~..~...~_._..~'..~.. ....... ,~-~........~..~ .... 11; Zone or use district in which p, remims am situated ....4~f.~/Z~..i~:T~'......~.,~[f~'.,~ .~/.~2....i~p,,~...6~/..~.~... .......... 12; boas proposed construction v olate any zomng law, ordinance or regulat on: ...~..~. .............................................. Will lot be regreded---,X--/~/~..-..~).....,-~-,-~j[;l[~,.~/iU, excess_fill be removed from premises:j,j.~. [ ] Yes 13. P(No 14. Name of Owner of ,remims ....~.~.~.~.....~: ....... ~J~......~_~,/~......~.. Address ( ) (.P o. Name of Architect ....................................................................... :~;"';'"': .................... ..~.~..~....(.,P.~e, .~..,~.....~... ......... ,- ( dd ess ~f~ " ' ' No.} Nam,; of Contractor ........-~.~.~"~..~.. ........ ~....~..~L.~...~.~.~.....2 ...... g ..~........~~~...~. (Address) (Phone No.) PLOT DIAGRAM Locate clearly end distinctly all buildings, 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 wheth- er interior or corner lot. STATE OF NEW YORK, COUNTY OF ......... .~..?....~. ~ .0...~...~. ....... ...................................... · .............. ~ing duly sworn, de~s and says that he is the appli~nt above named. /~a~ of indiv~ si~ing con~act) He is the ~e ~ i ~e~ ~ {Co~t~ctor, ~, co~t~ o~, ~tc.) of said owner or owners, and is duly authorized to ~rform or beye ~rformed ~he said work and to make and file this appli~tion; ~at all statements contained in this application are true to · a~ ~hef;and t~t t~ work will ~ ~rform~ in the ~n~r ~t forth inthe ap~icat on filed t~rewith. ............ ~.~.~ ............... day of ...... ~Z ......... ~. , 19 Notary Pub c, .~ ~ ,