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HomeMy WebLinkAbout8749-zNO. 4 TO~I OF $OUTHOLD BUH,r~ING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupnncy No..~7.8!~. ..... Date ............... AUg .... 19 ...., 19.9.7. THIS CERTIFIES that the building located at . Sage. Blvd..(P.¥T. l~I)) ..... Street Map No..Xx ......... Block No. xx ....... Lot No. xxx.., fi~een~port ............... conforms substantially to the Application for Building Permit heretofore filed in this office dated .............. Jllly. 22 19.76. pursuant to which Building Permit No..&71+gz . dated ......... July...23 .... , 19.7(5., 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 .¥ub.li¢- s~i~.i.ng, pool ~. -temnis. c~urte~ .wi.th. feneei~g .&. e~eeseorys (approved by ~l~s) The certificate is issued to . .Hew~,d. &. -Derothy. gelmer .... ~rners ................. (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .Aug..1.. ~ 9.7.~.. B.y .It.. Davida ...... UNDERWRITERS CERTIFICATE No. N2966.~.7.-Au& .~. :.7.?.&. 1~30~.3 · · ~pt. HOUSE NUMBER .... ~ ?6D ..... Street .. Sage. ~l~d ..... Gre~npor. t ............. ..... Building Inspector FOB,~ NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OIJFICE SOUTHOLD, N~ Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PI~EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 8749 Z Permission is hereby granted to: lt,~,~m,-~L ..%mlmm r...~,..WiJ~o ................................ ......... .rJa,jm....~Ya. ......... ·.~..~m&~¢..~.~r~.~m'~e.....~e~..~..~...e~r.~m.~,..&..l~#~..~q~'t;.. at premises located at .....~./.~...~JJ.e.......Jl~..~...(.~..~.o.~). ....... ~'.ILI.~.I~ .......................... ....................................................... 0~.e.emi~.~r.t, ................................................................................... pursuant to application dated ..................... .~...1~!,~ ............ ~ ....... , 19...~.~., and approved by the Building Inspector. / Fo, $.~.o..,..o.p.. ........... Budding Inspector FOENI NO. ~ TOWN OF $OUTHOLD , Building Department Town Clerks Office $outhold, 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 dlsposal--(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 bu)ldings {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: 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 New B~tilding ................ Addition ......~, .....Old or Pre-existing Building ~ ...............Vdcant Land .............. Location Of Property ..... .~/~..b..?..~...~.'......~...~~.....c~.~..~.../?..~..~.. Owner Or Owners Of Property .......... .~.~.....~...~. ......... ~. ................. .~...:~ :k No.....'~,.. ..... House No..:.......". ......o. ............... Subdivision ................................................................ Lot No ............. Bio Health Dept. Approval ~,r ~ ~Labor ~pt Apprm Request For Tempora~ Ce~ificate ' Fin~ Certilficate .... ~ ............................... Fee Submitted $ ....~=.~ ....................... Construction on above described building and permit meets all~ opp~ab~~ c~es'and regulations. Sworn to before me this j ~ ~ 7~ ~ ~L~B~H ANN fi~ILL~ NOTARY PUBLI~, ~ate of N~w ~6'f~ ~o. 5[.8125850, SuffelL ~0un[~ Term Expires Msrch 30, ~ TO OPERATE A Th~s ~s to certify that Howard H~ Zehne2~ , Yom~g'~ Boatyard & Marina at Sage Boulevard, Greenpo~ owrler Name of Estabhshment Address Located m the (T) ~1/~ of $ou~ho£d U'l Su.l~l~0-~k county t..; tit anted permmslon to operate said establishment m compliance with the pte~s~ons ol Part 6 of the State Samtary Code and under ,the follow,ns condmons I) lh~s permit ~s granted sublect to any and all apphcable? State, tocal and Mumc~pal taws, Ordinances, Codes, Rules and Rebulal qns. Date ot Issue Au,qu,,st 1, 197._.7__ Permit ~s Non-Transferable C~Le~, B~eau. o L Env~ ~onme~tal .Hea~th I'er[m~t Issuing k.~tliclal DEC ,3t 1977 This permit expires on anti may be revoked or suspended lot cause THIS PERMIT MUST BE POSTED CONSPICUOUSLY Form No. GEN 129 (12/72) Th,s form prescribed by the Statie Commissioner of Health THE NEW YORK BOARD OF FIRE UNDERWRITERS dI BUREAU OF ELECTRICITY ~- 85 JOHN STREET, NEW YORK, NEW YORK 10038 ~)at~ August 4, 1976 AppZlca,ion,Wo. anJile 870044 N 2966~7 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the abow application number ir~ the premises of Youngs Boat Yard, Sage Blvd., Greenport, L.I. m thefollowlng IDeation; [] Basement [~ 1st ~7. [] 2nd Fl. 0 U t S t d e Sectlo. BIo~ l~ was examined on d u I ¥ 2 9, I 9 7 6 and found to be in compliance with the requirements o.f this Board. F XTURE ' I I FIXTURES ~ I RANGES ] DR~.~.s , t FURN^CE ,~OTORS J ~UR~ APPUA.CE ~OERS IS.~C, AL SERVICE DISCONNECT I NO OF ~ S ~ R ~T ~ W~ EQUIP ~ 1~3w 3~3w 3~4w ~O~CON0 AWG OTHER APPARATUS TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLE V I C E NO OF HI LEG A W G NO OF NEUTRALS OF HI LEG (Swimmlng Pool) This certificate covers compliance at the date of inspection only. Because of unusual environments it is advisable to have frequent test and/or repairs made by a qualified person. EXHAUST FANS DIMMERS AWG Sal Prato Wiggins Lane Greenport, L.I. I 1944 Th~s certificate must not be altered ~n any manner, return to the offtce of the Board ~f ~ncorrect Inspectors may be ~denflfled by thm~,~crede~.n~51s Lic 1049 ~- ak ~.te September THiS CERTIFIES THAT THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY B5 JOHN STREET, NEW YORK, NEW YORK 1003S ].4, 1976 AppUc,tionNo. onS,'e 8773-57 N 303323 only the electrtcal equ,pment as described below and introduced by the applicant named on the above application number in the premises of Howard Zehner, Sage Blvd., Young's Marina, Greenport, L.I. i.~,cfoUo.,in~lo,'at,o.; [] m,.,e,ne.t [~ ~tn. [] ~.d fl. outside Section mo~ ,~.sexami.ed.. September 9, 1976 .na found to be in compliance wtth ths requirements of thls Board. FIXTURE } I .... ~ - FIXTURES -~ RANGES -- C~KING DECKS ~- OVENS_ _ DJSH~ASHE~ EXHAUST FANS DEYEES ~ FURNACE MOTORS ~ ~UTUEE A~UANCE FEEDEES [SPE~IA~EEC'PT] TIMECtOCKS BEtL UNI~ HEATEE5 MULTI.aU LET SERVICE DISCONNECT' JNO OF J S E R V I C E OLH~R APPARATUS Sal. Prato Wiggins Lane, areenport, L.I. 11944 Llc. 1049E SE This certificate must not be altered ~n any manner, return to the office of the Board tf incorrect Inspectors may be ~denhfm the~als. I /P "¢., __ I -- Examined TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFIC:E SOUTHOLD, N. Y. D~sapproved~ .............................................. ~ INSTRUCTIONS a. This application must be completely filled in by typewriter o~ in ink and submitted in triplicate to the Building Inspector, with 3 set~ 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 oF areas, and giving a detailed description of layout ofproperty must be drawn on the diagram which is port of this application. c. The 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 Jn 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, Suffolk County, New York,'and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for temaki 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 applicont~br name, if a corporation) (^ddr0ss of applicant) ~ / State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ....................... ................. Nome of owner of premises ...... l~...¢e:'..e~41.....~.^...~k~.~.~'~J,...,.~4~.......e~l~,~l~TJ~.......'~..,.....Z.~;.~..~.'~.., ...... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Plumber's License No .... Other Trade's License No ............................................... 1. Location of land on which proposed work will be done. Map No .... Lot No ......................... Street and Number ............... ~..'."7..~'.~ ...... ,.~.dI~lI~.....~,/~i....~31/.~R.'~.~.~..~'.~.....~.L~...~..~.._ ,~ ................ M~i~li~ 2. State existi~ use and ~cu~ncy of premises and intended use and ~cu~ncy of p~osed constm¢tion: a.' ~isiti~ u~ a~ ~cupancy ......... ~....~.....~....~.~.~__ ~~~/~'~"'~'" b. ,ntend~ u~ a~d ~cu~ncy ................ ~....~~.~..~~~. 2. Nature of work (check which applicable): New Building......J.. ......... Addition ......... ./. ....... Alteration ..:.~ ...... .~... Repair .................. Removal .................. Demolition .................... Other Work .................................................... 4. Estimated Cost ................ ~.~'...~D. .......................... Fee ....~..~]..Y..~ .................................................................. ~ (to be paid on filing this application) 5. If dwelling, number of dwelling units ......'~.......~....D......'J~.....Number of dwelling units on each floor ............................ 'lf garage, number of cars ................................................. · ............................................................................................ 6. If business, commercial or mixed occupancy, specify nature and extenz or each f~pe Of use ............................ 7. Dimensions of existing structures, if any: Front .........~..~......'. ...... Reor ........ ~..:. .............. Depth .....~..~.:...~... Height ....... .~-..~.. ....... Number of S o s ............................. ,,.... ................................................................. ~ ..... Dimensions of~sa~ structure with alterations ~r additions: r~on~~.~.~.? ........ E~ear.~..J..~.~..~.7...~.~ ...... Depth ......~......~. ............... Height ............ ~. ............ Number of ,Stories ....~.~-..~ ...... (~..e?; 8. Dimensions of entire new construction: Front,~..~...6~...~..,'.../.~..~...~ Rear ..... ./..~..../...~...~. ........ Depth ....e~....~...~.~....~... Height ...... ~.:.~ ...... Number of Stories ......... ~ ........................... .-.. ................................................................. 9. Size of lot: Front ..... .~..~/./-..~..~....~.....~...~..~. .... Rear ....... .~...~...~. ......................... Depth ....?..~ ............ 10. Date of Purchase ............ ../.9../~.l.~....~.. .............. Name of Former Owner ..... .~.~....¢~/^...~.,~.~...~..i.:.:L~ 11. Zone or use district in which premises are situated ......... 4~ r.*..cZ.~'~.~t ...... ~ ..................................................... 12. Does proposed construction violate any zoning law, ordinance of regulation: ....... ,~ ~.j~-~~'~ ............ 13. Will lot be regraded' ......~.~ .............. Will excess fill be removed from premises;4~r/~-~N° 14. Name of Owner of premises ....~..l~'41~..~.,...~,-~]~.~Address ..~/:..~.~k~.~".~..~..~..~....'...~. Name of Architect ........... ~...~...~......~?~....~.:.....~..~ .~... Address ........... ./...~. ........... ~' Z~. Phone No. Name of Contractor ......... .~.k'Z.....~,~.~C%VfJ~l~.. .......... Address ....~~.. Phone No...~..~.2.C...~...~.~J~_ ~ 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 YORK, ~ c ¢ above named. 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 ~ke and file thi~ ap~ication; that all statements contained in this application are true to the best of his knowledge and belief; and thez th{ work will be performed in the manner Set foffh in the application filed therewith. Sw~ ~forq me this Nota~ Public, . ............................. ~.... Coun~ ~..~..;~.: ........ ~ ........................ .... ~ ~x ta~gnatu~of applicant) NOTaRy PUBHc State o ~o. 52.8125~0 ~.n ~ New Yor~