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Home My WebLink About8398-zTOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. ~.72.1~8 ...... Date .......... 8ept; .... 23..-, 19. ~6 THIS CERTIFIES that the building located at tf/ft~. Hox, t;on .I, ane ......... Street Map No. ;z~ ...... Block No .... x~: · · · Lot No, x~:~. · 801~1;i~ol¢1 ................ conforms substantially to the Application for Building Permit heretofore filed in this office dated ............. Nar. · ~ 19.~/~. pursuant to which Building Permit No .... 8398Z dated ........ 14a~,. · . ~. , 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 .. Pr~L,~at;e..olle./'amll,~r .cl~,~],l_~_t~t~ ................................... The certLficate is issued to . .(~a~ .l~ill-t, erz ....... Owrte~' ......................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval 'A~g 1'9" .~)76 · 'by R'~ .¥~L'~.~ .... UNDERWRITERS CERTIFICATE No..1i296c).11~. · · Aug. 5:"1 ~}~6 .................. HOUSE NUMBER .. . (~5~0... Street .. Ho~.t~oa. T,~e ........................... .......... B,,ilding Inspector FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT CI-HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No. 8398 Z Permission is hereby granted to: .............. :~.-'.-::.~11.~.. .......................... premises located ......... : ........... r~u~nt to o hcahon"-~' dated ............................ ~,~,~, ~ ....... ~ ~ ........... ~. ~ '~-~ ' ......... · 9.- ., ' and appmv~ by the .- , , .~ .. - ~. ,~ ~. ,-.-., ...... ,.., ............ , .......... ,....,.,..,....: ........ THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY I 2'1-r 85 JOHN STREET, NEW YORK, NEW YORK 10038 o.,, August S 1976 ~ppn~.,Zo.~o.o.~',z. 85:5494 N 296914 THIS CERTIFIES'THAT ~ only the electrical equipment ~ de~c~bed below and introduced by t~ applicant named on the a~ve oppl~catlon number ia the premt~e gary Winters. e/s Hutton Lane opp. 3ennings Rd.. Sou~hold. L.I. ~.,;,,.~,,v,,.,.~t,,~.,~o., ~.~,,,.o., ~ ~,r~. ~d r~ outside s~,~o, m~ ro~ ,,, ,.~.,,,,.,.d o. July 29, 19 7~ and found ~o be in compliance ~c~th the reqairetnents of thl, Board. 27 41 21 27 J~____D~¥ERS J FURNACE MOTORS .fUTURE APPLIANCE FEEDERS SPECIAL RECeiPT_ ~ SERV~C~SCONNECT J NO o~ ~ S E R V j~ OTHER APPARATUS'' J~ ps~e[boa~d/s: [-Sc[T ZOOsmg., COoKiNG DECKS OVENS DISH WASHERS EXHAUST Ruland Elec. Co. P.O. Box 14:5 Hattituck, L.I. 11952 GENERAL MANAGER Th,s certifJcaSe must nat be altered m any manner, return to the office of the Board ~f incorrect Inspectors may be identJted by their crede BUILDIN~ DIFAItTMINT ~ ,, ,~plication No. ................................ ,~r~ ................. ~.~ ....... /.. .......... . Disapproved a/c ............................................................. ............................................................................................. ................................ ............. _. b. ~1~ ~ · . ~o ~ildl~ 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, Now York, and other applicable I.a~, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or. clemolitlon, m herein described. The applicant agrees to comply with all applicable laws, ordinances, bullding code, housfng code, and regulatlorm, and to admit authorized inspectors on premises and In buildings for neces~a~}~ Inspections. ~_ ~r,~ Z,'~-~c,~Z ~'-/d:~¢4. /x.2 ~' .(~ ~ .L.. ' ...................... ~'4.,4~,x~4~) ~/,,/,~Z 4 ,4~// J"Y~,~ (Signature of applicant, or name, if a co~oratlon) ~'~y ~'-~ ~J-~, ........... ~.~.~.o..~.~. .............. .LL~..~/. ..................................... (Address of applicant) State whether applicant is owner, lessee, agent, amhitect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ...... ..G.~.~.~.......~..~...~..I~.~.~..~. .............................................................................................................. If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ..................................................... Plumber's License No ...... .o...l~.....e...~. ............................... Electrician's License No. Other Trade's License No ............................................... ~Z 1. Location of land on which proposed work will be done. Map No.: ............. ~ ...................... Lot No. ...... i ................. Street and Number ,,~.L.~......,~,.o,?,.~,.,o,~..,,~, ~,,~. ......... .~A'I~i,Q~, ............................................................................... ~Y~nl~li~/ 2. State existing use and occupancy of premises and intended use and occupancy of prapasecl construction: a. Exisiting use and occupancy ..... .?..8:.~..~..~.~. .............................................................................................................. b. Intended use and occupancy ....... ~e...,e&l~]..~..d#e.]..l..~jl~. .......................................................................... 3. Nature of work (check which applicable): New Building.....~ ...... Addition .................. Alteration ................ Repair .................. Removal .................. Demolition. ................... Other Work ..................................................... (Description) 4. Estimated Cost .......................... ~01~0~...'~. .............. Fee .......... ~'~]i~"~'~"~'iii'~"~'t~i~"~i~;i~i .................. 5. If dwelling, number of dwelling units .......... .O...~... ........... Number of dwelling units on each floor ............................ If garage, number of cars ..... .~.~.Q ................................................................................................................................ 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 ................................ 8. Dimensions of entire new construction: Front ....... ~ ........................ Rear ........ ~).~J ............... Depth ...~.~.~.., ..... Height .................... Number of Stories ....o...~..e.. ........................................................................................................... 9. Size of lot: Front ..... ........................................... Rear .....1~.~. .............................. Depth ...... .~O~)~. ................ 10L Date of Purchase ........................................................ Name of Former Owner ........................................................ 11. Zone or use district in which premises ore situated ..~..~.s...(J~J,s.t, ............................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ........ ~Q ........................................... 13. Will lot be regraded .....~1 .................. Will excess fill be removed from premises: ( ) Yes ( ) No 14. Name of Owner of premises ....~...~.~f~.J~ .................... Address. .~..0~. ~..ho..~...~... Phone No. Name of Architect .............................................................. Address ................................ Phone No ....................... Name of Contractor o~r~er/ builder Address same 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. filed plans STATE OF NEWaY.~I~i~,.~ ~. ~ ¢ ~ COUNTY OF .....~...u~...~.~....~.. ............ ~.~ ._ ................................ ..G..~.?.~'.......~...J...~..t...e.?...~. ................................. being duly sworn, deposes and says that he is the opplicam (Name of individual signing controcf) above named. He is the .............. ~i....~.e...~.....-....b..¥-..~-..]=..~..~?.. ........................................................................................................................ (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 Jn this application are true to the best of his knowledge and belief; and thor the work will be performed in the manner set forth in the application filed therewith. Swom tobeforemethis~7 ~ ~'/.--~-~j ~ ~ Z~,~..~ .................... !... of ..... .......... , o JUDITH T. BOKEN (Signature of applicant) Notary Public, Stale of New Yo~ ~',~o. ~-0344963 Suffolk County r" ~,mi~:on Expires March 30, 19~ I k i t ¢. 1t°' /'dAF' OF' F"~OI:~ERTY A t~ Y W/N TE,~,5 OWNERS. ,.% 47"D7' Z.,2"~: ,...qOUTHOLD Services The sewags disposal and water supply facilit~eq for this location have been InSpected by this department and found ('V~¢~ En3inesring / t~AP OF'