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Home My WebLink About7339-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. Z6322 Date Feb ~ 19 75 THIS CERTIFIES that the building located at .Qr. eg~.n.. Rp.a.d .............. Street Map No.. ~ ........ B]ock No..XX ....... Lot No...x~.. .... M&~.~t.ll.e.k...N...~. ~ ....... con£orms substantially to the Application £or Building Permit heretofore filed in this office dated ........ .g.t~9...~ 8 ...., 19.7?+. pursuant to which Building Permit No. 733~2;.. dated .......... 3.'~.e...~.8 ...., 1971+ .... , 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 Agricultural storage building with an addition The certificate is issued to Sidor Bros ( Martin Sidor) owner~ (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval N.R. UNDERWRITERS CERTIFICATE No..~..].8.1~.6.~.1t' ..... .[].e.p..~..2.6.....]??.br. .............. HOUSE NUMBER .... 2.0.0.0 .....Street..qr.~g.o.n.. [t.~%4 ........................... Building Inspector/ FOI~M 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 CQMPLETION OF THE WORK AUTHORIZED) N? 7339 Z Permission is hereby granted to: ...~.~d~..i~.a s ..................................................... ............... ~t~i,~'~ ........................................... toB~ld...az~..~d~ £d.ozz..oz~..~.i~&.. f.a~,m..b~.~L l~.irzg ...................................................... at premises located at ........Qr.e.~.o2%...h~Q2~i ....................................................................................... ..................................................... ~a.t~;...tu~k ..................................................................................... pursuant to application dated ........................... J~.F~(~....,1.~..~ ...... , 19..~+.., and approved by the Building Inspector. Fee $. J.~.*O~, .......... TOWN CLERK'S OFFICE ~OUTHOLD, N. Y. / & ' ,praved .................................. Disopprowd .... ....-..........w-.......-... ~.~-7- .......................................................................... APPLICATION FOR BUILDING PERMIT INSTRUCTIONS (~ a. This application must be completely filled in by typewriter or. in ink and submitted in triplicate to the Building''~')t~-) Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on prem sas, re at onship to adjoining premises or public streets or areas, and giving a detailed description of layout ofproperty must be drawn on the diagram which is part of this application. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall 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. g c~ Bu fn ' ^o52oNd, to rt?nt 'or the ,=o.ce of a Bu,,d,ng Perm. pursua.t to the, ~1 own Or '~ouTnola, ~UTtOIK ~ounty, 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.V The applicant agrees to comply with oil applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. Sidor Bras (Sign;tut; of applicant, ';r name, if 0 corp~)Tati~l~) ..... Mattituck ................................ ('X:~;:iT;;~' ;T '~ii~;;;;;j ............................... State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. 0 ' ............................................... ..w..u..e z s Name of owner of premises ....b.'..idor Bras If applicaat is a corporate, signature of duly authorized officer. (Nome and title of corporate officer) Builder's License No ..................................................... Plumber's License No ................................................. Electrician's License No ............................................. Other Trade's License No ............................................... 1. Location of land on which proposed work will be d~ne. Map No.: ............................ Lot No ... Street and Number Oregot~ }~oad i~¢tituok NoYo ' ..................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy farm b. Intended use and occupancy addition on existing farm building 3. Nature of work (check which applicable): New Building.. ................. Addition ..... ~ ...... Alteration ............... Repair .................. Removal .................. Demolitior, .................... Other Work .................................................... (Description) L~ 000 + ~ 11~. O0 4. Estimated Cost ................................ .~. ......................... rea .......................................................................................... (to be paid on filing this application) 0 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, 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. Dimensions of entire new construction: Front ................... , ................ Rear ............................ Depth ........................ Height .................... Number of Stories ...................................................................................................................... 9. Size of lot: Front .&cozen, ge Rear Depth 10. Date of Purchase ........................................................Name of Former Owner ........................................................ 11. Zone or use district in which premises ore situated ...... !!~!!.,.~.~..'~ ...................................................... 12. Does proposed construction violate any zoning Iow, ordinance or regulation: ........................................................ 13. Will lot be regraded . ........ ~,Q .............. Will excess fill be removed from premises: ( ) Yes ( ) No 14. Name of Owner of premises ..J~ZLct, 0~....B~S .......................... Address ..~vj[a,J;.~&~.c~, ....... Phone No ....................... Name of Architect .............................................................. Address ................................Phone No ....................... Nome of Contractor .......... .o..g,.,~.,e.~ ...................................... 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 to deed, and show street names and indicate whether interior or corner lot, STATE OF NEW ~'ORK, ~ c ¢ COUNTY' OF ..... ~;['..q~]r~ .......... [~." ...................... .~.J[.&...~..t;..~.~....~.~.~9.~. ............................................ being duly sworn, deposes and says that he is the applicam (Name of individual signing contract) above named, He is the ............................... O...~..~...e..~.. ...................................................................................................................................... (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 are 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. Sworn to before me this ..................... · ']..8day of ..................... .~..'g:~....e. ............. , 19...~..~.' -- k~),,,~ .-'t-- , ~ Notary Public, .................................................... County .... .~........./.././.~....~.....~......~...~ ...................... (Signature' of applicant) f~- THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY .. , E5 JOHN STREET, NEW YORK, NEW YORKIOO3E Gate Sep~embez 26.1976, ..... 756/~81' ~,pp,,c.tio. ,.o.o./i,e ,. N 184684 THIS CERTIFIES THAT Section Block Lot was examined on and found to be in compliance with the requirements of this Board. FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS OUTLETS SWITCHRS 6 ~. 2 5 DRYERS FUTURE APFUANCE FEEDERS TIME CLOCKS MULTI-OUTLET SYSTEMS NO. OF FEET DIMMERS SERVICE DISCONNECT S E R V I OTHER APPARATUS: Panel: 1-9, 12..Smapa .... NO. OF HI-LEG C OF HI-LEG NO. OF NEUTRALS OF NEUTRAL W.B. l~uland, t4att[CuckRL.[. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.