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Home My WebLink About7411-zNO. I TOWN OF $OUTHOLD BUILIHNG DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy THIS CERTIFIES that the building located at . a~lO~..~1®¥. R~d ......... Street Map No..~.~..e.n.t. .b.~.. Block No. .Lot No...~.~. .... .0.~.~..e.n.t....N...Y... .......... conforms substantially to the Application for Building Permit heretofore flied in thi~ office dated .......... ~.~Y .... ~.~., 19 .~.. pursuant to which Building Permit No. ~..~.~..~.. dated ........... .J..1~.~...~ ~.., 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 ~..s?~ .~.. ~. ~.e.e~..v.S.~?..~...o~..? .&...~.?e.s.e.o.~. ~.~. ................. The certificate is issued to .K~..~t~.~ .~.e~l~. ..... .~.e~ .......................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . .~. ~.ff*. ............................. UNDERWRITERS CERTIFICATE No.~ .~'~'~.~..~.....J..~.1.~' .... ~.~...1.~?.1~. ............. HOUSE NUMBER . ].0.~[~ ........ Street .... ~.~..V.$9]e..R...~. .................... FOI~M NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE 5OUTHOLD, N~ Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 7 11 Z Permission is hereby granted to: ~..~ ...~.Q~u ~...~w.,.: ?1Linc.. ~..~... h~a r t in Zaeha~lu, ......... ~.l~.....~r.~ed..~..~ ....................... .................... ~.~.~.~.4..... ~ ...~........ ~ J.?..!.?. ...... to .~u~taJ~.~w...pr£~&t a..s~Ja~...p o~l..~z£tl~, ac~e -~ s o~A..~ .~£~! ....... ~ ......... at premises lOCated at .I,0f~.22 ......... ~.Lell.t..l:~...t~..~e~.~ ..................................................... .................................. ~ff~..~o~u~..~e~ ..~a~ .............. .~.r~e~.....~.,.~., ..................................... pursuant to application dated ....................... ~u.]:-y- ....... $~. .......... , 19..~., and approved by the Building Inspector. Fee $.1.,f..~ ~ ............ ($ 10.00 credit for C/O) t ~ - Building Inspector \ Examined ......... !5 ....... , ~9 ........................................ , ,9. Permi, ~o. ~..~.l..!~:~ .......... '-7 lUlLOIHG OEP,~RTkIJHT ,.~/.. / Disapproved a/c ..... ._~.~. ....... ~ o. This application must be completely filled in by t~/pewriter o~. in ink and submitted in triplicate to the Builc~ Inspector, with 3 sate of plans, accurate plot plan to ~cale~ Fee according to schedule. b. Plot Plan showing location of lot and of buildings an premises, relationship to adjoining premises or pub areca. S, a_~nd_ givi ,ng a detai! .ed .,d~. ripti ,o~. o.f. layout ofpraparty must be drawn on the dingmm which is part of this application. · , ne worn coverea Dy tl~s alepucaTlan 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. shalle' haveN° buildingbeen gmntedShall byhe theocCupiedBuilding°r usedlnspector.in whole or in part for any purpose whatever until a Certificate of Occupancy BujAic~iPnLnl~AonT~OC~rdliLHncEeREo~Y~.MA~D_.E_to_~thee__B~uil,d~ ,,D~e~,.,.rt~rnent.for.the .i.ssu, ance ,of .a Build!.ng Permit pursuant to the Reaula~ons for ,.s, ..... ..-,~.,,..,~_ _'~n~r.,.:~__~u_ m_~o~.L ~ttom. ,.t.ou.n. ry, r~ew )'om, aha ,.omer app~mable Laws, Ordinances or ~n,e .a. pph. c, ant ag,,rees to comply with all applicab · aws, ordinances, bulldlnn code housi.~ code a,~l aam r aumonzea inspectors on prem,ses and in buildings for necessary ~'~oections. , ...... .. .... ... z~../.~z~..,~.~ ....... ~..,~.. ....... /..4.¢/.;Z ........................ (Address of applicant) State whether applicant ' ow?er, le~ssee, agent, architect, engineer, general contractor, electrician, plumber or builder. ...... .................................... ame and title of corporate officer) Builder's Lice~sa No ..................................................... Plumber's License No ................................................. Electrician's License No ...................... Other Trade's License No. ,oco.o. o~ ,and o. wh,ch Street and Number ......... .%.~. ~,~A'.4~.......~...~.~.//J~.......~,~..~...: .............................................. ., ~ , t~ MunicJpa,ty State existing use and ~cu,ncy of · U ~ ~ ................................ ~ ............. :~;~.? ........ .t ................................................. bIntend~ ~e a~ ~cu n . ~ _.. .............................................................................. ~ ..... .... ~, ., ... ~/. ~., ............ 3. Nature of work (check which applicable): New Building........~.......~. ~aition" '" Repair .................. Removal .................. Demolition .................... Other Work .~./~l~ir..~ ......... '~ .... ~ ,--- ~, ~-(~ (l~esc riptien) 4. E,,mat~ ¢o,t ...... ~.~0 ....................................... Fee .................................. (to be ~id on fili~ this a~licatton) 5. If dwelling, numar of ~elli~ units ;..,..~ ................... Number of ~elling units ~ ~h fl~ ............................ If garage, number of ~m ............................................................................................................................................. 6. tf busi~, comme~ial or mix~ ~cupancy, speci~ nature a~ extent of ~c~ ~e of u~ ........................... ~' . ~..J ......... 7. Di~nsions of existi~ st~tu~, if any: Front ....~.~ .............. Rear .......... ~ ...~-~.~.- ..... Height ...... ~ ........... Nu~r of Stori~ ..................... Dimensions of ~me structure wi~ alterations or additions: Front .....,...~ .......................... R~r ............................ Depth ................................ Height ............................ Numar o~ Stories ................................ ,,t,r. ront .................. ............ ......... ,ei,h~ ....~ ........ : ..... -,, ............. .~. ...... .~..-..=-.~ .................................................................. ~. S~ze of lot: Fr~ .............. ~ ............................... "~r ........ Z~ ....................... ~h ..~ .............. 10~ Date of P~rchase ....................................................... ~ame of Foyer ~ner ....................................................... 11. Zone or u~ district in which premises are situated ..................................................................................................... 12. D~s pr~osed constmcti~ viol~p any zoning I~, ordinance or r~ulati~: .~ ............................ ~ .................. 13. Will lot ~ r~rad~ .~~,... Will exce~ fill ~ rem~ fr~p~is~: ~ )Ym (~No ]4. Name of ~ner of premises .~~.~~.~. . / ~ - N.~. o~ Co.~=~or~ ................................................... ~,~ ~~. N.~ ..~Z~ .......... / PLOT DIAG~ ~ate clearly a~ di~i~ly all buildings, whether existi~ or p~d, a~ indicate all ~k d~ma~i~ fr~ prope~ lines. Give ~ and bilk number or de~ription according to d~, a~ sh~ ~r~ ~ a~ i~icate whet~r interior or corner lot. STATE ~ N~ YORK,u/~ ,>¢ ¢ ~OUN~ OF~.~.~f ~ (Nome of i~ividu~l signing c~tm~ He is the .................. ~ ..................................................................................................................... (~ntmcto~, eg~t, co.rate o~icer, etc.) of ~id owner or owners, ond is duly eut~riz~ to pe~orm or h~e perfo~e~e ~id work ~ to ~Ke ~nd file this epplic~tion; t~t ell statements cont~in~ in this eppliCetion ere tree t~e~st of h~ ~wledge ~nd belief; end the ¢ the~ t~ ~ will ~ perfor~ in t~ ~n~r ~t ~o~h i~ ~pplicetion~ ~.~ .......... do ................ , 19 ........ ...... ............ ......................... (S~gna~m of apphcant) NOTARY PU~IC, Stole of New Ye~ No. 52-0] 26048 Quc~ifled ~n Suffolk Co~ty J T~ BUREAU OF ELECTRICITY ~--- 85 JOHN STREET, NEW YORK, NEW YORK 10038 974 747 9 N 173865 THIS CE~IFIES THAT ~ly t~ e~t~ ~u~nt ~ ~sc~b~ ~ ~ int~ by t~ ~t ~ ~ the ~ ~t~n ~um~r i~ t~ p~mi~s o~ M. Zach~/us Soundvtew Rd. Orient, L.I. ~on JUly 25. 197M andfoundto~in~mpllance~ithther.quirementzofthhB~. A,'~DTRYERKS. w, o,t FURHNPACE ~MCAsTORSH. p. R,T,~U~EAPPU~.HCE A.l~w.~o~ SERVICE DISCONNECT NO. Of OTHER APPARATUS: RANGES fPECIAL REC'PT S R [COOKING DECKS I OVENS I DiSH WASHERS I C A, W.G. NO, OF HI-LEO A. W, G. NO. OF NEUTRALS (Swimming Pool) Th~s certificate covers compliance at the date of Inspection only. Because of unusual environments it Ia advisable to have frequent test and/or repairs made by a quallfied perEon. EXHAUST FANS AMT. H. P, OIMMERS OF NEUTRAL A. Perrlera 12§ Hlgney St. Brentwood,L.I. 11717 emma, s aA~Ae~ p~,. !1 COPY FOR BUILDING DEPARTMENT. ~COPY OF CERTIFICATI MUST NOT BE ALTERED I~ Mj~qNIR. i AT