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HomeMy WebLinkAbout8954-zTOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 8954 Z Date ........................ ~O.T. ....... 8 ............... 19.~'~... Permission is hereby granted to: ...~Rob.t .. ~.ank~ ~.~ ............................................. ........ 9-...~aSb~t..~,arm .......... 8mi.~ew~ ...... to ...Bu~d...n~..~n~..~.~m.$.;L,~.-d~e.]..~l:~g ................................................................................... at premises located at ~..6.]- ........... .(].].~a.ve~..P.~.-..-s~'~o..--.~e~-"t'~"~- ....................................... .............................................. l~a. pta...Lau~ ........... 6~,enVov~ ......................................................... pursuant to application dated ......................~0~ ....... J~ ................. , 19....~f0, and approved by the Building Inspector. Fee $.~.g.. ~.]~ ........... TOWN OF $OUTHOLD , Building Depe~tment Town Clerks Office Southold, 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 fallowing; for new buildings or new use: ]. 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 disposnl--(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences <3nd similar buildings end 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 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, 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 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 ................................ New Bqilding............,...//'/ Addition ................ Old or Pre-existing Building ................ Vacant Land .............. Owner Or Owners Of Property .................................................................................... ' ........................... Subdivision--fo~'-~-E~O~".~..//g'P ~,5~ ~c(~7" ~ Lot No .~...3... Block No. House No...~/...O... Permit No...~..?..~..~...~....Z.. Date Of Permit .//.Z.g/...'7..~..Applioant .... Health Dept. Approval ...~,...~-~.~:~...'.~..?....~...; ............. Labor Dept. Approval ................................................ Underwriters Approval A~....~...: .................................. Pa nmg Board Approvol ........................................ Request For Temporary Certificate ........................................ Find Certifleate .......................................... Fee Submltted $ .~ ............................. Construction on above described building and pe~mft~me~ets all/app~a~ regulations. Applicant ................ ~r.,.~..~.....';....;../ ....... ~ :.; .... ;,..~ ......,, ........ ~ ................ (G/- Sworn 'O before me this g~Z~p~ ~ Nota~ PubJi~ ..~,~.~.~/~ ........... Coun~ gO?k~Y ~U~UC, S*~*o o~ New ~k 9u.lifled in Suffolk Coun~ ~ ~mission ~ires Mar~ 3~ ~ · , .THE,,iNEWi, YORK.BOARD OF, FIRE ,UNDERWRITERS I., ~ , - ~.-: :- ~5 JOHN S~REET. NEW.YORK NEW YORK.,~0038 -., - = .... , .~ .... , Robert ~nkr~z~ :Maple Lane.~ Wlggins'~ Sn~g' ~' Ha~bo~ :,East,Ma~lon L. ,. ~./.~,~,--; ~ ~.~.~,~ ~ ~,~t. ~ ~-~ ~. garage.outside. :.- ~,oa~. -s~o~ ,FIXTURES I RANGES COOKING DECK$ ~ OVENS L DISHWASHERS EXHAUST FANS ~RECEPTACLE~-SWITCRES UCAN~SCEN1 FtUOR~ ~e~cuey ~T, K.w '~T. ~.W. '~t.~ ~.W:~ .~?: ~.W:' "~T. 'H.~, DRYER~ FURNACE MOTORS' FUTURE'APPUANCE FEEDERS SPECIALREC'PT DIMMERS :l-Smoke Detector" ':':'.::.:. Robert Gooda!e .... ~ ~ 1 BOX 15a Main , Mattltuck, L.!. 11952 :, LIc.783E This cerli~icote mu~t not 6e o]tered in ~ny m~nner; return fo the office of f~e Board if incorrect, Inspectors moy ~e identified ~y \ 8- '2/- APPROVED AS NOTED NOilF~ B~ILDING DEPARTMENT AT .) 7{ i/, ~t_ ?, ~U O© T,c, Fz u~ Itl: $ I D f,.14 YORK.. RAYMOND A R. C 1.1 qO-04. 161 ST~,ELT 0~, I~£ /AID?CA7EEO 1,~oo, ooo AS.h ~OmULu$ O/= £t,~-~7/C/Ty . OF GAFETT TYPE APPROPRIATE 1"O I~LVISIONS: OUNDAT/OA/ ~CAL~ qo-o~ 161 STKEET J~AICA NLW VO~ 11432 R~.VISiOH$: RECOMMENDED NAILING SCHEDULE Number and Diitribution ~ ,Fu.e.o. L)ow.v .--' Common-dkect Common-direct Common.direct (See table ~low) Co,vc . 7', '/' V~/VT I..I[RMAN II. YORE. RAYMOND L3Cl-l[:l,4g[ IOLAN ~?/ A IL C 14 I T ~ C I 5 DRWO. ~ o~= W qo-04 161 STILl:ET JAMAICA NLW VOILE. 11432 0 [. l: Y R ~. S I D [.NC [ ............. ~ - ' ~ .4~£.~ ~ .- : 7T:Z--"'T':'-' .T~'--_-.: ............... AL7 '1. ,I ' I 0 I:AM I1 I: $ I O ~.N A & C 14 161 P,A"/MOND L. 5CI-II. NEL I T I: C T 5 PLAN ~z 71 /=~o. CuT fl[VIS 101,4 $: DATA:: I.II:RMAN 1~.¥1:}~. P. AY~OND IL.S£H[-KII& PLAN 161 STELE] J&N~AICA NLW Y011~ 11432 g