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Home My WebLink About8573-zTOWN OF $OUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupency No. Z761+8 ............ Date ............. .1~, y....~ ....... ., 19.77 THIS CERTIFIES that the building located at . Ig/B .. ~y~tie~ ,Ave ........ Street Map No. 8..1~..~.~ .~. Y.~.nBlock No ........... Lot No. %.~Z~8.. ~eelo. p.ox'g.. ~I.~. ....... conforms substantially to the Application for Building Permit heretofore filed in this office dated ........... l~ay...10.., 19.~.6. pursuant to which Building Permit No.. 8573Z. dated .......... ~y...1.0 .... , 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 Pl'lvate swimming pool w:tth fenee& aaeessor~'s The certificate is issued to B~c.h..a*.d .$1.e.d. Jesk$ ..... (}wael' ......................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval N,I~, ................................ UNDERWRITERS CERTIFICATE No. Nl~c)00'/6.... Jttne. ~.... 1 .~.~.~ ............... HOUSE NUMBER ... J.~5~ ...... Street ,, ,]~ay~.iew. A~e ..... G~e.e~porJ; .......... Building Inspeeto~ ~ OF SOUTHOLD ~r~HN~ IUI~ ffiffJ41T (THIS PERMIT MUST BE KEPT ON THE PT~EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 8573 Z Permission is hereby granted to: q~t...~C~,~..~..~.~.~C.~g..rL..~_o... Inc A/C t~ichard 81ed~elk~ ............. .0.~Ae..~.t.. .................................................... at premises located at ~O.t,..~...~/.~..~ ....... ~u~e~h~en ........................................... [~ .................. .................................... ~(-~ ..Z~aa~u~e~..~ ,~....~r. shaunc~q22e s...0~enp~ ...................... pursuant to application dated .................... .~.!~. .......... ~. ............. , 19..~.~.., ang approved by the Building Inq~ector. Fee $..1~.,~Q .......... THE NEW YORK BOARD OF FIRE UNDERWRITERS ~.;~ ~ . BUREAU OF ELECTRICITY : ' 85 JOHN STREET, NEW YORK, NEW YORK 10038 ~*~ J,,ne 2~, 1970 ' - THAT ' THIS CERTIFIE$ ' . ...... ~ --~ ~-- *~ a-~lNant ~med on t~ e~ eppi~at~on ~umber ~n the prem~es of i~thefollowlnglocatlon; ' ~ B~emeht ~ lstFl: ~ 2nE Fl. : . OU~S ~examinedon J ~ ~ [ ~ [ ~7~ andfoundtobelncompliancew~t~erequirementsoft~is~°arE' NO. ~ HI-~G NO. OF NEUTRA~ ~ NEUTRAL (Swlmmlng'~ool) Thts,certlflcaf5 covers compliance ~f t~e'date of '" env~ronmonfs if tS advisable inspection only~ ,'~?~aus~.o{ fo have frequent-tesT and/oF repalrs' m~de by a dual i'fled person, G & S C6nt. 18.no AMOUNT SOUTHOLD, No Y. Exam*ed ...... 76 Approved ................... '"'"'""~ }. .......... ~..Q...., ]~;ii'~.~.'i Permit ~o..,~.~..~..~.. Disapproved a/c ....... ~?~ ................ ~..~-z~2Z~ ..................................... .~ . ........................ ~'" ~';~g InspeCtor~ ......... ~ ............................... '~' APPLICATION FOR BUILDING PER~IT Application No ................................ Date ......................... ]Y.[f~y. .......... ~..~., 19......~..6... INSTRUCTIONS a. This application must be completely filled in by typewriter o¢ in ink end submitted in triplicate to the Building Inspector, with 3 sets of plans, accurate plat plan to scale. Fee according to schedule. b. Plot plan showing location of [at 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 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. 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 Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described, The applicant agrees to comply with oil applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. Orient Trucking & Constr Co Inc (Signature of applicant, or nome, if a corporation) or±ant (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. builder Name of owner of premises Richard Sledjeski If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 0 ~' & C Co Inc =~f~-- Builder's License No. Plumber's License No ................................................. Electrician's License No...~.R..'.....G..~.,~,r.~.i,.e.,.,,]c,,°, .......... Other Trade's License No ............................................... 1. Location of land on which proposed work will be done. Mop No.: ...... ~.~...e.~.~.?..?,..~. ....... Lot No ......................... Ba view Ave Arshamomaque~ Green~ort Street and Number ........ ~'/./.~ ........ Y. ....................................................................................................................... Municipali~ 2. State existing ~se and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ....... .~.~;~ ..................................................................................................... b, Intended use and occupancy sa~6 with pri~ate swimming pool~ Sence A accessoa 3. Nature of work (check which applicable): New Building.. ................. Addition .................. Alteration .............. Repair .................. Removal .................. Demolition .................... Other Work (Description) (to be paid on filing this application) 5. If dwelling, number of dwelling units ..... 0~ ................. Number of dwelling units on each floor ............................ If garage, number of cars ............................................................................................................................................. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ............................ 7. Dimensians 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 ..... .1.~ .................. Depth ....... 3.~. ............ Height ................... Number of Stories ..................................................................................................................... 9. Size of lot: Front ........................................................ Rear .......................................... Depth ................................ 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 11. Zanier use district in which premises are s~tuated ....~.....~.~ 12. Do~praposed construction vi~late any zoning Iow, ordinance or regulation: ........................................................ 13. Willlot be regraded ......... ~. ...........Will excess fill be removed from premises: (~) Yes ( ) No /m~ o~' Architect .............................................................. Address ................................ Phone No ....................... IN~ ........ ~,f r~nt~act~ ~.,,[rle~t ............ ~ruckl~g] ............................................................................................................ ~ Constru~ Co Inc ~lclea~ly and distinctly all buildings, whether exis~in~ ar praposed, and indicate ~11 s~t-back dimensions from prop~r~i~es. G~ve stree~ ~nd block number ar description according to d~ed, and show s~et n~mes qnd indicate whet~r i~Sriar or corner tot. Eq'ATE OF NEW ~O~K,., ~ S S COUNTY OF ..... ?.~,:r:?,.J;..~ .......... ~ · ..................... ~...o..b..e..~.~...D.,o..~.g~.~.s..~. ....................................... being duly sworn, deposes and soys that he is the applicam (Name of individual signing contracf) above named. He is the Co~%r~ctoJ~ (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 that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ~~" Notary Public, . ................... ~u.f.~.~t.k. .............. County j.~/gnafu re of ~qicant)