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Home My WebLink About7412-zFO~M NO. A TOWN OF SOUTHOLD BUn.DING DEPARTM~.NT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy Bio. Z~002. ...... Date ..........,)'.u.],.~ ..... 1 ~ ...... , 19 ..~.. THIS CERTIFIES that the building located at P. lpe~..l~k. ~ .~...~:~I~...I~.. Street Map No?~..~. .~.a.y..E.s.t. Block No ........... Lot No..1.~?/..1.~.9 .... ~..r.e.e.n.p .o.~.t, ........ conforms substantially to the Application for Building Permit heretofore fried in this office dated ........J.uly...13 .... , 1971~.. pursuant to which Building Permit T0. ~i~l aZ.. dated ...........~. ..... 1 .~ .... , 197.1+.., 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 .. acce saozT. &totals. building ....................................... The certificate is issued to . .J~net. I/wa~san .&. Doro~h~r. Abbott .................. (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .,~o~.. .............................. UNDERWRITERS CERTIFICATE No. ~ ;~.° ........................................ HOUSE NUMBER ...$.8~30. ..... Street..~. !,5..R..a4tl .............................. ~0 Plpesneck Rd ....... Building Inspector [ 1~~t~r NO. 2 TOWN OF ~ou'rHOLD BUILDING DEPARTMENT TOWN CLERK'S OFRGE SOUTHOLD, N~ Y. BUILDING PERMrr (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 7412 Z Permission is hereby granted to: ...,~a~e.t ..~a, nsea....&.~oth~ ..Alabet4~. .................. ~....~...~.e..r..r.~.o..,.. ............. ......................... Lt....~..,. ....... ~..,.~......~.o..~ ......... to .~.g;L~..,fiC.~..ac2e ~aor,,7...,,:t. cu:,~ ga..b~il~Lnl .................................................................... at premises located at ...~.9..t;~.,.1.~2/.l~.~.....A~lmendLimp..2aconic,..I~a~...~t ...................... ................................ ~..e...s....~:~.~ .c...k......~....~.....~J-.m .~.~.~, .............. AZ~,a~a~ ......................... G~eempo~t N.Y. pursuant to application dated .................... J.u~L~. ......... .13 ........... , 19.~.1~.., and approved by the Building Inspector. I'(WVN OF SOUTHOLD BUILDIHO I~PARTMKNT TOWN CLERK'S OFFICE / ~ SOU*THOU), N. Y. amined ...... /..*-.-, . ......... :2.: ......... :..,...., Di.~ppra~ed a/c ...................................................................... Application No ...... .~'... ...................... INSTRUCTIONS Date Jul7 13, 1974 19 ............ a. This application must be completely filled in by typewriter oe in ir~/ and submitted in triplicate to the Building nspector, with 3 sm of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan shOWing Io~atibn of lot and of buildings on premises, relationship to adjoining premises or public streets o~ 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 o Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. shalle' haveN° buildingbeen grantedShall bybe the°CCupiedBuilding°r usedlnspector.in whole or in part for any purpose whatever until a Certificate of Occupancy I~ .A.P..PLICATION IS HEREB. Y MADE to the Building Department for the issuance of a Building Permit pursuant to the eui_l.d.;_n?.._Z__on~e _O.r~dinance. o? .t. he T, .o~n.,o,f. South?l,d.; Suffolk County, New York, and other applicable Laws, Ordinances or ~lU u/~un$, tar tne consrru~,on aT t>ui~a~ngs, aaairions or alterations, or for removal or demolition, os 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. (S'gnotufe of applicant, or n~'~'~"i~'~"~-*~'q~'~;;~') ....... 2400 ~...~.cleon Terrace, Fort Lee N,~T, · '""'"'"' ~t;~~~~( ddress of app leant) 07024 State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .................. ~.e~..:.....~.~..z....n..t...3:Z..~..t~....D..~...:..~.~.h.Z..I~:....~..~.b.~..%.t.* .a...a.~ ..a..cL.d~..ess Name of owner of premises ....Sme..3bo~re .................................................. If applicant 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 done. Map No.: ....3..1.24. ................ lot No~ Numb r Corner of Rt. 25 and P1 s Street and ~ ............................._.. e ....................... ..N...e. ck ROad Municipality 2. State existing use and occupancy of premises and intended use and occupancy of propOsed construction: a. Exisiting use and occupancy . ~tl~dio - attt:J, clMe at:ore -~ b. Intended use and occupancy ..~hecl...o.u.~RL~l.~..~n:...8~orage ................................ . .. . property lines· Give street and block number or description according to deed, and show street whether interior or corner lot. / 3. Nature of work (check which applicable): New Building...X~ .......... Addition .................. Alteratibr ................. Repair .................. Removal .................. Demolition .................... Other Work .................... i~e~'~ )tion) 4. Estimated Cost ..~D..k~.~...-....~.l.....a..1.~..n....u~. ee ........................................................................................ (to be paid on filing this applicat on) 5. ]f dwelling, number of dwelling units .~D. ...................... Number of d~,elling units on each floor .......................... If garage, number of cars .~T.o ................................... *. ................................................................................................. 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 ................... ~.j~.Number of Stories ..... ~./¢j, ...................[~ '~ I~ 8. Dimensior~s~ ~p~,entire new construction: Frort ..,.u..~;~.. ......... ./. ............. Rear ....e...~..v .................. Depth ..~......P'..f./.. ........ Height ..~..h~ .........Number of Stories '"t' ...................................................................... ;~ ........................................ · ' ' "~ eth ~.2. ' 9. S~ze of lot: ~ront (.'~e:l~.~.~r~......l.~0 .....................Rear ..... ),.~..0 ......................... :.... D p .... ~. ....................... Robert ~/Kraus ~ o,,,~,, July 13~ 1974 " f Former - ne 10. Dote ................................................................. ~'~ome o Uw r ............................... ~ ........................ ' B 11. Zone or use district in which premises ore situated ..... .L.1..gh~...C.**o.~.~g**.i**a..1.. ......... ..1. ................... 1 ........................ 12. Does proposed construction Violate any zoning Iow, ordinance or regulation: ..~.Q ........................ / 1 ........................ 13. Will lot be regraded ....Ne,e=~..~*~:-.m.. ~(~x&e,~ fill be removed from premises: ( ) Yes (l_) No . ~,~ ,.. o,~,o~,, ~a00 ~-d~nn Terrace 21~1461~J74 14. Name of Owner of premi~sDow~J~h~...I.o..JLbhot:t ........... Addm~F.~..Lt~a..-]~Zala... ~ No~ /..4..e.~...~.?.9...~., / t ~o~a } Nome of Architect .............................................................. Address ................................ Phone ~ ...................... ~ome of Contractor ............................................................ Address ................................ Phone PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate oil set-bock ~ensions from and indicate I ( ,o.0 RT STATE OF NEW YORK._. COUNTY OF .............. Janet T. Swanson ....... : ......................................................................................... being duly?worn, deposes and says that he the opplicam (Name of individual signing contracf) above named. He is the ................. ,~.Q~,D,~...~T¢~.~. .................................................................................................................................. (Contractor, agent, corpora]re 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 thor the work will be performed in the manner set forth in the application filed therewith. Swam to ~,ore me this (,~..~ ............ /.,_ ........ day of .................... ' '/' ...... Notary PubJ~ .......... (~... ?...u. ~..~..~. A .~. ................ County ....................~ .'i,¢A~-x... ~..~'..'..Y.....cw~....Ca':~..... - ,I ......................... ~(~~.~ T~/ (Signature °f applicant)