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Home My WebLink About7524-zFO~ NO. 4 TOWN OF SOUTHOLD BIJII.I~ING DEPARTI~.NT Town Clerk'~ Office 8outhold, N. ¥. Certificate Of Occupancy No. ZT~.-i'.. Date ............ N~...~ ....... , 19.~. THIS CER~!FIES that the building located at .. 6~l.~tt~.. 13~, ........... Street Map Nd/aF~.Oll .l..]..(~....O?'Block No ........... Lot No. 18 .... I, .ll~J, Ol~ ............... conforms substa~ tially to the Application for Building Permit heretofore fried in this office dated ........ !i,' Jut~ · .~2., 19..?~ pUrsuant to which Building Permit No. 80~. dated ......... ,lull,.. 22.., 19.7~., was issued, and conforms to an of the require- ments of the at licable provisions of the law. The occupancy for which this certificate is issued is ... 1~: Va~. sv:t~ .poo~.' ,vtth. fenee.&. Acoesso~ys ............... The certificate i issued to ........ Joseph. ~so ...... 9~a~F ...................... (owner, lessee or tenant ) of the aforesaid milding. Suffolk County }partment of Health Approval ...][,R, ............................ UNDERWRITER~ CERTIFICATE No...~[2~SgO .... J~..2~...19~.~ ............. HOUSE NuMBE~ ...1~-~0 ..... Street .... /lill*tt~. I~.. hst. lia~iol~ ........ · OB~ NO. ~ TOWH OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N~ Y. BUILDING PERMIT CT'HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 752 Z Permission is hereby granted to: ........... ~;out~l~ ................................................. to b.~ .t,. ~..q....~....~4.~ ~,.~.~,~;~...o~...exJ, m.~..O,~e ~ ~ ................................................................ at premises located at ....~C~;...].~.....~f~Z'~ozLJ~.w,~ ........................................................................ .................................................... '~.~.~,I ~ t.t~..D~$v® ....... F,,..~,la~l. ela .................................... pursuant to application dated .......................... ~1~.~......~ ............. , 19~...., and approved by the Building In~ector. Fee $1.~[A.O.(~ ............ Examined ...... .~r.....-;~ ...................... , ........................... ~pr~ ............. [.'. .............. ~ ....... , 19.. ~it No..Z .......................... ;... Di~pp~ a/c ................................................ APPLI~TI~ F~ BUILDING PE~IT A. ,/ ~te .......... .~.~... .............. , ! ~ INTRUSIONS o. This application must be completely filled in by typewriter o~. in ink and submitted in triplicate to the Buildingr- nspector, with 3 sets of plato, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoin ng prem SCs or public streets az~ areas, a~n.d givi ,ng a detailed description of layout ofproparty must be drawn on the diagram which is part of this applicat on c. ~ne 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 a Building Permit to the applicant. Such permit'~ 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 shall have been granted by the Building Inspector. ^PPLICATION IS HEREBY MADE to the Build ng Department for the issuance of a Building Permit pursuant to the ~Bu_ildln~ Zon,e O.r.dinance. of .t. he T, ,o~n ,of. Sout~.l.d., Suffolk .County, ~iew York, and .other applicable Laws, Ordinances or m~ju anons, ~or the construction aT Du~a~ngs, aaa~tions or alterahons, or for removal m' demolition, as herein described. The applicant agrees to comply with all oppllcable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for neces~sary inspections. ~--J~ignature of applican.~olr-~-~e, .if~a corporatlor~ I ~ '~' '"~" .~_'~'~"" [ ress of applicant, " State wh~.,r.~pplicant is owner, lessee, agent,:,a~chitect, engineer, general co~ ractor, electrician, plumber or builder. __ , ........ ................ ...... ..................................................................... ,amc of owner of ........ .............. .................................... J~-CFl~icant is a, comorot~,jignoture~f du[v-a~thorized officer. Bu Ider s L~c~nse No ....... J ............................................ Plumber's Licen.~ Iqo ................................................. filectrician'$ License No ............................................. Other Trade's License No ............................................... ./~ )~/~ J I. Location of land on which pr~ork will be d, gl~ Mop'No..' .~.~..~.. ....... '..~,. Lot No./.~... ............. Street and Number ..................~../,~.,~____.~'ff.~.....~..~//./~.~......,~-~.~...//,~.~.~.~.~. ........................... ~ ............... Municipality 2. State existing use and occupancy of premises~cu~j~tended use and ~c__~oancy .of propc~d construction: b. Intended use and occUpanCy .............. '"'~"~.....'.~..~ .~...~ ....................................... 3. Nature of work (check which applicable): NewB.uilding. ................. Addition ....~........ ..... Alteration ................. Repair .................. Removal .................. Demolition ................... ; Other Work ..................................................... ~.. ~..Q~ Fee (Description) 4. Estimated Cost .../.~.~.~ ...................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ..............Z ........... Number o~ dwelling units on each floor ............................ If garage, number of cars ................................. ./. ....... ~i...; ................... .: ........................................................................ 6. If business, commercial or mixed occupancy, sPecifyvnature and extent of egch type of use ............ v' .............. 7. Dimensions of existi structures, if any' Front ; ~../,~::: · Rear ~../..~..... ......... ..................................... ep ......... Height ............. K'....7. ..... Number of Stories ............... :.. ......................... : .......... Z ..................................... ~_. ............... Dimensions of sox structure with alterations ,o/[ additions: Front ......L...~..../...z=.. ................ Rear ....~..../.~.~.. ............... Depth .....~?~../...~./.. ........ Height .......... ./..'~.. .......... Number of Sto~ies .../. ........................... ./.. / Reor ~'~../ / / 8. Dimensions o~'en~re new construction: Front ........... ~.,~... ................. ....... ............. Depth ..... ................ Height ........ ./...T.*~t ..... Number of Stories ......... ./. .......................................................................................................... oo/ /0o/ /dc)/ 9. Size of lot: Front ................/......~. .............................. Reor .......................................... Depth ................................ t0. Date of Purchase ......... .~...~.K~....~... .............................. Name of Former Owner ........................................................ 11. DZoOne ~O;oU~eddJSjorinC~t i~c~ihinch ,p [~e ,s~ o re sit uoted ...... ;. ~..~.~..~**'~....'~....'~........ :.~ ............................................... 12. esp p *o v'oaea y Zoning law, ord'nance or regulation: ~.~.~..~.. ..................................... 14 .... No ....................... ' Nome of Architect~:". '- /,/-~'-" ........................................ Address .~--.~..~;r.~.,7 ....... ~Phone No ....................... Nqme of Contractc~'~'/.~C'...~Z'.~2~.~.~....x(-~.C......' Addre~:~/..~.~.~.~.~/ .......... 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 whether interior or corner lot. /Oo \ , /0 0 ........~~ ~j~f'~;~.~.~ .................. being duly sworn, deposes and soys that he is the applicant He is the ............ ...~::.~_~....c../..,.....~...~.<._~...,~..:~4'/77 ~- .......................................................................................................................... (Contractor, agar, corporate officer, etc.) of~id owner or owners, and is duly aut~rized to perform or have performed th~ and to ~ke and file th~s application; t~t all state~n~ contoin~ ~n this application are tree to t~e ~st~ his k~owledge and belief; and tha~ the work will be performed in the manner set fo~h in the ~ication filed t~ith. / Swam to be~re me this ~ ~/ ) ~,~ ~ THE NEW YORK BOARD OF FIRE: uNDERWRITERS [-- ~.N SUREAU OF EI. ECTRIC!T'Y j 85 JOHN STREET, NEW YORK, NEW;'.Y~08K ~OO~ ~ , t 0otobo,, N 191132 THIS CE~IFIES THAT ~y t~ ~t~ ~u~t ~ ~ed~ ~ ~ i~t~ by t~ ~t ~ on t~ a~ ~pl~a~ num~ ~ t~ p~m~s of in the following location; ~ B~e~nt ~ 1st FI. ~ 2nd FI. outride ~tion Bilk ~t ~. ~..~ o. Oct obey 28,197 h and fou~ to be in ~m~i~e with the r~uirements of this B~. 6 13 5 6 RXTURES iT FL~E~CEN~ ~ FUTURE APPUANC~ ~ RANGES SPECIAL REC'PT ICOOKING DECKS OVENS DISH WASHERS ~T. K, W. I AMT, K.W. ~V~T. K.W. ' ' [ MUL .mcmc~s u"i luN. HEATERS TI'OUTt-~T OTHER APPARATUS: R V *' I C EXHAUST FANS DIMMERS Main Rd. --- ~" ,~'~ -- -~ COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE M~T ~T BE ~T!Rffi lffi ANY ~NNER.