HomeMy WebLinkAbout8402-zFOB,M NO. ·
TOWN OF SOUTHOLD
BUH,DIN(; DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupnncy
No. ~.7.792 ...... Date .............J~X... 26 .... ,1g.77.
THIS CERTIFIES that the building located at ....~(,(.S. ~..a~..e..Ct. ..~..L.a.k..e..D.~Street
Map NO..xx ......... Block No.. ~X ......Lot No, xx .... Sou. tho,.d...]~,~a ..........
conforms substantially to the Application for Building Permit heretofore filed in this office
dated ..............Feb .. 27, 19.7.6. pursuant to which Building Permit No.
dated ...........2vlar...3 .... , 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 . .PrXvate..one. £z~al~.~..dwe3~Ang ......................................
The certificate is issued to . .J.a.~.e.s..P. ;. ~e.o. ......... .0~.. e.r. ..........................
(owner, lessee or tenant )
of the aforesaid building.
Suffolk County Department of He~th Approval .... May.. 10...197.7...bY. ~ ,. ¥illa.
UNDERWRITERS CERTIFICATE No.N~ .0~+.. 70 .... $.ep.t .22...197.6. .................
HOUSE NUMBER .... ~9~ ~. ..... Street...Lake .Drive ........... $o~thol~ ......
Building Inspecto~
FORM NO. 2
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN ,CLERK'S OFFICE
SOUTHOLD, N. Y.
BUILDING PERMIT
Ci'HIS PERM|T MUST BE KEPT ON THE PP, EMISES UNTIL FULL
cOMPLETIQN OF THE WORK AUTHORIZED)
8402 Z
~ ~OZ-,
TE:L..7 6 5-:Zr4r~
TOWN I-IF SOUTHOLD
OFFIOE DF BUILDING INSPEOTOE
TOWN I~.LERK'S OFFIOE
EiOUTHOLD, N. Y. 119'71
77'
L.
FORM NO. 5 ·
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD', N. Y.
ORDER TO REMEDY VIOL~ATION
(address of owner or o~x'~orized agent of owner) ~'
PLEASE TAKE NOTICE there exists a violation of
Zoning Ordinance
Date
.~ ,~ ~ / ~ate character of violation)
.....
(State section or paragraph of applicable law, ordinance or regulation)
YOU ARE THEREFORE DIRECTED AND ORDERED to comp~w~th.the law and to rej~edy the
cond,tions abov/e mentioned forthwith on or before the .... ..~.~:~....'/~/~ .~ .......
day of ............................ , 19,Z'....7.
The prf~m~ses to w~ich this .~)..~DER T.O REM/~DY VIOLATION refers are situated at
Failure to remedy the conditions aforesaid and to comply with the applicable provisions of law
may constitute an offense punishable by fine or impnsonment or both.
Building Inspector
THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
dl 85 JOHN STREET, NEW YORK, NEW YORK 10038
~ot. September 22, 1976 .~.~,ii~.,ion~o. on~'.. 87~2h6 N 304470
'HIS CERTIFIES THAT
only t~ electrical equipment ~ ~cribed below a~ intr~uced by t~ applicant ~med on the a~ve application number in t~ premises of
J~es ~eo, s/s Lake Dv~ve ~00~ w/o Lake Cou~t, ~outhold, L.I.
~.t~./...~.~o~.~o~; ~.,~.,~.t ~,~r~ ~ ~.d rt. outside s~o. ~ ~
~...m~.~do. September 20, 1976 and yound to be ta compliance with the requlrements of th,s Board.
FIXTURE ~ J I FIXTURES J RANGES JCOOKING DECKS'] OVENS [DISH WASHERS J EXHAUST FANS
.OUTLETS ~EC~PTAC~S SWITCHES INCAND~SCENT~ ~LU~E~ENT ~ ~1 ~ W ~ ~T ~ ~ W ~T KW ~T K W ~ ~1 H P
: DRYERS ~ FURNACE MOTOR~ I FUTURE APPLIANCE FEEDERS SPECIALREC'~T~ IIMECLOCKS ~ BELL ~UNITHEATERS MULI- ~ DIMMERS
~, KW OIL HP GAS HP j ~T NO ,WG~ ~T ~PJ~T~,s TRANS ~T HP N~Y ~'~E, ~T WATTS
2 F
SERVICE DISCONNECT JNO. OF J S - ~ E R -- V I C E
METER NO OF CC COND A W G G A W O NO NEUTRALS A W G
~T ~P ~PE EQUIP l~2W l~3w 3~3w 3~4W PERK OF CC COND NO OF HILE OF HILEG ~ ~ NEUTRA[
OB ~ Z Z/O Z Z/O
OTHER APPARATUS:
Motor/s: l~/Bhp
'
b. Plot plan showing location of l'ot and of buildings on premises,-relationship to adjoining premises or public streets o~
areas, and giving a detailed description of layout ofproperty must be drawn on the diagram which is port 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 port 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 tog~a.
admit authorized inspectors on premises and in buildings fo necessary inspections.
~/(^ddress~of ppp~rcant)
- ,.~ /o~LOOor
/ i builder.
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or
.............. ............................................................................................................................
Name of owner of prem,ses .............................................................................. ......................
If applicant is a corporate, signature of duly authorized officer.
(Name and title of corporate officer)
Builder's License No .....................................................
Plumber's License No. ~.~...~'..~./...~..~..(~..
EI,trician's License No,,~Z~..~~
Other Trade's License No ...............................................
Location of land on whicJa preposed wjar~will be<lone. M~p No.: ......................................... Lot No .........................
Street and Number .~.4~.~,/~.....~..~..~.~..~.i~lr.~,/~.....~z~
~11~
State existing use and ~cu~n~ of premise~ and ,mende~ use and ~cu~ncy of pr~ c~i~:
a. ~isiting use a~ ~cupancy ......... ~ ................ }.~ .....................................................................................
b~
'~Noture of work (cheCk which applicable): New Building.. ......... Addition .................. Alteration .............. ~.~
Repair .................. Removal .................. Demolition .................... Other Work .....................................................
..~..~ ~_.~0 ~'~--/~)~/'-~ ~,~O~ (D~ription)~
4. ~tJ~ted Cost .~.~..~ ............................. Fee .............
(to be paid on filing this application)
5. If dwelling~ number of dwelling units .~ ............ Number of dwelling units on each flor .~ ...........
If garage, number of ~ ..~ ............................................................................................................................
6. If busine~, commercial or mix~ occupancy, speci~ nature and extent of each ~pe of u~ ............................
7. Dimensions of existing structures, if any: Front .......~ ..............Rear .......... ~ ................ Depth .~ ...........
Height ...... ~ .......... Nu~er of Stori~ .......................................... ~ ..................................................
Dimensions of same structure with alterations or additions: Front ...~ ............... Rear ..~...: .................
Depth ........ ~ ................. Height .............. : ............. Number of Stories ...............................
8. D,mensions of entire n~ construction Front .~...~.~ .................. R~or .~..~. ....... D~pt~.~....
.~i0ht ~.}..~ ..... Uumber o* Stori** ..O~ .....................................................................................................
10. Doto of Purcho~ ..... ~:'~'"7~ ................... ~ome o* Former ~n~r ..~.;~~~'"'"'
1 ]. Zon* or use district in which premis~ or* situot~d .....................................................................................................
12. Doe* proposed construction~viol~t~ ony *onln~ law, ordinonce or re0ulation: .... ~ ...................... ~ .................
13. Will lot ~ m0rad~ ..~, ........... Will ~xc~s fill be remov~ fr~ pmmis~: { ) Y~ (~ ~o
s, o o, ........ ....................................... .................. ....... ...............
~..
S~mo o{ Controctor ...... ~.~..,..~ ..................... A~r*~ ................................ ~h~ ~o .......................
PLOT DIAG~M
Locate clearly and distinctly ~[I buildings, whether existing or proposed, ~nd indicate all set~k dimensions from
pmpe~ lines. Give street and bl~k number or description according to de~, and show ~reet names and indicate
whether interior or corner lot.
~....~[/~..........~..~..~ ................................ being duly sworn, deposes and says t~t he is the appliconl
~-' (Nome~iv[dual signing controc~
of said owner or owners, and is duly authorized to perform or hove performed the said work and to ~ke and file
this application; that all statements contained in this application are tree to the best of his knowledge and belief; and
tha~ the work will ~ performed in the manner set fo~h in the application filed ther~ith.
Sworn to ~fom ~ this _ ~ ~ ~
19~.~..
~notur~ of
pOtAD
blOW OP. FOP. MEI~.LY
UT_MANN
CESSPOOL
· = 'i'EST 140L,I
./
MAP OF-LA"x!i.)
MADE FOil.
JAMES
MEO
5:xOUTHOLD
TOW.N. OF ,SOU~
TO AN UI~FI-LED"I'dAP OF' SOOTHO.LD
¢,,-
VAN T!J;YL~SON,