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Home My WebLink About7317-zNO. ~ TOWN OF $OUTHOLD BUTt.DING DEPARTMI~IT Town Clerk's Oltice Southold, N. Y. Certificate Of Occupancy No..Z.69.1.8. ..... Date ...............Nar .... ~ ...... ,19.~.6. THIS CERTIFIES that the building located at R,0,W., .off..Naple .Lane.. Street Map No..~ ....... Block No...r~x .... Lot No.. xxx ....$outhold..1~,~ ....... conforms substantially to the Application for Building Permit heretofore filed in this office dated ...........~...u~e.....1..., 19 .~.. pursuant to ~vhich Building Permit No.~.31?Z.. dated ..........~..ug..e...!.0 .... , 19. ~.., was issued, and confoms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is ~sued is .?r!v.a..t.e..o..n.c..r.~..~.i!y...d.W.!~. ~.nS..-.!t..h..a.n.. ~.d.d.i .~.i.o.n. .................. The certificate is issued to . ..E:..~.....D..o~.b..1.e.~. ....... . .0~..e.ll. ......................... (owner, lessee or tenant) of the aforesaid building, Suffolk County Department of Health Approval Nelt.o ................................ UNDERWRITERS CERTIFICATE No. ~1 ?~.8~ ...... A.u~e~...? ....197k .......... HOUSE NUMBER ..... .8.0.~. ..... Street ....F!a.g!.e.il.v..e.)....L~..n.c....~.o.u.t..h9.1~ ........ Building Inspector IrOBM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMEN? 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) 7317 Z Permission is hereby granted to: to ...i~l~l..~u..a~t~.~G..~&t~u~..4~;l&~ ............................................................. at premises located at ..~il~l....9~..]J~J~J...~...~..~ ................................................................ .......................................................... JJ~:~tl~....~.V. ..................................................................... pursuant to application dated ......................... ~.....~1. .............. , 19..~....., and approved by the Building Inspector. '- Budding Inspector[ Approved ........................................ , BUILDING DEPAR..T.M..E.N.'r ·OWN CLmC'S omcE SOUTHOLD, N. Y. 19..?..~. Pemit No...-~....~....~..~...~....: ........ Disapproved a/c ................. ......................... '~Buildin~ ....................... APPLICATION FOR BUILDING PERMIT Dote ......................... ~ ./...~ .............. , , 9.~.~......N~5~ INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building Inspector, wi~v 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot ,plan showing location, of lot and, of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on diagram Which is'Part of this application. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upol~ approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit,shaft 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. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold~ Suffotk County, 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. 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. (Signature of applicant, or name, if a corporation) (Address oPapplicant)' State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ..... ....................................................... '. ................................................................................................ Name of owner of premises ~I.K..~]P,/.J...,..D~a:~Lz_~'g. .......................................................................................... If applicant is a corporate, 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 ................................................... 1. Location of land on which proposed work will be done. Map No ................ .. ............................. Lot No ....... ~ ........... ~ ..... I,~ -- ~ ' I~qURICIpSI I'D/ 2. State existing use and occupancy of premises and intended use and occu,~ancy of proposed construction: a. Existing use and occupancy ..... .~-.~.J,.~l.~-"'~J~-,~"~. ........................................................................................... b. intended use and occupancy .,..r,~..~.l~/,~'~.. ............................................................................................................ 3~ · Nature of work (check which applicable): New Building ....................... Addition .....~.... ........... Alteration ............... Repair ...................... . .. Removal .... ........ ....... ...... Demolition ........................ Other Work ........................ ... . ... . .... [ ~ ~ (Description) 4. Estimated Cost ....~..l~.O.(t~.,.,,- ................... Fee ...~.~ ................................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ........ ~ ....... Number of dwelling units on each floor ........... ! ............................. cars .......................................... If garage, number of " ........... ~ ......... ....... 6. If business, commercial or mixed occuoancy, specify nature and extent of each type of use ..................................... 7. Dimensions of existing structures, if any: Front ..... ~ ..........Rear ...... ~'..~. .............. Depth ...~..~ ......................... J. Height ............... Z-.?,~ ..................................... Number of Stories ..[.Z~ .................................................................... Dimensions of same structure with alterations or additions: Front ....... 1~.~ ........... Rear ..... I.R~...'. .......................... Depth .............. ~.i. ....................... Height ......... ~-.~.~. ....................... NUmber of Stories ...~]Dglt.~J,l~/.,..~L~ ...... 8. Dimensions of entire new construction: Front ......................... Rear ...:~ ....................... Depth ................................. Height Number of Stories ............... 9. Size of lot: Front .................................... . . Rear ................................. ..... .... Depth .............. .............................. . .... . 10. Date of Purchase ./dl~:~tl3~l~...~ ............Name of Former Owner ...[?~...-...~t ....... ~l-'JOO~.~.. ................................. 11. Zone or use district in which premises are situated ....P,/~'~.~JO/~L~..~kK~I.. ................................................................ 12. Does proposed construction violate any zoning law, ordinance or regulation: ..~[a...-~.. ................................................ 13. Will lot be regraded ~J~. ....................... Will excess fill be removed from premises: [ ] Yes ~)~ No 14. Name of Owner of'premises .J[~t~....~,..Ol:/~LJt.~P~ ............. ~JI~I.~Z:x~.~...i.M,..~ ........... i~;~l~e~:~i.~.l- ..... (Address) . Name of Architect ..................................................................................................................................................... (Address) (Phone No.) Name of Contractor G~.t~J~t~.M~&~'~l~.....~f,~.~....~.~., ........... ~.~.~1~ .~.~L.~l ......... 3.~...~..~..~.'1~ ......... {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 wheth- er interior or corner Int. STATE OF NEW YORK -- COUNTY OF ....... ;.~ ...... ~......~.~ ........ .~.~.~.~.[~ ........................ ~ing'dul~ sworn, deposes and says that he is the applicant above named. . , , (Na~ of individual si~ing con~act] He is the ......~ .......... .~~ .................... ~ ................. ~: ......... ~ ...................................................................................................... ~ Contr~c~or, of said owner or owners, and is duly authorized to ~rform or have ~rformed the said work and to make and file this application; that all statements contained in this application are true to the ~st of his-knowledge and ~lief: a~d that the work will be ~rformed in the ~nner set forth in the application filed there~h. JUDITH T. BOKEN / ~ ~ ~ ~ Noto~ Publ~aJe of New York ........................ ~....~.....dav ot ........ ~../~....~ .......... ~..~Z. e~.~.~o~ ....... .......... ~ {Si~m~ of applicant] ~ THE NEW YORK BOARD OF FIRE UNDERWRITERS B,W BUREAU OF ELECTRICITY ~ 85 JOHN STREET, NEW YORK. NEW YORK 10038 ~,,,Au~a,t ?, [97~ ~""'~'"""~"'""~'" 1~38a~ ~ N 175488 THIS CE~IFIES THAT E. ~. Doeb~e~ s/e end o~ ~a~ La.. ~ou~hold~L.L inthefollo~ingl~ation; ~ B~ement ~ ]stF1. ~ 2nd FL OU~a~ ~tion Bilk ~t ~ .=.~i~ o. AUEUS t ~, 1 q7 a a~ found to be in ~mplla~e with the requirements of this B~rd. FIXTURE OUTLETS ~"YER~w. O~L FURHN.~¢E MffORSH. p. FUT~TRE &PPUjoNCEFE~EI~w:. g~L~ALREC~;T TI~M~CtOCj:. T~Br~LHs.~ OTHER ~ARATUS: MULTI-OUT[ET SYSTEMS NO. OF FEET NO. OF NEUTRALS EXHAUST FANS DIMMERS Of NEUTRAL COPY FOR BUILDING DEPARTMENT. THiS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.