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Home My WebLink About8424-z1vO~1~ lqO~ 4 TOWN OF $OUTHOLD BUU,DING DEPARTM~,NT Town Clerk'~ Office $outhold, N. Y. Certificate Of Occupancy No.7-,7.278 ....... Date ............I)e.t, .... 6 ...... , lg. 76 THIS CERTIFIES that the building located at .. Orellaz'd. St. ............. Street Map No. xz ..........Block No. ~x .......Lot No.. x~ · · 0riemt .................... conforms substantially to the Application for Building Permit heretofore filed in ~i, office dated .............. Ma~... 12 19.76. pursuant to which Building Permit No. 8b~l+~.. dated ............Par...~S..-, 19.76., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which thL~ certificate is issued ~ . .Public. b.uildtn~. ~Mireb~uo~e ). w~tb~ a~ .add~t~ or~ ................. The certificate is issued to ...Orient. F£~e. D&strlct ............................. (o~mer, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval N.,&. ............................... UNDERWRITERS CERTIFICATE No.penC~ing ..................................... HOUSE NUMBER...1-7.0 ........ Street... 0rohard,..~treet ...................... ...... ...... I~0~ NO. ~ TOWN OF $O~THOLD BUILDING DEPARTMENT . TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUI LD~iNG PERMIT CIF~.I~S PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) ~.o 8~ z ~o,~ ..... ~.~....,...c.. ........... Permission is hereby grantediii.~...~~ito~' , · :' . .. a~t premise~/'lo~at~::l at ...~/..? ..... ~.~~ ..... ~ ........... : .......................... IPO~M NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved ................ , 19 ........ Permit No...8...~.~..~.~ ....................... Disapproved o/c ............................................................................................ Application No ....... .8...4..2...4. ................ APPLICATION FOR BUILDING PERMIT Date ......... .3./.~.2. .............................. , 19....?.~... INSTRUCTIONS o. This application must be completely ftlled in by typewriter or in ink and submitted in triplicate to the Buildin£ Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout ofproperty must be drawn on the d~agram which ~s part of this application. c. The work covered by th~s application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Budding Permit to the applicant. Such permii 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 whatever until a Certificate of Occupanc? 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 th~ Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances o, Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described The apphcant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and ti admit authorized inspectors on premises and in buildings for necessary inspections. (Signature of applicant, or name, if a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ............ P.13.~: ],~,e~' ............................................................................................................................................................... Nome of owner of premises ........... .O..z'...J:.e..~.~....~...~..~..e....D...J:..~...~... ........................................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ............5.5. .................................... 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.' ..................................... Lot No ........................ Street and Number ............... ..O..~...q.~..~.z:..d....~..t..z'...e..e...t.i....Ojq~i..f~.!:, ........................................................................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a Exisiting use and occupancy ............... ~..J:..~...e.....I:I..o..~...s..e ...................................................................................... b Intended use and occupancy ................................................." " "/'~...~ ......... ~/;2~..,' ~/.'~..~i ........................................... X 3. Nature of work (check which applicable) New Buiidmg ................. Addihon ................ Alteration ......... Repair ................. Removal ................ Demolmor. .............. (~ther Work ................................................ ~ ~ ~ (Descr,ption) 4. Estimated Cost ...........~.~ ~. . .3.. .0. .0. . ,. .0. . .0. ........................ Fee ...~.~.~~. .................................................... / (t? b,e~,a,d on filing this apphcatlon) 5. If dwelhng, number of dwelling umts ......................... Nu~er of dwelhng un,ts on each floor ......................... If garage, number of c~rs ................................................................................................................................. 6 If business, commercial or mixed occupancy, specify nature and extent of each type of use ........................ 7. D~mens~ons of existmg structures, if any Front ...~. ....... .~.0. ........ Rear ............ .~.0. ............... Depth .. 5.0..: ........ Height ........................ Number of Star,es ............................................................................................................ D,mensions of same structure with alterat,ons or addmons Front ............ zL0.~. ................ Rear ............. 40.:- Depth ................................ Height ........................ Number of Stor~es .............................. 8 D~mensions of entire new construchon. Front .................................... Rear ............................ Depth ............... Height ..5...0.: ........... Number of Stones ............. 2. ..................... 9. S,ze of lot' Front .............. 9.0...5.: ............................ Rear .................. 9~..~: ........... Depth ........... 94..: ............ 10. Date of Purchase ................................................... Name of Former Owner ...................................................... 11. Zone or use distr~ct in wh,ch premises are situated ........................................................................................ 12 Does proposed construchon violate any zoning law, ordmance or regulahon ...................................................... 13 W, II lot be regraded .......... ~C~ ............. Will excess fill be removed from premises: ( ) Yes (X) No 14. Name of Owner of premises Orient Fi4e Dist.Address ................................ Phone No. Orient Name of Arch,tect ................................................ Address ................................ Phone No ...................... Name of Contractor ........ .~..o.~.~....~.o..r.~...~..~.n ................. Address ........ .9..r..~.e.~ ......... Phone No. 323-242 PLOT DIAGRAM Locate clearly and d~stmcfly all bu~ldmgs, whether ex,stag or proposed, and re&cate all set-back dimensions fror property hnes Gwe street and block number or description accordmg to deed, and show street names and md~cat whether inter,or or corner lot STATE OF NEW YORK. COUNTY OF ........ .~..-q~.~.QT~ ....... f S ........ C~.R~'.I'$..~L....~C~]3~T,[~txl ....................................... bemg duly sworn, deposes and says that he is the appl~c~ (Name of indwidual signing contract) above named He Is t~)~.~...?...O..R....?..O..~.~.....~...O..R.~.~.~'.t.'.....B..O..]:...~.p...~..~.. .............................................................................................. (Contractor, agent, corporate officer, etc of so~d owner or owners, and ~s duty authorized to perform or have performed the sa~d work and to make and this application; that all statements contained tha~ the work wdl be performed in the manner set forth m the apphcation filed therewith Swam/ t~re me this ...... of ..... ....... , . ..................... .... ....... .................. ~IOTARY p~BttC, Sm~ of ~le~ Yor~