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Home My WebLink About8731-zFO]g~l BIO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occ'up.ncy No. ~. ??.~.0. i ..... Date ............. ~.~rA~... j 0. ..... , 19 .~.~.. THIS CERTIFIES that the building located at .l~.lke. &. Wickham .Ave ...... Street Map No .... X..X .......Block No...~.. ...... Lot No, ~r,x.. Matti.~ck...l~,~f.~ .......... conforms substantially to the Application for Building Permit heretofore filed in this office dated ........... 0'l~y.. J~., 19. ?.~. pursuant lo which Building Permit No..873.1.Z. dated ............ .,T.u.],.y. · .1.~., 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 . P~.iva£e. swimming .pool .gi.+A~. £ence..&. Ac.cgsso~yz ................. The certificate is issued to . .D.a.v.~d.. ~ '.~.~..r.b.r.a...~..~h..i~.~. ...... . .~.~..e.r.z.. ............. (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval~.l' .................................. UNDERWRITERS CERTIFICATE No. ~3~9~.2~ ....... ~Y.. ~.., J.9.~.? ............. HOUSE NUMBER .... ~.2.~. ...... Street . ~/.i.~..k.lj~...m....A.v.e. ...... ~Ii~J;~;i~;.~o.k ........ ~03~ Pike Street u mg nspector ~ BUfl. B~N~ DE~ARTMm~T SOUTHOLD, K. Y. ~UILDIHG PEIMIT · fl'HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMP~I~ Of: THE WORK AUTHORIZED) 'N? 8731 z Date .......................... ~T.13~. .......... t~ ...... 19..i~. Permission is hereby granted to: ................. JM~t,:Lt,~l[ ......................................... pursuant to application dated ............................. ..J...~......1.,~....'..., 192§... and approved by t~e ]lO~t cheek pZot plan d~u~ens:~on8 Building Impector. 1~.00 F~e $.: ...................... THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY V cms ES JOHN STREET, NEW YORK, NEW YORK 10038 ,,.,.~ ~a:~ 27, z977 ."pp,,c.t,on~'o.o./,,e S69025 N 339422 THIS CERTIFIES THAT ~ ~r, David Tuthill~ co:~ne~/of Pl~e & ~ICkham~ MagtltUck, in the follow;ng location; [] Basement [] Ist FL [] 2nd FI. outside Section RIo~k Lot wa~ examined on and found to be in compliance with the requirements of this Board. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS rECEPTACLE.4 SWITCHES SYSTEMS ..... 1 20 Pane!board/s: !-2eir.70amps. (Swimming Pool) This certificate covers compliance at the date of inspection only. Because of unusual envirorm~ents it is advisable to have frequent test and/or repairs made by a qualified person. AMOUNT Mattltuck~ L.I. 11952 hic. #756-E THIS iS YOUR MU. FOR~RVICE RENDERED AND IS NOT A CERTIFICATE OF COMPUANCE. THIS BILL PA~'A~E AT THE NEW YORK TOWR O~ $O~THOLD , Building Departmeht~ Town Clerks Office Southoid, H. Y. 1197T instructions /~ ~ / Inspector with the following; for new buildings or new us~: 1. Final suwey of property with accurate [~etion of aH~uildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposals(S-9 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 ~equirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" 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 pe~inent in- formation required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existi~ dwelling or land use $5.00 3. Copy of certificate of ~cupancy $1.00 ~ew Buildin~ ................ Addition ....~[ ......... Old or Pre-~xistin~ Buildin0 .........J~.... Vec~nt k, nd .............. Subdivision .... : .................... ~. .................................... Lot No ............ ~Block No ............. House No ............. Health Dept. Approval ......... ~ .................... Labor ~pt. Approval ......... ~ ...................................... Underwriters Approval .... ~~ ................... Planning B~rd Approval ....... Request For Tempora~ Ce~ificate ........................................ ~in~ Certificate .......................................... ~Oo Fee Submitted $ ........ ~ ............. Construction on above described building and .permaCal, oil o licab c and regulations. Examined .............. k ....... Approved .... ~ ........~....'...... J...~.l......, TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. APPLICATION FOR BUILDING PERMIT I INSTRUCTIONS (/ J a. This applica~ion musJ ~ completely ~iJied in by ~ypewri~er o~ in ink and submitted in ~riplica~e ~o ~e Building~ Inspector, with 3 sets of plans, accurate plat plan ~o ~ale. Fee according t~ schedule. b. Plot plan showing location of lot and of buildings on premises, relatlo~ship to adjoining premises or public streets areas, and giving a detail~ description of layout ofproper~ must be drawn on the diagram which is part of this application. c. The work covered by ~his application may not be commenced befor~issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a~ Building Permit to the applicant. Such permi~ 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 whate~er until a Ce~JfJca~ of ~cupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the i:ssuance 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 f~)r removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, I~u(Idir~g code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. ~ ""¥~ ~LSL~'~'"'/' ~'~"~ ~' ~Plicont,'C~:~'~":~'?;;:': ............................ (Signature of or name, Jf a corporation) ..... / ................ (Addross o{ applicont) ~ (Name and title of corporate officer) Builder's License No. ~ ....~.. 090~'~ Plumber's License No ................................................. State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owr~r of premises ..... r.%.?......~..; ...... : ................ ~:.L...:.'~ .......................... ~ .................................................................... If applicant is a corporate, signature of duly authorized officer. ~ Electrician's License No. ..;~ ........................................ Other Trade's License No ........ Location of land on which prgposed ,work,.~ill be don,~. ~Aap No.: .~ ................... ;~.::, ......... ~Lo~Lo No.q ....................... Municipality State existing use and occupancy of premises and intended use andoccupancy of proposed construction: 3. Nature of work (check which applicable): New Building,. ................. Addition ........ ./? ....... Alteration ............... Repair .................. Removal .................. Demolition .................... Other Work ...~.'~..~....~n..:.~...C~...'~.. .................... (Description) 4. Estimated Cost ........~.,/.~.z~./.!...... ................................... Fee (to be paid on filing this application) 5. If dwelling, number of dwelling units .......... /. ................ Numbcr of dwelling units on each floor ............................ If garage, number o;: 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 ................................ ' / ~ ,3 ,;L~ ... Depth '~ 8. Dimensions of entire new construction: Front .................................... Rear ................................................. Height .................... Number of Stories ..................................................................................................................... 9. Size of lot: Front ................~.~ .................................. Rear ................ ~'~ Depth ,/'5~'~ 10. Date of Purchase ............... ].~..~.~;. ............................ Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated ..................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ..... ~'..~..."~.....[ ....................................... 13. Will lot be regraded. ............ ~-k~__ -,~ ,, ,--~ ,-r~,~ ,~, ~:: ............. ~/ill excess fill ~e removed from premises: ( ) Yes( ) No 14. Name of Owner of premises ...~..~.~...~..'.~.~..~.~.~..~dress~..~-~'..~,., .~..~.. Phone Name of Architect ..... ~.~ .............. ^.......,~ ........ ~, ............... Address .............................. Phone No ....................... Name of Contractor ,~.~. -~r...0~...~.~.~.~...~. :.~...~....;. ........ Addressl/.~.g~...¢..~.~..~...~¥.~.~...~... Phone No.~.~.~. :.~. ~,,,/,,P,,, ' ~/\_ ~ PLOT DIAGRA~ L.ocote clearly and distinctly oll buildings, whether existing or proposed, and indicate oll set-bock dimensions frorn 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~YO~ ~ COUNTY OF ....... ........... .~...~...c~. .......... .%~.~'..<~..~tn.e,.d/-.~x')Z¢ ............................ being duly sworn, deposes and soys that he is the opplicom (Nome of individual signing 66ntracf) above named. He is the ........................................ ~'"~'"'~"~'~1~ ...................... ¥¢i"~'r""'~'"" ............................................................... (Contractor, agent, corporate o 'c , e c4 of said owner or owners, and is duly authorized to perform or hove performed the said work and to make and file this app cation; that all statements contained in this app ication are true to the best o~( his knowledge and belief; and tho~ 'the work will be performed in the manner set forth in the application filed therewith,' Sworn to before me this ....... day of .................... ....... Noto Pub,c, ......................... ...................... NEVILL[ / ~OTARY PUBLIC, State of ~ew ¥o~ ' No. 52,8125850, Suffolk Term Expires M~rch 30,