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HomeMy WebLinkAbout8822-zlrOl~ NO. ii TOWN OF SOUTHOI,r~ BUILDING DEPARTMENT Town Clerk's Office $outhold, N. Y. Certific; te Of Occup; ncy No .... z7.7.99 .. Date ............ July .... 29..., 1O..7.7. THIS CERTIFIES that the building located at . ~/S. ~Qrton .L.a ........... Street Map No. ;OL ....... Block No...:cx ..... Lot No. x;~x. · · Southold. · ~i ,Y, ......... conforms substantially to the Application for Building Permit heretofore filed in this office dated ........ .Au~ .. 26., 19.76. pursuant to which Building Permit No .... 8822 Z dated ......... Au~ 26.., 19.76., was issued, and conforms to all of the ments of the applicable provisions of the law. The occupancy for which this certificate is issued is ...P~'.i. vq.~.e..o.~e..f.a .~;tly..O~.e. ll~[r~g .................................. The certificate is issued to .Richar. A., .¥ir~ters ..... ~:.mer ..................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval ...'~::.ar....2.2. ~. 9?.7....by. i.~ ,. ~.i.l.t..a... UNDERWRITERS CERTIFICATE No...N3~.%~17 ...... De.c.. ?... 19~6 ............. HOUSE NUMBER ..... 6,7.90-. Street .... Horton. Lar~ ....... Zo~%ho~d ....... ..... B~l'~ing ~e~t;; ~ .... FORH NO. 2 TO~VN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT~ MUST BE KEPT ON THE PP~EMISES UNTIL FULL , COMPLETION OF THE WORK AUTHORIZED) 8822 Z Dote ......................... ,~,lgg ........... 2~. ...... 19.~'~... Permission is hereby granted to: Rtchar~l..~l~te~.~ ............................................ .................. ~outhe;L~....~.Y., ............................ ................................................................................ at premises located at ...~.~L.~D;t:L~.Q~L..~at-~e ............................................................... ~ ...................... ........................................................ ~.~t,~i~....N,L .............................. ~ ................... ~....i ........... .~ .... %'/ L p, ursuant to application dated ......................... J.~....~. ............. ' Budding In~ector. ? - ........... 7~ 19.~.6:~,~ ~ond approved bY~ the THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 n"teDecember 7, 3.976 .~pU,r'ano,,~,'o.a-.f, le 882~5 N 3~55~7 THIS CERTIFIES THAT only t~ el~t~cal equ~pmen~ ~ described below and intr~ced by the appllca~ ~amed on the above appl~catlon number i~ the p~mlsez of R2cha~d ~2n~e~s, e/s~ae Horton Lane, ~00 wa, examinodon December 2, 1976 andfoundtobemcomphaneew~ththerequiremontsofthlsSoard. F XTUaE I I FIXTURES RANGES COOKING D~K5~ OVENS DISH WASHERS EXHAUST FANS A~T H OUTLETS3~ "C~PTACLE5~O SWITC"~S22 ,NCAN~SCENTts~ ~- +~ :'?*FLU~E~ENT ~:~Y ~T [ W" DRYERS FURNACE ~OTORS ~T~'~E A~IANCE FEEDERS SPECIALREC'PT~ TIMECLOCKS BELL UNIT HEATERS MULTI-OUT~T DIMMERS SERV, D,~:qNNECT ,I ::,oo ITHER APPARATUS R ~V I C E AWG AWG AWG 3/0 INO OF HI LEG NO OF1NEUTRAL5 i/o Motor/s: 1-1/2hp ,~.HI 1-~. 5kw Hot wate~ heater ~l~_~ 1-1~.8kw Electric P.O.Box 1~3 ..... :,.,~." /v ~ / ~. -P TOWN O~ BUILDING DE .P,A. RTM l~J7~ TOWN CL£.K S .......... ...... ........................ .................... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building ~ Inspector, with 3 sets 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 o~ .~, areas, and giving a detailed description of layout ofproperty must be drawn on the diagram which is part 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 t" shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until o 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 removal 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. ..... ,..,~u_.~..~..<.~.~L....~..~.....L:.~. ....... :.:-: ........................................ (Signatu, re of~pplicant, or non,e, if o corpo/~ation) ~ (Address of applicant) * State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .................................. ................................................................................ Nome of owner of prem ses ......... ~. .............. :..~ ...................................................................................................................... If applicant is a corporate~.signature of duly authorized officer. \ .................. i" ........ Builder'~ License No...~.).~3~--~: [ f;-' .; ............... Plumber's License No ................................................. Electrician's License No....~:~}.~..L..~.?.J.~.L~ .......... Other Zrade's License No. }~:~..V. EL ...... .~(..~..~ ......... 1. Location of land on which proposed work will be done. Map No.: .~J.C(~'.~t.~...J;~L'.¢iX¢ ...... Lot No...;..~.~JT .......... / Street and Number ............................. F' .......... ~: ............ / ........... ~ ...... .¢~L..a ....................................... Municipali~ 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy b. Intended use and occupancy u~ ' ~ ~'l¢ C . 3. N~atu?e~f work (check which applicable): New Buih!~q~ . ...... ~.~.'..:~i."Addition ................ AIterctkm .... Repair .................. Removal .................. Demolitiex. ................... Other Wink ................................................. ~'- )(~(' ~ ?,.~ ~ (Description) 4. Estimated Cost ...... .~..~.~...(, ........................................... tee ...................................................................................... (to be paid on filing this applicatio~) 5. If dwelling, number of dwelling units .......... /.. ................ Numbcr of dwelling units on each floor if garage, number of oars ............ ~ ............................ . ....... 6. I'¢ business, commercial or mixed occupancy, specify nature and extent' of each type of use 7. Dimensions of existing structures, if any: Front ...... .Jh..(~:~..%..~..~ ........ Rear ................................Deptb .................... kleight ........................Number of Stories ............................................................................................................... Dimensions of same structure with alterations or additions: Front (t~JC'k-¢ Rear Depth ................................ Height ............................Number of Stories ................................ (T 8. Dimensions of entire new construction: Front ........ .~...~. ..................... Rear ...~...~. ................... Depth .....S.~..~-. .............. Height .../..~ ........... Number of Stories ............. /. .................................................................................................... 9. Size of lot: Front ........ ~..~ .......................................... Rear ...../.~.~ ................................ Depth .;.':,...¢..¢? .................... i0 Date of Purchase ........ /.~. ............................................ Name of Former Owner ...~'...J .................... ( ......................... il. Zone or use district in which premises are situated ...... '.~.~.~.~.(L¢...i,'.c.~..(¢~../ ................................................... 12 Does proposed construction violate any zoning law, ordinance or regulation: ..... ~'.%0 ............................................ 13. x/~ll lot be regraded ..... .~.......,., ........... Wdl excess fill be removed from prem,~ses: (~"~ Yes ( ) No ' ]4. F,'ame or Owner of premises ... .c..~..E?.(....L...~..,.i).~.~'.~.:?. ..... Address ..:.?.¢~.~.~:..k,9.lJ No-~6.~-- o -r; 2" ~ ~ k t ~'- ¢ , ,. ;~. ........ Phone .................. Nome of,Architect .~t....~...~ ....... t~.....~ ..........................Address ...J.~...~...~:f.~! Phone No. (,;~,t~ ....... ., ., ............. Nc:me o ~tractor ...~.;..q~:.~..::f .....(..~..!~..~.?~z?.. Address ,~'(.,,'{ ~,1( ~ Phone No. ]~..(%~..;..(.9...~...(: PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions frcn: :)ropcrty lines. G;~e street and block number or description according to deed, and show street names and indicate whether ir~terior or corner lot. .................. ~..~'z.~/~ .................. being duly sworn, deposes and scy~ that he is the 6ppliccru . (~of individual sig~ng contract) (Contractor, agent, corporate officer, etc.) ;)f said owner or owners, and is duly authorized to perform or have performed the said work and to make end file this application; that all stmements contained in this application are true to the best of bis knowledge and belief; tk, ar the work will be performed in the manner set fo~h in the application filed therewith. ( WV'/,; ~ ' ) YOUMG 317,70 f.V^CAN'O J TO THIS $~i~Y I$A ¥10LATION OF SECTIOn"20' OF TH, NEW YORK STATE ~o. t,,w MAP. OF Pl~OPEI~TY P IEHRP, P WiN T E P3 ......- ~T ....... $OUT~LI) ~' fdONt. J~ENT Q,tEOI'~ PiPE VAN-I'UYL, RC, Y-..~ ~~ ........... I I '1