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Home My WebLink About7485-z~VO~M NO. 4 TO~ OF SOUTHOLD BUILDING DEPART~I~.NT Town (~lerk's Office Southold, N. Y. Certificate Of Occupancy I~o..Z?.9.3fi. ...... Date Oct 3 19 27 THIS CERTIFIES that the building located at ...8.p.~.i..n.g...La.n.e ............. Street Map No..xx ......... Block No.. XX ......Lot No, . Xlc .... lp0.c.o.n. ~.e...}t....Y.: .......... conforms substantially to the Application for Building Permit heretofore fried in this office dated .................A.u.g..,21~9..~.. pursuant to which Building Permit No, . .~.~.8..~.Z. dated .........A~.g ...2J ...... , 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 .... ?r.~ve.t.e..one..fe¢ll7. ~l~e~]~r.~. :41. t.h..ed..d~.t.~. ¢.n..&..~.t... .......... The certificate is issued to ...v..or~o.n...L.u.e..e.k.o.f..f..a..~..S~.e. .... . .0~..e.r.~. ............... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . .~ ?.II.o .............................. UNDERWRITERS CERTZFZCATE No.~77.8~ .... .~.~.~.~...~.7.. J.~.77 ............... HOUSE NUMBER ...... 6~0. .... Street ...Sp.r.l.n.g..L.a.n..o ....... .P.e..c.o.n.~.c. ........... FORM' NO. 2 TOWN OF 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) N? 7485 Z Date .................... ~ ....... 2.1 .................. 19...~.~ Permission is hereby granted to: .... ~'~:~z~....~ue.~k.~ f£.....s~.. ~J.~ .a .................. ......... ~. ~.~..~;I,.¢. ...................................................... ~o ...~lld..~..a~lditia=.&u~..exi~ting.. ~we~lin& ............................................................ at premises located at .~.~.~.~...~ ......................................................................................... ~ ....... .................................. ~.,...o.~..o. ............................................... pursuant to application dated ........................~Ls .....~.1 ................ , 19..~..~.., and approved by the Building In'-~tor. Building Inspector ~ Examined ............. ~,~ ........... L ........... 192..~, Application Approved ........................ L .......... , 19.Z.//PermitNo..?...~..~ Disapproved a/c ........................................ APPUCATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or. in ink and submitted in triplicate to the Building~ Inspector, with 3 set~ of plans, accurate plat plan to scale. Fee according to schedule. b. Pt?t plan showing location of lot and of buildings on nremises relationsh ,- to "'~:~:-: ............... areas, and gwmg a detailed descr,pt on of layout ofpraperty must be drown on the diagram which is part of this application. c. The work covered by this application may nat be commenced before issuance of Building Permit. d. Upon approval of this application, the Build!ng Inspector will issue a Building Permit to the applicant. Such permit shall be kept on the premises available for impecbon 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 ~CATIO~I~ .IS HEREB. Y MADE to the Building Department for the issuance of a Building Permit pursuant to the u.alng cone vrclinance at the Town of :Southold, Suffolk County, New York, and other applicable Laws, Ordinance or Regulations, for the construction of buildings, additions or alterations, or for remova ' or demolition, as herein described. (Address of applicant) · State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of promises ..... ~..~..~. ~../....~...~ ~L ~, 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 'rrade's License No ............................ Location of land on which prop~d _work will be done. Map No.: ..................... /~ ............. Lot No ...... ~ ................ Street and Number .................... ...~....~....~..../..~...~...~...../~..,.....~.~.~.~...~..~....~,..~...:i.~Z~.. Municipality State existing use and occupancy of p~emJses and intended use and occupancy of proposed construction: Exisiting use and occupancy .... ~...~.~.~ ........................................................................... b. Intended use and occupancy .................................................. 3. Nature of'WOrk (check which applicable): New Building.. ................. Addition..................~ Alteration ................. Repair .................. Removal .................. Demolition .................... Other Work ................................................ . .... ...~.....~.~... (Description) 4, Estimated Cost ,,,,,~,,,,:: ..................... Fee .Z.~.~.....e~...' ........................................................................ (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 ..... ~..7.. .................... Rear ..e~-~:~...." ........... 'Depth .,..~.....~...../. ............ Height ../::~../...~...~. ....... Number of Stories ........ ./. ..................... 8. Dimer~ions of entire new'construction: Front ,,,, ,,~,,,., ....... · ................ Rear ,,~,,,,/, ............. DepffJ ,,,~,~,,,,/, .......... Height ....,/.~'..~.~...~'Number of Stories ../.. ................................................................................................................. 9. Size of lot: Front ........................................................ Rear .......................................... Depth ....... i ........................ 10: Date of Purchase ,,.~, , ,~, .......... . ................... Nome of Farmer"Owner ~'c~,,~,,,,,~,**,l,,L,,,,,~,,/,,,~,. ..... 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 (~/No 14. Name of Owner of premises ~l~..fl./~....~.~... ............ Addre~.~~.-. Phane N'~o.~.~"/,~..~.:.Z~.~.?.,,~ Name of Architect .............................................................. Address ................................ .Pt~me No ....................... Name of Contractor ~..7~..~.....~..?/'/~' Address ~ I~ ..~'..'. PLOT DIAGRAM · Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all sat-bock dimensions from pml~erty lines. Give street and block number or description according to deed, and show street n~mes and indicate whether interior or corner lot. above nanlled. He 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 contained in this application are true to the best of his knowled, ge and belief; and tha~ the work will be performed in the manner set forth in the- apj~.[ication filed therewith. Swam to befe~ me this ~ ,, /~-'-'/ ~ ...... ........ , ~,~ {Signoture foppliconO // JUDITH T. Nolmy Public, Stole of New york No. 52-0344963 Suffolk Countl~'" ~emmission Expires Mmch 30, FO~*~[ NO. 6 TOWN OF SOUTHOLD , Building Depa~tment Town C:lerks Office Southold, N. Y. 11971 APPI. IGATION FOR GERTIFIGATE OF OGCUPANGY Instructions A. This application must be filled in typewriter OR ink, and submitted in DUPLICATE to the Building Inspector with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposal--(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, /v~ultiple Residences end similar buildings and installations, a certificate of Code complionce from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey.of property showing all property lines, streets, buildings and unusual naturol or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent formation required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 Date .............................................. New Building ................ Addition ...... ; ......... Old or Pre-existing Building .............. ~e~a~zant Land ,; ............ Location Of Property ...~.~.:.~......~.~.~~/~-~ ' ........... ~~Z~7"~:'"'"~'~'"~'"~"~/~/rC~/~ ~ ........ Owner Or Owners O;~ Property ....~..~.- .............. ; ............. ~/,~.~.......~;[.....~..~'_ ..................................... Subd,v,s,on ................................................................ lot No ........... i. ,oc o ............. Nause Permit No ..................... Dote Of Permit .................... P~pplieant .................................................................. Health [~pt. Approval ................. ! ...... :2 .................. labor D~t. Approva! Underwriters Approval 2~ anning Board Approvol Request For Temporary Certificate ........................................ Fined Certificate Fee Submitted $ ........... ~. ....................... Construction on above described buildingS/permit meets a~ .ic~ble codes and regulations. Sworn to before me this ' .... ~.~.... day of ~...~.....~..~.....~..Z ....... (stamp or seol~~ '~- ~'~ Notary Public -'~'"'~'~<///~..A~-...':': County THE NEW YORK BOARD OF FIRE UNDERWRITERS ' : BuREAu OF ELECTRICITY ~-- ~ 8.5 JoHN STREET, NEW YORK. NEW YORK 10038 o.t~September 27, 1977' Applic~tlonNo, onfile 790869 THIS CERTIFIES THAT o., ,,...~ :;' N 357782, v~z'non buecKoi-i', ~PPIng Lane~ Peconie, N.Y. intheIollowlngl~ati°n; ~ Base--hr ~ lstFL ~ 2nd FI. Outside s.o,~o, mo~k ~..~.,.~.odo. SeDte~be~ 22, 1977 and~Oundtobeincompll.nce~ith~herequlr.mentsofthlsBoard. FIXTURE OUTLETS SWITCHES SERVICE DISCONNECT OTHER APPARATUS: S E R V I C E Vernon LUeckoff Spring Lane Peconic, N.Y. 11958 This certificate must not be altered in ~ny manner; return fo the office of the Board Jf incorre~, Inspe~ors may be identlfied~oy~dentials,