HomeMy WebLinkAbout8395-zTOWN OF $OUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, 1%I. Y.
Certificate Of Occupancy
No...Z6~988... Date . Jkpz'il..20. ............ , 1973.
THIS CERTIFIES that the building located at 7480, G.~.. Pea,. Bay..B3,v.d, Street
Map No ......... Block No ....... Lot No .................................
conforms substantially to the Application for Building Permit heretofore filed in this office
Maroh .{, .{9?6 S395Z
dated .May .2S, .{976 , 19.. pursuant to which Building Perrait No..8697Z
Ma.r'ch ~, q9~6
dated Jlzl3~ 2, '{976 . , 19 .... , was issued, s_nd conforms to si] of ~e req~
ments of the applicable provisions of %he law. The occup~cy for w~ch t~s certificate ~
issued is · · R~ATE. 0~. F~ILY .~.~G. ~H~ ~C~-qSORY. BU~ .....
The certificate is issued to Jo~ ~d .E~ Oa~ ......................
(owner, ~
of the ~oresaid building.
S~olk~,~unty Department of Health Approval .........................
U~ERWRITERS CERT~ICATE No..Ho~e.. N~Z2~B~-~-G~e .N520040 .....
HOUSE NU~ER ,..7480 .... Street . ~e{~ .~ec~f¢. ~y. ~vd. ............
...................................... La~, · ~aw .Yomk ....................
..... ......
Bffilding Inspector
FOBM 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? 8395 Z
Permission is hereby granted to:
at premises located at ..~/~...]~LI[~..~I~...~]JJI~ .........................................................................
..................................................... I,~.~], ............................................................................................
pursuant to application dated ........................ ~1~11. .......t ......... , 19.7~.., and approved by the
Building Inspector.
Fee $....t~.~O ......
,, ,, THE NEW YORK 'BOARD OF FIRE UNDERWRITERS
,_ ~- p ~ , BUREAU OF ELECTRICITY
I I _ ' 85 JOHN STREET, NEW YORK. NEW YORK 10038
THIS CERTIFIES THAT
only the electrical equipment as described below and intr~uc~ by t~ applicant ~med on t~ abo~ application numar in the p~mlses of
, J. Gabusi~ s/o Peconic Bay~Blvd..,-Laurel L
,.q,o/mto~m~zo¢~.o~; ~ ...o~o~ ~ ~t~'t. ~ ~.d ~'t. Outside ' Sectiou
,... o..,.i~d o~ June 10, 19 7 ? and found to be in compllanee with the requirements of this Boa'rd.
FIXTURE .... FIXTURES ........ RANGES' ' I COoKINGDEcKS OVENS DISH WASHERS EXHAUST F~NS
OUTLETS ~ECEPTACLES~ SWITCHES NC~NDESCENT: F[U~E~NT , ~cu~ ~T ..... ~ ~" ' ~T ' K' W '
~/ . ~ ' ', "; ', "~
,' , = ,, r
~T ~P TYPE EQUIP l~2W ~aw3~3w3~4w NO OF CC COND A W G ~O ~ .~ ~I Ii i~"~'~ ...... NOO'F'NEb~EA~S I i 'W OI I I
........ ~ER ~ , i I OF CC COND O~ HI ~O OF NEUTRAt ,
:; '200 CB ~' x "- ',, !,:;,; 2/0 - ,.. - ' ' . ," '- ' ,
OTHER APPARATUS. - .... ~ ...... ' t ....
' Mastic Beach, ~. !. 11951 -~ ' ' - L~-
This cerhflcate must not be altered in any manner; return to the office of the Board ,f incorrect. Inspectors may be identified by thai credentials.
sq.~I
.35064
p, re~
b. Plat plan showing location of lot and of buildings an premises, relationship to adjoining premises or public I~reat~ of
areas, and glvinga detailed dmctiption of layout ofprapmty must be drawn on the diagram which is part of tl~ apfdlcatle~
c. The work ca~ered by thLs appltcatlan may ? be eornmenced before issuance of Building Permit.
d. Upon approval of this app!i~atlan, the Bullal~g Impector will Issue a Building Permit to the applicant. Such permit
shall be kapt an the premises available for Impectlan thmugheut ttm work.
e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of I~
shall have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building, Department for the issuance of a Building Permit purll~nt to the
Building Z~me Ordinance of the Town of Southold~ S~alk Count, New York, and other al~liceble Lav~ Ord!mlmm or
Regulatlom, for the canstructian of buildings, addltt0m or alli~ratla~., ~ for removal or dm,nalitim, ce bemi~ deIeribed.
The applicant agrees to comply with all applicable laws, ordlnancee, building cnde, hou~ng code, and r~gukIllani, and to
admit authorized in~pecto~ on pre~lse~ and In buikllngl for nace~ary Inlpeatiorm.
- . - ,~. ' :
~c~.~ ¢ ~/ ~'/~ ~ ..........
"
(Address of applicant)
State whether applicant Is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
........... ....................................................................................................................................
'
Name of owner(of premises ...... ~ ............ :*..' ...................................................................
If applicant is a co~orate, signature of duly authorized officer.
(Name and title of corporate officer)
Builder's License No ......
Plumber's License No. ~ ..................
Electrician's Ucense No. ~ ~
Other Tracle's License No ...............................................
1.
Location of land an which ~ ~lrk will b~ done. Map No.: ................................ :: ...... Lot No.....,'. .................
Street ond Number ....... .~.~.~.......~........c-:.~.....~ ....... e4~...~.. ........ ~.1~.- .......................................
State existing use and occupancy of premises and inten ,ded use and occupancy of praposed camtmctlon:
a. Exlsiting use and occupancy ......... .~... .........................................................................................................
b. Intended use and occuppncy .............................. ~ .......................................................................................... ? ....
property lines. Give street and block number or description
whether interior or corner lot.
3. Nature of work (check which applicable): New Building.. ................. Addition .................. Alteration ................
Repair .................. Removal .................. Demolition .................... Other Work .....................................................
(Description)
4. Estimated Cost ..~..~...~ ..~..?.. ~ ........ ; ...................... Fee /.c~, ~ o.
(to be paid on filing this application)
I
.5. If dwelling, number of dwelling units ............................ 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 ............................ Number of Stories ................................
6 r, ' .....
8. Dimensions of entire new construction: Front ............. .-. ..................... Rear ............................
Height ......~...~.. ........ Number of Stories ........ ..Z,.. ..........................................................................................................
9. Size of lot: Front ................... ~.6..~ .............................. Rear ....... /..7.../.../. ......................... Depth .....2..~.../.../. .................
Date of Purchase ..................... ................................. ome of Fo. er Owner .........
! ~. Zane ar use district in which premises are situated .....................................................................................................
~. Does pra~ased construction violate any zoning taw, o~dinance or regu~otion: ............ .~...~.
13. Will lot be regraded ......... /~.: .............. Will excess fill be removed from premises: ( ) Yes (ilo No
14. Name of Owner of premises .~.e...A:.~.Z~_..r~..~.......~-..~.~....~...5..../. ....... Address ..r~.F..Ehl.T...KtR~.d,.P.d~3hone No.
Name of Architect .............................................................. Address ................................ Phone No .......................
Name of Contractor ............................................................ Address ................................ Phone No .......................
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from
to deed, and show street names and indicate
STATE OF NEW..Y4DRJ(~.~, ~ ~ ~ S S
C 0 U N '1~__~c.. ~.[,.,J~,.... f
............. · ..~..~.h..l~. ........... '-~13~.b'ldw~.[ ........................ being duly sworn, d~oses and says t~t he is the applican,
(Name of individual signing c~tra~
above name.
He is the ............................................ ~..~.~ ............................................... ; ..........................................................
(~ontmctor, og~t, co~orote officer, etc.)
of said owner or ~ners, ond is duly out~rized to ~rform or h~e perfo~ed the ~id work end to ~ke end file
this opplication; thet ell stotements cont~in~ in this opplication ore tree to the best of his knowledge end belief; end
tho~ the work will ~ performed in the menner set fodh in the epplicetion fil~ therein.
S~fore me this /
...... .............. C/l/
Nota~ Public, ...................... ~ll~ ..... ~.--~~~~.~~~ .................
, / (Sig~m of e~pl cent)
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YOUNG & YOUh
400 O~RA~DER AVENUE, RIVE~H
SURVEY FOR:
JOH/V G4BUS/
LAUREL
T O'6r I~ OF SOUTHOID