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HomeMy WebLinkAbout8497-zTOWN OF SOUTHOLD BU~.I~ING DEPARTMI~T Town Clerk's O~ice $outhold, N. Y. Certifi%te Of Occupancy THIS CERTIFIES that the building located at .. ]f~8. (~r. Btl'e~ ..... Street Map No...~ ........ Block No.. ~ ...... Lot No....X~.....~..t.t..i.t..u~.... conforms substantially to the Application for Building Permit heretofore filed in thi.~ office dated ............. APril,...J,btl9..~{~ pursuant to which Bui]dlng Permit No.. dated ..........&l~.~.i~....~.~.., 19.?.~., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is..P, ri.v.e..re...o~....f.~..i~. ,d.¥.~.l.:.i.n.c ...................................... The certificate is issued to . ~red. jQ.~t~ ...... (~f~.e.~. .............................. (owner, lessee or tenant ) of the aforesaid building. Suffolk County Department of Health Approval A~...l~....~.(~ .....bY..R.;..V~...~4t... UNDERW~rrE~S CERTIFICATE No. ~.... ~.~r...~..~ ................ HOUSE m~B~ ...... ~. .... Street ....~..~,r .~.$r?.,.$ ....... .~..t.t. $.~..~.. ..... FO~ NO. ~ 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? 8497 Z Permission is hereby granted to: Fair:tow 3u;Llders, JO. a/c Fred i~i~ig N/S Center Street (# to be assigned) .............. ~4a~.~i.~u. ck,..L......~., ............................ to C,o~.s .trunt.. ~...~ e.. f~il~.., dwellir~ ........................... at premises located at ...... ~/.~..Oe~,er...S.t~et..~a.tt~u~k~..~.,...; ..................................... pursuant to application dated ........................~.['~...'J.~.~. .......... , 19.....~.~ and approved by the Building Ir~pector. do Pee .... ui lng Inspector THE NEW YORK BOARD OF FIRE UNDERWRITERS ak BUREAU OF ELECTRICITY ~- = , E5 .JOHN STREET, NEW YORK, NEW YORK 10038 ~a,~,~u~.y ~7, ~. 76 ~pp.~.,,o,,~'o.o.,~,Ie 860240 N 294977 THIS CERTIFIES THAT only the el~trical equipment ~ ~scribed belo~ a~d intr~uced by the applicant na~ed on the able application number in the premises of .C~i Dimig, e/side Center St., ~00' s/o Marratooka Rd., Mattituck, L.I. in Ihefolhsw~nglocatlon; ~ r.,n~,,~ ~ ~t. ~ 2.d ~. outside s~tio. ,vas examined o,, July ~9 , ~9 7 ~ andfouttd to be in compliance with the requirements of this Board, FIXTUaE ~ EPTA FIXTURES ~NGES COOKING DECgS OVENS DISH WASHERS EXHAUST FANS OTHE~ APPARATUS: *Special receptacles: Motor/s: 1-3/4hp 1 G.F,C.I. 1-50amps., 1-30amps. Sapanaro & Mineo Inc., 102 Oak'Ave., Shirley, L.I. 11967 Lic. 334E GES~RAL ~t~NAa,a D T~IS cert~ oltered in a~y manner~ t~e office of t~e ~oorcl if ,.correct. Inspectors ma~ b.~r cre2entiols. ! TOWN OF SOUTHOLD ~, / . ~ /./.~ _ ./ '---% BUILDING DEPARTMENT ~/ TOWN CLERK'S OFFICE~/~ ~UTHOLO, N. Y.~/~//~ ~ Disapproved o/c :~....,~ ................................................................................... .................... ........ APPLICATION FOR BUILDING PERMIT "~ INSTRUCTIONS a. This application must be completely filled in by typewriter o~ in ink and submitted in triplicate to the Building nspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan shewing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, abd giving a detailed description of layout ofproperty must be drawn on the diagram which is port 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 or in part for any purpose whatever until a Certificate of Occupancy shall hage been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of o Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulationsl 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 on premises and in buildings for necessary inspections. ..................~4~1:~. .......... i.~ .................... : ............ ...................... (Signature of applicant, or name, if a corporation) ........... (Address of applicant) / ( '~ ~ State whether applicant is owner, lessee, agent, architect, engineer, ~~.~electrician, plumber or builder. Nome of owner of premises ...................................................................................................................... If applicant is ~-~orporate, signature of dj,dy authorized officer. .... ........ (Name and title of~a~rporate'officer) Builder's Lice'~se No ..................................................... Location of land on whic~ proposed._work will be done. Map No.: ........................................ Lot No ......................... Street and Number k/~ ~.~h.t (~.~. ~q- ....................... : ......... .~...~..'~..T./~..C,c,-.~.../I/'/L/..... ....... [' ................. - Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. E×,s,t,nguseandoccuponcy ...... ~J.f)..C..zl.ft/T ....... ..L...4AI.O ....................................................................... b. Intended use and occupancy ............ L~..~.J...~.E.J),..!..~..~..~.~......; ........................................................................ 3 Nature of work (check which applicable): New But!drag'. ................. Addition .................. Alteration .............. P, epoir .~ .......... ,:.... Removal .................. Demolitior. ................... Other Work .................................................. ~/ ~ -- (Description) (to be paid on filing this application) 5. If dwelling, number of dwell~ts ............................ Numbcr of dwelling units on each floor ........................... If garage,': number of cars .~-ff) ........................................................................................................................... 6. If business, commercial or }~'fit~d occupancy, specify nature and extent of each type of use ............................ 7. Dimensions of existing structures, if any: Front ;:7. ....................... Rear ................................Depth .................... Height ........................ Number of Stories .:;..RL......-R .................................................................................................. Dimensions of same structure with alterations or additions: Front .................................... Rear ............................ Depth ................................Height .....................¢.....Number of Stories ................................ 10. Date of Purchase .............. ~ ]1~¢/~ ................ Name j~ Former Owner~.'...~ ........................ ! 1. Zone or use district Jn which premises are situated ................ ./C..7'l ............................................................................ 12 Does proposed construction violate any zoning law, ordinance or regulation: ....... .Z~.¢¢ ............................... 13. Will lot be regraded ...~..~.~. ................. Will excess fill be removed from premises: ( ) Yes , ~ No Nome of Architect ............................................................. Address ................................Phone No ....................... PLOT DIAGRAM LocQte clearly and distinctly all buildings, whether existing or proposed, and indicat all set-back dimensions from street names and indicate propr2rty lines. Give street and block number or description according to deed, and sho~ whether interior or corner lot. o~-JI ................................................................................................ being duly sworn, deposes and says that he is the opplicaru (Name of individual signing contract) above named. He is the ................................................................................................................................................................................. (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 applicction cre true to the best of his knowledge and belief; and tha~ the work will be performed in the manner set forth in the application filed thermpwith. Sworn to ]4.~pre me this , 1 ......... /¢..::.... d ,of ..... ............. , .o,~,~ .m,~>.%. ....... , .......... .......... ~o~.~ ............................. ............... ~/~ ......................... /ur) Signatur~applicant) TF T BOKEN ~ Nptary Public, SIrJte ~E New York 0 = Chief of ~¢v'~?-I Eug~neerin$ ~ ,"?~"~-~F ..... APPROVED AS NOTED DATEj ~Z///V ,~/,~'~' FE ,b:~'9~O BY ~ NOTIFY BUILDINg DEPARTMENT AT 765-2~60 9AM TO ~PM FOR REQUIR- ED INSPECTIONS: 1. BEFORE BACKFILLING FOUNDA- TiON OR START FRAMING ~, BEFORE COVERING PIPELINE ~, FINAL WHEN JOB COMFLETED NOT RESPONSIBLE FOR DESIGN OR CON- jl