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Home My WebLink About7570-zTOWN OF $OUTHOLD BUT[.r~ING DEP~ Town Gle~k'e O~iee Southold, N. Y. Certificate Of Occupancy No. Z6662 ...... Date ..............SeJ-.t.... ~'. .... ,19.7..~. THIS CERTIFIF~ that the building located at . .Calves. Neck. Road .......Street Map No.. XXX ....... Block No..xx~ ..... Lot No. x~x .... 3ottthold~..N,Y~, ........ conforms substantially to the Application for Buildln~a Permit heretofore ~ed in this office dated ...........0C.t...1 .... , 19~... pursuant to which Bui]dl-s Permit No. ?.~.7.0.Z... dated ............ 0C.t..l .... , 19~.., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which thi~ certificate is issued is . Prtvata .one..£am~y .cl~lltng. with. an. additlx:m .................. The certificate is issued to .Th~.s ,. B1Anlrl. alr ..... '.t~mex ............................ (owner, lessee or tenant) of the aforesaid building. Suffolk County Depa~-huent of Health Approval .. }I.~1[, ............................. UNDERWRITERS CERTIFICATE No. N. 23.7.83? ..... ,Truly.. 29.. :1.97~ ............. HOUSE NUMBER .............. Street ..................... ........................................ ...... Btttlding ~ln~,ctor lvO~.M NO. 2 TO~ OF SOUTHOLD BUILDING DEPARTMENT TOWH C:LERK'S OFFICE SOUTHOLD, I~. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT oN THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 7570 Z Permission is hereby granted to: ...... .~..,. ........ ~. ....... ~ ......................... :..: ........... '. ......... ..~',v~ ....... .~..~. ..................................... '~'7-/~/~/.~.;5 ~,/~L[ ................. y at premises located at ............. ~. ............................................................................... ~ O U -r ~ o L J~ pursuant to application dated / ~'T 19~...~./..., and approved by the Building Int~ector. ....... PERMIT INCLUDES APPROVAL TO REMOVE EXCESS FILL FROM ABOVE PREMISES BY RE(~KADING LOT DRIVEWAY CONtTRUC[~ N CESSPOOL CONS~ R~ ~': 1'1 ,~J CELLAR CONSTRUC1 IO~,~ ~ OTHER Building Inspector ~pr~ ........................................ , ~ ........~e~ ~a ..................................... Disapproved a/c ....................... . ................ ~ ................................................... / / (Building Inspector) APPLICATION FO~ BUILDING, PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or, in ink and submitted in triplicate to the Building~ Inspector, with 31 ~ of pla~s, accurate plot plan to scale. Fee according to schedule. b. Plot plan ~-~o~vin~ location of lot and of buildings on premises, relationship to adjoining premises or public streets areas, and givingla de,ruled description of layout ofproperty must be drown on the diagram which is part of this application. e~ll~ covered by this application may nat be commenced before issuance of Building Permit. .~.. d. Upon ~val of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit~ shall be kept on~0e premises available for inspection throughout the work. fit e:.. No .~uilding~.all be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. 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 Southold, Suffolk County, New York, and other applic.able 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 ~ admit authorized inspectors on premises and In buildings for necessary inspections. (Signature of applicant, or name, if a corporation) (Address of applican~ State whether applicant is owner¢, lessee, agent,~q~:hitect, engineer, general contractor, electrician, plumber or builder. .. ........................... Name Of ............. ....~' .~...~.. ~/~L..~.. ~... . owner of premises .................... ~p....~A If oPPii '~nt is a goq~;c~e, s'i~ture of duly ~riz~officer. (Namo/n~/~itle of ~orate officer) Builders Lic~ No ..................................................... Plumber's License No ................................................. Electrician's License No ............................................. Other Trade's License No ............................................... 1. Location of land on which p ~c~oosed work w~ll be dare, Map No.:~ ....................................... Lot No ......................... Municipality 2. State existing use and occupancy of pre~ and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ................................................................................................. , ..................... b. Intended use and occupancy ........................................................................................................................... 3. Nature of work (check which applicable): New Building .................. Addition..................1~ Alteration .................. Repair .................. Removal .................. Demolition.i.~....:.........:. Other Work ...................................................... ~/~ ~_. (Description) 4. Estimated Cost ............... ~ ................ ....~ ............. ..Fee ...~...../...~...." ...................................................................... (to be paid on filing 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, speci~ n~ture and extent of eac, h 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 ........... .~....O...i.....~ ........ Rear ....... .~...~. ........... 8. DD~mPtehnsions~tirenewconHse~rguh:tion:Front .......... ~m..!:r.~..~f..!~r~ar ........i!.~ .........Dopth.......~.......t. ......... Height .................... Number of Stories ........................................................ ., .............................................. ~ ............. y. e o o: .......................................................................... ........................ .............. ............... 10. Date of Purchase ........................................................ Na!~,of Former Owner ........... ~ ................................... 11. Zone or use district in which premises are situated ................................. ~ ................ ~.~.~ .......................................... 12. Does proposed constructionl~ate any zoning law, ordinance or regulation: ...... ..~.....~.-'"~' ...................................... ' -13 V~i at be regraded .........'""'~'~"i; ~ excess f I J~e removed from premises' ( t~Yes ( ) No · / _.. ' ' 14. Name of Owner of premi~e~ ............. :::..,...~,~ ............... : ......... Address ..................................... N~ ............. Name of Architect .,~...: ......... ~ ...... ~ .......... ~......~, ....... Address ................................ ~'none Name of~ ntract ~%~e; (,.~,~7~t~', e.l ...[,.t.t~ ~o or ............................ / ............................... Address ................................ Phone No ....................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate oil 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 4(aRK, I c c COUNTY OF .: ........ :..: ........... ~.~.....)'"'~ ......................... ~ ...................................................................... being duly sworn, deposes and says that he is the applicant (Name of individual signing controcf) above named. He is the ......................................... .~.~. .................................................................................................................................... (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 ore true to the best of his knowledge and belief; and tha~ the work will be performed in the manner set forth in the application filed therewith. Swam to before me this I--~-~ ..................... ./. day of ...................................... ~...., 19 ....... Notary Public, ..,,..., ........ '.;.: ...... "':'i;'"" ............. 'C~nty ............ ;::~~....,,'~.~..fl~lllll~,, ................... NoIaw public, Stole of Hew york Ne, ~2.0344963 suffolk County THE NEW YORK BOARD OF FIRE UNDERWRITERS r).r BUREAU OF ELECTRICIT"Y ~' 85 JOHN STREET. NEW YORK, NEW YORK 10038 O,,,e JUly 29. 1975 ,4pp,ic.,,'io.~,'o.o..f,,. 7'82529 N 237837 THIS CERTIFIES THAT only the elect rlcal equipment ~ described below and introduced by th~p. ~llcar~t named on the a~vve application number in the premises Blankley, Hill Rd., Southold, . . i. t~,c fo,,,~i.s toc. tlon; ~ Ba~e~e~t [] :,t r:. [~ ~.d ~. outside Section Block Lot ,,=...e..,,,i,,.ao.Jt~y 24, 1975 a.dJouadtobelacompllancewl,htherequiremeatsofthlsBoard. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS RECEPTACLES SWITCHES INCANDESCEIqTt FLUC~ESCENT t4vE~,~e~t ~T, K W. AMT. K, W. Ne, T. K.W ~T. K W. ~T. H P 28 31 24 28~ 1 14. [ ..... -~R~E~ j FURNACE MOTORS I mTURE A~LIANCE FEEDERS SPECIAL REC'PT TIME CtOCKS ~ BELL ~UNITHEATERS MULTI-OUTLET DIMMERS ...... ~ ~o TRANS ~ SYSTEMS SERVICE DISCONNECT O. S E R V I C ITHER APPARATUS: Furnaces, Oil: 1-1/8, 1-1/2hp. Charles M. Hall Elec. ~ ~ Box ~17 Per GENE~L Southold, L.I. 11971 This certificate must not be altered in any manner; return to the office of the Board if incorrect, Inspectors may be identif;ed by their credentials. 0 S~CTIO~ v~'~ fTY 5L POhCB PLAN , B 5CI-IE. OOLE OF FIN ISHES /4~Tc8 /,ae6mg bKt/-I 5H _TJI~E. APPROVED AS NOTED DATE: / O~ NOTIFY BUILDING DEPARTMENT ED INSPECTIONS: ~ON OR START FRAMING _l~.l P_ST FLOOP-. ,_PLAIN 4t .FINISH ~_CB'P-])ULE. p~PZ/~gS',-T~Ok~S 5,~L~N~t 1 ROOM SECO;~:: ' LGOPL.'PLAN' ~ ~-:-~;~, ILo" OF FIN 15M~-S ~J4AR.F.S 5fl Sit] C~ILIt~4 T~ LCOND FLOOP~ PL~Kt~ ELiJaH Scrt~_bULr_ EAST F_LEYA-I I0~ 5C&L.~- ~2 ILO" r [ l N£W gONSTP-UC'FIOH. 30P.. TO FLOOR. FJH. LE'/~'J.~- II II $ L-A t~, ;% J // ~LI~ VAT~ ON F F^C& OF ?R~..s-n4),, /,f ' . ~o P.E..,5, P-NV _W___E_~T_.L~_~-_.TATI o~ $ 3E:CTIOIq FLOOP~ FEAMIN.,S PLAH i OF ST ?-. U CT'U EkL:F~ 1"I'1 t'45 AL ~ L,*,:,~,-l-I u N 5 FoE :t i