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Home My WebLink About8915-z~O~t~ NO. 4, TOWN OF SOUTHOLD BUll.DING DEPARTMENT Town Clerk'~ Office $outhold, BI. Y. Certificate Of Occupancy No...~?.7.$9 ..... Date ............... .J..u~.e... ?.'1... ,, 19. ?.7 THIS CERTIFIES that the building located at .H..o?.e..L..s~..e..&..S.o..u~..d..V.i.e..w. ~leeet Map No.....X~. ....... Block No, .. ~ ..... Lot No....~. .... .S?.u?.h. 9.1.d....~:.Y.: ........ conforms substantially to the Application for Building Permit heretofore fried in this office dated .............. 0..c.t..'17.., 19..7.6. pursuant to which Building Permit No....8.9.~..~.Z dated .............. ~..c~r...~..~., 19.7.6.., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate The certificate is issued to., .J~...o.l.d., .G.o.l.z. .... .0..w.~..e.r. .............................. (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .... J..u~..e. ?.?...~.9. ?.7., .b..y..R.....V.~.i. 1..a. UNDERWRITERS CERTIFICATE No...N.~)...~. ..... A.g.r..2.8....1.9.7.7. ............... HOUSE NUMBER ....... .'l.V~O,.. Street .... .Ho..l~e...L.a. ............................ 69'10 Sound View Ave Sout;holei Building Inspector (*l~llS PERMIT MUST BE KEPT ON ~ PREMISES UNTIL FULL ~ION OF THE WORK AUTHORIZED) Ne., 8915 Z ~o ........................................................ , pursuant to applJcmion dated OCT I~/ 1Z.'~...., er~ by ~ Building Imgector. Fee $ ........................ B~didlng Insfmctor THELNEW YORK BOARD OF FIRE UNDERWRITERS dp BUREAU OF ELECTRICITY -- ~I 85 JOHN STREET. NEW YORK. NEW YORK 10038 THIS CERTIFIES THA~ U' Ii-. .Rodick Construction, 2 Heart Lane, Peconic," L. I. in thefollowir~glocatlor~; ] [] Basement~ [] 1st FI, "~: ' [] 2nd ~1.Outside,,,,,~,,,~ ,- Sect,on Block Lot 2q DRYERS Striano. i!. Joseph.~P. I ' - '121 Accaci Rd. ~..",.' 'Rocky Point, N.Y. 11778 R 1 "~ ~ GENERAl. L'io.#890E ~ ', Per D This certificate must not be oJtered in any manner;~return'to'the office of he Board If ~ncorrect. ntpecrors may be identified Dy their Sou*rHoLD, N.Y. /,~,~.,,. ,, ~,~.~o ~Y' I ..9*-Z(~_ ...................................... , ........ _ ~p~ication ~o. '~...~ ......................... Examined ~ /~ ~ Pe~itNo ...~1 ~..~ ~~ ............................................. , .................................... ................................. - , 0 .... ' ...... . a. This ~licati~ m~ ~ c~pl~t~ly fill~ in ~y ~ew~iter ~ in i~ ~nd ~mi~ i~ tri~li~te ~ lhe B~i~ In~or, with 3 ~ of p~s, accum~ pl~ plan ~ ~ale. F~ acco~i~ ~ ~h~ule. b. Plot plan shying I~ation of lot and of buildings ~ premises, relationship to ~joining premis~ ~ public streets ar~s, and g~vi~ a detail~ de~ription of I~o~ ofp~ must be drawn ~ the diagram which s ~ of th s app icati~.~ c. ~e Work c~er~ by thk a~licotion may n~ ~ comme~ before i~uonce of Building Permit. d. Upon approval of this applicati~, ~e BuJldi~ In--tar wi]l issue a Building Permit to the ~plicont. Such permit~ s~all be kept ~ the premiss available for in~i~ thin,haut the ~rk. e. No building shall ~ ~cupi~ or u~ in whole or in ~ for any pu~e wh~er until a Ce~ifica~ of ~cu~n~1 shall have ~e~ gmnt~ ~ the Building Insp~tor. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursu?.nt to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, end 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 ~ion$, and to admit authorized inspectors on premises and in buildings for necessary inspections. ......... (Address of applicant) State whether applicant is owns;r, I_essee~ agent, architect, engineer, general contractor, electrician, plumber or builder. ~ ........................................................... ............... ~"'~' ........ '~'~1'""~ .............................................................................................. Name of owner of premises ......................................... :....: ........ ~.~.. ........................................................................................ If apptican, t is a~corporate, sianature of ~uly authorized officer. (Name and title of corporate officer) Builder's License No .............................. ,~ ................... /.;f. · i Plumber's License No ............................ ? .................... Electrician'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 ...... ~"~i'~'/~'"~'/";.."~'""~'/'~"~'; ............................... '~;"~'¥'~'~'"""J~,','r~,~i~Ji~ ........ State existing use and occupancy of premises and intended use and occupancy of proposed construction: use occupancy ',' ature of work (check which applicable): New 'Building' :;, ...... Addition .................. Alteration ....... .'....'....~' / Repair .................. Removal .................. Demolition .............. ;,... Othe~ ~/ork .................................................... I~--~ (Description) " 4. st'rnated 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, specify nature and extent of each type of use ............................ 7. D~rnensions 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 ......... :~...Z ................... Rear ...... ~:;...5 .............. Depth ........................ Height .....,/..~.~..,;.;.. Number of Stories ............ :..../...:..~.. ............................................................................................. 9. Size of lot: Front ............ ./...:,..'~.'. ................................. Rear .......... ;':..~....~.....;'...~ ........ Depth ...;:'..z....~......~. ............ _~. Dote of Purchq$~,,.,:...~ .............. ?.~ ........................... Name of Porrner Owner ................... ~ .................................... ~.1~, Zone or use district: in which Prernlses ore situated ....................................................... · ~l?'~ ......................................... 12. Does proposed construction vlolote any ~oning law, etd nance or regulahon: .............................................. 13. Will lot be regraded . ............... ,~ .......... Will e;~cess fill be rernoved fro~ premises: ( ) Yes (~) No 14. Name of Owner of premises...,r ...................... ~.: ........ ~.. ........ Address ......... f.. ..................... Phone No ....... ~ ............ Name of Architect ....... ~.,:?..~'~:t~.,..~..~...~..~..~..~ ............... Address ./../!.('./..::::.q~,.~:: .......... Phone No...7..../..~..~.~.[.,9 Name of Contractor L'~?.?../~..k....~'~'.?...~.?~.:...~.~:.J.~.:.... Address .~.~'!~.~:..'..~...f.~.~?.~..t.~.. Phor~ No..~..?..~...~!..~..~...0 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 '~]~ ~, ¢ c " COUNTY OF ................................ ~'~'~ ............... l.~.~.~..If..~,..~.~ ...... [.,.,./,.~..~'.?..~;.... .......................... being duly sworn, deposes and says that he is the applicant (Name of individual signing contracf) above named. He is the .................................. ~i,~ "~ ................................................................................ ' ....................................... --~ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform 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 thor the work will be performed in the 'manner set forth in the application filed therewith. Sworn to before me this ...... ~,~..,~,. ........ day of ......... ~ .................. , 19:.?..~... Notary Public, Coun~ ~-~ , (Signature of applicant) ELIZABETH ANN Nk-VILL~ I(QTAR¥ PUBLIC. State of New Yo~ ;~, 52'81~25850. Suffotk Cotlnt,~ Oj ~,;' E P IL 0,2) M F-: ooR APPROVED AS NOTED 3. FINAL WHEN JOB COMPLETED NOT RESPONSIBLE FOR DESIGN OR CON p LOO ~.. .$ . OD ', CK o, Itqc. ~26-54-4o ,p o, I~c, C