HomeMy WebLinkAbout6676-zI~OB~ NO. &
TOWN OF $OUTHOLD
BU~I~ING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
THIS CERTIFIES that the building located at 8/80~ie~tal. Ave .......... Street
Map No.F.,.I. :E.a.t.a.t..~.SBlock No....1.~ ..... Lot No..?.-.1~... F;I,~h~r.~l. ls~...N. ,~..
conforms substantially to the Application for Building Permit heretofore f~led in this office.
dated ........J.~e ..... .la .., 197~. pursuant to which Building Permit No.. 6676Z.
dated ............J..~.~.,. ~0..., 19.7.3., was issued, and conforms to all of the require-
ments of the applicable provisions of the law. The occupancy for which this certificate is
issued is ?~i.?.a.t.e., .o.n.e.,.r..~..i.~.~..~.o.t..t.~p..(~.~.,~ .~. ~.) ............................
The certificate is issued to .C.o.~b.l~..C.h.~. e.t.~. ...... . .O~.~.r ............................
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval . p.~ll~ ..........................
UNDERWRITERS CEI~TIFICATE No..N..1.~.6.8.....J..~...2.~...1.~ .~. ........ '
none Street
HOUSE NUMBER ........................................................
FOBM NO. 2
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N~. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N? 6676 Z
Permission is hereby granted to:
A ,~'.~Ga~a. ~o~n_~ .. C~tr.....~k/.C...Cc~b~... I~a~ter
........... i~t~harJ... I.R ~ _-__~ ...................................
ot premises located at ..~..~..~...~..~...~.~.~..~..~..~.~[~..~?/..1.~`......~.~q~.~.~.~.~.~..~8.[B.[e~ .................
.................................... ~l~;~.~o..~l~,..~.ark..ar.~&....F.,I, ...........................................................
pursuant to application dated ......................... ~...'~....e. ....... 7.$ ......... , 1~.3....., and approved by the
Building Inspector.
Fee $.2~.e.{}0 ...........
Building Inspector
THE NEW YORK BOARD OF FIRE UNDERWRITERS
,~.k BUREAU OF ELECTRICITY
[~ 85 JOHN STREET. NEW YORK, NEW YORK 10038
,,,.,, N 139368
THIS CERTIFIES THAT
only the electrical e~quip~ent ~s d~scrlbed belo~ an~ iflt~duemt by.t~e a~plicant ~an~d o~the abo~e ao~llcd]tion ~tt~er in the premises of
in the following location; ~Baser~ent ~~,tr~. [] ~nd F~. outside
S~tlon
Bilk
~t
January 1H~ 1974
amd found to be in compliance with the requirements of th~ B~rd.
FIXTURE FIXTURES
OUTLETS ECEPTACLES SWITCHES iNC~,NOESCENTi ELUOeESCENT I ~'
DRY~RS FURNACE MOTORS FUTURE APPUANCE FEEDERS
RANGES
1 9.3
SPECIAL REC'PT.
[COOKING DECKS ] OVENS I DISH WASHERS
AMT. K.W. IlAt4T. K.W. ~ MT. K. W,
TIMECLOCKS BELL UNITHEATERS MULTI-OUTLET
~,. ~s. ,,,,,s.~ ,So:So',BE;.,',,
R V I C
A. W.G. NO. OF Eli-LEG
Of CC. CC)ND.
2
OF HI-LEG
EXHAUST FANS
DIMMERS
AMT. WATTS
Panelboard/s: 1-12CB iOOamp8.
1-i0Onr~?. Cb disconnect
NO. OF NEUTRALS OF NEUTRAL
A. John ,ada 8eneral Contr.,
D~awer B
~shers Island, ~;.Y.L.I. 06390
COpY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERE~ I~NN ANY MANNER.
IPO~.M NO. I
TOWN OF soUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
Disapproved a/c .......................................................................................
(Build
APPLICATION FOR BUILDING PERMrr
Dote ...J..~D,W...~,.~ ........................................ , 197...3. .......
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink und submitted in duplicate to the Building
Inspector.
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or
areas, and giving o detailed description of layout of property must be drawn en 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 permit
shall be kept on the premises ovailob e for inspection throughout the progress of the work.
e. No building shall be occupied or used in whote or in part for any purpose whatever until a Certificate of Occupancy
shall have been granted by the Building Inspector.
^PPLIC.,A. TION IS HEREBY/V%ADE to the Building Department 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.
(Signature cf applicant, or name, if a corporutlon)
Fisbera ~sk~D,~, ..~.q.~ ..Y..o..r...k. 06390 (Address of app,{cant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
.......... ~er~aral ~ontr. ac.~or. ..................................
Name of owner of premises .......... Cnlh~. M..Ch~s.ter ...................................................
If applicant is a corporate, s!gnature of duly authorized officer.
A. John
Block 15
1. Location of land on Which proposed work will be done J~Aap No.: ..Rark..A~e.~ ................ Lot No.: Lo.ts...7....~...~2
Street and Number .....................................................................................................................................................
Municipoli~
2. Store existing use and occupancy of premises and intended use and occupancy o~ proposed construction:
a. Existing use end occupancy ~.~.~.~.~..~..a..[.. ......
b. Intended use ond occuponc, ......~.esi~e.~ai~ .............................................
3. Nature of wo~k (check which applicable): New Building .... ~ ........... Addition .................. Alteration
Repair .................. Remova~ .................. Demolition .................. Other Work (Describe) ........................................
4. Estimated Cost ...$~'D.t. OD.O,..ClD ................................. Fee ....$.2,,~.o.1~.0. ......................
(to be paid on fi!in.q 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 occupancy, specify nature and extent of each type of use ............................
7. Dimensions of existing s~'ructures, 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 entir~ new construction: Front ........... ;~.~. .................... Rear ....... ~ ................. Depth ...... .3...0.! ............
Height ....12.! ......... Number of Stories ..............:t .....................................................................
9. Size of lot: Front .40.:~,."/.~ ............. P, ear ....2~...4~ ................. Depth ...?.g[~,.3~. ...............
10. Date of Purchase ....tmlq~:~,z~ ................................... Name of Former Owner ......... ~'Z~[X~ ...................................
11. Zone or use district in v, hich premises are situated ..... ~e~:l. clel~.~:l.~%l. .....................................................................
12. Does proposed construction ~iolate any zoning law, ordinance or regulation? ....... ~ .......................... 20'3'~ ...........
13. Name of Owner of premises .~..*.~.,....~..~I~.~t~. ........... Address ~['~.ell~.~[.~.~b...f~.c~rlD~ ...... Phone No. ~.~.'/.~..~..
Name of Architect ..~o.~,...G~.~.es.t...Tl'~. ............. Address ..~1~...~'c~:.~...~..,~'. ......... Phone No.
Nome of Contractor ~..,.,,T...~....(~.~,f].~,..f[l.~.,....¢.¢tr/.~.o..Address ..~'~,~l~'~..,T,~,L~,l~.~,..~l,ll~one 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 to deed, and show street names and indicate
whether interior or corner Jot.
STATE OF NEW YORK,
COUNTY OF ................................
........ &...~O}ll~,,,i~,~i~.,,~T~. ................................................ being duly sworn, deposes and says that he is the applicant
(Name of individual signing application)
above nemed. He is the ........................... ~:o'~.~'~.t.o~'. ............................................ ~i .......................................................
(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
tk, a~ the work will be performed in the manner set forth Jn the application filed therewith.
Sworn to before me this
....... ......... ........................ '
................. Z' ' .............
R#ldln8 in Suffolk Co. Off. No. 52-64~1~
Comrmmon r~# ~ ~
/~PF~RIO¥[~D A~ NOT
HOIlFY BUILDING DEPAKTN
INSPkCTIONS:
BEFORE BACKFILLING
TION OR START FRA~ING
FINAL WHEN JOB COMPL~
TJON OR START FRAMING
I
,DRWG.No. :,~,'
:=--~- -~:~-'=~'=- : ........ -~ ~ BABAROVIC & GRAVES
; ....... ~ ~.420 I~EXIN~TON, A~VENUE
' *' :~ NEW yORK,~ NEW yORK
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REViSONSDATE : ¢'4N0"7~. DATE
420 LEXINGTON
NEW YORK,
DATE I "/~.
SCALE:
AVENUE~
NEW YORK
DATE
DRWG. NO.
~ ~ ,. ~~ ~ROPERTY OF
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~":'"'~ COLBY M, CH[STER
"~ , ,' ,, , FISHERS 15LAND- N~W YORK .
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NORWICH, CONN. MOV.