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Home My WebLink About8220-zFORM NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Town Clerk's Office $outhold, N. Y. Certificnte Of Occupnncy No.Z.6.8.?9 ....... Date ............ F.e.b....~ .........,19.7.6. THIS CERTIFIES that the building located at ~/~..GecY. ge..R.o.~ .......... Street Map No...xx. ......... Block No...x.x ...... Lot No. ~...E.e.~.. 5.u.f.f.q .1.k...N. :~.. ....... conforms substantially to the Application for Building Permit heretofore fried in this office dated .......... Aug.. 28.., 19.7.~. pursuant to which Building Permit No. dated .............. ~.e.p.t... ~.0, 19 .?~., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is ...... private, one. I'a~lly. ~lwe:lin§ .................................. The certificate is issued to . .k.a. ~.1. J~.ag.e..1~..o$.f.e.l~ ....... . .0~An..e.r. ...................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval ffeb...bt .... 9./.6..b.y. ~I... VI~L~a ..... UNDERWRITERS CERTIFICATE No..~.~.6~..6..6. .... J.a..n..~....~ ?.7.6. .................. HOUSE NUMBER .... ?~.0 ....... Street ....G.e.o. rg.e..~.o2.d. ......................... ...... 'I ........ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL cOMPLETION OF THE WORK AUTHORIZED) Date ......................... f~.~....30- ........... , 19.~.~.. Permission is hereby granted to: '. ........... 327.....F~a~..~k~,.l~r, ............ ro .~.~...~.:),.~...~.~.~r...9.~,~ ga~Y.. ~l.~?,,:,:i~g .............................. at premises located elf ..... ~c~]~..~O~g~.,~'~ii~..~....:. ............................... -~. ...................... ~ ................. ............................................................... ~e~..~ :~t~-~o-~ .............................. ............... :.~'*'--: ................ pursuant to application dated ................................. ~.:'......;~ ?l~t~.., and 9pproved bythe Building Inspector. Cee .......... :v, - Buiiding~ !r~sp~ff'6~ :' ' l THE NEW YORK BOARD OF FIRE UNDERWRITERS --- ak BUREAU OF ELECTRICITY B5 JOHN STREET. NEW YORK. NEW YORK IOO3/3 v.,. January 5..'1976 ~,mllc,,,io,,~,'o.o. fi~c 828497 N 263566 THIS EeRTIFIES THAT only the electrical equip.~ent as described below and introduced by the appllca.t natned on the above applica£ion rtufnber in lite pratnizes of Karl Wagerahoffer, s/side Georges Road, 450''e/o Fred St., New Suf.fq~k,~. L.I ~, . ~, i L in(hero tw g ocatlor~; ~L~ l~,a~e,,~t~t ~'lscFl. ~,L~ 2r~d Fl. outside , ,,, , .'~eetioti Illock Lot ,, - , 17 DRYERS OTHER APPARATUS: *Furnaces: Oil 1-1/8bp, 1-1/I2hp :, *Special Motor/s: receptacles: 1-50amps., 1-30amps. 1-1/2hp Sapanaro & Mineo Inc., 102 Oak 'Ave., , Shirley, L.I. 11967I Lic.334E This certificate 'nust not be altered in any manner; return to me office of the Board t incorrect insoec~ors may b~ by their cre~ntJaJs. ,o,..o.,... ,,. _ ~mined ...... ~....~....., ~.L.-T / ~'~ . ~pl~. ,~,,,ed ........................................ . ~,..,..:--p-,., ~,. ,~.~......- ............... ----......,,,.~ ,~ ~,,.~ ~,~.. ,,~ Disapproved a/c ~~-,~ _ , . % [--,~.- ~ ~ '~ . ,o'~..~ ~. .............. ~l....,. ............................ , ,9.~.... I~, w~ 3 ~ ~ p~, ~u~ ~ ~b. F~ ~i~ ~ ~le. b. PI~ plan s~i~ I~i~ of I~ and ~ buildl~'~ premis~, ~latlo~tp ~ ~joini~ p~ ~ic ar~s, and givi~ ~ d~ai~ ~ripti~ of I~ of~ must ~ dm~ ~ t~ di~mm ~i~ is~ ~ ~1~ ~i~. c. ~e wo~ c~er~ ~ th~ ,~Ugati~ ~ ~ ~ ~ ~f~ ~e of Bu~l~ ~ff. d. U~ a~al of ~is ~1l~l~, ~ Buildi~ I~r will I~ a Buildl~ ~it t0 ~e ~l~t. ~h shall ~ ~t ~ t~ p~l~ ~ail~le ~r i~ ~ ~ ~ e. No buildi~ s~ll ~ ~c~l~ or u~ in ~e or in ~ ~r any pu~e ~r until a ~if~ · ~all ~e ~ gmn~ ~ ~e Bufldi~ InCr. APPLI~TI~ IS HE,BY ~DE to ~ Buildl~ ~t ~ ~ i~e of a Buildi~ Buildi~ Z~ ~im~e ~ the T~ of ~ld, ~lk C~, N~ ~, a~ ~r ~1~ R~ulat~, ~ ~ ~i~ ~ buildl~, ~ffi~ or al~i~s, or ~ ~ o~ ~lti~, ~ ~ ~.~ ~e o~l~o~ ~s ~ c~ply with all a~llcable I~, o~t~, ~1~ c~, n~ c~, ~mit a~lz~ in~ ~ pmml~ ~ in ~i~1~ ~ ~ i~. (Signature of ppp~ ~ .lc?, or 4gme, if a coq)oration) ..... ' (Address of applicant) /I '7 State whether applicant is owner, lessee, agent, architect, engineer, general cofltroctor, electrician, plumber ................................................................. :.....~.~..~....~.~....~..~..~ ~.~..~..... .................................................... ................... Name of owner of premises ~. ,~.. F~:~ ............................................................................. If applic~.~.~...~~...a f~/rporqte, signature of du~y~..~)authorized officer. (Nar~e and titlCf coq>orate o~flcer) Builder's License No..: .................................................. Plumber's License No ................................................. Electrician's License No ............................................. Other Tmde's License No ............................................... 1. Location af land on which p~_workwillJ~.done...4'~_ ,L_ Ei ~_~M~p N-9': '''''-'''= ............ ~ ....... : ...... J~)t No... ....................... Street and Number- -- -- ~l,~...~:"~l~.~J~f",~,....~:..-~(r~5~,.....y~....;l~-~..-.-S.--~....¢~'~.~.~..~..i~ii~ ........ 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisitinguseandoccuponcy ..... ~.~'.~.~...-- ..................................................................................................... b. Intendecluseondoccupancy ............/C~.~j~,,s4~.~ ................................................. , ............................. 3. Nature of work (check which a~plicau,e): New Building. ~ ....... Addition .................. Alteration ................ Repair .................. Removal .................. Demolition. .................... Other Work ..................................................... ~'J'~' ~ ~ ~. ~,-'-~ (Description) 4. Estimated Cost .......................... ~ .............. Fee ...~ ...... i~"l~'~"~i~"~"~'ii'i'~"~J~i~"~'l~'~ii~i~i .................. 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 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 lentire new construction: Front .....~....~. ....................... Rear .."~...~....~. ....... Depth ....c~..~ ............... Height ...J.../~.. .......... .Number of Stories ..... ~ ............................................................................................................... 9. Size of lot: Front .... I.~.,. ......................................... Rear ..].~..~.... ........................... De ...~.....~O ~.. . 10~ Date of Purchase ........................................................ Nome 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 ..~,~,~ .............. Will excess fill be removed from premises: ( ) Yes (~ No ! 4. Nome of Owner of premises .................................................... Address ................................ Phone No ....................... Name of Architect ...~ .......................................................... Address ................................ .Phone No ....................... ControctorJ~.J~(~J~...~....~,4g ...................... AckJress~l~/A?i~t~7/'~.~M,J~..'.. Phofle No. Name of PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions fram property lines. Give street and block number or description according to deed, and sh~w street names and indicate whether interior or corner lot. STATE OF NEW Y~RK.//~/~ ~ ~ ~__----Ot~5__.~~.O I COUN~ OF~f°'a ~ ................................................................................................. being duly sworn, d~es and s~ (Name of i~ividual signing c~tmc~ above name. He is the ................................................................................................................................................................................. (Contractor, agent, cat,rate officer, etc.) of ~id owner or owners, and is duly authorized to perform or have performed the said work and to ~ke and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and thor the work will be performed in the manner set fo~h in the application fil~ t~r~th. Swo~.~this ~ ' ~ ~ (Signa~re ~f a~plicant) ......... ,jt,/Dr1"H ?. BOKEN ~ Pgbl~C, State of New ¥01'~ Nit: ~,~44963 Suffolk Coun~ ~i~ ~ ~rch 30, NOTK: now or formerly ;ATION OF~E lIND CE$SpOOLf~ ,HEREIN ~P,/7 FP~OM FIELD OBSERVATION~ , Fi{OM DA~ O]3~INED E~,OM OTHERS .EViS,o.s YO ALDEN W. YOpN¢ ; ~ ~ ( ~ ~ r Hp~8~e W ¢~U~ p LAND SURVEYO~ N~Y.~. ~IC*4N~ 1~5 ' ~ N.~St~ .~1~ NO 4~e~ dAN. 19¢6 I I SURVEY FOR~ ' ' < ''~ '~:'~ I · = M~NUM~N~ JNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY I$ A VIOLATION Or SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW COPIES OF THIS SURVEY MAP NOT gEARING THE LAND SURVEYOR'S iNKED SEAL OR T~E LOCATrON OF r.r,$ AND S~OWN HEI~EII'[ F.,q~F~,,OM ,FZELD OBSERVATIONS GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE ~RVEY IS pREPARED~ AND ON HIS BEHALF TO THE TITLE COMPANY~ GOVERNMENTAL AGENCY AND LENOING INSTITUTION LISTED H£REON~ AND TO THE ASSIGNEES OF THE LENDING INSTITUTION GUARANTEES ARE NOT TRANSFERAaLE TO ADOIT~ONAL . , o-o LAND SURVEYOR: N.Y,S. SURVEY FOR: ;KARL WAGENHO~F~R *T NEW suFF:O~K TOWN OF SOUTHOL~ SUFFOLK, APPR_.OVED AS NOI~ED - DATE: ~ ( ~ '"~ ~- N6TIFY BUILDING DEPARTMENT AT 765-2660 9AM TO 4PM FOR RBQUIB.- ED INSPECTIONS: 1 BEFORE BACKFILLING FOUNDA- TION OR START FRAMING 2. BBkORE COVERING pIPELINE 3. FINAL WHEN lOB COMPLETED NOT RESPONSIBLE FOR DESIGN OJ~ STRUCTJON ERRORS ,- AOFnA;T t. TOMARK CONSTRUCTION INC. .5250 SUNRISE HIGHWAY S~YVILL. E, NE~,'V YGRI<, 11782 10 SUNRisE I ~ToMARi< CONSTRUCTION JNC CFkO~_~ LCrT ~2s9 SU~RI~E~ SAYVILL~ N~ . LT-9-203Q I 25 O" ~ TOMARI( CONS] RUCTIO%J 5250 SU[',IRISE HrGHWAY SAYVILLE, rqF~W YORK 11782 LT Lf 9'- !0" ",04 5; ¢, , ~r~OMARK ~ONSTRUCTI~D~ LTF B-2030" ~; BEFORE cOVERING pIPELIPlE FINAL WHEN lOB COMFLETJD