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Home My WebLink About8998-z BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PI~,EMISE~S UNTIL FUbL COMPLETION OF THE WORK AUTHOR. IZED) N? 8998 Z Date ........................... De¢ ......... .~. ......... , 19....'~.6 Permission is hereby granted to: ,~ ~ .e ~...W~ :n,~l.. .Hc~.'~e. s" .Z.~ c.. .. z~;.,t~..... F.z, a.nk- · .B ann ~ z' t ..................... ,~..~::~./L~ ........................................ ~o .~;J.],~...~..a~l~:i~..o~..e~l,~.~.n.~...dw~!'!'i~ ............................................................... at premises located at ...J~O~.,%~....~l~.q.~,l~..~e~3.~...~ .................................................................... .............................................. Sm&t h...; ~.~ ,~......$). ~ ~ ~.~.: :~ ~;- .................................................................... pursuant to application dated ...................... 13~.¢ ........ ~. ................. 19..'~.6.., and approved by 'the Building Inspector. Fee $.....~.~,0~3 ........ THE NEW YOrk BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~ ak 85 JOHN STREET. NEW YORK, NEW YORK 10030 ~,~,e June 22, m977 -,pplle.,io,,,¥o.o,~'iie 908033 N :343652 THIS CERTIFIES THAT ~ only the electrical equipment as described below and introduced by the applicant aamed on the above application number in the premises of Jane L:i Bqnn~ert, e/side Smith Rd., s/o Indian Neck Rd., Peconic, L.i. inthefollowlnglocatioh? ~ Basement [~ l~tFI. ~ 2nd Fl:',- " outside Sect;o. - ~/o& ' and.found to be in compliance with the requlreme~tts of this Board. DRYERS OVENS DISH WASHERS EXHAUST E V C A. WG AWG OF HI-LEG OF NEUTRA{ Elec.room heaters: Smoke Detector 1-2.0kw, !-!.Skw, !-l.25kw, !~.75kw Towri Harbor Lane, Southo!d, L.I. ].1971 This cer,ifkate must not be altered in any manner; return to ~he office of the Board ,f incorrect. Inspectors may b:~ th~ei~ FOItM NO. 6 TOWN OF $OUTHOLD , Building Delmffment Town Clerks Office $outhold, 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 following; for new buildings or new use: 1. 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 disposal--(S-9 form or equal). 3, Approva[ of electrical installation from Bo~rd of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installations, o 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 ]957), 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 o certificate. C. Fees: ]. Certlficote of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $].00 Dote ....~....~....~¢....~...../... ~4 ..~J.,-./,'.'~... ....... New Building ................ Addition ..... .~. ..... Old or Pre-existing Building ................ Vacant Land .............. Owner Or Owners Of Property ....... ~/~Z~...., .,~~ ............................................................ Subdivision ................................................................ Lot No. ,, .~,,,~,.,. Block No ............. House No ............. Permit No...~...~..~.~..~ Date Of Permit .~l~r<. fiT../..~..d'.Appl,¢ant ....~..,.~.~...~2~-~....~ .... Health Dept, Approval ........ ,../~../...~.. ......................... L~bor Dept. Approval ........, ~../.,.~../~.,,, ......................... . ,ann,ri. · Underwriters Approval ...... /......r...~ .......................... P g Boord Approval ..... ..../.~.,. ........................ Request For Temporary Certificate ........................................ Fin~ Certificate ........ ..~..~ ........................ Fee Submitted $ ......... ~...'....~)... .............. Construction on above describedApplicantbUilding.....~....~..'~._.~..and permit meets~oil applica~_~odes ............... and regulations. Sworn to before me'this '"~"~' ~ ~""~/~"~ .... ....... ./.,..~?. day o~ /.....~.~...~.. ............. /~/ (stamp orse l) C TOWN OF $OUTHOLD TOWN CLERK'S OFFICE ~UTU~.D ......... ...... , ........................... .7 ........ . ,;7 .... .................... Disapproved a/c ~ .......... (Buddmfl Inspoctor) APPLICATION FOR BUILDING PERMIT ~¢b '~ Dote ..................................... ~ ........ ,J....4......~ INSTRUCTIONS a. This application must be completely filled in by typewriter o~ in ink and submitted in triplicate to the Bud ng~ Inspector, with 3 set~ of plans, accurate plot plan to s~ale. Fee according to schedule. ~ b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or~ 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 issu?(~e~i? Building Permit. d. Upon approval of this application, the Building Inspector will issue a Bujrldi/~ J)~rmit to the applicant. Such permit :~j shall be kept on the premises available for inspection throughout the work. c~ e. No building shall be occupied or used in whole or in part for any purpose whatever until a 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 ~x 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 here n descr bed ~ 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. ~:~ ...... .~...,,~. ~..~.,.~..:~.......~..4~z~. ......... ~;.,.~.~ .............. (Signature of applicant, or name, if a corporotion) ..... .~..z..~..,..,.~. ......... ~ ................. ~::~..(.....~ ............ (Address of applicant) State whether applicant is owner, lessee, ogent, architect, engineer, general contractor, electrician, plumber or builder. .............................. ,~...~.~t.~ .................................................................. of rem ses '..~,~.-Z./~../.< ~ Name of owner p ............................................... : ........................................................................................... If applicant isa corporate, signature of duly authorized officer. ..~.~...~z.~.~ ................ ~ ......... (Name and title of corporate officer) Builder's License No ............ ,~,~,~,.,'~.,....~,.~.~ .................... Plumber's License No.../~...:..~ .................... ',, Other Trade's License No ............................................... /r) /~ . ,\ ~ . , . . f . . 1 Locatono and onwhch ro osedworkw be done Ma No (P.~ P P ''->-r .......... O No..../..~ ................ Street and Number ..... ~..../~......~....~.. ................................. .~.~:~.(.(...(.~ ......................................................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ......... .~.(: ...... ...~ ............................................................................... b. ,ntended use ond occupancy ....... ~.~.~.,..~....W....~..~'' / { 3. Nature of work (check which applicable): New Building-. ................. Addition...............,..v/ Alteration ............... · Repair .................. Removal .................. Demolition .................... Other Work ................................................ . .... (Description) 4. Estimated Cost ...... ~...~,.j..~ .................................... Fee .J...~.'"'"'"" ......................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ............................ Number of dwelling units on each floor ............................ Jf garage, number of cars ............................................................................................................................................. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ............................ 7. Dimensions of existing structures, if any: Front ........... ~ .......... Rear ...... ~ .................... Depth ...~.....~.. ......... Height ........ ./..~.' .......... Number of Stories ..............~ ................................................................................................. Dimensions of same structure wffh alterations or additions: Front .......... ~ ............... Rear ..:~ ................ Depth ...... ~.~' .................. Height ....... Z.~.~ ............ Number of Stories .............~ ................. 8. Dimensions of entire new construction: Front , ~ ~' Rear ~ ~ / .............................................................. Depth ........................ Height ....... ~.~.~ ..... Number of Stories .................. Z .................................................................................................. 9. Size of lot: Front ..............~.~ .................................. Rear ............. /.~ .................... Depth ....... Z.~ .............. 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 11. 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 ......~__~Will excess fill be removed from premises: ( ) Yes ~' No 14. Name of Owner of premises ..~...~...~~... Address ................................ Phone No ....................... Name of Architect .............................................................. Address ................................ Phone No ....................... Name of Contractor~(~ ....... ~ ............... Address ................................ Phone No. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-~ck dimensions from property lines· Give street and bJ~k number or description according to deed, and show street names and indicate whether interior or corner lot. ~. ~',/~ r o ~ - ~ ~.., STATE OF NEW YORK, o f~lA[¢ ¢ COUNTY OF ................. .~.~:....~.~"'~ ............................. ~'.~.~.~ ....... .~.~Z.~.~.~ ................ being duly sworn, deposes and says that he is the applicam (Name of individual signing contract) above named· He is the CO~C'~O~ (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 tha~ the work will be performed in the manner set fo~h in the application filed therewith. Sworn to before me this 7