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Home My WebLink About6620-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupnncy No. Z~$'?$ ...... Date .............. Aug .~$~ .lb).., 19. ?3' THIS CERTIFIES that the building located at . ~la~l~ ' R~e[ ................ Street Map No. "XX ........ Block No..~ ...... Lot No. 'XX .... $outhold~ 'N'.'Y; ......... conforms substantially to the Application for Building Permit heretofore filed in this office dated ........ J~ue' '1 ~ ...... , 1973. pursuant to which Building Permit No. 66'20Z' ' dated ........ J~' '1~ ....... , 1973., 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 ........................................................................ Private Garage The certificate is issued to .... '~ef/'erts-'PA' Edson ................................ (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .................................... UNDERWRITERS CERTIFICATE No.. -Peking .................................. HOUSE NUMBER .. 5q+8~.0 ...... Street .... i~,~in. Rx~ad ........................... ..................................................... S~rathotd i- N'iY~ .......... Building Inspector ~O~ NO. 2 TO~ OF $OUTHOLD BUILDIN~ D£PART~I:NT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERA~IT CT'HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°. 6620 Z Permission is hereby granted to: .E..o.~.~ h..?..?.~.z...z' ..... .,.../..c...~.:...~.o.~ ......... ........ .$..o..~.t,h.o.;La.. ................................................... Build new private garage at premises located at ..... ~]'.~....~a.i~..t:L?.~.ct ................................................................................... .......................................... : ...... ~thol~ ......N.,Y.. ............................................................................ pursuant to application dated .............................. ~.~_~.e ........ ~ ....... , 1S~t~...., and approved by the Building Inspector. Fee $..:j..g.,,.DO .......... THE NEW YORK BOARD OF FIRE UNDERWRITERS aw BUREAU OF ELECTRICITY ~ November 21 Il07esL~ JOHN STREET, NEW YORK. N~}N. YORK 10~8 N 195269 THIS CE~IFIES THAT FIXTURE I 5 OUTLETS ECEPTACtES SWITCHES INCANDESCE _5 a ~ DRYERS FURNACE MOTORS AMT, K.W. OIL H.P. GAS H.P. [] 2nd FI. ~,,aY'~e ,outside Section Block and found to be in compliance with the requirements of this Board. RANGE! OTHER APPARATUS: FUTURE AP~UANCE F~EDERS AN~T, NO, A.W.G. Lot COOKING DECKS OVENS I DISH WASHERS AMT. K.W. I AMT. K.W. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET C EXHAUST FANS AMT. H.P. DIMMERS bIO. OF NEUTRALSA.W.G. OF NEUTRAL C&S Contr. Box 215 Southold,L.I. 11071 Pvr 11 '~ "(4,.../ COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. ' TOWN OF ~UIL~ING Examined .............. l..., 19.7~.. Approved ........................................ , ,9..~.~ .... Permit N.'o.~..~.....~... 0 ~---- ................... Disapproved o/c ................. ., ............... ~. ~te .......... .~. ( ................. , 19..~.~....Y INTRUSIONS ~ a. This a~licati~ must be completely fill~ in by ~ewriter o~ in i~ a~ s~mi~ in triplicate to ~e Bui~i In--tar, with 3 ~ of plans, ~curate pl~ pl~ ~ ~le. F~ ~i~ to ~h~ule. b. P~ p~n Shying I~ation of lat a~ of buildi~s ~ premises, relation~ip to ~joining premiss or public str~ o~ ar~s, and givi~ a detoil~ d~cripti~ of I~oat of~ must ~ drown on the diagram whiCh is ~ of ~is a~licati~ c. The work cover~ ~ th~ a~liCati~ may n~ ~ c~ ~fore i~e of Buildi~ Pe~it. d. U~n approval of this o~licati~, ~e Buildi~ In--tar will iss~ a Building Permit to the a~licant. Such permit shall be ~t on the premis~ ~ail~le for in~ti~ ~h~t the ~r~ e. No building ~all ~ ~cupi~ or u~ in ~ole or in pa ~ for any pu~o~ whatever until a Ce~ificate of ~c~ncy shall have been grant~ ~ the Building Ink,tar. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of SouthoId, 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, and to ~odmil~Jthorized inspectors on premises and in buildings for necessary inspections. ~// (Signature of applicant, or name, if a corpo ,mtion)//,~ State whether applicant is ~ner, {e~e, agent, o~hit~, engineer, general contractor, electr{cion, plumber or bui}~r. Nome of owner of premises ......... ~~.....~ ~a~a ~/~ma corporate, signature of duly authorized officer. e and title of corporate officer) Builder's License No ..................................................... Plumber's License No ................................................. Electrician's License No..~;;;.....~ Other Trade's License No ............................................... h h Ma o ~ ~ 1. Location of and on w icn~propo~d work will be done. p~N .: ...: ............................. .e--..~-~Lat I~o ......................... Street and Number .~..~.~.. ~~ ~'~ ~ cJ~ ~ ............................. "~unk:ippllty 2. State existing use and occupancy of pre,~ises and inte,nded use and occupancy of proposed C!onstruction: a. Exisiting use and occupancy ......... ~...~ ...................................................................................... b. Intended useandoccupancy,.. ............. ~........~~ ....... :. .............................................. 3: 'Nat,',r~ of work (check which applicable): New 'Building .................. Addition .................. Alter tio~ ......~. ......... Repair .................. Removal .................. Demolition,.; ................ Other Work ............................................. ~.. 4. Estimated Cost ...... :. . Fee (to be paid on filing this application) 5. If dwelling, number of dwelling unJts.~..,,~..~ ...... Number of dwelling units on each floor ............................ If garage, number of Cars ............... ~.....[~1I) ...................................................................... 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 ........................ Numbe'r of Stories ...... ~ ......... Dimensions of same structure with alterations or additions: Front .................................... Rear ............................ Depth ................................ Height ..,t ........................ Number of Stories ................................ 8. Dimensions of entire new construction: Front ......... ~'...~.. ................... Rear ..... ..-~....?,../. ............ Depth Height .................... Number of Stories ..... /... ................................. 9. Size of lot: Front ........................................................ Rear .......................................... Depth ................................ 10. Date of Purchase ........................................................ 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 regraded .....~/...~..~.. ......... ~.. Will excess fill be removed, from premises: (/Yes ( ) No 14. Name of Owner of pram ses ,~ ~ 4~.~..J'd/V/ ...... : .................................. Add ................................... Phone No ....................... Name of Architect .............................................................. 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 lines. Give street and blOCk number or description according t° deed, and show street names and indicate whether interior or comer lot. STATE OF NEW Y~RI~,~, ~ ~, I. e ,~ .............................. ~ .......................................... being duly sworn, deposes and seys that he is the opplicom (Nam~o~f~4'ndivid~al signing contraCt~ above named. He is the (Contractor, agent, corporate office'r, 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 that the work will be performed in the manner set forth in the application filed therewith· Swam to before me this ~ ............... · /......~d,~y of ....... ~ .............. , 19....~... Notary Public, ..~.~~. County ...~...(..~;....~ ......................... TERRI LEE EL.AK ~ / No. 52-6~.6~a / ~,mmissio6 Expires i,,la~ch 30, ~9