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Home My WebLink About7391-zTOWN OF SOUTHOLD BU~.r~ING DEPARTSrk~qT Town Clerk's Office $outhold, N. Y. Certificate Of Occupancy No..s77.98 ..... Date ...............~lul~. .... 2~., 19..7.7 THIS CERTIFIES that the btdldin~ located at . P. ine. Neck .Road. ......... Street Map No..xx ........ Block No...Ir. lc ..... Lot No .... xx ..... 80~ttlOl,~..l~...l(~ ...... conforms substantially to the Application for Building Permit heretofore ~ed in thi.~ office dated ............. J.U3,y...~., 19.. 7~+ pursuant to which Building Permit No...?3~J.Z. dated ............July....9., 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 The certificate is issued to.. Rlcha~ .~inters ........ u~ner ....................... (owner, lessee or tenant ) of the aforesaid building. Suffolk County Department of Health Approval . I~,R e .............................. UNDERWRITERS CERTIFICATE No.. p~ndtng ................................... HOUSE NUMBER ... 2225 ...... Street .... pi~e..N, ep~ ..Road .... .~.o.~t.t.h.o.l~ ....... FO~.M NO. ~ ' TOWN OF SOU'FHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N~ Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PP. EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 7391 Z Permission is hereby granted to: ...~,s~...~.t,.~ ........................................ to ...~u.~lA..a~.. ad~t f&on., o,~ .. erzks.tl~ ..~.e ~,Zug ............................................................. at premises located at ..~..c)..~.....P..~....e...~.e..~...~...,~,O..~...~. ........................................................................... .......................................................... · ~o~ha~cl,., ..N..¥.. .................................................................... pursuant to application daSed .......................~T.I;i,~ .......... c~ ........... , 19..~..~.., and approved by fhe Building Inspector. Examined .... ~"~'"7"~" ....... ' Approved ................ ~v/ ~t ~ 7 '~ .......... /" ......... , Application ............ ~ ................ INSTRUCTIONS application mus~ be completely filled in by typewriter oe. ~n ink an~ .su~m~itte~ in triplicate to the This Inspector, with 3 set~ of plans, aocuro~ ~ plan to s~ale. Fee ~ to~. b. Plot p.l?n sho~. i.n~. Jo~:..ation. o.f. Jot:a.r~. Of buildings an premises, relatior~ship fo adjoining premises or pub~ stree~ al areas, aha g~v,ng a aetallea cescrlpr,on at layout ofproparty must be drawn on the diagram which is prat of this applicetla~ c. The work covered by this application may not be commer~ed before issuance of Building Permit. d. Upon approval of this application, the Build!rig Inspector will issue a Building Permit to the applicant. Such permit shall be kept on the premises available for impactmn 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. B .A,P..PLI ~CATION !S HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Ru~mngulati :one Ordinance of the. Town.of Southold, Suffolk County,. New York, and other e~ldice~e lam~, Ordtnene~ ~ .__~_ns,~,fo_r_t__he__c._o_ns~___r_u~____~,on o? bu.~!din~.! .~d. it? or a. lteratmns! ?...for re .mov?l or. demolition, os hefe~ ..... i~l~,,~.u-~ u~ree~ ~o con~y w~rn a~ appucaole I~, or~irKItice~ DMilolng cooe, rlOMSlng eod~, arid r~uklt{~l~ ~ld admit authorized inspectors on promises m~d in buildings for nacessoflr~i~ ............ . ............. ............ r r(Signature of opphcant, or name, if a corporation) ,0. ,-/.,-,co - *~':..'-v:?..~.,.~. ~ ~o~¢0/~.~/~.. .............................. ., ............................. ,.,....,... (Address of applicant) State whether apphcant ,s owner, lessee, t~lgen~tI arrchitect, 'engineer, general contractor, electrician, plumber or builder. ........................................................... ... . ........................................................................... Name of owner of premises ...... ~'.. ..... L ..~....~. ...... ; ......... If applicant is a coq>orate, signature of duly authorized officer. (Name and title of corporate' Officer) Builder's License No ..................................................... Plumber's License No ..................... ~ ........................... Electrician's License No .................................... ~ ........ Other Trade's License No.....~ ................................... - Location of land on which, p_mpa~d~ wo~wi,l be. ~ne~ Map.~N~l: ...... ...~...1 .~... .................... Lot No. ~J../~. ............. Street and Number ..... ~...~...~.~.........t~..h...~....~.~.C. ....... E~. ................................................................................. -- State existing use and occupancy of pr~z~ise~ and Ir~ use and~occupancy of proposed construction: · ' ~'~'~ ' c~ . a. Ex ,,t, ng use and occ ........... I..~......1~.! l .. (~.g..,~...... . ................................... ,,. ,nt.n~,seo~,p,,nc,, ...................... .~.~..~..../..~.'-"-- .................... ......, ................... ,... 3. ° Nature of work (check which applicable): New Building.. ................. Addition ......~... ....... Alteration .......... .~.~.,;. Repair ................ ~emoval .................. Demolition .................... Other Work ..................................................... ' (Description) 4. Estimoted Cost ......................................................... Fee .................................................................................. (to be paid on filing this opplicotion) 5. If dwelling, ndmber of dwelling units _....../.._:.,~ ........... Number of dwelling units on each floo~ ...... ~. ..................... if garage, number of cars ..... (~)~,0~...~.J~O~.J.) ....................................................................................................... 6. If business, commemial or mixed occupancy, specify nature and extent of each type of use ....~ ................. Height ........ : ............... Number of Stories ........... ..O......V}~. ........................................................................................... Dimensions of same structure with alterations or additions: Front ............. ~.. ............... Rear .~.../..~.. ................. 8. Dimensions of/entire new construction: Front ............ /..~..~:~.~.' ...... Rear ........... ~ ..........Depth .......'~.. ............. Height .....~(~. .......... Number of Stories ...... ..O.....~... ..................................................................................................... ,,.'°' Zon. or u, d,st,ct , *hich prem,ses are s,tuoted ....... .............................. .!. ........................ 12. Does proposed construction violate any zoning law, ordinance or regulation: ....... ...1~....0.. ........................................ 13. Will lot be regraded .....~..?~..~:~-,~ ......~/ill qxcess fill be removed from premises: ('~ Yes ( ) No Name of Architect ........... ..~.~. ........................... ' ..... Address ................................ Phone No ....................... Name of Contractor ........ ..~J..~....?.~' ........................... Address ................................ Phone No ....................... PLOT DIAGP~M 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. /4¢-- STATE OF NEW,'~RK~'/~ ~ ,,~ [c¢ COUNTY OF ~""~ ................. ' ................................................................................ being duly sworn, deposes and soys that he is the applicam (Name of individual signing contrect~ above named. He is the ............................................... ,-~.,..~-~., ~=~..,, ~.~~;~'~'~'~'~[i of said owner or owners, and is duly authorized t.o 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 a~nd belief; and that the work will be performed in the manner set forth in the application fiJ~cl therewith. Sworn tobef~re me this , _ /~/~ -- ~-~ .......... .......y/:l ,9 Noton/ Public, ~....~..~~,,'.~/ ..... 4.....~,~........~..~...~.../~'...~.".:... \ (Signature of applicant} ' JUDITH T. BOKEN Notary Public, Sidle of Ne,,',, York No. 52-0344963 Suf[r. lk