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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 . , ,~ ~ ..... --~~- ~ ~ ....... ~ ~/ ~ C ~ ~ I ~ : I~:~~~ . ' .] ~- ' ~ ~ "~ ..~ f:.__ :.- . , ~ , ~. ,~ ._:. . . .~.. -, ~.. _~" ~ -- ~ .... k ~,..~.:~,:.,,~= . . ~, . _~ _~1~~ ~ ,.. ~,. , , , , ,,,,,,. ~ , , ,~/ ~ ~ , " -~- ~i~~' .. ,~ : :.~ ,'~!,-k:,: t .~..~., ...: ..... ~~,L~ % d /:i'/c// L.~'::~"~' "":~' ' , ~, ~. ~~-~-~-~~~ ...... ,~ ~ , , ,~ t ~ ' ~ ~ .. , ____~ ........ ~~~~.~ ~ 7 ~ ~ ~ : ~..~ YORK, ~1 ~ all ~.-~ ~..~. ,._ , REViSONSDATE : ¢'4N0"7~. DATE 420 LEXINGTON NEW YORK, DATE I "/~. SCALE: AVENUE~ NEW YORK DATE DRWG. NO. ~ ~ ,. ~~ ~ROPERTY OF ~ ~:,.~ ~ l~ ,~0,:,~'..,~ . /I /'" ~~ P~N OF PRopERTY OF. ~":'"'~ COLBY M, CH[STER "~ , ,' ,, , FISHERS 15LAND- N~W YORK . ':,, SCALE: I": I00 NORWICH, CONN. MOV.