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Home My WebLink About8144-z~0~ NO. & TOWN OF SOUTHOLD BUILDi~qG DEPART~NT Town Clerk'e Office Southold, N. Y. Certificate Of Occupancy No. Z77~.7. ...... Date ............ J. ul~...28 ...... ,19.~. THIS CERTIFIES that the building locate~i at..~//S. Kennedy .Rd ........... Street Map No. I~z~eyl~ocl Block No ........... Lot No. ~. .... ~tho.2,d ..... ~q,X, ....... conforms substantially to the Application for Building Permit heretofore filed in this office dated ............. ~,tlg...~, 19.75. pursuant to which Building Permit No. dated .............A.uJf.. ~..., 197~.., wes issued, and conforms to all of the require- ments of the applicable provisions of the lawl The occupancy for which this certificate is issued is ....P.r~L.v~t.e. ~e.. ~a~L~Ly..ctwe~L~ .~L.th .acl~,tion ................... The certificate is issued to . .~,e.e .~. J~he3, .t~oodJt ................................ (owner, lessee or tenant ) of the aforesaid building. Suffolk County DePartment of Health Approval .I~,tLo. .............................. UNDERWRITERS CERTIFICATE No. N.~.t.(~ ........... P~. ~.~8 ................. HOUSE NUMBER .., ..... .~.2.(~.: Street ...... ~.e~r~ey. ~c~e~l ....................... \ FO~M NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON TH.E PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 81Z]~ Z Date .................. Permission is hereby granted to: ~// ~ / ~.~e...~oo~ ............................. ~ ......... ~....:. f .~, ':: !' ....... ~e~..~oe9 ....... ~ ~ :~ ~ ~¢ : :~ ~., : .... ............... ~~.....~ ................ ~ ........ ,o ..... " L] ................................................... at premises located at ....~.~:.~ ...... ~e~t)~ .......................................................................... ............................................... : ............ ~Z~...~-~ ............ ~Z~ ................................. ............. :,,-~ ....... ~,7~. ........................................................................ pursuant to application dated ...................... ~..~ ..................., 19.~..., and approved by the Building Inspector. Fee $.! .~.,*....0~.. ........... ' ' - Buildin~ In~ector ~ BUREAU OF ELECTRICITY ': 85 JOHN STREET New YORK 38, NEW YORK'. 1998 ., .H~teFebruary 18, N857518 ,4pplieatian No. 0-08~466 Edward. A. Lademman ~,. tn premUes 4- clarence Baker an~t Basement ,'1':'' fioorofNmW/Side O~ ~enneyt~ Rd. 500t No. 0f ': per application on file tn this office, ~d ~i~ing of; 8 15 : [ 7 8 ~o~' 9 60 Wa~t ,x.,s'~" or 011. Burners. 1-1/~.H~ HEATING APPARATUS ~ ~-~ - / - J I 3 Wire fi6 Service 6 Circuit Panel. was examined on date of ' Feb · 13, 1958 and found to be in compliance with the requirements of this Board as of this date, Edward A~ L~demman Jr. Electrlcal~ ~ontractor Box 648 .:. L~outhold, ~.I.N.Y. _j Per / L'F TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ............ ............... u..iZ. .................. Disapproved o/c APPLICATION FOR BUILDING PERMIT Date ......... i .......... ~' ............ L.. ....... INSTRUCTIONS a. This application must be completely filled in by typewriteF o~ in ink and submitted in triplicate to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee accenting 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 of property must be drawn on the diagram which is part 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 o 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 hove 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, os herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorlzed inspectors on premises and in buildings for necessary inspections. (Signature of applicant, or nome, if a corporation) ~ ................... d ............. .............................................. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. If applicant is a corporate, signature of duly authorized officer. (Name a, nd title of corporate officer) Builder's License No. ~.A..~----- Plumber's License No ................................................. Electrician's License No ............................................. '% Other Trade's License No ............................................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: 3. Nature of work (check which applicable): New Building~· ................. Addition .,.~ ....... Alteration ................ Repair .................. Removal .................. Demolitior ..................... Other Work ..~..~.~...~..~.....~...E:.~..I.~ ................. ..~ //~ ~__.~_~ (Description) 4, Estimated Cost .........¢/i~..~:~..~). .................................... Fee .......................................................................................... (to be paid on filing this application) /. . 5. 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 end extent of each type of use ............................ 7. Dimensions of existing structures, if any: Front ...~..~..:..~.'. ............... Rear .~...*.1 ....................... Depth .~.~r..I.*. ........ Height ....... t.~.:.0,~ ...... Number of Stories ........ .Q/~.~. ............................................................................................... Dimensions of same structure with alterations or additions: Front ....:~0:.~. ........................Rear ..~. ~. .................... Depth ....... 4 .................Height ......;J,~'..:.~. ........... Number of Stories .............................. 8. Dhmensions of entire new construction: Front ..... '.~.~.~.~..' ................... Rear ...,~.~,:.~....; ........... Depth ...[./~.,,.Q ............ Height .....~.~..Q ....... Number of Stories ..... ,0.~.7. ...................................................................................................... 9. Size of lot: Front .......... }D..¢~,C0. ................................ Rear ....................... Depth ....f..~.,,~.~..~ ................ 10. Date of ~urchase ~.~.P..Z~BS[[~,...~.;..J..~.?,~ .............. Name of Former Owner (.~..~..,~.~.,.~.~...~];..~.~.[1~,~, ................. 1 1. Zone or use district in which premises are situated ..................................................................................................... 12. Does proposed construction yiolote any zoning law, ordinance or regulation: ........................................................ 13. Will lot be regraded' ......~.Q .............. Will excess fill be removed from premises: ( ) Yes ( '/~No 14. Nome of Owner of premises .~/~.D.D..~.,..~.~..Q:..~....~..T../?.,.~....~... Address ((R~..~..~,.~...~..~..~..',~.~... Phone No.'/~.5.~.../.~....~,.~. ...... Name of Architect .............................................................. Address ................................ Phone No ....................... Name of Contractor ............................................................ Address ................................ Phone No ....................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-b~ck 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. LoT 8 LoT STATE OF NEW~,YORI~, COUNTY~__,i, ~/__ __2F -,,,~,~ ......... I~1~ ......... ..../...~.J.~.~..~...~.~'~,.~ .............. ~-~.~..~.~. ............ being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named, He is the ............................................... ~.~.~,~. ............................................................................................................ (Contractor, agent, corporete officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work end to make and file this application; that aH 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 / , ...... ...... o, ....... ~ / -' ~ ', -- ~1 , I//~c ...... ~- /// ' ~-.~ Nota~ Public, . ................. :~..~r~ ........ Coun~ ...~ ....... ~..~K ........................... Z..~ ............... ~ ......................... ~'t - ~ } ~J~ . I~ ~ (Signature of applicant)