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HomeMy WebLinkAbout8803-zl~il~ NO. 4 TOWN OF SOUTHOLD BUII.IHNG DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No..Z~.397. ..... Date ............. DES...1. ..... , 19. ~.~ THIS CERTIFIES that the building located at . F~.8.. So~md.~ew. A~re .... Street Map No. Northwo~sBE~ No ...... Lot No.. 1.0 ... Soul;he, Id.. iI,Y: ........ conforms substantially to the Application for Building Permit heretofore filed in this office dated ...... AUgust. ~19.. 76 pursuant to which Building Permit No. dated ...... A]ag .1.~., 19 ~6., was issued, and conforms to all of the req,,ire- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is .P,~;~a$O..O~U~ ~'~:~lY .c~e:L.]~..ng ........................... The certificate is issued to . .Chain. Neim ...... 0w~®r ........................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval 1~0~...~0 . ~ 976 · .by R, .Villa .... UNDERWRITERS CERTIFICATE No. ]~.~997. -. ~ov...~7..$976 ............... HOUSE NUMBER ~90 ... Street ... Sound..V. ie~. ave ....... southolcl ..... Building~ FORI~ NO. 2 TOWN OF SOUTHOLD BUILDING DEFARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON ~HE PP, EMISES UNTIL FULL COJVIPLETION OF THE WORK AUTHORIZED) N? 8803 Z Permission is hereby granted to: .~,, ,,."~ , '",,~ THE,~, ',~NEW YORK BOARD ,,OF FIRE, UNDERWRITERS  1 ' ~ 'Il ~ "1 r Ih ' ' ,' ' BUREAU OF ELECTRICITY ' ' : ,l ,,~ t~ i ,' 85 ,.JOHN STREET, NEW YORK, NEW YORK~IO038 ' .a., N0vembel;;'17~ ,i1976,~,..,.ca.io..No. ou~,,. 881025',,, "-"-'" ~ '"' ' ~' '~' ,,~ N , 312997 THIS CERTIFIES' THAT ...... ~ ',l : ~ only the el~tr~al equipment ~ ~sc~bbd below and int~uc~ by t~ applicant ~m~ on' t~ a~ apP~i~atlon num~r in t~ premlses of CA~les~els,~. s/s So~n~vlew Ave., ~00~ e/o~ Horton ~ ~ Estates, L.I... ,~, ' -- in thefollomlng I~ationt ~ ~ B~ement. '~ lz, Fl. ~ 2nd Fl. OUt side ~t~o,, ~ ~m~4 ~.~.~..d.,' ~ove~e~ 1~, 1976 and found to be in compliance with the requiremen~z ~f thls Board. ~XTU~E ; I ' I RXTU~ES ~AN~E~ C~K~NaD~Sl OVENS DiSH wASHErs ~X~AUST FANS SERVICE DISCONNECT } NO O~ } S E .... ~ ~ ' 1-30~p, 1-50amp. *Special Receptacles: 1-G.F.C.I. 1-Smoke Detector Motors: .1-3/4hp. Sapanaro & Mineo, inc.. 102 Oak Ave. ' Shirley, N.Y. 11967 . Llc.' #334E ~nto the . INSTRUCTIONS a. T,his oPl~iication must be compietely filled in by typewriter aC in ink end submitt~ed in triplicate to the Building Inspectot', with $ set~ of pla~e~ ocCU_mte plOt plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buddings on premises, relationship to adjoining premises or pubhc streets areas, a.F~d giving a detailed description of layout ofproperty must be drawn on the diagram which is pert of this application. c. The work covered by-this application may not be commenced before issuance of Building Permit. d. Upon approval of ti?is application, the Building Inspector will issue a Building Permit to the applicant. Such permit shall betkept ~n the premises available for inspection throughout the work. e. No bUil;d[~ Shall be occupied or used in whole or in pert for any purpose whatever until o Certificate of Occupancy shall havebeen granted by the Building Inspector. ^PPL!CATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Buildin~ Zone Ordinance of t. he Town.of Southold, Suffolk County, New York, and other aPPli...c~ble Laws, Ordinances or Regulations, for the construction of buddings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicablelaws, ordinances,/?,.Lspe°ti J~ ,ebullding code,.,housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessa~ i' i ~¢'Yf-/'¢~ ~ ~ ' ' ........ i~i~'~c~u'~V:~' '.-- ~.....~.~ applico,et/or ~l~rm~,"if"~'~:'~i~'~ ........ /I:{:;:: ,' (Address of applicant) State whether applicant is owner, lessee; ~dgent, architect, engineer,/general contractor,~electrician, plumber or builder. Name o, uw.er of premises .......................................................................................... ~ ........................................ c~llj&tmtL/{~ i.~,~corpor~ate, signature 9f~duly~~~. ~[ ~horiz~ officer. .................. ......... Builder's Lic~ No. *....~ ........ ~ .................................... , , , Plum~rs kicen~ ~o ..... : ........................................... , . . Electricians kicense ~o ............................... :. ....... ,. ,. Other Trade's License No ............................................... .* . ,, ~ 1. Location of land on which ~d work will.be done. Map No.t~f-O...~~__.~. Lot No ..... '..~..: ............... Street and Number ..... .~,~,~-/.~..'....~'~...~...~..~.,~/...~ .......~ ........................................ Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: property lines. Give street and block number or description according to deed whether interior or corner lot. 3. Nature of work (check which applicable): New Building..~,,~...~ ....... Addition .................. Alteration Repair .................. Removal .................. Demolitior ..................... Other Work ................................................ . .... ~1~.~..~.. ~. '~.~ ~-f' 5-- (Description) 4. Estimated Cost .. .~.~.~ ....................................... Fee ....... .; ................................................................................ (to be paid 6n filing this application) 5. If dwelling, number of dwelling units ............................ Number of dwelling units, on each floor ............................ If garage, number of cars ...... .~....-m.. .......................................................................................................................... 6. If business, commercial or mixed occupancy, spec. ify nature and extent o.f each type of use ............................ 7. Dimensions o~,xisting structures, if any: Front ..(~g .................... ' Rear .~.~' ........................ Depth ...~....~... Height ...L..{~'L ................ Number of Stories ........ t ................................... ; .................................................................... Dimensions of same structure with alterations or additions: Front ....................................Rear ............................ Depth ................................ Height ............ ~ ................ Number of Storie~ .... ............................ 8. Dimensions of entire new construction: Front ................................. ... Rear ............................ Depth~..~... ....... Height .................... Nurn~er of Stories .......................... ~. ................ ~.¥ ..................................................................... 9. Size of lot: Front ...[-~..~.;~': ......................................... Rear ....),.~...~.. ........................... Depth ....... ..~...~..: ....... .... 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 1 1. Zone or use district in which premises are situated .................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ..... .~...~.. ........................................... 13. Will lot be regraded ...V.~--,~.~. ............. Will excess fill be removed from premises: ( ) Yes (~No 14. Name of Owner of premises'~t~J~.~.t~.....{'~....~...:..~..,.. Address/~.../~....~.~/~.~.J~ph°ne No. ~....~.~,~.t./J~o Name of Architect .............................................................. Address ............. :;..; .............. Phone No ....................... Name of Contractor ..~...P/;l~.~r:.. ........................................... Add,-ess ....... -: ........................ Phone No ....................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-b~ck dimensions from and show street names and indicate STATE OF NEW Y.~,I~,, j ~ / [ ¢ S COU N~i'Y _O.F ~...f ~' ¥~kl~ 'f~nina contra, f),~Nome at mmv[auol s~g g con c above named. He is the ................................................ ; ............................ ...,,~--,,--,,w~-..-~-. ....................................................................... (Contractor, agent, co(~r,ate office, r,?tc.) · ~.,~.;,,', i rk n n f' of sa~d owner or owners, and ~s duly author zed to perform-"6T-, ',,~.',~ j.. ...... ed the sa d wa a d to make a d le 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 forth in the application filed there)M4~. Sworn to b~)'e me this _ · Nota .............. ........................... Ne~ u~'.0344963 SuHolk Coun y SUFF, CO.H£ALTHDEPT. APPROVAL LOT SCALE: ~0/ = t" J~ORIZED AL~E~N OR ADDITIO[~ THIS SUrVey I$ A VIOLATION OF TIF. E[T HOLE SUFF CO DEPT. OF HEALTH SERVICES I STATEMENT OF FOR APPROVAL OF CON~TI~UCTION ONLY DATE: DIiIs~AL SY~'I'EM~ FOR THIS RES D'EI',,/C£ WILL CONFORM TO TH H, S. REF. NO: GTANDAAI~DS OF SUFFOLK ~O. DEP OF HIEr, AL"r'H, BERVIC, E~, APPROVED: 17' APPLICANT ~ NOV 301' Zhe sewage disposal faoilit~es for this loeat!nn tnsDected h~ this de %o be satisfac%o: ,41"1' ~.~OUTHOLD, N. Y.