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Home My WebLink About8991-zFOILM NO. i TOWBI OF $OUTHOLD BUILDING DEPAllTMEBIT Town Clerk's Office Southold, BI. Y. Certificate Of Occupancy No. Z??q2 Date ,Tune q0 19.77 THIS CERTIFIES that the building located at ... ~.eO01~C~ .8~re. et; ......... Street &O . Map No.G.,I,ilblthillBloc~o ........... Lot No, .8..l~..5. .....L..a.u?.e.!...~.: .Y: ....... conforms substantially to the Application for Building Permit heretofore filed in this office dated ............ ~e.c...2.., 197.6. pursuant to which Building Permit No.. dated ........... ~e.c. .... 2...., 19.7.6., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is Private one family dwellin~ The certificate is issued to . .~.Q$gP~ .&. E.l.e .s~..O?. .E.sl~-s.!~-O- ....... .0..~.e.?.~ ........... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval Jllla~ . 9...fl. 97.7...bT .R:. :~.illa ...... UNDERWRITERS CERTIFICATE Bio..N~.~.9~..~. .... .H.~.~.. }.~....~.9.~.~. ............... HOUSE NUMBER 200 Street i~eoond ~treet~ I, au~el Not;e~ see builders affidavit in file. ....... ~:~.n:'~ ½~~'J~ ...... FORM NO. ~ TOWN OF $OUTHOLD , Building Department Town Glerks Office Southold, N. Y. 11971 APPMGATION FOR CERTIFICATE OF OCC:UPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in DUPLICATE to the Building Inspector with the following; 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 dispasal--(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 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 in- formation required to prepare a certificate. C. Fees: ~. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occul~ncy $1.00 Date .M..,a.~. 23, 1977 New Building ..... ~ ......... Addition ................ Old or Pre-existing Building ................ Vacant Land .............. Location Of Property ....... 2D0..Sacand..S~zeeJ;e..La~c~L ................................................................ Owner (3r Ownerc' ~ o,,,,,~,~, JOSEPH AND ELEANOR ESPOSITO Subdivision &..QR~, AT i~,~R~;L ............................. Lot No8.4. ~..~.~ Block No ............. House No...2..0..0, ..... Permit No, .~991Z ......... Dote Of Permit .~ec~..,Applicant Health Dept. Approval ~./-'?./...~..~. ' . Labor ~pt Approval . ~.~ Unde~riters Approv~, .~Z.~./.Z.~ .................... Planning B~rd Approval ...~..& ........................ Request For Te~por~ Ce~ific~te ........................................ Find Ce~ific~te Fee ~ubmitted $ ..~...[ ........................ Construction on ~bove described ~uilding nd pa it mee s ~11 Iic~l c~es o~ r~ulot ohs. ........ ........ WM. FLOYD PARKWAY, SHIRLEY, N.Y. P. O. BOX 12 SHIRLEY, N.Y. 11967 [516] 924-3131 [516] 924-3132 COUNTY OF SUFFOLK ) TO~? OF SOUTHOLD ) June 10,1977 ) AFFADAVIT That I, John E. Foley, deposses and says that he is President of J. & J. FOLEY CONSTRUCTION CORP. , builder and general contractor of a new building located at 200 Second Street, Laurel, New York, Town of Southold, as builder and general contractor, J. & J. FOLEY CONSTRUCTION CORP., assumes complete~ responsibility for any repairs necessary to the carport roof at this location. This affadavit is made to %nduce the building denartment of the Town of Southold to %ssue a Certificate of Occupancy to the occupants of these premises-. Further J. & J. FOLEY CONSTRUCTION CORP., will hold harmless the Town of Southold Building Department for any defects in this roofing. ~/' JUDITH T. TERRY Notmy Public, $b3te of Now York No, 52-034~963 Suffolk County. ~[ssi0, ~pJres March ~0, , THE; NEW,YORK BOARD OF FIRE UNDERWRITERS ~ ~b~ ' ~ ' ' I ' 'i:'~ :~' ~ ,- ' ' BUREAU OF ELECTRICITY ~ ~ ' ~ ] ~ . { ...... ~ I 8~ JOHN STreet, NEW YOrk, NEW YOrk 10038 THIS ¢ERTIFIE~THAT ' , ': ; , ' only the electrical equipme~; ~s described bblow tied introduced by the applicant named on the above application number in the premises of Centenzal"Hozaes ~)1_4, Second St. 150'. w/o Bray, Mattituck, L.I. Ma_v. 23;',-,~,977]{" :~ attd fout~d to be in compliance with the reouirements of this Board. FIXTURE I - FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS ' DRYERS Kassay-Elec?: Corp;, ," -James, Lic. 19 D This certificate must not be altered in any manner; return to the office of the Board if incorrect, qnspectors may be identified by SET, 6ET, S TtC .JOe $507 , LOT 80 POST ON LINE F~eA ~E ~ W/mEFE. ~ ~ET' SET LOT ~P PATH SHOWN 0/,t OCT 14,1~7~ $'uRv£y NOw INTZ'RRUPT£D BY PWLG. ' ~H~ 14lA TER SUPPLY A/V',O ,SEIdlA GE ,0151~05/L COIVFOHM TO THE OT.~IVD, qRL~ OF TIlE u°UFFOL /< COUNT'/DEP.4HTtdENT OF H~A LT. Z{ A PPL IOA# T z$o. PHONE__ UR VEY OF PROP R-I'Y $/tu~tdd at LOT IVUM~£RS SHOI. V/M HEt~EO/V /~E?£~ TO ".SU~DIV/,~/O/V' MA~ 6ECT/ON O/YE- OF P~eo_ PERTY oF GEORGE I. TUTH/L£ ~ OTH~-F~.~ Surveyed L. AU £L. SMITH ~ UUNO TOWN OF 80UTHOL'D ..... :" "::;'"" ~ ' ' :': (:' ' ,,' I,.20 MEDFORO AVE. NE. IV YORK SCALE, 1"-'~_5' /].55UMED DATUlV~ SUR VEYE. O' :- OCTOBER 14, 1976 '7~F/NAZ SURV£Y A~RIL 2S, 1.~77 FOLEY 124 5£Ti · ~. ~ ~TK. ~ ~ ~ , ,SET ~.7~ ~r~. LOT 80 LOT 85 LOT 84 -~ ~ =~-- ~ LOT 81 ~ 55~g ~T' ~£T LOT ~ 150. SET LII.~. STREET ~URFA GE ) ~. EL .54.41 LOT IVUIv~L~ER~ SHOI~/N HE/~EDN NEFE/~ TO "5UL~DIV?~IOAZ FILED J~fl. THE 14/A T£R SUPPlY AND $£WA~E DISPOSAL THIS R£$1D~'N¢£ ,4 PPL IC~It T PHONE ....... ~ UR VEY OF PROPeR'FY LAUREL 7-0 WN OF $OUTHOLD SUFFOLK COUNTY NEW DATE,5 SURVEY£O :- OCTOBER 14, 197~ Survc~l¢d SMITH ~ dUNO Pro£esst'oncd Lar~ 6~ve~o~ I~O MEDFORO AVE. PA TOHOOU~¢ N. ~ Phone 47~-3t92 /55UMED DATU~ FOLEY 124 EZS~7 I VACA~r~07 7~ LOT ?~ 85.~ SET WE'/_/_ 18' wm~ ~o/~ ,sum~'AC~ ) - · . ~ tOT NUML~ERS SHOWN HEREON ~EFER TO " 5U~DI V/oeI~7/V /WAP ~ EO F{OAI PERTY' OF GEORGE I. TUTHILL FlIED ,JAM. IS, 1920 J. J. FOLEY CONSTRUCTION CORP. P. O. BOX 12 SHIRLEY, NEW YORK 11967 ~UR VEY OF PROPER'FY $/tuqtod 0! LAUREL TOWN OF ~OUTHOLO SUFFOLK COUNTY NEIN YORK SCA LE: I" =~5' 5urYe~ ~uorqntecd to, Surve~led by SMITH ~ dUNG Pro£esSioncll L~lr(,~ 6~vegor 120 MEDFORO AVE. PATOHOOUE~ N.y Phone 47~-5192 A55U~EO DATU~ DAT£6 SURVEYEO :-OCTO~ER 14~ I976 FOLEY 124- ti ~,' APPROVED NOTIFy BUILDING DEP~,RTMENT 765-2660 9AM TO 4PM FOR REOU ED INSPECTIONS: 'I, BEFORE BACKFILLING T/ON OR START FRAMING 2. BEFORE COVERING PIPELINE 3, FINAL WHEN JOB COMPLETED NOT RESPONSIBLE FOR DESIGN OR CON. STRUCTION ERRORS _l .I i I i~%oc t tqTF::5 l l nON