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Home My WebLink About7106-zNO. · TOWN OF SOUTHOLD BUH.BING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupancy No. Z.7.6~1 ...... Date .............. l~y.. 2. ...... , 19.77. THIS CERTIFIES that the building located at .. W/.8. Pctclmond. Ro~ut ..... Street Map No...x,~C .......Block No ..... xx ...Lot No..xx..$o~thold[..lloY., .......... conforms substantially to the Application for Building Permit heretofore filed in this office dated ........... M:.r...~..., 19.?.br. pursuant to which Building Pemit No.. dated .........l&~.r ....~ ..... , 19 .,21~., 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 ... Private..swlMing..pool..wi th. acne s s o~ys ......................... The certificate is issued to Itenr~,. 3amtaeroca .... ~er .......................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval l~ff.F,o ............................... UNDERWRITERS CERTIFICATE No. I~3.~872 .... Apr...t3 ...~.977 ............... HOUSE NUMBER ...... $70. ....Street ...Blch,"~ond .lload .... ~outl~ld ......... B lding ? FOBM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N~ Y. BUILDING PERMIT (THIS PEI~MIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No. 7106 Z Permission is hereby granted to: ll~uz,~.. ~,AGt, I~'GS e. ......................................... ................ ~cmt, ho14 ............................................ at premises located at ....~//~.8.....~J~llllJd...JJO&d ........................................... i .................................. ...................................................... .IM~.t,b,~,l.4, ......... W.,.T, .................................................................... pursuant ~o ~pplicntion dated ..................... 1~8.1~ .......... ~ ............... , 19~1,..., ond opproYed b~ the Building Inspector. THE NEW YORK BOARD OF FIRE UNDERWRITERS lib: BUREAU OF ELECTRICITY 85 JOHN STREET. NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT,I- '. ;. only the electrical equipment as de~crlbed belo~ and ~ntroduced by the applicant named on the above appl~ca t~on nurnber ,n the prem~se~ of Henry'~,,Santacroce, 87 0 ~Richmond Rd., Southold, D.I..~,~ . was examlned on ad~i~, 7'; '~977 ,,! ,1 .j andfound,obeincompt,ancew,tatlterequ,rementsojtntsooara. ' : e t and o re airs mmade by a qualified person. to have fre<aent t s / r P ........ This ceHifi¢ote n'~ust not ~e oltered'in~ony monner; return tO the office o~ the Boord ~f incorrect. Inspedors moy be ~denhhed by ~ ¢~1~,.~- -/~'?'7~ TOWN OF SOUTHOLD ~ ~4~ -- BUILDING DEPARTMENT ~ ~ ~/~_ TOWN CLERIC'S ~FICE ~UTHOLD, N. Y. ....... ........ . ................... ......... , .......... Di~pprov~d Q/c .................................................... APPLICATION FOR BUILDING PE~IT :NSTRU S ~. This ~plic~tio~ must be completely filled in by ~pewriter oK in i~k ~ s~mt~ed in triplicate ~ the Bui~i~ Insp~tor, with 3 ~ of plans, accurate pl~ plan ~ ~ale. F~ acco~i~ to ~h~ule, b. Plot plan showing I~Qtion of lot and of buildings ~ premises relationship to ndjoini~g premises or publ c streets o~ areas, and giving a detQii~ description of layout ofprope~ must be drawn on the diagram which c. The work covered by t~is Q~licatien m~y not be comme~ed before issuance of Building Permit. d. Upon opproval of this opplicQtio~, ~e Building Inspector will issue ~ Building Permit to the ~pficant. Such permit~ ~11 be kept on t~e premises available for insp~tion thr~gh~t the work. e. No building shall be ~cupi~ or u~d in whole or in pa~ for ~ny pu~ose whatever unt a Ce~ificate of ~cupancy~ s~ll have been g~nted by the Building Insp~tor. ~PPLIC~TiON IS HEREBY ~DE to t~e Building Depa~ment for t~e issuance of a Building Permit pu~uant to the Buil~i~ Zone Ordinance of the Town of ~uthold, Suffolk, ~oun~, New York, and other opplic~le ~, O~inenc~ or Kegulation~, for the constru~ion of buildings, additions or alterations, or for removal or demoliti~, as heroin de~rib~. ~e applicant agrees to comply with all a~licable laws, ordinance, building c~e, ~sing c~e, ~ ~ulat OhS, a~ to ndmit authorized inspecto~ ~ p~mlses a~ in buildings for n~es~ i~tions State whether applicant is owner, lessee, agent, architect, engineer, general contractor; electrician, plumber or builder. Name of owner of premises .. If opplicant is o 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 ............................................... Location of land on which proposed work will be done. Map No.: ~ Lot No. ~1~ I//~. ltletuaon~ ltoad 8o~thol ' . ........................ Street and Number ................................................................ ~ ................................................... : Mun~ity State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ....... .~..~..e...]..~. ................................................. b. Intended use and occupancy ..... ~.~,~g ,~;Lt~..~.:ff~.~.q i~.V.~,...a~...~..~..D.g.9.~ ............... ' lq~ure of work (check which applicable): New Building .................. Addition .................. Alteration .................. Repair .................. Removal .................. Demolition .................... Other Work ...I~W41J~l~..~OO.~ .................... (Description) 4. Estimated Cost ............................................................ Fee...Z~.........................~ ............................................................ (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 ..... .&.~.g.~D.~l,,.~r. 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. Dimensions of entire new construction: Front .................................... Rear ............................ Depth ........................ Height ' Number of Stories ...................................................................................................................... 9. Size of lot: Front ........................................................ Rear .......................................... Depth ................................ 10': Date of Purchase ........................................................ Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated .......... ,~.....~.I.~.~. ......................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ......... ~.e. .......................................... 13. Will lot be regraded' ....~'.~.ill ................. Will excess fill be removed from premises: ( ) Yes (1) No 14. Name of Owner of premises ...~........~....~....~..~..¢..?.?..S.?. ................... Address ......~...e..~...~...~..o...]:.8... ....... Phor~e No ....................... Name. of Architect .............................................................. Address ................................ Phone No ....................... Name of Contractor ............ .s..~a~..~. ...................................... 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 whether interior or corner lot. [ STATE OF NEW ~y_.o~j~,,~. ( ¢ ¢ COUNTY OF .... ..~...u~....z..?...J~.. ........... ~' ~-~ .................... ~..~=~S~ ..................................... being duly sworn, d~oses and says that he is the applicam (Name of i~ividual signing contrac~ ~bove name. He is the ~e~ - ~l~er (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to ~ke and file this application; that all sta~ments contained in this application are tree to the best of his knowledge and belief; and that the work will ~-pefform~d in the manner set fodh in the applicatio~filed th~ith. Swam to before me this .................... ...... ........ ' Not. ........ .................. t .................... ~~ ' ~ / ~Signature of applicant) ~ JUOITH ~ ~lJ¢, ~ ~4963 Suffolk CounE ~, ~ March 30,