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Home My WebLink About8670-zTOWN OF $OUTHOLD BUILDING DEPARTI~,NT Town Clerk's Office Southold, N. Y. Certificete Of Occupency THIS CERTIFIES that the building located at 1.7..~:..~.~..~-..~...~..t,.U.'..~. ....... Street Map No ............. Block No...-. ....... Lot No, . .~ .............................. conforms substantially to the Application for Building Permit heretofore fried in this office dated .......... -~-/~.¥...~.7., 19'~.~. pursuant to which Building Permit No..~..G?..~.Z., dated ........ .~U..Nfl....2..~,, 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 ...]~.u. $ j ~.£. ~ ~ .... .~ ~.o..uA...-~'. o. ~ ?.~ ................................... The certificate is issued to . [~. C .v/.~..rf D....~....b.~ ?.t! y.~..'.C ...Z..~..~! .~..~..~ .............. (owner, ~ ..... ~- ..... t) of the aforesaid building. Suffolk County Department of Health Approval ..... J~.~-.~. ,.. ....................... UNDERWRITERS CERTIFICATE No ...... .~.~..?..~).~. ~..I..2r. ....................... HOUSE NUMBER I.~. ~,/) Street ~;~ g-~ -~t_ _.~ ............ .......................................... ............................ Building Inspector ~01~ NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N'. Y. BUILDING PERMIT COMPLETION OF THE WORK AUTHORIZED) N? 8670 z Permission is hereby granted to: ·)2.9.~.~.~.....~....~.~.~.~.~.:(......~.~....'...5!.~...K ~, p~,m~,~ ,o~o,,~ ~, ......... [7..~.P.....[~ ...... 5.S...~..k~ .......... ~..L.~..'...~ .......................... pursuon~ to oppli¢*tfon dated .................... ~....~..~..}f ........ 2~.., 19~.b.., ond opprov*d by the Building Inspector. $..?...5...7. .......... Building Inspector TOWN OF $OUTHOLD , Building Department Town Clerks Office Southold, 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 fc~Ilowing; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, end unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposal--(S-g form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial 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), Non-conforming uses, or buildings and "pre-ex'st'ng ' land uses: 1. Accurate survey.of property showing all property lines, 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 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 ~/~/-~ r.~/Z~ ~'~ Date ........ ~.°~Zr...'..~...Z..7....~. ........... Addition ~ ~ ~r New Building ................................ e-existing Building ................ Vacant Land .............. Location Of Property ....... ~;.~.~.~..~£~.....~....~.~Z~..~.~....~...~.....~..~....~..~..:~..~.~..~...~....~...~..~..~.....~.' Owner Or ~ners Of Property-- --/,~.~.~....~r. ...... ~.....~.~.,...~.....~.~Z~.~ ..... Subdivision ................................................................ Lot No ............. Bilk No .............House No ........ Health Dept. Approval ..... ~D.~...~Z~....Labor ~pt. Approval ..... ~.~....~.~ ...... Underwriters Approval ...~...~..~.~[.~Z .............. Planning B~rd Approval ..~¢~...~.~Z~'~... Request For Tempora~ Ce~ificate ............. ~.~.... ................. Fin~ Certificate ............ ~ .................... Fee Submitted $ ...... ~¢.~ ................. Construction on above described building and permZ meets all//__applicab, b,b,~llle c~des ~and regulations. Applicant ............ ~.....?...:.... ~..~.. .............................. Sworn to before me this ................ day of ............................................ Notary Public .................................... County (stamp or seal) /6/~ ~-/~'~ THE NEW YORK BOARD OF FIRE UNDERWRITERS a k BUREAU OF ELECTRICITY ~ 85 JOHN STREET, NEW YORK, NEW YORK 1OO3~ O*,e .July 23, 1976 ,'~ppUcatio,,fVo. onfle 86'7034 N 294312 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of Young's Boat Yard & Marina, s/side Sage Rd., 2000' e/o Main Rd. Southold--L.I. in the%allowing location; ~ Basement [~ 1st Fl. [] 2nd FI. 0 U t S i d e Section Block Lot was examined oft J u J y J 5 ~ J 9 7 6 and found to be in compliance with the requiremen ts of this Board, 16 5 8 DRYERS SYSTEMS NO. OF FEET E OTHER APPARATUS: E R V I C A. WG OF HI-LEG OF NEUTRAL Ruland Elec.Co., P.O.Box 143 Mattltuck, L.I. 11952 Lic.242E D This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by '6 '%¸ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ~,~ed.. .~ ~& ,Z~ ~o. .......................... 7o ................................ ~proved .............. ........... ..... ................................... ~,~op~o~ ~ "~~7'"7'"~ ~~ ~ ..................................... .................................................................. .................................... (Buildino Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or, in ink and submitted in triplicate to the Building Inspector, with 3 sate 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 of property 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 a 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 all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. ............... (Signature of applicant, ~rC-home, if .~z~....~.~.~.:2..~.~.~.~ ~ ~(Address~°f applicant) ~ 1/~ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, ~umber or builder. ............................ w. ..................... ~ ................................ ~.=....'. ................................. U .............................................................. Name of owner of premises ............. '/ -- ~ *~.~....~.:...~.~.~....~7..~.~.~.~.....~...~.~ ............... ff applicant is a corporate, signature of duly authorized officer. ..................... ~...~.~....~ ..................................... (Name and title of corporate officer) Builder's License No..~.~...~].~....~.~ ..... ~o Plumb~r's LiCense No ................................................. Other Tmd~'s License No ............................................... ~o~'~ ~. Street ~nd Number [~e~ ~ 2. State existin0 use ~nd eccup~ncy o~ premises ~nd in~ended use ond oecup~ncy o~ proposed construction: ~. ~i~i~i~o ~, ~d o~p~w ........... ~....~ ....... ~.....q~.~. ...................................................... b. lntended us~ ~nd eccup~nw ..................... ~.~W~ ........................................................................................... 3. Nature of work (check which applicable): New Building, .....~ ... Addition .................. Alteration ............... Repair .................. Removal .................. Demolitior, .................... Other Work .......................... .~ ...... :...:. ............. ~ ~ ~ ~,,~¢~ ~:~c~,,~,~o,,, ~,~,--~ ,~,(D_e~cri~tion) 4. Estimated Cost ........................... A~..~ ..................... Fee .......................................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units .....'ZZ.../~...q...== ....... 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 ...g.b~l.~4...R~...9...~, 7. Dimensions of existing structures, if any: Front .............. ~ ....... Rea~.. ......... .~......./.~.~..~.~.~/~...~..~..~..~..,.~ 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 ~ r~ Height ...~....,~ .~...~..9~'...~ Number__,~ ~ ----at Stories ......... ../. ......................................... .,~ ................................................. ~ ............ 9. Size of lot: Front ........... ~../..~..L...~Z../..~...~...~'Rear .......... .?...~....~. ...................... Depth ...... .~...~...?. ............... 10. Date of Purchase .................. y......f.. ................................. ~~'~,~.¢'~°f Former Owner ............................................... 11. Zone or use district in which premises are situated ......... ~"~....~........~...~.<..) ................................................ 12, Does proposed construction violate any zoning law, ordinance or regulation: ........... ..~..~.. .. :. .............................. 13. Wdl lot be regraded ......... ..~'...'9~ .......... W II excess f'll be removed from prem'ses ~ Yes~ ( ) No 14. Name of Owner of premises ........~......~'..~...~?..~....~..~....~.. Address ,~.?.Z~...c.~.~......~...~..,'~'Phone No. Name of Architect .............................................................. Address ............................... Phone No ....................... '.Name of Contractor ........... ..~..~..~......~...~..~ ............. Addres~ .~..~......~......~ .....Phone No. o PLOT DIAGRAM .~h,~rg-.~ ¢..-~ ~,-,-~' Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-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 cY~,lC, r. ~- ~Z~, ( c c COUNTY OF ........~,..'~k~.t...~..3~'~ ~, ......................................... .¥~,..~....~.!..../~.....~../..~ ........................... being duly sworn, deposes and soys that he is the applicam (Name of individual signing contract) above named. He is the O..('~....F.L.~...~.- ............................... (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 be o% ;,ho;S ............. ' / - ' ' ...................................... Notary Public, . ................................................... ~ounty ............... ~,~...c..~=.~:.~ ................ 4=...~.....~=7.......~ ................. ~ , ~ ~ (Signature of ~plicant)