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Home My WebLink About8529-zFORM NO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT Town Clerk's O~ice Southold, N. Y. Certificate Of Occupancy No..ZTh17 ..... Date ............... D.*e.. aa .... ,19.76. THIS CERTIFIES that the building located at ../I'&glODZ. ]~ala~ ............. Street Map No, Leewl~t. A~Block No ........... Lot No..2~1~ ..... ~l~hold.. N.,¥, ........ conforms substantially to the Application for Building Permit heretofore filed in this office dated .............. Apr. 23., 19..7.6 pursuant to which Building Permit No.. 8.~9Z. dated ........... APT.. ~3 ..., 19.~.6., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is ...P..~Ly.~.~..~..O.~.e..f.~.m.$~y..d.¥.g.~.~.l.~ ..................................... The certificate is issued to . Walter..Cora. in. & .Wi~ft~ ..... 0wl~el*s ................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . ~¢..8...]9F.6 .. b~..R. ~,..g.~.!~a. ..... UNDERWRITERS CERTIFICATE No. ~3'J ~?~B. .... D. ee...8... ~9.7.6 ................ HOUSE NUMBER ...... ~167~1... Street .... ~/~o1~. T.a~le ......................... Building Inspector FORM NO. & TOWN OF $OUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. TEI4PORAR~ Cerli icale Occupancy No..Z?.~.l.~. ..... Date ............... Dee...ll~ .... , 19.76. THIS CERTIFIES that the building located at ...Jaoobs. I,~e ............ Street Map NoLee~ard. Ao. Block No ........... Lot No. ~1 ..... So,if, hold ................ conforms substantially to the Application for Building Permit heretofore fried in this office dated ............... .Apl'...~19 .~be. pursuant to which Building Permit No. '8~29t~ ' dated ............. Ap.l~.. 23.., 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.l?:~.a.t;.e..o..n.c..ff.~..m~.l.y...cl~.e.l..l~ri. g ...................................... The certificate is issued to .t~2l.t.e.~. Co~t.n. ~ 2gif. e ............................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval Dec .. 8 -~ 9?6 .. by.-R.-V-:~t~la ........ UNDERWRITERS CERTIFICATE No. p.e. 2d~.10,g ................................... HOUSE NUMBER .... 1670 ...... Street .,7aeaba. Lm~e ..... So~.th~ld .............. Building Inspector f~ ~ 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) 8529 Z Date ........................ Ap~::J.:L ...... ~, ........19...~..~. Permission is hereby granted to: · .. ~,~,. ~...~'~.~ .. ~,a.i.t e.~.. g;o ~;~, ....................... ....................... ~t~.l. CJ ...................................... ~o ....b ~ J./2,.. n e ~...~n~...£a~,,~-...~,~/.~ .. ],;i,~g .................................................................................. et premises located at ....1.o.t,..2.~....aTk,~.~l&~d...~e,z:~s ...................................................................... ........................................................ ~/~..,~c.~b~..~,~.~e .......... ~.u.~%~ ....................................... pursuant to application dated .......................... a,:,;l.'.:~l.....~:.~ ........ , 19..;~., and approved by the Building Inspector. Fee $..~E.~.~(~ ......... ....... ......... ................... Building Inspector k TOWN OF SOUTHOLD Building Inspector's Office Town Clerk Building Southold, N. Y. 765-2660 FORM NO. I TOWN OF SOUTHOLD � � Q 0,�'J BUILDING DEPARTMENT TOWN CLERK'S OFFICE 41<a1j, G ze(,ch SOUTHOLD, N. Y. tea- - _ c Examined .....� .. . ., 19. 6 Application No. . -�............... Approved ...............................r..... ., 19.2.E Permit No. .�...`.�. ...� �6 /-'ace C Disapproved a/c ....... cA Jy,��................................................................ ............ `c ...... .. ... ......... ......... ................... Building Inspector) APPLICATION FOR BUILDING PERMIT F ��C,-v%Foy (�,a.�.�i�vr�� April 23 19. .7 C Date ................... ............... ........ .. ...... . INSTRUCTIONS Z - C 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 or areas, and giving a detailed description of layout ofpropertymust 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 or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. C APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the t. Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or L 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-t4L--Z admit authorized inspectors on premises and in buildings for necessary inspections. e : .... G1 ............................. (Signature of applicant, or name, if a corporation) Southold N.Y. ......................................................................................... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Owner - builder .................................................................................................................................................................................................. Name of owner of premises Walter„Corwin.....& Wife.................................................................................................. If applicant is a corporate, signature of duly authorized officer. ........................................................................................ (Name and title of corporate officer) Builder's License No. .......QtaYker................................. Plumbers License No. F'• V ctoz; 4..........• Electrician's License No. .... .r... .Q9QV;LQ................ Other Trade's License No. .............................................. 1. Location of land on which proposed work will be done. Map No.: ....Leeward Acres Lot No. .21................... Street and Number ............slaQ.Qhs...L".e...........:solit} ofd................................................. ......... .......... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy vacant b. Intended use and occupancy ...................QAe,...fsimily...d.1mllilig....................... ..................................... . 1 \Y^ V - 3. Nature of work (check which applicable): New Building. .....JP�X..... Addition ------ Alteration .............. Repair .................. Renvmm| ------ Domolitior....................... Other Work ................................................ ,- (Oescription) ' �8°,�] ' z� Eutn`o�ed [nut -_.-.--'�� ..��.-...��---�ee �.�._-.^.-------_-�.-----.----------' ' _ (to'1be,poid on filing this application) 5. If dwelling, number of dwelling units ...�II�...--.-Number of. ' -Uing units on each,floor --.------'� . one ' If garage, nun�berofcars ----------.-----------------'----------'---------' 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ............................ 7. Dimensions ofexisting structures, if any: Front ............................ Rear ----- ............... Depth ..................... Height .------,-, Number of Stories ----------.------.-----_-.--------------- Dinnansions of sonna structure with alterations or additions: Front ..................................... Rear .............................. Depth ................................ Height ---------.Nu,nber of Stories ................................ 8. Dimensions of entire new construction: Front ........A2....................... Rea .......A2................. Depth ...27................ Height .................... Number of Stories ---..��e........................ ........................................................................... 9. Size of lot: Front ......... ........................................ Rea ............1{]0....................... Depth .......�n^".0------ lO. Dote of Purchase .........................................................Nome of Former Owner ......................................................... "An dist ll. Zone or use district in which promises are situated ----.--_---'-----.---.---------..----. 12. Does proposed construction violate any zoning low, ordinance or regulation: ...........%lQ........................................ 1 '3. Will lot be regraded ---.��Q..9.......... Will excess fill be removed from premises: ( ) Yes ( XNo l/L Name of Owner ofpremises RalleX.. ..& .. Address ................................ Phone No ....................... ' Nome of Architect .............................................................. Address ................................ Phone No ...................... � Nonne of Contractor -----same..................................... Address ------...-_-. Phone No` _--.--..-' ' ' PLOT DIAGRAM ` Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back fnom property lines. Give street and block number or description according to deed, and show street nom� and indicate _' whether interior or corner lot. See filed plans ' ' . ' , . . ' STATE {)F E\� _ .` Z S � COUNTY OF -1�l�f fDl1�.----{ � . .................................................................................................being duly sworn, deposes and says that he is the opp|iconi (None of individual signing contract) above named. Heis the ............................�W1i8r../nb.u1Td.ex------.-----------------.--.--.__'_^______.. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perfornn or have performed the said work and to make and file this application; that all statements cnntoined in ks opp|icotion 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 23 April 7� .....-.....--.�.. day nf ....-........-.......�...-.-......, 19. .. . No�oryPub|ic, ......-........... �b�C� - ....... ............................... (Signature of applicant) o|7* T. ooxcw Notary Public, State of New York N*.52'Oo44vuo Suffolk County ak' : THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~' ' : 85 JOHN STREET, NEW YORK, NEW YORK 10038 ' ~,.e Deaem~e~ 8~ 1976 ,4pptcation~o. on~te · .,sC~V~,~s+~~ ":', ,~., . ' 8~0~ N 3~5758 : nw~Y,,'qaeo~s~ane,~s/o B~yvle~ RQ~, ~OU~hOld, L.I. "~ ~ ' ' ff ~ecember:6 1976 ' "" ' ~ ~ml ed ~n ' ~: . ~ and found to be in compliance w~th the requirements oj this Board, ', OUTLETS ' ~"~A~ OVENS DiSH WASHERS ~UST FA~ SWi~Es ~ - ~ FIXTURES ~ANGES C~KING DECK~ ' ~' '~ ~ ':"'t7 12.8 ' 2 ',~' ' : 1 ~ , c ~,'~ .o~ . . - , ..~ . :.~ , .,..' ..: ~_ '1 :600 ~ , M~ER ~ - ' - .' R ' - V ' 'l ........ C'¢":"~ E ' ' I G.F.C.I~" , :- : 1 Smoke ,De~ec~or Main Rbad,- ' Southold, ~.I. 11971 Lic. 1B7E ' i Per . D This ceHiflcate must not b~ altered in any m~nner; return to the o~ice of the Board d ncorrect, inspectors may be identified by VV'A L T'E~ CO£ FWN W'/4 £ 7'tE~ ¢OUT'~¥OLO, h/. Y; /,¢,4p o,~ ,L ~;"z' Z~ SUFFOLK COUN~Y H~LTH DEPARTMEN~ The sewage disposal and water supply facii'~ties for t'nis loca%ion have beea l~spected h~ this d~_~E~men~ and found ~ .Chief of General EnginoerXll~ Services AS NO~Eg :2. I'- 0" \ - ,3LA~