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Home My WebLink About8535-zTOWN OF SOUTHOLD BU~.DING DEP~RTM~NT Town Cl~k', Office Southold, N. Y. Certificate Of Occupancy No.Z~3~. ...... Date ............. .Qct .... I~ ...... ,19..7.? THIS CERTIFIES that the building located at ...01'ehard. -~tree.t ........ Street Ca sola-Laule Map No. xx ......... Block No...x:c ..... Lot No.. 3... D. elertt..I~,~, ............ conforms substantially to the Application for Building Permit heretofore filed in this office dated ............Ap.~:tl. - .1., 19.~/~. pursuant to which BuJMi,~g Permit No. dated ............Ap~..2.~ .... , 197(k., was issued, and conforms to an of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is .. P~lva.~e .oru~ .fa~.y.d.~tell~.ng ..................................... The certificate is issued to .¢as.ola.-. Laud:Lo. Pr~pert;~.es ..... C~eI' ............... of the aforesaid building. Suffolk County Department of Health Approval (owner, lessee or tenant ) · Aug.. 8.. A977...by. i/.. V/-~la ..... UNDERWRITERS CERTIFICATE No. N~0.8.t27 ..... 0e~;..l~...%976 ................. HOUSE NUMBER ........ 1~3~O. Street./~voh~rd ./it ..... 0r. tent~ ................ FORM NO. ~ TOWN OF $OUTHOLD 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? 8535 Z Date ........................ ~,R~.;L~,.... ~,,~ ........... 19...~. Permission is hereby granted to: C.a,~o~.-....1,~ur.i.e...P. ncp. ................................... ...... .Lc.../..o......m...r..n....?.,..e..a..z...t.r.~. ................................. ...... .~.~.e......~.o.~.~..~.....z..!~..,.~..,..,. .............. to .~t ~.3.r.]...~e~... ~e...£a.~J,2~...~,e Z,~-~ ~§ ..................................................................................... at premises located at ..~D.L~....~'~-tO~...~llb...~...c~.~ ........ Ca~o~La.-....l~u~'.l~..£~'.oa ................. Orchard ~ ~eet .0.~.;~.~.~ ........... pursuant to application dated ......................... ?..~.?..~.3:.....~ ......... , 19.?,.~..., and approved by the Building Inspector. Building Inspector FOF,~I NO, 6 TOWN OF $OUTHOLD , Building Depe~ment 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 fallowing; 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 disp0sal--(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters 4. Commercial buildings, ~ndustria~ 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), Nomconforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey.of property showing all property fines, 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: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 Date ...M~:.ck..2J...I.9. ZZ ............. New Building ..Y.~.~i ....... Addition ................ Old or Pre-existing Building ................ Vacant Land .............. Location Of Property ....... .L..o..~....~3 .......... .0.1?.g..h..itU..d...~.~l?..~.~, ....... ....... .0r..i at: ........ Owner Or Owners Of Property ......... .~.~.~.q.l..o..z...L~.~l~...J.~...P.~'..ap. ftrr..~..~.as ................................................. Subdivision ...~....4 ...................................................... Lot No....,3 ....... Block No ............. House No.,~.~....~..-~..~ ~ Permit No..~.5~5...~ ..... Dote Of Permit ..4~.~,3.j'.~.~.Applicant ...E~i~.nk..~n~,..~g~n.~..£.g~ ............. Health Dept. Approval ...(~..S..O.(.~ .............................. Labor Dept. Approval ................................................ Underwriters Approval .... .N.t.,~.0...8..l...2.~ ......................... Planning Board Approval ......................................... Request For Temporary Certificate ........................................ Final Certificate ...Y.~.~i ................................ Fee Submitted $ ..~.,..0..0.. ........................ Construction on above described building and permit meets ~ll app~c~ble codes and regulations. Apphcant ....... .~... · .ff~,.'~...¢~ ).~z.... ~. · ~>~)..C~..... ·: .~.~ · ..--.--.--.--.--.-~ .............. ~.%. ~.~-.~ ......... Sworn to before me this ~ .~.~<~ day of ..Z~.e.¢L~.2...Z..~.~.~.. (stamp or seal~Z~-~ -THE NEW YORK BOARD OF FIRE UNDERWRITERS k ' ~ ~ ' ' BUREAU OF ELECTRICITY SS JOHN BTREET, NEW YORK, NEW YORK 10038 ' THIS CERTIFIES THAT only the etectrlcal equipme~ ~ described bel~ a~d i~o~ed by t~ applier ~d o~ the able appl~atlo~ number in t~ prem~ez of Frank Eom; .s/side Orchid St.,~ Orient,L.I. was exa.rined on 0 C~ Obe~ ~, ~ ~976 and found to be in compliance with th~ requirements of this Board, SWITCHES 28 RANGES - OVENS OTHER APPARATUS: '1 G~F.C.I. 2. Smoke Detector Joseph Crocombe, Box I175 GENERAL MANAGER . ' ~ Per ' D ~,~, ~. ,. . --, ,. _ ~ ~ ~ ...~ ............., ....... ~..~ ~ ~'~c~ ~ .~...~.~4...~...~... ~_ ~e .~j.L..I .............................. I~.Z~ ...... I: ~ ~,, I~1~ ~. ~i~ ~1~ m~ ~ ~pl~ly fill~ i, ~ ~w~ter ~ i, i~ .~ ~ i, tr~l~ ~ ~ ~i~ ~l ~~ ~ ~is ~ficati~, ~. BuiMi~ I~tor will i,~a Buildi~ Pe~it to t~ ~licam. S~h ~it ~ p~i~ ~i~le ~r i~i~ ~ ~ ~k. e. No ~i~ ~11-~ ~c~i~ or u~ in ~ole or in ~ ~r any pu~ ~er ~til a Ce~ific~ ~ ~n~, _~ ~all ~ ~ g~ ~ ~e Bulldi~ I~r. APPLI~TI~ IS HEREBY ~DE to ~e Buildi~ ~ment ~r ~e i~uance of a BuiMi~ Pe~it pu~t ~ ~e Buildi~ Z~ ~, ~ ~e T~ of ~ld, ~lk C~n~, N~ York, a~ ~er ~zc~le ~, O~ or R~ulat~, ~r ~ c~i~ of ~l~i~, ~iti~ or al~i~, or ~r ~1 or ~lit~m, ~ ~n ~H~.~ ~e applica~ ~ ~ c~ly wi~ all ~li~le ~, o~i~, ~i~ c~, ~i~ ~, ~ ~1~, ~ ~ ~ ~mlt au~Hz~ i~ ~ ~ in ~1~1~ ~~ i~ti~. , ( ~ ~0 - R~ t~~ HI~ (A~ of ~licant) N State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of' 'prem,ses ...~~ ....... ~...~...~ .......................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ..................................................... Plumber's License No. ~ ~ Electrician's License No. ~ ...... 1. Location of land on which proposed work will be done. Map N ........................ Lot No .....~ ................. Street and Number .... .~.~;.l~lgP..d....S..'/;~...~.9..~ .............................................................................................................. 0~ i en~: Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: o. Exisiting use and occupancy ...... ~ ........................................................................................................ b. Intended use and occupancy ................. ~....~ .......................................................... 3. Nature~of'v~o-~' (check which applicable): New Building.. ................. Addition .................. Alteration ................ Repair .................. Removal .................. Demolition .................... Other Work .................................... ; ........... , .... (Description) 4. Estimated Cost ...... .~..~.~[~.0.~l~.~).t~. ............................. Fee (to be paid on filing this application) 5. If dwelling, number of dwelling units ....g. ll.~. ................ Number of dwelling units on each floor ............................ If garage, number of cars ............. ,..gD.g ..................................................................................................................... 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 .................................... Rear ............................ Depth ........................ Height .................... Number of Stories ..................................................................................................................... 9. Size of 10t: Front ...... L~..8..,.~...~.~. ............................. Rear ....... I.~.,~...~.~. ..................... Depth ........ ~.L!....~..~. .......... 10. Date of Purchase ....... .J.~7..~. ....................................... Name of Former Owner ........................................................ 1 1. Zone or use district in which premises are situated ....... rt.~.J.d.e.a.~.J.{t.I .................................................................... 12. DOes proposed construction violate any zoning law, ordinance or regulation: ...... ~J.~. ............................................. 13. Will lot be' regraded .......~..e.~. ............... Will excess fill be removed from premises: ( ) Yes (X) No 14. Name of Owner of premises ....L~ltl~.J.e...~..ff. gJ)'t~.i.g.~. ....... Add ress 1~,a4~.J~.~ c~QD.~ g.¥..k.....FI l~lJl~t~l/~l'o.... ~* J~.l..-. 5.~ 5.4 Name of Architect .............................................................. Address ................................ Phone No ....................... Name of Contractor .,.F.~,.er~k...Bo~.n ................................ Address .-~olz~;J~.J.d ........... Phone No..7.~5.'..3/J~.. PLOT DIAGPJkM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all sat-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. STATE OF NEW~ORK,_ .b~ __ .... ':.....'~VCk.,.Ip,~..~..l...~~ .............. being duly sworn, deposes, and says that he is the applicant _JName.-of individual 'signing contracf) above named. He is the ..........................~ ~;;~;~"~'~';;~',"~';~;;;;~;;';~'~[~';'/j';;~;:i ............................................................... 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 forth Jn the application filed therewith. Swam to bej~re me this . .... ...................... ................... J (Signature of applicant) or pOW -': ., TEL. SURVEY FOR: ~ ~u.~ . . ~,~*.,o. o. .~.,o. LAURIE PROPERTIES N~AN~ WA~ MA/N = ~M/L~ ~ TO TH~ TITLE COMPANY~ GOVERNMEN~L OF -- SOUTHOLD I I''J SUFFOLK CO, N Y' ~¢~:~" ~-~.~.~ I" O[ r~o~1 forr~erly ~°l~r v o c o FOR APPROVAL OF CONSTRUCTION ONLY ~?RO~ED~ _ TEST 0.0 NOTE: m MONUMENT SURVEY FOR: TO E A V'LID TRUE ~ AT ORIENT GUARANTEED TO: HEREON, *ND TO THE ASSIGNEE8 OF THE SUFFOLK CO., N.Y. WATER SERVICE- PR/FATE WE£L S NEAREST W~T~ MAIN -' SMILES 6;0" ~ . . I~'LL'' /,,tf