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Home My WebLink About8668-zFO~ NO, ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupnncy THIS CERTIFIES that the building located at .~t{.~.. ~. 9.U.~.h.. ~I~.r.b. gr..l~ga..~... Street Map No...X~. ......... Block No...x.~ ...... Lot No, .. ~1~.. 8.o. lli>laOJ~cl.. ~[o.~, ......... conforms substantially to the Application for Building Permit heretofore filed in this office dated June 22, 19..7.6 pursuant to which Building Permit No...6.6.~$. dated .......... ~I.u.n.e.. ~.~ .... , 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 ....Pr.i.v.a. ~.o..Qn..e..f.~m..i~y..d..w.e.1.}..~.g ..................................... The certificate is issued to 0'.o. sept~ .tgl~k .... D.~mel~. ............................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval ...~p..r..~.. ~..9.7.7....b~..R.?. ~1.1..l.a ...... U~V~RWRITERS C~RT~'~CATE ~o.. ~3.0-?.29J ...... ~o.,.~...~.~. ~.9.7.~ .............. HOUSE NUMBER ...... 3.0~.~.... Street ..... .S.o.u..~i.\ .It.~ .r.~p.r...Rg.a.O ................ Building Inspector/ FOF,~M NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PP, EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 8668 Z Permission is hereby granted to: .,.q.......¢...?.! ........ .~.~....u..,T..~....N' ....... .¢..~!.~.? ....... ~/~.......o....c~..~.~! ......... ~..!::.~.~ ................. pursuant to application dated ......................... ..~.,,?....~.!../~! ........ .~....~.., 1~....~..., and approved by the Building Inspector. Fee $...(~.,I ............... Building Inspector THE NEW YORK BOARD OF FIRE UNDERWRITERS ak BUREAU OF ELECTRICITY ~-~ 85 JOHN STREET. NEW YORK, NEW YORK 10038 ~.~September 28, ,i976 ' .4p.olle.t,on~"o.o.file 867602 N 30520Z THIS CERTIFIES THAT only the elec~rlcal equlp~ent ~ described bel~ and intr~uced by t~ appl~c~t ~med on the able ~pllcation number in t~ p~m~ of J & M ~euter Corp., e/side South Harbor Rd., 200' n/o ~ Hiawaths's Path, Southold_ L.I. ~ ~fo~ ~o~t~o~; ~ ~e~t ~ ~t r~. ~ ~ r~. out side ~t~o~ ~ ~t was examlned on September. 23, 1976 and found to be in compliance with the requlrements of th~ Board. FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS 23 21 DRYERS Motor/s: "l-1/2hp i G.F.Z. i Smoke Detector Advance Elec. Co., 5 Plaza Lane, ~ '/his cerfiticate must nol bo ollered in on¥ monnerj re~'urn to lhe oH~¢o o~ the ~oord i{ in¢orro¢t. Inspectors mo¥ be identified by ~'~c,~r credentials. ~ TOWN OF SOUTHOLD ~.~/~ ~,UILDING DEPARTMENT ~t~.~/1~ ~ ~ ~OWN, CLERK'S OFF~CE~/~ ~ ~ ~ ~UTHOLD, N. Y.~-~ ~ ~proved ....... ~ ........ , 19 .. ~. Permit No ..................................... ~I~ ................................................................................. (Buildin~ Inspoctor) APPLICATION FOR BUILDING PERMIT ~~ ~i~-- INSTRU~IONS a. This application must be completely filled in by typewriter o~ in ink and submitted in triplicate to Inspector, with 3 set~ of plans, accurate plot plan to ~ale. Fee acco~ing to ~c~edule. b. P~t plan showing location of lot and of buildings on premises, reJati0nship to a~joining premises or publi~ streets o~ areas, and giving a detailed description o~ layout ofproper~ must be drawn on the diagram which is part c. The work covered by this application may not be commenced be~ore issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to shall be kept on t~e premises available for inspection throughout t~ e. No building s~aJl ~e occupied or used in w~ole or in part ~or any purpose whatever until a Ce~ificate of ~cupancy shall have been granted by the Building Inspector. APPLICATION 15 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 ot~er applicable Laws, Ordinances Regulations, fo~ t~e construction of buildings, additions or alterations, o~ ~o~ ~emov~l~ o~ demolition, os herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and admit authorized inspectors on premises and in buildings for n~essa~ inspections. (Signature o~ ~pplic~nt, or name, i{ a corporation) (Address o{ opplicont) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .................................... .............. ............................................................................ Name of owner of premises ........... :~.?.,~,?.~ii.0.?.'~ ....... ~.-.L..;..I~.:.~._~, .......................................................................................... If aJ~licant is a corporate,_s]gn~ of duly authorized officer. (Name and title of corporate officer) Builder's License No ..................................................... Plumber's LicenSe No ................................................. Electrician's License No..; .......................................... Other Trade's License No ............................................... Location of land on which proposed work will be done. Mop No.: ........................................ Lot No Street and Number `~?.?.`.~...~....~:~.~7~:.~...~..~......~..~r~..~..~../....~.j.~....~.~.~.:.~...~..~..~. ......... ~?.?i~.,~..~...~..-~.,.L~.~...~..~.. Municipdlity State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ............. .~.t..~.~J~t~....~ ....... ........................................................................... b. Intended use and occupancy ...' .............. .~..~....~.. -~.~, ............................................................................................. 3 Nature of work (check which applicable): New Building' . .......... Addition Alteration ....... Demo t or' . Other W~k .................................................. I~epair .......... Re-nova .................. ............. ~ (Descr ption) ' ~ ~ /. ( ~ .......................... ............ ........... ................ 5. If dwelling, number of dwelling units ........... J ............... Number of dwelling units on eech floor .......... L....' ............ If garage, number of cars ............. .~'1.~ ............................................................................................................ 6, If business, commercio~ or mixed occupancy, specify nature and extent of each type of use ............................ 7, Dimensions of existing structures, ff any: Fron~ ............................ Rear ................................ Depth .................... Height ........................ Number of Stories ......................................................................................... Dimensions of some structure with alterations or additions: Front .................................... Rear ............................ He ht ............... Number of Stories ................................ ~ep~h ................................ g ...... ' ,~, ~ ~ ~ ~ c~.~ ......... ~pth ...~:~.~ ......... B. Dimensions of entire new construchon: Front ........... zf. .................................. .. ~ .... ~umbe~ of Storie~ l ................ ~ ....................... '~ ....... Z ............... Height ....... ~ .................... ~ ,~ ...... Depth ·...(~.~ .~ ................ ~. s~ of bt. ~ro~t ........... 1.~.~ ..................................... ~or ........... , ............. ~...~/~.~..~.,~r. ........... ~/~ ................ Nome of Former Owner 10. Dote of Purchase ................. 11. Zone or use district in which premises ore siCuoted .................................................................................................... 12 Does proposed construction violate any zoning Iow, ordinance or regulation: ....... ~ ................................... ~3. Will lot be regraded ....~..~ ............ Will excess fill be removed from premises: ( ) Yes (~ No Nome of Owner of premi'ses ~ ~ .... Address .~.~.~'~"~ ~hone No. ~.~.~-~,~.~.~ Nome of Architect ........................................... ~ ................. Addre~ ................................ Phone No ....................... Nome of Contractor .:~.~.~.,.~.~"~:'"~'~' Address .... PLOT DIAGRAM ~ ' ~' s -.berber existin~ or proposed, and indicate oll set-back dtmens?ns,fr?~ Locate c early and distract y a i ~u~ umg , ~ ~ ' ' ' property lines. G[~e street and block number or description according to deed and show street names aha ina~cate whether interior or corner %'AFE OF NEW ¥ORI(, ~-S S cOUNTY O~i.~.:~.~ ................. ...................................................................... being duly sworn, deposes and says that he ,is the applicon ~['~~vidual sign ng controc~) above nomecL e said work and to make and filo~ said owner or owners, and is duly authorized p this ~pplication; that all statements contained in this application a~e true to the best of his knowledge and belief; tha~ the work will be performed in the manner set fo~h in the application filed therewith. to before me this 19 ' ' ' ~'' ~ Swor~ ~- ~ ~ . day of ................................................. Notp~ Public, . ................ ~'~2"g'~'"~ .............. " (Signature o~ op~lican~ Tr11.,~ · ',?-~.--~:-.-.-.-.-.-.~T.~"-~ o '~ ' ' - I ~ ~ ' ~ ~PR051971 m~.~.~ ~ The sewage disposal ~d water faciltt:L~ fo; t~Is location ~¥0 been inspected bT th!z department s~:t~ ~d ~ef of General Engineering RODE~tCK VAN TUYL. P. C. FOR AIq~ltOVAl,., O~' GON~Ill~IG"'TIO~ ONLY DATE: M. S. IIE. If, NO.: APPROVE, D: 'I'HE WATE.q SUP'PLY AND I1~ DII. PO~AL ByB'rEMI ~ 1'HIE DI[NCI; WILL. CONFOI~It 11D 'fl, II STANDA~Di OF IIUFFOi..K CO. DJ[PT. OF HI[Al. TH. IERVI ($) ,,.., Al~lq.I CANT H, $. NO. OWNER: NOTIFY BUiLDiNG DEPARTMENT AI 765.2660 9~ TO 4PM FOR REQUiR- 3~ FINAL WHEN JOB COMFLETED ,O~-lVl'~ REUTER CON ~T~U [~,'T~ "SC/~F_ DP~kWN BY C.~ECKE~.~y ~5-2,1-'7~ '/+"=t'-o" M.P,. ~RojEc-T 7 ~29~ -.-. %_- ...... :_: ..... ~ PC?OJEE. T OF ~- d '1