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Home My WebLink About8390-zFORM TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. ~F.C~9~ ...... Date .......... Ju~.e....2.1 ..... , 19.~. THIS CERTIFIES that the building located at .E~.s.a~..P.q~.~..20~cl ....... Street Map No.E.a s ~ :..~.~... Block No .......... Lot No, ~9 ..... C..u.1;.qh. 9g~..e....U....Y. ~ ........ conforms substantially to the Application for Building Permit heretofore filed in this office dated ..... Fe.b. .27 , 19 ?.6.. pursuant to which Building Permit No.. 83.,q0~J dated ..............Feb 27 , 19 .... 76 , 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.~.iv.a.~e.. o.n.e.f.a!n.~.~.~'..d.%e.~-.]-InK .v.~t.h a..d.di.~.pn .(G~.~g~) ........... The certificate is issued to .L.o.u.~..s..Rgb. i.n.s, qn' .... .Ovner ............................ (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval N .R · . ................. UNDERWRITERS CERTIFICATE No. p.e.n.d..~.g .................................... HOUSE NUMBER .. 772.~. .... Street N.a.s. ~.a.n.. P. 9.i.n.t.. ~qp.a.d. .................... Building Inspector FOI~M NO. 4 TOWN OF SOUTHOLD BUILDING DEPAHTMENT Town Clerk's Office Southold, N. Y. ' Occu " ' p Certificate Of THIS CERTIFIES that the building located at Nassau. P2 lloa~L: ........ Street Map No~l~[~S ~. k~ .. Block No .......... Lot No, ~;9 ..... G'u~;cl~ogue ............... conforms substantially to the Application for Building Permit heretofore filed in this office dated ...... Feb, 27 .... , 1976. pursuant to which Building Permit No. dated .. leal;...27., 1~'6. , was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for'~hich this certificate is issued is ..-Private. one. family, dwelling .with al-teration.&, ed~i4~ion ..... The certificate is issued to . L~lls Ro]~Iso~ .... 0?~er ........................ (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval UNDERWRITERS CERTIFICATE No... ApR ~9...~972..~. 33.S .7 .............. HOUSE NUMBER 7F25- · · Street .. l~ass,- -Pt ltoa~l ..... Cutehogue ....... Building Inspecto~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE P~,EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 8390 Z Permission is hereby granted to: ....... to ..... ~J~ ..~l~...j?!~.~l)~:. at premiss I~ated at ...~;~ ........... ~:~:j~ .................... ; .................... ~. ........... .............................................................. [ ............. ~.4~ ~4~,~..,~ ~.. ,~ ~4 z ........................................ Building ln~ector. ~ .~'?~-~' -~ Budd , FOP~i NO. 6 TOWN OF SOUTHOLD , Building Department Town Clerks Office Southold, N. Y. 11971 AFPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This apphcation must be filled in typewriter OR ink, and submitted mn DUPLICATE to the Building Inspector with the following; 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 disposal--(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industnal buildings, Mulhple Residences and similar buildings and installations, a certificate of Code comphance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed s~te plan requirements where applicable. B. For existing buildings (prior to April 1957), Nan-canformmng uses, or buddings and "pre-ex~sting" land uses: 1. Accurate survey of property showing all property hnes, 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: I. Certificate of occupancy $5 00 2. Certificate of occupancy on pre-existing dwelhng or land use $5.00 3. Copy of certificate of occupancy $1.00 .. New B~ilding ...t~ ....... Addition ................ QJd or Pre-existirtglB¥ilding ................ V. acant Land .............. Location Of Property ..... .~..C~...~....~.......~..~...~' -'-- .~.. ~.~.../~..~. ...... ~..~..~..~.-.~.'~. .............. Owner Or Owners Of Property ..... ~/~...~......~....[.'.~.[ ........ ~.~.'..[~/..~.~!...~...~....~.. ................................................... Subdivision ............................................................... Lot No ............. Block No ......._.~... Hous~ No ........... Perml, No ~...-?..?...6]......-Z.. Date Of Permit ...~[~..J.....Z.Applicant ..~~.'.....~.J. ............................... Health Dept. Approval ............................................ Labor Dept Approval ............................................... Underwriters Approval ............................................. Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Finczl Certificate ......... ~ ........................... Fee Submitted $ ~- o~ Sworn to before me this ..... · dayof ..... ..... Notary Public ......... ~./~.. ...... County THE'+ NEW YORK BOARD OF FIRE !',UNDERWRITERS - ~ BUREAU OF ELECTRICITY ~ --- nr -' ~ , I - , 85 JOHN STREET, NEW YORk, NEW YORK 10038 .te Aori3. 3.9 977 89 083, N 333547 THIS CERTI~ES THAT ~ '~ ~ only the electrical equipment ~ ~s~ri~d below and introduced by the applicant na~d on~fh~bove apphcation number in the p~mtses of , Louis-.B.~ Robinson, ,Nassau Pt. Road, Over Causeway, Lutchogue, L.I in the followlng locatlon~ ,. ~ . a,t~ic ~, ou~s~ae w,~ e..,.~.~d o. , Ap ril, ii~ , 1977 ,.,,. ~o... to ce m, oxnp,mnce with the requirements of lh,, Hoard. FIXTURE '-ECEPTACLES SWITCHES FIXTURES .v, · I RANGESi .... JCOOKINGDECKS[ OVENS JDISHWASHERS I ' ' 1 1.2_. DRYERS ; FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PTI TIMECLOCKS I nE[[ [UNIT HEATERS ~ULTI.OUTLET SERVICE DISCONNECT "{]NO OFI ,S .-, E R V ' I , ,,C OTHER ,APPARATUS. I ~ ~ ..... E~e~.,~oom : ~ , Okw,2-Z. 25kw,5-1.0k~ 2_4.0kW, 3_2 .,5kw' 6_2. Heaters · Special,receptacles: 1-50amps, 2-30~ps., Panelboards: 1-13cir 125amps, 1-11cir-100amps 2-G.F.I. 1-G.F.C.I. ~-~mo~e De~ec~o~~ 2-~o8% 1-~.5kw Hot Water Heater EXHAUST FANS DIMMERS NO O IRA[$ CFA NEUT,A£ 3/O &-10amps Compactor '"~ '. ~ ' ,~..~.-.~ ,~ Joseph'J.Frohnhoefer Jr.'' i ' ' ' /~ j / Main Road ', ' ,'~,' ,-~- ~ , ~\ ~ I' / Th~s cerhf~co*~ must not be ollered in ~ny monner, relurn 1o ~he oihce of the Boord ~f retorted Ins~~ IMi~enho~ · TuZy 3o 1976 William Beebe, Builder A/C Lo~s Robinson New Suffolk La Cutchogue) N.Y. Dear Sir; This will ~cknowledge receipt of ~m~ended plan fox, an addition on the Robinson ~ob) permit ~ 8390Z,_Lot 59, Nassau Point Properties) Nassau Point Road) Cutchogue. ifA? ~?~ Also this will act as permit to remove Sxeess fill from excavation. Fill not to be deposited on wetland Yours trt,~ y l/ f Build ~ng Inspector PERMIT INCLUDES APPROVAL T() REMOYE £XCF_S$ FILL FROM ABOVE pREMISES BY ,qEG~,~DtNG L, T CESC, PO'-;.L ,Cf ,F¢S) RUCTION CELLAR CONSTRUCTION OTHER E am,n.d .... ........... ...................... ......... , .......................... ......... INSTRUCTIO~ a. This ~ication rau~t b. ~1o~ Plan ~h~i~ d. H~ ~h~U be k~ e. ~o building ~holl be ~holl h~ ~n Omn~ ~ th~ Building In~or. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pur-.,dent to the ~ Building Zone Ordinance of the Town of Southold, Suffolk County, New .York, and ~her eppllc.able Lava, .Ordt.nanc~.. or ~ Regulations, for the construction of buildings, additions or alterations, or tar removal or demolitmn, m h~e. in aescrmea. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulatlom, and to ~ admit authorized inspectors on premises and in buildings for necessary jmpections. Beebe ~ (Signature of applicant, or name, if a co~oratlon) t~ Cutchogue State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ba~3.der Name of owner of premises ...~..o....1~....s....~...o..b.~..o.& ................................................................................................................ If applicant isa corporate, signature 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 ............................................... 1. LOCation of land on which proposed work will be done. Map No.: .~..&.~.8....?,.~. ...................... Lot No ......................... Street and Number ..... ~a,~.&K1~L.~.D~n~..]~Ii~ ......... Cla.~r,~og~e ...................................................................... Munk:ipality 2. State existing use and OCcupancy of premises and intended use and OCcupancy of proposed construction: a. Exisiting use and occupancy ....... ~l~ff,~.~.~ ....................................................................................................... same v~t;h ~.;L.T.&.~.e &;t~ . .......................... b. Intended use and occupancy ............................................. ~ g~ .......................... 3. Nature of work (check which applicable): New Building. ,.;ll:;;~t ......... Addition .................. Alteration ................ Repair .................. Removal .................. Demolition .................... Other Work ..................................................... (Description) 4; Estimated Cost ..................~...~...~..~.....~........~ ........ Fee .~.0..~...0~.. ............................................................................. (to 'be paid on filing this application) 5. If dwelling, number of dwelling units ........ .o...1~... ....... :.....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. 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 ............. i .............. Number of Stories ~ 8. DimenSions of entire new construction: Front ...... 2.~. ......................... Rear ......... ~.~4....~. ..... Depth ...... 3.! .............. Height Number of Stories O]~e 9. Size ~f 19~t:~.Front ........................................................ Rear .......................................... Depth ............... : ................ 10. Date of Purchase ......................................... , .............. Name of Former Owner ...... ~.. 11. Zone or use district in which premises are situated ............ .ql,~.~.~ ............................................................ 12. Does proposed construction violate any zoning law, ordinance or regulation: ........................................................ 13. Will lot be r~graded . .......... l~(~ ............ Will excess fill be removed from premises: ( ) Yes ( ) No C tekogue 14. Name of Owner of premises ....~..O.~..J:.~...$....O~.. ................ Address ........ , ....................... Phone No ....................... Name of Architect ........... ~ ....................................... Address ...................... .......... .Phone No ....................... Name of Contr ..... ~ Beebe ~teho~e u~.v, ............................................................ Address ................................ Phone No ....................... PLOT DIAGRAM 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. 0 II/t J .__ STATE OF NEW YORK, COUNTY Of ...,g.~f.O~1~ ........... ........................... ~...~.~.~ ................ : .................... ~-~eing duly sworn, d~oses and says t~t he is the applicant (Na~ of i~ividual signing c~trac~ above name. He is the .............................. ~.~.0~ ........................................................................................................................... (Contractor, agar, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or h~e performed the said work and to ~ke 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 fodh in the application filed therewith. Swam to ~fom me this ................. of ....................... ............ , . . ~, ~ ~ ~ ~ ~ , / (Signature of applicant) pUBLIC State of Hew II