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Home My WebLink About8795-zTOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupnncy ~To. ]$7~.E ..... Date THIS CERTIFIES that ~e b~d~g located at~$. ~ ~ .~ho~et Map No.. ~. .. Block No.. ~. Lot No .... ~ ......................... conforms substantially to the Application for Building Permit heretofore EHed ~n this office dated A~ .I~ .. ., 19. ~ pursuant to which Bulldog Permit No..8795. dated . &~Z~ t~, .. , 19~., was issued, ~d conEor~ to ~ DE ~e requ~ ~ents DE the applicable provisions DE the law. The occup~cy Eot which this certificate is issued ~ ~$~. ~. ~y. d~l~g ............................... The certificate is issued to .. ~B. ~O~ .~a~ ............................ of the aforesaid building. S~olk County Department of Heal~ Approval J~y ~ .~977 .~O~ ~.. U~ERWRITERS CERTIFICATE No...~~ ................................. HOUSE NUMBER ]~]0~ .... Street ... ~g~.~d .... ' .................... ........................................ .............. ~uildml inspector FO]T,_W[ ~0. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT CrHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No. 8795 Z Permission is hereby granted to: Jm~3n..~ ~...Wal.t~ s. ......................................... ................. .Q~.t.t~...P.;~,~.e. ......... ~.o.u1~3.q~.. ~o ...~..~.e.~....o.~...~ ~.~:.. ~w.e..~:..z.~..~ .................................................................................. nt premises lo'cared at ~.~.~./..~..~..~.~..~..~..~.~...~.~.~.~..~..~.~.~(..~..~.~/.~.D...e..~.~9..t.~)~ ............................................... - '~.- ' Cut, chogt~e - N.Y, ................................................................ FOEM NO. $ TOWN OF SOUTHOLD , Building Department Town Clerks Office Southold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This apphcation 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 Iocahon of all buddings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage d~sposal--(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 certmficate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed s~te plan requirements where opphcable. 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, buddings 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 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 .... ~'1 ~....~..br.~....1.c~ ~.~. ............ New Building ..~[X .........Addition ................ Old or Pre-existing Building ..... ~ .......... Vacant Land .............. Location Of Property ..~/~..~.e~Q~..]~c~a~...Ct~,[c~c~,e.t...l~.,...~,...~ ............................................. Owner Or Owners Of Property ............... ,T~:~t:t..~Tase!0h..//ia.]L~,ez,.s .......... L ............................................... Subdivision .... .-..-...-..-...-..-..?. ........................................... Lot No...-...-..-. .... Block No...'..=...-. .... House Ncll.~.l..0.~. Permit No 8.~c~.~ ......... Date Of Permit .8~.~.~..Applicont .~TQl'~..~l'~i.~/~l.'l ~l~.~ ............................. Health Dept. Approval .2/.~.~.~.~..~...~.~],a.....Lobor Dept. Approval ~...,~Z~ .................................. Underwriters Approval ..~2~'~ .......................... Planning Board Approval ...... ~.~ .......................... Request For Temporary Certificate ........................................ Fincd Certificate ............. ~ ....................... Fee Submitted $ .~,D0 .......................... Construction on above described building ~d pern](t m~ts all~apl~licab~e~c~es and regulations. Sworn to before me this Applicant ....x~,~ ~~....,,~......0..e.......~.....~...~...~ ......................... bi~' ................ dayof ............................................ (stamp or seal) ~ 0''~.f[~[~D Notary Public .................................... County , /~1Il THE NEW YOrK BOARD OF FIRE UNDERWRITERS ak BUREAU OF ELECTRICITY I 85 JOHN STREET, NEW YORK. NEW YORK 10038 n.',' March 8, 1977 4PP'"a"°"'v°°"r'le886453 N 328056 THIS CERTIFIES THAT on/)' tile electrical eqltipment as described below and introduced by the applicant named or: the abate application rttztttber tn the pretnises of John~ Walters, n/side Oregon Rd., 200' e/o Depot Lane, Cutchogue,L.I. ,~,,.e~,,,,,~,,,,ao. March 3. 1977 ,,.d/..,,,d,ob,.i.,_a,,U,t ...... .,t,, I,,..".',V,i,'~m,'.,t.,,f,l,i. na.~d FIXTURE OUTLETS 27 ~ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS 34 18 27 DRYERS IRNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS SERVICE DISCONNECT S E R 1 I 150 OTHER APPARATUS G.F.C.I. Smoke Detectors 1/0 I Jc E AWG NO OF NEUTRALS AWG OF NEUTRAL Ruland Elec. Co.~ P,.O.Box 143 Mattituck, L.I. I GEN~ 119 5 2 Lic. 24 2E , Per D certificate must not be aJtere~ in any manner, return to the office of the Board if ~ncorrect Inspectors may be ~denhfled by formerly Job or Area = 40,0~ sq. fA ' Al, 4~ °44140 "L OREGON ,:-7~ ;/:z,., ROA $ BUILDING DEPARTMENT,/~ .2 ..2~ r~.! ~-~-,~,,- W,~6') ~ ~ ~ ~ P TOWN CLERK'S OFFI~. ~' ~ ~/~ ~_~ ~'~-, ~ ~ ~ro~ ........................................ , lY.~.;... ~ermit ,o.~..~ ............. /_'' ~/ '~ (~/y'~7 /~.~ /O~ APPLICATION FOR BUILDING PERMIT / ~ ~.~c~~~ % o. Thi* ~lic~tion mu~t b~ compl~t~l~ {ill~ in b~ ~pawrit~r o~ in ink ~ *~mi~d in lriplic~t* ~o ~h~ 8uildln~ Insp~or, with 3 ~ of p~s, accurate pl~ plan ~ ~ale. F~ acco~ing to sch~ule. b Plotplan showing l~ation of lot and of bud ngs on premises, relationship to adjoining ....... premises or public streets o~ areas, and giving a deta I~ de~r pt on of layout ofpr~e~ must be drawn on the dmgrom which ~s ~ of th s app mat on. c. The work c~ered by this a~licafion may n~ 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 Jnsp~tion th~ghout the work. e. No building shall be ~cupied or u~d in whole or in pa~ for any pu~me whoever until a Ce~ificate of ~cu~ncy shall have ~en granted ~ the Building Insp~tor. APPLI~TION IS HEREBY ~DE to the Building Depa~ment for the i~uance of a Building Pe~it pu~u~nt to the Building Zone Ordinance of the T~n of ~thold, Suffolk County, New York, and other applicable ~, O~nanc~ or Regulations, for the constru~ion of buildings, additions or alterations, or for removal or demoliti~, as heroin de~ribed. The applicant agr~s to comply with all applicable la~, ordinances, building c~e, h~si~ c~e, and ~ulati~s, a~ to admit authorized insp~tom on premiss and in buildings for n~essa~ i~tions. //(9~gnature of ~p~ticant, c~ name, if a corporotionfl ............................ .......... ;' ............. State whether applicant is owrfer, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. If applicant is a corporate, signd, t~re of duly abt~orized officer. (Name and title of corporate officer) Builder's /ic~'~se No ............................ °. ....................... Plumber's License No .......... ~.....~ Electricion's License No Other Trade's License No ............................................... ~,~ ~ 1. Location of land on which ~,.osed work wi,l~ MaP~O '~A..~.~.~'~..- .......... Lot No ...... .~...~,.. .......... Street and Number ........ l~~.....a...~.-.a--.~..-7...~'~"'.'~..'~'~'T ....... '~ ......................... '~i~i~Ji~ .... 2. State existing use and occupancy of premises and inten~d use ~d occupancy of proposed construction: a. Exisiting use and occupancy ...... ~...,':?~,~ ................... .j .......... '14'"';Z ..................................... b. Intended use and occupancy ........ ~.~...~...~.....~..~-- ...................... 3. Nature of work (check which applicable): New Building......~... Addition .................. Alteration . Repair .................. Removal .................. Demolition .................... Other Work ................................................ ~ .... .~....~.....~/.~ (~) (,~ 7~ ~'~o (Description) 4~ ~timated Cost. .--..~...... ............................... Fee (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,~peci~gt~re and extent of eac~pe of use ..................... ~..~ 7.Dimens OhS.of ex st ng structures, if any' Front ~.~..~. Rear 2~ ~ Depth ~ ' s' s of sam~t ucture with alterations or addition~ront .................................... Rear ............................ Depth ................................ Height ............................ Number. o~ Stories ............................ ~.., ~ , o, n,w ron, ........ ,~, .................... ~.~e~ of ~,or,~ ...~..~ .......................................... ........................... 10. Date of Purchase ........................................................ Name of Former ~ner ..... ~.~ ......... 11. Zone or use district in which premises ere situated ..................................................................................................... ]2. Does proposed construction violate any zoning law, ordinance or regulation: ...... ~ ................................. 13. Will lot be regraded ......~ ........ ~ill excess fill be removed from premises: (~Yes (~o ...... ................. so..~.~r..7~r [ocote cleorly ~nd distinctl~ oil buildinos, whethor existin~ or proposed, ~nd indic~i~ all ~t-~ck dimension~ from prope~y lines. Give street ~nd block number or description occordin~ to deed, ~nd show stroot n~mes ond indicote ~hother interior or cornor lot. STATE OF NEW v-~)Rl~&"~ I I-' ~ ¢ ~ COUNTY OF .... ...,:~...'.l~.~. ~ J..~ .~.. ~' -,- -, ................................................................................................ being duly sworn, deposes and says that he is the applicam (Name of individual signing contrac~ above name. He is the ................................................................................................................................................................................. (Contractor, agent, co~orate 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 statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set fo~h in the application filed therewith. Sworn to bef~e this ~.. ~ ........... .I~ ...... ~ of ......... ~....... ~..~ Nota~ P~~~~~, ...../,~'~'"'"'~'~lSla of applicant) .......................... · ,.~ .'~X ,. ~u ' ~, "" ' I ' ~ ~ -~ ~ .~/ "~-.~ ~- /" ~" ~ / ~ ~. ,.~ THE LOCATION OF Wff~S AND CESSPOmS SHOWN HEREON ARE FR~ RELD t ~0 0 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK o..~.w~,o.s ..~/~ ~ ~.~. o~*,.~ ~.o.o..... 9~ ..v,s,o.s YOUNG & YOUNG HOWARD W. YOUNG PROFES$IONAt. ENGINEER AND LAND SURVEYOR -- oUr~ E i FOR: ,.,~ ~.~, ,~ , ~,o~,~,o, o~c,,o. JOHN J. WALTERS ~ DONNA M. WALTERS COPIES Or THIS ~RVEY MAP NOT BEARINe and water supply r0EMBOSSEDBE A VALIDSEALTRuE~ALLc~yNOT BE CONSIDERED ~AT location have been CU TCHOGUE . S~THOLD SAW~ BANK depap~menZ ~ ~0~ ~LyGUARANTEEST0 T"[ INDICATEDPERSON FoRHtREONwHoMSHALLTHE RU" TOWN OF AMERICAN TITLE INSUPANCE CO Chle~ df %eheraI ~.e ~v ~ ' HEREON, AND TO THE ASSIGNEES 0F THE SUFFOLK CO., N.Y. UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION JOHN J. WALTERS & DONNA M.F/ALTER$ FOR APPROVAL OF CONSTRUCTION .ONLY <~'-~x .(/HS e~. NO. C" ~-=l~"' SUFFOLK COUNTY DEPARTMENT OF H~LTH SER¥1C~cS ALDEN W. YOUNG HOWARD W. YOUNG SURVEY FOR: ~J LT C~O~/R /AOLD ' GUTT~-g. I~OOt' ~lt~Trll HG # I~ ---/A~.TAL LATH AT IN~/JLATm 3~' O,O, --?L.AIT~.4k ON FLA)T~IL [SA)~, ' x Zl" - tG" O.C. /^AIN YALL' ~-CTI, OM ~C,~L~: 3/~f~ '= ILO.' TO/) or f-LOOK-~-.-.~___ ........................................... &IGFIT ~LP_..VATIOM L II II r 'n r 7L7,' ,L j