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Home My WebLink About6758-zFOP, aM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. Z61~2 ....... Date ........... Se.pt.. 2~. ....... , 197.~.. THIS CERTIFIES that the building located at .... Leeward..Dl'i~e ........ Street Map No. Leeward. Aa~t~ck No ........... Lot No.. 23....Sou~hold...~i,~f., ......... conforms substantially to the Application for Building Permit heretofore filed in this office dated ..... J~IF 'fg~'' ~'3, 19 '?3. pursuant to which Building Permit No. dated ......... ,~ul]r .....~., 19.73, 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 .. P-l, iva~e, swl~l~l~ .100o3..wi.th £~e$ .&. ~eess~ry~ ................ The certificate is issued to .. 6to~'l&. &. 3t~pl~ .~l~b~zl. ..... 0~t~ ............ (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . .N.o~, .............................. UNDERWRITERS CERTIFICATE No.. N..1D7863 .... Atlg...[~ .....1973 ............ HOUSE NUMBER ........ 8~ .... Street .... Leeboard. ll~'it~ ...................... lb~ ~0 Jaeob~ Lane Building InspectOr FORUM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFIGE SOUTHOLD, N~ Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 6758 Z Permission is hereby granted to: ... 2~......On.tarl n ..a.t ........................................ to~r.~.t,..lm~...l~ ..~lvat, a. mt:l. ml~..pooX..,,i.th..£eaca .................................. at premises located at ~T~l~..~,~.....~,~lll~..~l~ll ......................................................................... .................................. Leeua~ ..l~ve .&. Ja4o~ ..I, mae ......... r~a~t,~:~4 ................................ pursuant to application dated .............................. ~'~1,~ ....... -1.~...., 19.~.~.., and approved by the Building Inspector. Fee ~-~,00. ............ ' ' THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICS. =~ ,~ :i ~ ~ 85 JOHN STREET NEW YORK, NEw yORK ioOse , THIS CE~IRIES THAT ' oMy t~ ~t~M ~uipment ~ ~scd~ ~ ~ int~ by t~ ~t ~ on t~ a~ ~ ~ in t~ p~m~ of RXTURE fiXTURES RANGES OVENS DISHWASHERS EXHAUST FANS OUTLETS SWITCHES FLUORESCENT I 1 1 TIME CLOCKS MULTI-OUTLET DIMMEES SYSTEMS SERVICE DISCONNECT APPARATUS: S E R V I C E (Swimming Pool) This certificate covers compliance at the date of inspeCtion only. Because of unusual environments~it is advisable to have frequent test and/or renairs made by a qualified person. Spuds Electric Service Inc. P, O. Box 166 St. James, N.Y. 11780 // THIS COPY OF BE ALTERED ~N ~ TOWN OF SOUTHOLD SUILDINO DEfARTMENT'/~-'~ TO~ CLERIC'S ~FI~E~-/~-~ ~:~ ~. ~UTH~D, N. Y~ Examined ~ ~ ~ 1~ ~-Iication No ....... ,,, ........ ................................. Approved ............... , ................ -.--~..---~...~- APPLICATI~ FOR .................... ................. , ~. lhis ~pplicotion mu~t ~ compl~t~l~ {ill~ in b~ ~pawrit~r Ink,tar, with 3 ,t* ~R~s, accurate pl~ glan to ~ale F~ acc~d no b. Plot plan showing I~t~b~[~ b~ ~f buildings o~ prem~s~, r~abonsh~p to adjoining prem.ses or public ar~s, and givi~ a detailed ~pt~ ~ ~t ofpr~ must be drawn ~ t~ ~i~m ~hi~ is ~ of this applica~ c. ~e work covered by thrs'a~c~iOn may n~ be commence~ before issuance of ~h~ll b~ ~t on th~ ~re~ise~i~bl~ Jo~n~tion t~out t~ ~. ~ ~ildi~ ~11 b~ ~u~i~ or u~d i~ ~o1~ or i~ pa~ for ~r ~u~ose ~t~r u~til ~ ~ifi~t~ Of ~upancr ~11 ~ov~ ~ ~mnted b~ th~ ~uildi~ I~tor. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursu.a, nt to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other appli.c, able ~ws, Ordinances or Regulations, for the construction of buildings, additions or alterati~;~s, or for removal or demohtion, ~s herein described. The applicant agree~ .to comply with all applicable laws, ord~es,~building code, housing code, and iregulations, and to admit authorized inspectors on premises and in buildinae~F6r necessa~l'v inspections. ', r ' JSi~l~e of ~l~plican,, or name, if ~ corporation) /. : ...-~',, . \ ~ -,i ~ '"-.,.Z'..~....E.~ .~...~.:" ~'- ~'~,~-~a State whether ~pph~nt is owner,~,.~, ~.nt, ~rchi~c.t, er4jlineer, general cbntract~'.,, electrician, )lumber or builder. · . . , · . , ' ',T ................................... ~......~....~.....\ ....................... ~.. ....... , .................................. ~. ............................... ~ ............................... Name ofawnerof premises ...... ........................................................... If applicant is a corporate, signature of~,duly authorized officer. (Name and title of corporate ~fficer) Builder s License No ........................... ~.~c; ...... ~.~.,.,.~.7.'. ~, Plumber's License No ................................................. /' Electrician's License No ......... /..~'...~....~.. ....................... Other Trade's License No ............................................... 1. Location of land on which, proposed work will be done. Map No.: ....... ~.~"~,~.~'.~:.....~ ......... I~ot No, .,.~e~,.~ .............. Street and Number ~..~. Municipality 2. State existing use and occupancy of premises and intended use and ~cuponcy of proposed construction: a. Exisiting use and occupancy ....... ~, .............................................................................................................. b. Intended use and occupancy ....... ~...~.~.~..w~ ...... .~...~..!..?....m..~,..~.~.......,~..~..,...~. ......................................................... 3. _Nature of work (check which applicable): New Building .................. Addition .................. Alteration. .............. ' Repair .................. RemOVal .................. Demolition .................... Other Work .............................................. .~ ...... ,,~ ~ (Description) 4. Estimated Cost ..... ..~..~...~..R..°.. ...................................... Fee ..Z ........................................................... (to be paid on filing this ap[~lication) 5. If dwelling, number of dwelling units ............................ Number of dWeUing units on each floo~- ............................ 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 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.~..,,--~ --- ,Dimensi°ns of entire new construction: Front ...... ~1~.~. ....................... Rear ......... ..~...'ff-.. ............ Depth ....~...~. ............... ~' "......~.'~'..&....'. Number of Stories ..................................................................................................................... 9. 'Size of lot: Front .............~..o..~ ............................. ~". Rear .~o a .......................................... Depth ....~... ........ ~ ............ 1~. ', Date'of Purcha~i, ,':~,~ .................................................. Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated .................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: 13. Will lot be regrade~ .......... .~...o. ............ Will excess fill be removed from premises: (l~Yes ( ) No 14. Name of Owner of premises .~T....e~...../e)~......~..~.~...~. e....... ;-....-....-. 't .~.e~ ...e:C~.../.'' Address J~..~e.~m:m..~.....l~'one No ....................... Nome of Architect ~..~..~...u.~.?.~..~....~./.~ .............................. Address 49f..~...~..~r~ Phone No. ,Rr..Z.2..~.~[.[ Nome of Contractor .~..~..~...:...~..e.P.~-..~. ...... (...~...~.., ............... Address .....~e...~..!.~..vz,~.i~,.~¥.phone No...?..e..~.~..e..~..e..? PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or p~oposed, 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 lot. STATE OF NEW YORK, [~ ~ COUNTY OF. ..... ;$..u...~...~...~ ....... ~'~.; ~ .................................................... ;.....~....:..;...~. ....................... ucm~ ou~y sworn, deDgse, s and ~ays that he is the applicant (Name of individual ~sig'rll~g' confracf) ' ' ~ ~ ' above named. He is the 0 ~ ~/m-~_ .. (Contractor, agent, corporate officer,,etc.) of said owner or owners, and is duly authorized to perform or have performed the said work ~d to ~ke and file this application; that all statements cgnta~ed iR tkis ~li~on ~e~tr~o the best of his knowledge and belief; and that the work will be performed in the ~ann~r set f~dh in the~ application filed therewith. Swornto~f~ethi~ ~_ ~ _ ........... ....... ........ , .... , Nota~ Publi~; ..~.....~~.....Z~ .................................. ~ (Signature of applicant) BLtC. State 0t New Yor~ R~VfS,.ON~ ; YOUNG & YOUNG M'4t~.~'~/~/ 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK _ ALDEN W. YOUNG HOWARD W. YOUNG -, SURVEY FOR:s; ,.,/ / / ~1- 2..~" Will-I- ~