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Home My WebLink About8142-zFOlh~ NO. 4~ TOWN OF $OUTttOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy THIS CERTIFIES that the building located at . .)/.e.~.t.p..h.e..1.:~..R.o.~d. ........ Street Map No.. Xx ........ Block No... ~'~ ..... Lot No, XY~....t~ .t~.i. Iu..c¥...~;:?i.. ......... conforms substantially to the Application for Building Permit heretofore filed in this office dated ............ A~lg...]2., 19. ?.~. pursuant to which Building Permit No.. dated ............. ./~.u.g.. J. 2.., 19..7.~, was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is The certificate is issued to .A.~f.~.e..d..~.~ .C.,.1.a.~?.e...B.o.~..~.f.a.r.d. ....... ~.~../~p.p. ~.a.2:s..) ....... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .. ?~*.[[.(; ............................. UNDERWRITERS CERTIFICATE No... ~.2.~. ].~J'.~.~ .... .D.c..c..].7...~.9.?.~ .............. HOUSE NUMBER ... ~.~:~ ....... Street ...~es.lq~ha~i~. I~oad ..................... Building Inspector FOI~I NO. 2 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFIG~E SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 8142 Z Permission is hereby granted to: · ..A~..f.~-~ · ~ · ~.~.~e...~a~,a: .................. .......... 2a*,tL~e~.....N.rg, .................................. to ..... ~.~...R~...~X~].~;L~)...on'.:e;z~f~'l~. h~).. b~Js.~d~ ...................................... ................. (a~.p~.O.V. ed...b~...~l..Appsae, la.) ...................................................................................... nt premises ~ocated at ..~/.~.;T~el~%~-~a}.~..~oa~ ............................................................................ ....................................................... ~t~%'1~'f~'" 'If;Y; ...................................................................... pursuant to application dated ......................~.~r....1.~ ................. , 197~..., and approved by the Building Inspector. Fee $'~"*'00 ........... 1~0~1~ NO. $ TOWN OF SOUTHOLD , Building Deportment Town Clerks Office Soutl~old, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in DUPLICATE to the Building inspector with the following; for new buildings or new use: ]. Final survey of property with accurate Ioc(3tion of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final (3pprovol of Health Dept. of water supply and sewerage disposel--(S-0 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and Jnstoll(3tions, (3 certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Bo(3rd approval of completed site plan requirements where applicable. B. For existing buildings (prior to April ]957), Non-conforming uses, or buildings (3nd "pre-existing" lend uses: ]. Accurate survey.of property showing oil 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. D(3te of any housing code or safety inspection of buildings or premises, or other pertinent in- formation required to prep(3re (3 certificate. C. Fees: ]. Certifioate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or 1(3nd use $5.00 3. Copy of certificate of occupancy $].00 Date ..../' ~ ~..~. /~/../:..~.. '.,~...~. ' ....................... New BHilding ................ Addition ................ Old or Pre-existing Building ................ Vacant Land .............. Location Of Property .~../.~ W~.~..~,'I±~ ]~O~.C~s Me.~b'c±t~,¢].~.~ ~T. ¥. Owner Or Owners Of Property .~...~.~.e.~,...~....g.].~±.z'.e Subdivision ................................................................ Lot No ............. Block No ............. House No ............. Permit No..~.,Z.~2....~. ...... Date Of Permit .~./...~..2./..~...,Applicant .~.,~.,.z',~...e..~...~.....O.~..8,...~.~,~...~..o..~.t..~..~...~.~. ...... Health Dept. Approval ............................................ Labor Dept. Approval ................................................ Underwriters Approval .............................................. Planning Board Approval ........... ~ ....................... Request For Temporary Certificate ........................................ Finctl Certificate ............. ~. ...................... Fee Submitted $ .................................... Construction on above described building a~/p~mit meets all~4applicable codes and regulations. Sworn to before me this // ....... / day °f '-~' -~'-'''''~''.....~>:.~..-.-~..~'/ .... (stampor Notary Public ......... .~:~...:. .......... County THE NEW YORK BOARD OF FIRE UNDERWRITERS n~ I BUREAU OF ELECTRICITY f--- 85 JOHN STREET. NEW YORK, NEW'YORK 10038 THIS CERTIFIES THAT Brlden Machine Corp., Westphal~.a Rd., Mattftuck, L.I. ~,~fo~,,~,,~,,~i,,,,; ~] ~,.,~,,,~,~ ix] ~,r~. ~ ~,,,~ r~. outside s~,:t~,,, ~o,:~ wase,a,ninedon Dece~er 15, 1975 e,idfou,,dtobeinco,npli,.cewilhth~,requiret.enL~ofthisBo.rd. SYSTEMS NO. OF FEET E 1 OTHER APPARATUS: ~anelboard/s: l~lclr ~00amp,._l-15clr 125amp. Fulmaees, Oil. 1-1/8, 1-1?~4hpo Bo× 802 Maple Lane L. , GENERAL MANAGEI~ y ~ Mattituck, L.I. 11952 D (/Pl./~ Per This certificate must not be altered in any maimer; return to the office o~ the Board if incorrect inspectors may be iden*ified by tl~;iF credenhals. ~d TOWN OF SOUTHOLD ~//~ ~ .~ BUILDING DEPARTMENT ~/~r~'~/ ~/ TOWN CLERK'S OFFIC~~ SOUTHOLD, N.Y. ~/ ~/'T~ Approved ............. ~} ......................... , 1~./..~. Permit No..~.L....~.....~............~ .....~ DisQpproved e/c ...~ ............... ~ ............................................................. ~ .... ............................. . , ., _, .... .............................. ~ r APPLICATION FOR BUILDING PERMIT INSTRUCTIONS o. This application must be completely filled in by typewriter o¢ in ink ~nd submitted Inspector, with 3 sets of plans, accurate plot plan to ~le. Fee eccording to schedule. b. Plot plan showing location of lot ~nd of buildings on premises, relationship to adjoining premises or public streets areas, and giving e detailed description of I~yout ofproperty must be drown on the diagram which is part of this ~pplicotion. c. The work covered by this ~pplicotion may not be commenced before issuance o~ Building Permit. d. Upon approval of ~his ~pplication, the Building Inspector will issue ~ Building Permit to the ~pplicont. Such permit shall be kept on the premises available for inspection throughout t~e work. e. No building shell be occupied or used in whole or in p~rt for any purpose whotever until ~ Certificate o¢ Occupancy shall hove been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Depertment for the issuance of Building Zone Ordinance of the Town of 5outhold, Suffolk County, New York, and other applicable Lews, Ordinences or Regulations, ~or the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with o~1 applicable lows, ordinances, building code, housing code, end regubtions, end to ~dmit euthorized inspectors on premises and in buildings for n~essa~ inspections. ...... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises .~.?..~....~,.:.....~...~,~.,~.,;[:.~...~...~?..~.,~.,~...~....~. .................................................................................. If ap ' o t is a car rote, ' oture ~ r'z officer. .......... Plumber's License No ................................................. Electrician's License No ............................................. ~ Other Trode's License No ............................................... V ~" 1 Location of land on whJch proposed work will be done· Map No,: ........... ./~....~. ...................... Lot No..~.....~.. ................ · _ .... 645 ~e~'bLoY~1:l,a Roaa, ~,~¢¢f~;,~ek, ~ Y. 11952 Street OhO iNumoer ............................................... , ......................... ~ ........................................................................ Municipality 2. State existing use and occupancy of pr~ises and intended use and~ o,cc~oncy of proposed construction: a. Exisiting use and occupancy ....... ,~.***.~~ ...................... .'f ............... ~' .............................................. b. Intended use and occupancy ........................!..l .......................... !../. ...... ./.....~L~,-- .......................... 11'). 12. Nature of work (check which applicable): New Building .................. Addition ........... Alteration .................. Repair .................. Removal .................. Demolition .................... Other Work .................................................... Estimated o Fee ~ ~ ~ (Description) c st ................................................ .................. If dwelling, number of dwelling units ............................ 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 ex st ng structures, if any: Front ..~0.~. ................... Rear ...~lO.? ...................... Depth t~.~.I. .............. Height .....]:{~.r,' ......... Number of Stories ....]; ........................................................................................................... Dimensions of same structure with alterations or additions: Front ..... ~.0..t. ........................ Rear ~0! Depth ....~0.l.~ .................... Height ......'1..6.1.~ .............. Number of Stories ..'ll~ ......................... 8. Dimensions of entire new construction: Front .................................... Rear ..,~.0.?. ................... Depth ...~..0..t. ................ Height ..~2, l, .......... Number of Stories ......... "]'I~ ................................................................... ~ ................................ 9.Size of lot: Front ,/~ ........... :2 ................................ Rear ...¢~,0~ ........................... Depth ................................ Date of Purchase :.~. ............................... Name of Former Owner .~.~...~.~....~........~.~...1~....~.~ ............... Zone or use district Jn which premises are situated ..................................................................................................... Does proposed construction violate any zoning law, ordinance or regulation: ....~..~..~ .............................................. 13. Will lot be regraded'. ........................... Will excess fill be removed from premises: (][)~es~ '( ..~...,..~...~.~.~ 14. Name of Owner of premises ",~'i'~l~'l~&'~ ......................... . Address ]~IZ...~, ...............Phone No ................ Name of Architect "~j$O~."~Ol~II~,~' .......................... Address f~.~c~...~:~.~,$ .i ~'"~ No ...................... Name of Contractor ............................................................ 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'~'ORK, - % '(~ ~ COUNTY OF ..~ ....... ~., ........ p......~'~ ..................~(~e~i~i~ng"'" ~ ..... c~roc~'...~ ................ being above named. duly sworn, deposes and says that he is the applicant ~oCntractor, agent~orporate 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 contoJned 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 No. 52-8125551, St~ff~lk County / Term Expires March 3Or 19"~_Z,' -- APPROVI=D AS NOTED LEON ROSENTHAL A'~ , A RGHITIKdlit 8~9 SUNRI$£ HIGHWAY BABYLON. N. Y. MOHAWK 1-~O .¸4 LEON ROSENTHAL I~lllg SUNRISE HIGHWAy, BABYLON. N. Y, MOHAWK 1-3530 ' LEON rOSENTHAL ~t~ SUNRISE HIGHWAY BABYLON. N. Y. f 7,, .,/ LEON ROSENTHAL 859 SUNRISE: H_IGHWAy BABYLON. N. Y. MO~4,~w~, I~;3.530 % ,~...: