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Home My WebLink About7601-zNO. e TOWN OF $OUTHOLD BUn.DING DEPARTM~NT Town Clerk's Office $outhold, N. Y. Certificate Of Occupancy No. 7.6.~2~ ...... Date ............. April.. 24 .... ,19.7~. THIS CERTIFIES that the building located at . .6th .Street. off. Bray. A.vStreet Map No. G...I ,T~thlll~lock No ........... Lot No..31~. &3~.. Laurel.. N...Y. ........ conforms substantially to the Application for Building Permit heretofore filed in this office dated ............. .Oct...15, 19.7.~ pursuant to which Building Permit No.. 76OIZ. dated ......... 0C~;...21 ...... , 19..?.~', 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. riva.te, or~e., fa~ly..dwell.~ng .wt~h .a~.dlt~.o~..~..a~,tqT.a.t.i.~p. ..... The certificate is issued to .. Mart~n .&. Emma. F.~ · Tschimmb,~ .... ~erm ......... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .. I~,R, ............................. UNDERWRITERS CERTIFICATE No.. 1~ .%997.7-5 ...... Dea .20..1.97~ .............. HOUSE NUMBER .... 200 ...... Street..eixZh .St ............................... Buff ' g Inspector FOB~ 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) N? 7601 Z Permission is hereby granted to: Building Inspector. Building Inspector SOUTHOLD, N. Y. ~ . e . ' ............ .................. . ..: ............... ........... ~ ~1~ .................. ~ .................................................... ...............................................~~..~ .......................... ~ ~. ~. ~ . ~ ................... ~..~.:....:~ .................... ~... No ~ld~ ~1 ~ ~ or ~ ~ ~le or in ~ for .a~ pu~ wF~e~r ~tl a ~J~ ~ ~ ~ all ~ ~ g~ ~ ~ guJldi~ I~. APPLI_CATIC~I_ tS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuont to the ,Build!~r~.. Zone Oedteance of the Town of Southold, Suffolk County, New Yod¢, a~r~ o~er appl~le Lay4, Ordinances ot K~egul~'..~, for the constmct~lon of bui.ld~, additlo~ or alterations, or for rem~al or. de~dltk~, as h~etn described. ,.ne .?;~p,~a~. o~..r?~ to.comply with?ti epp! .l?~....h~s, o.rdina~/l~ui~lng c~Js,ng cTxJe, and regulattom, and to aamn oumortzea jl~llpeclors eh.premises ~ In buildings tm' ~i~:~ _ /.. ' ~!~. _ ~ /~i~ ~/~//~/r/~. ~ . . . ~.r~f 4 -: / ' (Address of applicant) ' -- State whethe~ applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. If applicant is a corporate, stgrmture of duly authorized officer. (Name and title of corporate officer) Bui'lder's Liconse No ........................................... Plumber's Ucense No ........................................... ..... ~) .__ ~ Electrician's License No ...................................... Other Trade's License Nb ............................................. G,"'~-~,~' 7~-~/.c. , _ u~at~o, o~ land on ~ch p .~0po. d ~.k wi. be ~k~. ~p No.: ........... ~...~,~. .................. t~ No...~...~.~ ~..~. st~t o.~ Nomb~ ......... E-.....~...~... .............. ~.'~~..~...~ ...................................................... ~... State existing use and occupancy 'of premises and intended use and occuponcy of proposed camtmcflon: a. Exisittng use and occupancy ....~...~.~r-~r-'/A/~O U~'~.~. b. Intended use and occupancy ...~.~.,-~(~../~'-:fl~i:~-/.r.'~ ........ ,~..~.:d~..~xt~,~.T,'~. ...................... A.~-.~. ............. J. ?4ature of work (ch~,~ck which ¢.ppiicabie): New Building .................. Addition ................. A~tera,Han ...x~.~. ....... Repair ...~. ..........Removal .................. Demolition .................... Other Work ............................................... ~'~' ~ (Description) 4. EStlmated Cost . ...,~.~-w..~...~. ....... Fee .......................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units .......... ./.. .............. Number of dwelling units on each floor ,.J,. ..................... if garage, number of cars ............ -'T ................................................................................................................................. 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 add tions: I-rent ........... ~?.....;~.~',l~ear .....'~.,~... Depth ........ ../..Z~... ................ Height ........ /_.6. ............... Number of Stories / 8. Dimensions of entirenew construction: Front -~ i ./_ ~_.4, i~f' ...................................... ~'~....~..~[..~..... Depth ..... /.,.2'.. ............ Height ....../..~. ......... Number of Stories ..... ./'. ............................................................................... ~:.' ................ t pt .....~.~ ..................... ~' 9. Size of lot: Front .................. /..t.t~ ............................. Rear ................... ~..~..~..~. ............ De h 10. Date of ........................................................ ~' 4 1. Zone or use district in which premises are situated ...... ~"4~.t'ffl~'.t*Z~.~.JL.t~.t~.. ..................................... .~. ................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ...../~...~'. ..................... ~.,..~ .................. ~il3. Will lot be regraded ..... ~..,4 ................ Will excess fill b~ removed from premises: ( ) Yes (M) No Name of Contractor/~.j~,j,,.~,...~..~t~..'7...&--,..~. .... Address ~'~.,~..?..O..~..~.....~..~.. ~ I~n 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 Indic~ate e~hetber interior or corner lot. .I STATE OF NEW YORK, I S S C.9.U..NTY OF .............................. .$ · ~ ~ ,. . {Name of individual signing contracf) above named.. He is the ........................ ; ........................................................................................................................................................ (Contractor, agent, corporate officer, etc.) of. said owner or owners, and is d~ly authorized to per~orm or have performed the said work and to make and file this application; that all staterrmnts contained in *his application are true to the'best of his knowledge and belief; and t ,ar the work wdl be performed ~n the mannar set forth m the appli~jon fded there_with. ~worn to bef~_ore me this .................................................................. · ..... Notary Public, .....,~../,:;.L-.~ .~.~...X.;/.(.. .................... County ................................................................................................. (Signature of applicant) FORM NO. 6 TOWN OF $OUTHOLD Building Deportment Town Clerks Office Southold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in DUPLICATE to the Building Inspector with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage dispasal--(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installations, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent in- formation required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 Date ....A..~. ~.~ .]:....]:...7. ,....[..9..7..5. ........... RenovaC±on New Building ................ Addition ................ Old or Pre-existing Building ........ ~ ..... Vacant Land .............. Location Of Property ........ .~.~b...~.~:.[~.e.~ ...................... o. ff.....~.ra.y..A~z .................................................. Owner Or Owners Of PropertyFb~,~;.in...aD.d..Rm~a...~'.~z. ie~la...~s.cb~embe~; ........................................ Subdivision ..g.:..[..t,..?.'9:.~..~..J:..[...]:......8..~..]: ..................... Lot No~3,5... Block No ............. House No ............. Permit No. 7..6.,Q.~,..7~ ...... Date Of Permit ..]-O,-/.2-1./.7..Z~ApplicantMa,:c~;,in..,&..E, mma..~.~i, eg, a...T.s~,,h.i.e~e~ Health Dept. Approval N.~..A. ...................................... Lobar Dept. Approval ................................................ yes ~ N199775 . Underwriters Approva~ .............................................. Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Final Certificate .......................................... Fee Submitted $ 5.00 Construction on above described building/c~/p.~!t~me~ll/pplicoble~odes and regulations. Sworn to before me this Applica~~ .......... / day of Notary Public ......~....g..~F~' Count' CHARLES W. WINFIELD' ~ NOTARY PUBLIC, State of NeW No. 52-4603860 Jstamp Qualified in Suft01k County r.~, Cc~nmission Expires March 30, 19 ~ or seal) THE NEW YORK BOARD OF FIRE UNDERWRITERS nr BUREAU OF ELECTRICITY [~ 85 JOHN STREET. NEW YORK. NEW YORK 1OO3B "a"December 20, 1974 .~p.,,¢.t,o. No. on.m. 76 660 N 199775 THIS CEI~:U'IFIES THAT only the electrical ~quipment as described below and introduced by th~ applicant :mined o~ the ab~ appl~ation number in t~ premises o~ ~. ~h~e~e~ n/~ ~h. app~z. ~00' w/o Bray A~e., ~a~eR~ ~.~. inthe~ollowlngl~ation; ~ B~ement ~ lstFL ~ 2nd Fl.o~~ S~tlon Bilk ~t w~ eznmined on ~ ~0 ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ and found to be in compllanee with the requirements of this Board. DRYERS FURNACE MOTORS ~TURE AP~IANCE ~EEDERS SP~IALREC'PT ~IMECL~Ks BELL ~ MULTI-OUTLET DIMMERS Four Point Elec. Inc. , 863 W. Jericho Tpke. / /' OENERALMANAGER Smithtown, L.I. 11787 , ' '" '" "~, ' !~ ~ This certificete must not be eltered in eny monneri return fo the office of t~e Booed if incorrect. Inspectors mey be identified by their credentiois. 3¥ A~PROYED AS NOTED 765-~660 9AM TO 4PM FOR REQUIR- ED iNSPECTIONS: £ VE~..ITI L,,~TIOk3 '~:) P._A,¥ AVF--~ OE.,/¢V~, T T t C..','<-, k,). ~ DRAFTING SERVICES INC, 11 HALTER~ LANE, LEVITTOWN PE 1-5506 DW'G BY ~'-'~"'~' JOB NO."TZJ ~00~