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Home My WebLink About8453-zTOWN OF SOUTHOLD BUILDING DEPAHTMENT Town Clerk's Office Sou~old, N. Y. Certificate Of Occupancy Nd. Z71.1.9 ....... Date ............ July .... 6 ...., 19. THIS CERTIFIES that the building located at E/S .Harbor Lane .......... Street Map No. xx ......... Block No.. xx .... Lot No.. Ir · .Cu~tchogue.. N.o.Y., ......... conforms substantially to the Application for Building Permit heretofore filed in this office dated .......... Ma.r.. 29, 19.7.6.. pursuant to which Building Permit No. 8~.~3Z.. dated ........ A.p.r..l.1 ... 5.., 1~.6.., was issued, and conforms to all of the reqvJre- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is ...P.ti. va.$,e..q,n,e..~ .a.~z. ~.1~ ,d, l~',e.l.~,~g .................................... The certificate is issued to Alfred .Towle . O~er .............................. of the aforesaid building. Suffolk County Department of Health Approval (owner, lessee or tenant) July. 6.~976..by R.. ~ilia.-. UNDERWRITERS CERTIFICATE No. N289703 ..... J~me. 23 · ~9.7.6 ................ HOUSE NUMBER · · i O? ~. - Street . . · tte~bor. -I~a~e ...... Guteh~g~le ........ ...... B~hi~g I~e~(o;'' FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N~. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PP, EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 2 N? 8t53 Z (o .o?p{icotion doted ~, ~uild~i~g_ Inspector. BuildJn~in~.spect~Jr _ Permission is hereby granted to: ........ llox..F, ...... .,I.a~eap,~. ........................... ~o .~...~...~n.~..~.~..~l~!~g ..... ):~, ........................................................................... .,.:....:...., ................................... ~~....~.,x., ................................... ~ .................. ~...,? ............. 19. ,, and oppmv~ by th~ , THE [-- dl ,~ O. te June 23/ THIS CERTIFIES THAT NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 1976 .-,Ir, pIice.,:,,,~'o, on.f,l,~ 850230 N 289703 only the electrical equipment a~, described below and introduced by the applicant r*,amed o~ ¢he above applica¢~ n~mber ~n ¢~ premises of ~l-~owle, ~e/s' Harbor Read before Briarwood Road, Cu~chogue~ L.I. ,.~/o~o~m~o~tlo.;' , ~ ~,.~.~ ~ ~tr~. ~ 2.d r~. outside s~io. ~o~ rot uas examined on ' June 17, 1976, andfoundtobeincompliancewiththerequirementsofthtsBoard FIXTURE I FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS OUTLETS SWITCHES INCANDE~ENT 27 36 27 27 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS ; SYSTEMS NO OF FEET SERVICE DISCONNECT OTHER APPARATUS N~otor/s: I-3/4hp , I GFI S E R V I C E 2 AWG Robert A. Goodale RRI, Box 15a Main Rd. GENERAL Mattituck, L.I. ll952 Lic 783 D Per Th~s certificate must not bo altered in any manner, return to the office of the Board if ~ncorrect Inspectors may be ~denhfled by INSTRUCTIONS a. This application must be completely filled in by typewriter o~ in ink and submitted in triplicate to the Building .-~ Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot p. la.n showing, location of lot and of buildings on premises, relationship to adjoining, premises or public streets or ~ areas, and gwmg a detaded description of layout ofpraperty muSt be drawn on the diagram which is part of this application. c. The work covered by this application may nat 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. '19 e. No building shall be occupied or used in whole or in part 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 o 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 to ' admit authorized inspectors on premises and in buildings for necessary inspections. (Signature of applicant, or name, if a corporation) (Address of applrcant) State whether .applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .. ....... ............................................................................................................................................................... Name of owner of premises ...~d~[~I...~.~.M~.~I~.I~ ................................................................................................... orporate, signature of duly authorized officer. and title of corporate officer) Builder's License No ......... .L~ ...................................... 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 .... ~L~lldO~....~.(%~.l~.~ ....... .~I~.~.IL~ILO.41¥~. ........................................................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: Exisiting use and occupancy ................................................................................................................................. Intended use and occupancy ......... .~.I~.~L... S. ...~.m.~,. .................................................... 3. Nature of work (check which applicable): New Building......~ .... Addition .................. Alteration ................ Repair .................. Removal .................. Demolition .................... Other Work ..................................................... (Description) (to be paid on filing this application) 5. If dwelling, number of dwelling units ....... .I. ................... 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 ................................ ~ 8. Dimensions of entire new construction: Front ...... ..(IR...~.e. .................... Rear ..... .~'.~1.t. ............. Depth .....~...~ ............ Height ....I...~ .......... Number of Stories ................................................ .; ...................................................... : ............. 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated ....~...~.~lh~..l~l~.~.%.~.~ ............................................................ 12. Does proposed construction violate any zoning law, ordinance or regulation: ........................................................ 13. Will lot be regraded ..... .~..~'.~ .......... Will excess fill be removed from premises: ( ) Yes (~J' No 14. Nome of Owner of premises ...~,.~..ll~.{~...~...1~1~ ..... Address ................................ 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. STATE OF NEW YORK, [ ¢ ¢ COUNTY OF ................................ ~"~ ................................................................................................. being duly sworn, deposes and says that he is the applicam (Name of individual signing contracf) above named. He is the: ................................................................................................................................................................................ (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 in this application are true to the best of his knowledge and belief; and tha~ the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ........................ day of ............................................ , ~9 ........ Notary Public, . ................................................... Counfy (Signature of applicant) 107 Z o ?_..-(.~ OF s:,_u. T~o_,.__.u, .Lq._y ~ (:','), 120N -CESSPOOL. ~ VFgkL ~ ~HOGLJ~ ,~CALE-50'=i" ~, ~RON PiPE AMEI4DED L_ L '0 4 LO INSPECTIONS: 'IIGN OR START FRAMING 2. BEFORE COVERING PIPELINE 4"0 ._ Ii