The URL can be used to link to this page

Home My WebLink About8626-zFOB,M NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certi icnfe Occupnncy No. Z~ .6.0.~. ...... Date .............. ~.~.'~.~.... ].'1..., 19..~.~. THIS CERTIFIES that the building located at . .8./~..~qu..t.h..I~a..n.e .......... Street Map No..x.x. ......... Block No..~X ....... Lot No, . y,X.. E. aS];. ~ario~.. ~I.,X · ...... conforms substantially to the Application for Building Permit heretofore filed in this office dated ............ ~n.e.. 7..., 19.7.6. pursuant to which Building Permit No..8.8.~.6~.. dated .......... J. ~.~... 7 .... , ~ 6 ' 19.7/., 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 ........................................ The certificate is issued to . .fl..1~,.~.~..o~. ~: .i~'.~.~,gu. ~.i.t.~, 49.h.~.s. ql) ..... (.)¥-,n.e.~.s. .......... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . .N. p?~ .. i. 2...~.976....by..fi:..V.i.~tt... UNDERWRITERS CERTIFICATE No.., .N3.09.9.1. ~ ..... 0~.t. ,29..~.9~ ................ HOUSE NUMBER ..... ~7.O. ..... Street .. p.a.I~;..C.op?.t.,, .&. ,~?V.t:h. ,~,~., .~ :. ~£~. ,.19~... Building Inspector TOWN 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? 8626 Z \ '\ Permission is hereby granted to: ·" ~t~...~..~..o$.~ ' at premises located at ..~.~..~..;~..~...; .................................................... :: .................................. ~a~...~..~m ~.~. ...................... pursuont to app catic~o,dated ....... , ............... .~.~.!.~....:...~i ...... v, 19:1'?'~'", and opproved by the Building Inspector. Fee ,$t~.."..~........ .... Building Inspector~: [ ~1 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~- : ; 85 JOHN STREET, NEW YORK, NEW YORK 10038 Oat,~' October~.29,1976 Ap.,:,llc,,~io,,No. omfil,~ .~ 877179 ~ N 309913 THIS CERTIFIES THAT only the electrical equipment ~ desc~bed below and introduced by the applicant named on the above application number in the premises of Charles W.~' Johnson,~Sou~h~La~ Gardiners Bay.Estates, Ezs~ Marion, L.I. in the foll~w~ng ~ocat~o~~ ~ ~ Basement ~ 2nd FL~ Block ' Lo~ 25,1976'r , '/ , and found to be in compl~agce w~ta tae requirements 4 this Board. OTHER APPARATUS: Motors: 1-3/4bp glec~ room heaters: 3-1.25kw. 1 GFCI. 2smoke detectors : MiEe 'Silt is Main Rd. East Marion, L.I. 11939 lic ~617 E D This certificate mu be altered in any manner;, return to the office of the Board if incorrect. Inspectors ma), be identified Disapproved a/c ....... ~:=~.~....~.. ............................ ~. ...... ~ ............................ (Building mspector/ ? APPLICATION FOR BUILDING PERMIT y~ TOWN OF SOUTHOLD ~ BUILDING DEPARTMENT' 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 shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole ar in part for any purpose whatever untii 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 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 an premises and in buildings for necessary inspections. (Signature of applicant, or name, if a corporation) ................ ............................................................. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ......... C~e,~....~..~'~a~.§~l.~z.G~..,,T.o~4~ ....................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ..........~.:...~.J=~,.~. .......................... Plumber's License No ...... ~,L:...,D.,a.'~[,~,.~~. ..................... M 8iliras Electrician's License No ............................................. Other Trade's License No ............................................... 1. Location of land on which proposed work will be dane. Map No.: .~ ............................... Lot No ...... ~ .............. S ...... S/S So~th Lane East M~rion Treat aha iNumDer ............................................................. : ..................................................................................... 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. ExisKing use and occupancy ...~..~..c.?.=.~..~.. .............................................................................................................. b. Intended use and occupancy .......... .o...~..~.,.:~'..~.~.~:E...~.~R~Z.~,J,~g ........................................................................ 3. Nature of work (check which applicable): New Building' ......~.~ ...... Addition .................. Alteration ................ Repair .................. Removal .................. Demolition .................... Other Work ................................................... (Description) 4. Estimated Cost .............. Z.2..~..O..O...0.....+ ........................ Fee ...,~.....L...~.....~......~..... ............................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ..... Q~ ................ Number of dwelling units on eoch floor ........................... If 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 with alterations or additions: Front ....................................Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front ..... 2.8 .......................... Rear ........ .2...8. ............... Depth ..... Height .................... Number of Stories ..................................................................................................................... 9. Size of lot: Front ..... .~.0..*.9 ......................................... Rear .............. 6~..+. ..................... Depth ........... ~..0+ ........... 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated ..!!~!!...dzL~.t, ............................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: .....~..0. ................................................ 13. Will lot be regraded ..........~ ...........Will excess fill be removed from premises: ( ) Yes ( ) No 14. Name of Owner of premises ,...C...h;~..S....Z...o..~...~..S...O..~.....~.....~. .......... Address ................................ Phone No ....................... Name of Architect .............................................................. Address ................................ Phone No ....................... Name of Contractor ...Z......,.D..Z..~ .......................................... Address .....G.~'.9..e,;0,1~9.~.~. ...... Phone No ....................... PLOT DIAGRAM Locote 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. See attached plan STATE OF NEW ~Y. ORI<, COUNTY OF .....~.~..~-~.'P.~. ........... Jos Diaz ................................................................................................ bein~ d~ly swom~ deposes mad says that he is the applican~ (Name of individual signing contrad) above named. He is the ..................................... b~Z..Z~e~'. ........................................................................................................................... (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 stetements contained in this applicction 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 ...................... .doy of ............... Nota~, Public, ~l,t.~ :~ CtZ~. .. County .... .~...'~. Z~...'zW~/~-z~.....:.z....~.z.~ze...-~. .............................. lUFF., CO. H~'ALT]'I, D£1~._,.,, APPROVAL I H. $. NO. ., , , FOR APPROVAL O~ ~N~U~ON ONlY DAT~I, , ., ;~ , STATEMI~NT OF INT[NT ']*HE W,~ATF-..~,,$UPPLy ,AND D~S~L ~Y~T~MS FOR THI~ R~I. STAND,D8 OF SUFFOLK CO. EUIqr. CO. DiI~'. OF HEALTH ILqVICI~ ~'A'll~El~rr OF IN'rIN~ .....w d FiLL d F1 L FI LL . .. L APPROVED AS NOTED I ,r~oN~ ~A~ ~ ' I "~'' I/~'~ ~" I ~'~' ' I~'"~ ~ ~ I 3. FINAL ~ ~O~ ~TED , ~ Lo" i I