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Home My WebLink About7107-zNO. 4 TO~N OF $OUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupnncy THIS CERTIFIES that the building located at .Cedars. Rc~d .............. Street Map No. ~ ........ Block No. XXX ...... Lot No. XXX...~at~lmgu~...~o~, ......... conforms substantially to the Application for Building Permit heretofore filed in this office dated .......... Nal'.....1~...-, 197~.. pursuant to which Building Permit No. ?lO.~.. dated ............. F~.~'...~.., 19 F.~., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is Prlve~,e..o~e..fa~Lly. d~.ell~ng...with .&ddlt~.o~ A. ~t, ............. The certificate is issued to . .l~.d?.a..l*.d..F. :..S.e.h.~..~.]..~.r. ...... .0~...e.F. ............... j ..... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . I/.,R, .............................. UNDERWRITERS CERTIFICATE No'Ii.t3.0.8.?.. ~/.] ~ ~.~...&..N~. 25.66.. AII~. ~,..~97g HOUSE NUMBER .... ~ ...... Street .C.e.~*~..I~.oed, ......... C~tte]ao~le ........ ' Building Inspector II'O~M NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN GLERK'S OFFK:E SOUTHOLD, N~ Y. BUILDING PERMIT CrHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 7107 Z Permission is hereby granted to: · ~wa~d 8ehille~ ..... .~.p~. ......................................................... ...... ..~..~.~.$..'~1~ ..................................................... ~r.~.t..~...~.".~....~.~.n.Ld...v..~.~.~..~.d.....b.~.d..."~..~.d...s..t.~.~.~ ......................................... at premises located at ~/g C~d&FJ l~J, lJ ......................................... ...c~.~.~.~. ................................................................................................. pursuant to application dated ...................... ...J~.....J~....~. ....... ~ ........... , 19..?..~..., and approved by the Building Inspector. Building Inspector FORM NO. $ TOWN OF SOUTHOLD 0 Building Deportment Town Clerks Office Southold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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, Multiple Residences and similar buildings and installations, a certificate of Code compliance 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 natural 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 in- formation required to prepare a certificate. C. Fees: l. 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 o//...(/.~.o.~.. ........................... New Building ................ Addition .-.../~.u ....... Old or~re-existi013 Building ./~. . Vacant Land .......... Location Of Property_..................~....~.....~.._...~...................... _~...~..~._........................................"~'~/O ~....~.~.~_..q .#...~.,, ~J~C.~.~,~.~. /~,[,~/ '"' Subdivision ............... L.-72...............~. ................ lot I'qo ........ Bock No ~-...~ Hou~ No . ..... " ' ........... ........... .!/[~. .............. Permit No..~... Date Of Perm t App cant I ' 3~-~ Health Dept. Approval ............................................ Labor Dept. Approval .... ~ .... ' ................... Underwriters Apprava, .~Z~g.~...b...~. .................. P,anning B~d Approva, ...... ~.~.~ .................... Request For Temporary Certificate ........................................ Fin~ Certificate /--~' Fee Submitted $ .~.~...i~ ......................... ~p,icant ..~..~./Fm~. ................................................. ................ ~'~'- or.o,~ ~- Or ~'~,~ _ '~ day of .......... 7 ................... (stamp THE NEW YORK BOARD OF FIRE UNDERWRIYERS ak BUREAU OF ELECTRICITY ~- 85 JOHN STREET. NEW YORK. NEW YORK 10038 ~,.,e August 25, 1975 .~.p,,c..on~,'o.o,,f,,e 767~80 ' N ~42166 THIS CERTIFIES THAT ' .- _ only the etecrrlcal equipment ~ ~scrJbed below and intr~uced by t~ applicant ~nted on the abo~ application number in the premises of Edward Schiller, Cedar Road, Cases Lane, New Suffolk Ave. Cut~hogu~ L.I. ~fo~lo..~.~o~o.; ~,.~ ~r~. ~d r~. 3rd fl. & outsid~~°" ~o~ wasexa,ninedon August 21, 1975 andfoundtobelnco,rtpliaacewithtberequire,nen~ofthisBoard. 28 30 1 ~ 1 1 *Furnaces: Oil 1-1/8hp, 3-1/12bp Motor/s: 1-1/2hp 1 G.F.I. = Glenn R. BFadley, -_ ' -'-" '.D,7-:-) :--h; ---: - " Horton Avenue, -- - -+~ r~-=~[.;'.~.~.~ .- _ . .... THE ~t~ March 11, THIS CERTIFIES THAT Edward Schiller, Cedar Road, Cases Lane, New Suffolk Ave., Cutchogue~L.I. i. ,h~J,..o,,.i.~ f,,,..,io.; f~ e~.~e.~ [] ~, rt. [] ~.d r~. out si de sec.o. B~ock tr,r~ ,*xt~.tln,'d on March 7, 19 7 5 and found to be in cotnpliance with the r~'quire,neats of this Board. NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 197~ .~,,,,,..t,o..~.o.o,~,, ?~,~ N 213087 FIXTURE! ! i I I FIXTURES JRECEPTACLE~I SWITCHES OU~LET_S INCANDESCENT FLUORESCENT ~--_- ~ FU NAC~ MOTORS mTURE AP~ ANCE FEEDERS RANGES M4T, K W. ~'EClAL REC'.T COOKING DECKS OVENS DISH WASHERS NO OF CC. COND. pER ~' 1 OF CC COND. NO. OF HI-LEG AWG. OF HI-lEG EXHAUST FANS A~T. H P DIMMERS NO OF NEUTRALS A W G OF NEUTRAL NAGER SERVICE DISCONNECT- INa. OFt ' ~_~_ll°° r c~ I I Ix II I Glenn R . orae~ey, Horton AVe., Mattituck, L.I. 11952 This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. ............. ............................... : ..................................... ......... _, ....... ~/,,/ .......................... ~:...~ ........ ~....: ...... ~ .............................. ~ I ~ ~ '/- ~ (Building Ins~t~ ~-~ ~ ~ ,~ APPLICATION FOE B~IL~ING ~E~IT '/(o'~''' ~ ~,,.,, {' ~'~f. Date ........... ~....~ ............ 19..~.~..,.~ .... IN~TRU~IONS ~. This ~pplic~fion mus~ be compl~tel~ fill~ i~ b~ ~p~w~i~ or in ink ~nd s~mi~ in ~iplic~ Inspector, ~!~ ~ ~ o~ ~1~, ~c~um~ pl~ pl~ ~ ~1~. ~ ~cco~din~ ~o ~h~ul~. b. P16~ p~n showin~ I~fion o~ lot ~nd o~ ~ildin~s on p~emises, r~l~tio~ip ~o ~djoinin~ p~emises areas, ~nd ~ivin~ ~ d~t~il~ d~s~Hpfion o~ I~ou~ o~pr~e~ mus~ b~ drown o~ ~he die, mm ~ich is c. The wo~k ~Owred b~ ~his ~pplic~tion m~ n~ b~ commenced b~ore issuance o~ ~uildin~ P~r~i~. d. Upon ~pprowl o~ ~his ~ppli~Hon, ~h~ Buildin~ Insp~or will issue ~ Buildin~ P~r~i~ to t~ ~plic~n~. sh~ll be k~p~ on ~he ~mises ~v~il~ble ~o~ insp~cHon ~hrou~ou~ ~h~ ~o~. e. No buildin~ sh~ll b~ ~cupi~ or used in whol~ or in p~r~ ~or ~ny pu~os~ wh~vec until ~ ~e~ific~ shall h~v~ b~n ~mn~ed b~ ~ ~uildin~ Insp~on APPLICATION IS H~REBY ~DE ~o ~he Buildin~ D~p~men~ ~or ~h~ issu~n~ o~ ~ ~uildin~ Buildin~ Zone O~din~nc~ o~ ~he Town o~ ~u~old, Suffolk County, New York, ~nd o~h~r ~p~lic~bl~ Regulations, ~o~ ~e ~ons~tu~ion o~ buildings, ~ddifi~ns or ~temfio~s, or ~ ~mov~l or d~molifio~, ~ h~i~ d~rib~d. The ~ppli~n~ ~s ~o compl~ wi~ ~11 ~pplic~bl~ I~, ordinances, ~uildin~ c~, ~ousin~ ~, ~dmi~ ~u~orized in~o~ ~ ~mises ~ i~ ~ildin~ ~ n~e~ ...... ~2.-., ...... ~. .... - .... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .......................... ......... ..................................................................................................... Name of owner of premises ............ 'Ed~l'.~d~.....~....~")~l/~.J.~5~.. ................ ~: ............................. If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ..................................................... Plumber's License No ............. .~....~..2...-....~... ............... Electrician's License No ............................................. Other Trade's License No ............................................... 1. Location of land on which propos,q,d work will)zie done. Map No.: :,...~.~...~.~....'T~, ............ Lot No ......................... Street and Number ............... ~.~..~t~,'~.....~t~.~. .................... ~..¢~...,.:~.. ....................................................... Munici~li~ State existing use and occu~ncy of premises and intended use and ~cu~ncy of propo~d construction: ~isiting use a~ ~cupancy ............ ~.~.~ ..................................................................................... Intended use and ~cu~ncy ........... ~/~....~,;~......~J~.~, .......................................................... Nature of work. (check which applicable): New Building .................. Addition .................. Alteration .... Repair Removal Demolition .................... Other Work ....j (D~ ription) 4. ~.moted cost ...~../...-7.o. oo ................................... F~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 ~rs ...................... ~.~.~ .............................................................................................................. 6. If business, commercial or mixed occupancy, specify Datum and extent of each ~pe 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. Dimensions of entire new construction: Front ........ ~t .............. Rear ..... .~ ........ D~th Height ....~{ .... "umbor~o{ ~t~ri.s .............Z ................ : .......................................................................... ~ ~' ......... ~. s~ o, ~ot: [~o~t ........... ~.~..~.~.. ............................. ~o~ ........... ~,~.~.,., ............ ~opth ...... ~.,.~.... ...... ~0. ~, o, ~;~ ....... ~..~2~ .............................. ~m o, [o~ ~,.-...~V ....... ~. ................ ~ ]. Zone or use district in which premises are situated ......... ~Z~ZZ~.L.....~.: ......................................................... ]2. Does proposed construction violat~ any zoning law, ordinance or regulation: ....... ~ ................ : ........................ ~. w,, ,o~ ~. ~.,r.a~ ..Z~ .......... : ....... W,~ .~.~ ~,~ ~. ~.ma~ ~~: Name of Architect .............~. ............................................... A~re~ ................................ Ph~e No ....................... ~me of Controctor ............... ~. ..................................... A~re~ ................................ ~hon~ ~o ....................... PLOT DIAG~M Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all s~t~ck dimensions from prope~ lines. Give street and bilk number or description according to de~, and show street nam~ and indicate whether interior or corner lot. n~y s~orn~ cleposes and s that he is the applicant 'aual signing contract} ", above named. /~---- He is the ....................................... ~'J~.~'./'~..~. ................................................................................................................. (Contractor, agent, corporate officer, etc.) of said owner or owners, 'and is duly authorized to peFf0rFn 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 knowledge and belief; and that the work will be performed in the mdnner set fo~h i~ the applicati6~hereWith. ~ Swom to ~ me this ~ ~ / ~ ~ / / ......... ~...~..~ o~ ...... ,.~Z/~.~ ...... , ,,~ ( ~ /~ ~ ~ Nora ~ Pub, ic~:.~~~n~ ....... . ....... ~ ~..Z~ ~d~ .................... -- ~ ~ ~ BOK~ (Signature ~ applicant) · N No.52-03;4:~' 5u{fo]k County ~