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HomeMy WebLinkAbout6417-zNO. & TOWN OF SOUTHOLD BUILr~ING DEPARTMENT To~rn Clerk's Office $outbold, N, Y, Certificate Of Occupancy No..Z .6..~. ~ ...... Date .............. .J..l~.e.. THIS CERTIFIES that the bugding located at . $/.~ .Ea~n .t{oacl ........... Street Map No. ~ ........ Block No.. X~c .....Lot No. ~..~O~t~h0~Ll~,...~;.~.; .......... conforms substantially to the Application for Building Permit heretofore filed in this office dated ...........Hatch_..1 ~ 19~.3. pursuant to which Building Permit No. 6.~.l?~.. dated ..........~. ......2.0.., 19.7.~., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is The certificate is issued to ~.q~thg.~d. ~.~$~;~ .~.o~.. (.Th.e.r.e. ~.a...l~9.n~??..o~..f.q~,).' (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . .N ~.o .............................. UNDERWRITERS CERTIFICATE No. l~J 9~2~ .... ~o¥. 20.19.~t~ ................. HOUSE NUMBER ...~.2..~.0. ..... Street .... ~s.~.n..~.o. 8.d ........................... Building Inspector / FOEM NO. ~ 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) Ne 6417 Z Permission is hereby granted to: ~o~thold...K.~t~n.' ~o~--..' (' ..Fe°h-~hoe ££e ~ Electric) .......... ao~th~Zd.....tg,~, ...................... .............. roB..u..i..~4....~...~.~ i~in~.. ~..make .. a It ~a~n,~., ~n..e~.~s .%X.r~.. bu~ ~ --~-d~.ng · .aa..a~p~o.~.~d...b.y:...~oa~d...o~...,~.pp~a.~-~.,, ................................................................................. at premises located at ..~/~.~a.~.R...Roa~...~T.~.~-)-....we.$%.-.o~.-~'~t~gs...~e ....................... ............................................... ~ ou~,~o.l-d... · .N.,, ~.,, ............................................................................... pursuant to application doted ........................ ~}a~' ......... 1'9' ....... t., I~......, and approved by the Building Inspector. Feel ~.~.a,~.~ .............. THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY, 85 JOHN STREET, NEW YORK. NEW YORK 10038 .~te~W~.',,~ ~o, z~','~ ~pplie~,io.~o.o.~.~ ~58 N 195200 THIS CE~IFIES THAT o~y the el~t~al ~ulp~nt ~ ~Nb~ ~ a~ int~c~ by t~ apricot ~m~ on t~ a~ ~pl~at~n numar in the prem~es of Frohrhoefer Elee.Co.Inc., s/side ~ain Rd., 150' ~/You~s Ave. Sout.olJ, L.I. inthefollowlngl~atlon; ~ B~e.ent ~ lstrl. ~ 2.d FL ~d fl. & oute~o. ~ examined on Novemb e~ [ ~ ~ [ ~ 7 ~ and found to be in compliance with the requirements of this B~rd. RXTUR$ ~ RXT~RES RANGES OVENS DISH WASHERS EXHAUST FANS OUT'TS ~EPTAC~S SWITCHES ~1~ 89 DRYERS SYSTEMS NO. OF F~ET 160'-0' OTHER APPARATU$~ .".~. T. Cabinet: 1 -'~anelboard/s: 1-] ~'cir. [-].?cir. ~ E R V I C E 12'~amps., !-25tlr. 200a'~:~ps., 1-Scir.125amps ·, OF NEUTRAL 500mcm Jos,J,,ve!?!~:,>,,:fle~ c. ont_ .J~., Southo]:i, L.'~:. 11971 $~NE~M. MANAGBI Per COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. ' ':~ BUILDING DEPARTMENT-- TOWN CLERK'S OFFICE /~/../.,, ~- /~ -/~'~/ '/7~,,~. __ SO .O D, ,. y. ........ ~ ........................................ , ~' ........ / -/~' . ~p a~ ~ ........ ~. .................... ~ a/c ...................... ................. : ....................................................... ~"7 ........... ~"'7"~" ....................... ............................. {Suildi~ I~ ...... APPLICATION FOR BUILDING PERMIT Date Ma h 1 197...~.....'.~ ................ ~.~ ........ ~.,~ ............... , INSTRUCTIONS ~' a. This epplicafion must be completely filled in by typewriter or in ink and submitted in triplicate to the Building Inspector, w~l 3 sets of plans, m:cu~te plot plan to scale. Fee eccording to schedule. b. Plot plm ~nowing location of lot end of buildings on premises, relationship to adjoining premises or public streets or are~, I giving a deteiled description of layout of property must be drawn on diagram which is pert of this application. c. The work covered b~ this application may not be commenced before issuance of Building Permit. d. Upon epprovat of this epplic~ion, the Building. Inspector will issue a Building Permit to the applicant. Such permit,sh~dl be kept i the premises ~w~ileble for inspection throughout the work. e. No building shell be occupied or used in whole or in part for any purpose whatever until a Ce.rtificate of Occupancy shell h~ve been grenl~l by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pummnt to the Building Zone Ordinance of the Town of Southold, Suffotk County, New York, end other applicable Laws, Ordinances or RegUlat~om, for ~ ear--ion of buildings, eddltions or elter~lon$, or for removal or demolition, es herein described. The applicant agrees to comply wllh MI ordinances, building code, houdng code, and regulations, and to admit authorized inspectors on State whether applicant is owner, le=.~ee, agent, architect, engineer, general contractor, electrician, plumber or I~ilder. ............. 01a~.ez' If,~lj~,t is, e oorpgreW, ,l~r~ture of duly aul;horized officer. ~'"~ ~?~-'~ ~ ~/' ~-"~-~ .......... *' i/ ,p ame and title of/comoret6officer) ......... Builder's License No .................... Plumber's License No ......................................................... Electrician's License No ..... .°2.~.~,.~.. ..................................... Other Trade's License No ................................................... 1. Location of land on which proposed work will be done. Map No.~.:l,L.].~e...T.....M..a...i..n...~u. Lot No...S..o...u..~...~..o...1..d..... Street and Number ...... ..M.p~...n.....R..d.....~....S..O..U..~.h...O..1...d. ...................................................................................................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposal construction: a. Existing use and occupancy ....F..~.o..h...n..h...o..e...f..e.~...~..1..e..c..~.%..o.. Re:ail Gift; & Lamp b. Inten~led use and occupancy same o 10. 11. 12. 13. 14. Nature of work (check which applicable): New Building ....................... Addition ..................... Alteration....;, ......... Repair ......................... Removal ......................... Demolition ........................ Other Work .......................... ~. ........ (Description) Estimated Cost ...°..~.e...~.....~..~.0..mO..O...O. ................ Fee ..~.~..~..-.~)~.~ ............................................................................. (to be paid on filing this application) If dwelling, number of dwelling units ................. Number of dwelling units on each floor ......................................... If garage, number of cars ............................................................................................................................................ If br,~iness, commercial or mixed occuoancy, specify nature and extent of each ~,~ ,~f ,,se Ret;si,1 Store .54.' ' Dimensions of existing structures, if any: Front .................. Rear .~L~ ..................... Depth ~) .............................. Height ........ .~.~.~ ............................................. Number of Stories ....;~ ...................................................................... Dimensions of same structure with alterations or additions: Frnnt 83t Rear ......................................... Depth ........ .~?. .............................. Height ....~..~. .............................. Number of Stories ..... ~ ................................. Dimensions of entire new construction: sa~e Front ....: .................... Rear ............................ Depth ................................. Height ................................................. Number of Stories ......................................................................................... Sizeoflot: Front iO.Q.~ , 0t .................................... Rear ......],Q! ........... ' ..................... Depth ...~....0. ......................................... Date of Purchase .~.?..~.~.. .......................... Name of Former Owner ...~...a..~.:....~....~....e~.. .................................................... Zone or use district in which prem,ses are s tuat~l ....................................................................................... Does proposedconstruction violate any zoning law, ordinance or regulation: Will lot be regraded ____~_o_. ......................... W excess fill be removed from premises: [~] Yes [ ] No Name of Owner of premises ....... .~...o..s...e~.~....~..:...~r...o...~..n.h.o..e...~..e...~.,,.. E~oul;holc[ (Address) (Phone No.) Name of Architect ...... :..a..~ae (Address) (Phone No.) Name of Contractor ................................................... . (Address) (Phone No.) PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property Ijries. Give street and block number or description according to deed, and show street names and indicate whath- er interior or corner lot. c~on fi,le, =efer to plans STATE OF NEW YORK, COUNTY OF ...................................................... ............................ .................... beino duly sworn, *poses and says that he is the applicant above named. He is the ......................................................... . ................. 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 ell 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 in the application filed therewith. T~RRI LEE E~Nt .............. · ~....~. ................ day of ...~~Y P~Bo~"~' S~a~8~st~lflNew Y0~ · ' ~ 0 ~. em~-i~sion Expires Marcn au, *ar, .,X-~... ' S--/. // // // . / .o arv Pub,c, CounW .......................