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Home My WebLink About7300-z· 0~ ~0. & TOWN OF SOUTHOLD BUILI~ING DEPARTMF~NT Town Clerk's Office $outhold, N. Y. Certificate Of Occupancy No. ZT}l.? ...... Date ........... .0e.~...~.0. ........., 19.?.6. THIS CERTIFIES that the building located at .. 0!.d...0~..e..hard...L~i...e ....... Street Map No. ~ ......... Block No .... ~ ..... Lot No...:~....R.a..s.t...I~..r.i.o.~. .............. conforms substanti~ll~o t~ Application for Building Permit heretofore fried in this office dated .......... ~ ..... , 19.~... pursuant to which Building Permit No. ?.~..0~).~... dated ............ ~ .1~..e...bf..., 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.~.i.T.a~;.e..ll.a.r.a~e...~..a..c~.e.s.~..o?~..b.u.l..l..d.i.n.g .............................. The certificate is issued to .. D.ari..ie.1. .&. H.a.r...Ya-~.......D. Ze..nk..°~..s.ki. ................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval I~?.R.~ ............................... UNOERWRITERS CERTIFICATE .... ............... HOUSE NUMBER 880 Street Old Orchard La~ R? Nal'iom TOWN O~ SOUTHOLD 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) blo. 7300 Z Permission is hereby granted to: ............... ~.~...~vA0a ............ ~ .............................. at premises located at ...~../.~.....0....~.....0.~..~.]~...~L .............................................................................. pursuant to application dated ........................ ~T3,~ ......... ]~ .......... , 19...~be, and approved by the Building Inspector. F. .............. FOR~ NO. 6 TOWN OF $OUTHOLD 0 Building Depmtment Town Clerks Office Southold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions Sworn to before me this (stamp or seal) Notary PubliC/. ............ ;;:.~.::~..~:Z..ii... County THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 31, 197~ 85 JOHN STREET. NEWYORK N ~l~(g~O~. ,00=8: App.~..o. ~..o.~,. ~ N 174165 THIS CERTIFIES THAT RXTURES [] 2nd Fl. out;81de Section Block and found to be in coml~diance with the requirements of thla Board. ~TTA K.NGESW. COOKINO DECKS OVENS DISH WASHERS ~V,T. ~ W. .~V,T. K.W. WT. r.W. TIME ~K$ BEU, UNIT HEATERS MULTI-OUTLET R ¥ ! EXHAUST FANS DIMMERS Panelboards: 1-~ei~ yOm.ps. 23 0o L ~/~/ Theodore Rohloff 0Pcha~d St. Orient,.L.I. 11957 m MANm COPY FOR J~I/~ILOINO DEPARTMENT. THIS cOPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER, ....... :~ .._**.,,~ ~ . : ~ THE NEW YORK BOARD OF FIRE UNDERWRITERS ~1 ~ BUREAU OF ELECTRICITY : '-- 85 JOHN STREET. NEW YORK, NEW Y~:~RK ]O03B ~Ju.l.y 31, 1974 Aj,j~t,,.,io,,No.o.~,. ?J~Sq~0 ", N174162 THIS CER'rlFIIES THAT only the electrical equ~ment as described below and introduced ~by th~ appl~_ _ t named on t~ ~abo~e a~licatlon numar in the premises ojF Daniel Dzenkowski ~/s Old Orchard Lane 1000- s/o Rt 2~ East Marion,L. ~. i. the~ollowing locatloa; [] Baseme~ [] lst FI. [] 2ad FI. Otltside ~ection Block Lot wasexamln~lon ~ly ~ ~ 197~ andfoundto~incompliancewlththerequirementsof~his~oard. ~NGES ~T. ~.W. C~O~CING DECKS OVENS DISH WASHERS AMT. K, W.I AMT, K.W. U/IT, K, W, --CROCKS I,~BE!S'': :' ': ~ . .~ N~S.y~)~ F~rtUNITHEAT.. . MULTI.TLK'T 1 200 cb R V .I C EXHAUST FANS DIMMERS ^. w.o. 310~ .o. o, OF CC. COND, OF NEUTRAL 1/ Theodore Rohl o ~'ff Orohar,d 3t;. Orient ,N.Y. 11957 SOUTHOLD, N. Y. Approved i 19..?..d.~. Permit No. Z.~....~...~.~ ............ Disapproved ~ ............................................... Application No ........................... : .... APPLICATION FOR BUILDING PEP, MIT INSTRUCTIONS ~ a. Thi~ appJication must be completely filJed in by. ~pe~riter or,il~, ir)l~.and..submitted, in triplicate to the Buildingt~>: Inspector, wi~h 3..sete of.plans, accurste pl~t Plan tO scale. Fee accdrding to schedule. b: -Plot. p!an~shc~vi~g :location of iot'and-of'bbildings onpremises,'relationship to'adjoining premises or public streets o~t:~, areas, and giving a detailed description of layout ofproperty must be drawn on the diagram which is part of this applicatJon.~--~ c: The ~v0rk Covered'by this application may not be cOmmenced before issuance of Building Permit. d. Upon approval of thisapplication; the. Building Inspector will i~Sue a Building Permit to the applicant. Such perm 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~t~ shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the BRuild!ng Zon? Ordinance of the Town of Southold, Suffolk County, New Yoi'k, and other applicable Laws, Ordinances or egulations, tor the construction of buildings, odditions or alterati0hs, or .f6r rem09~l or demolition, as herein descr bed.~ The applicant agrees to comply with all applicobtell .a~. s, ordinal~ces,.buildmg'code, hOusing code, and regulatiOns, and't~..~ admit authorized inspectors on premises and in buddings for nec'e~sary inspections. .... ........ (Address of applicant) State whether applicant, is owner, lessee, agent, architect, engineer, general contractor, electri~:ian, plumber or builder. ................... ......... ................................................ ........................ , ................................................ Name of owner of premises.. ~,~:~.~.~.......~.. ...................... ~ ............................................. i .................................................. If applicant is o corporate, signature of duly authorized officer. (Nome and title of corporate officer) Builder's Licen~,e 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.: ........................................ Lot No. 2. State existing use and ~cupancy of premises and intended use and ~cupancy of pr~osed construction: e. Bisiting use and ~cupancy ~ b. Intended use and ~cupancy ~ ~ ~ ............. 3. Nature of work (check which applicable): New Building .................. Addition .................. Alteration ....' ........... ,~ Repair .................. Removal .................. Demolition .................... Other Work ...................................................... ~ (Description) 4. Estimated Cost ............................................................ Fee ...~..~.. ................................................................................. (to be paid on filing this application) 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. Dimensio,~n~ of entire new conRtru_qtion: Front ....... ~...~. .................... Rear ..... ,~..~.. .............. Depth .....~.. ............... , eig ht~..~..~,,~ .~..e...~.. ~er ~o~tories .......... /.. ......................................................................................................... 9. Size of lot: Front ................,~.~...~. ............................. Rear ...... ./..~...~. ........................ Depth ....~.....~.. ............. 10. Date of Purchase ...~.~.~...../.~...~...../...~.~....~... ............ Name of Former Owner ~.~../.~..~....~.....~....~;..I.....~.~.~.:..~ 11. Zone or use district in which premises are situated ..................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ............... ..~....~.. ................................ 13. Will lot be regraded. ............... Will excess fill be removed from premises: (') Yes (,t~') No ~1~ 14. Nome of Owner of premises .................................................... Address ................................ Phone No.......................~--~/~'~ Name of Architect .............................................................. Address ................................ Phone No ....................... Name of Contractor ............................................................ Address ................................ Phone No ....................... PLOT DIAGEAM 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. OF - COUNTY OF( of individual contracf) ......... being duly sworn, deposes and~'~ys that he is the applicant~ ~e is the .............................................................................................................................................................. ~ .................. (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 cont<~ined in this application are true to the best of his knowledge and belief; and tha~ the work will be performe,d,[n the manner set forth in the application filed therewith. Swam to before me this // /'3 ~, .................... q da. f ..... /.I . Al . , JUDITH T. BOKEN Notoly public, State of NeW ¥or~ No, 52-0344963 5;uff'°l~ C~u~97(