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HomeMy WebLinkAbout7848-zTOWN OF SOI3THOLD BI~.DING DEPARTM~'T Town Clerk's Office Southold, N. Y. Certificate Of Occupancy ~o.TM Date ~Tl~ll~ 21 19.~.6. THIS CERTIFIES that the building located at .?.~..I..t.o.~..l~..~..~ ............. Street Map No..~ .s ?.,..P..t... Block No ........... Lot No. ~.1..6 .... .~..~.e.k?..~.....]1.o.~.: ........ conforms substantially to the Application for Building Permit heretofore filed in t. hi~ office dated ...........AZ=....2.~..., 19.~.~.. pursuant to which Building Permit No.. ?~1~ dated ..........Ap~.l....2~...., 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 ~ued is..P.r..~.v.a..~., p..~., t~l)'..4wel~,~ .~r~.th .ea. ~aa£tlon .................. The certificate is issued to John Rall~lev & i/~fe .~..~r~..~..I.. (owner, lessee or tenant ) of the aforesaid building. Suffolk County Department of Health Approval .N.,.R... ............................... UNDERWRITERS CERTIFICATE No..ll.2..889.1. ~...S..ep.t....~....1.~7~. ................ HOUSE NUMBER 3¶~0 Street ~.a~..to~.lt..~.~....~..~..h.o.~.? ............ FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING FERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 7848 Z Permission is hereby granted to: ...~/:~./L~-.~ ........ ~.k..(..~. ~..~...~..~..~.... ........ ~/~.....~L~..~!....~...~.~.~.~..~.....~..s...~,.~- ~~- ~ ~ at premises located at i'IoJ~SL:- SHO~ '[f'/JA ~ ,.~f g/'/~/ST~ ~ ............................................................................ .~. ~.Z.~..~:~.~.,~.~ ............................................... pursuant to ~pplication dated ........................... ~.~L& ..... ~.., ]9~.., ,,d ~pp~o~ by th~ Building Inspector. Fee $...L~ ............... /~ ~/~// .......... ~.~....~....../..~..../..~.~ ........... Building Inspector 6/17/76-lITHE NEW v'ORK ?©ARD OF F;RE UNDERWR)TERS BUREAU OF ELECTRICITY DUPLICATE OF N247354 THIS CE~IFIES TMAT i~ , . ,-qe . ' ~ t~ el~trlcal equipmen6 as ~scd(,e~ I, elow and introd,~c~ by t~ applicant ~med on the a~ appl~at~on num,,er ,n ~ prem~es of ~y '..do-',, Seo~ber 22, 1975 .ndfou~beln~mpliancewiththerequiremen~of, th~B~rd" ~ ... , .... ~. . L- ~,,~ ~n. monnerr, re'urn to the office o{ the Board if incorrect. [nspectors may be identtf~r cred~ho[~= Lo+ HELEN I;~ ~WE~ LE'P_. !' ~ BUII,~iI~ DEFARTMEI4T . ~ /_z .~ ' ' ~ ~ IV .... ' ~ icati~ No...~...Z.~ ............ ~amm~ ........................ , ............... , .... ~ . ._ ~pr~ ............................. L....,~..% 19 ....... ~ ~i~ ~o ............. ~ ......... ~-~ ~ ~ ~ . .~ .................. : ......... ........................................ . ........ ............................................................... ~,, ................... ~..~. ~ . ~ ~ ~ ~ ~ ' . ./ ~ / ./ s/,~/~ ~ ~ - ~ ~, (Buildin~ Ins~or) ~ ~t~ ................................ , .............. ~ 1 INSTRU~I~S a. This a~lication m~t be completely fill~ in by ~ewriter ~ in i~ and s~mi~ in triplicate to ~, In~tor, with 3 ~ of p~s, a~umm pl~ plan ~ ~le. P~ ac~ing to ~h~ule. b P~ot plan shying I~ation of lot and 0f buildings ~ premises, relationship to ~joining premiss or public streets o~ areas, and givi~ a detail~ d~ripti~ of I~ ofpr~ must be drown on the diagram which is ~ of this a~ Jcati~. c. The work c~ered by this a~lication may n~ ~ comme~ before issuance of Building Permit. of ~is a~lication, ~e Building Ins~tor will issue a'Building Permit to the applicant. Such permit d. Upon appeal shall be k~t on the prem~s~ ~ailable ~r in~ti~ ~gh~t ~e ~rk. e. No building sha[I ~ ~cupi~ or u~d in ~ole or in ~ for any pu~e wh~er until a Ce~ificate of ~cupancy sha~l h~e ~en grant~ ~ the Building In~or. APPL[~TION IS HEREBY ~DE to the Building Depa~ment for ~e i~uance of a Building Pe~it pu~uant to the Bu 1ding Zone O~inance of the T~n of ~uthold, ~ffolk Count, New York, and other applicable ~, O~i~K or R~ulations, for the const~ion of building, a~iti~s or altemti~s, or for mmda[ o~ ~liti~, as he~in ~rl~. T~e applicant agr~s to comply with all applicable laws, ordinances, building c~e, h~s~ c~e, a~ ~umti~s, a~ ~ admit authoriz~ in~to~ ~ promises and in ~ildin~ ~r n~e~a~ i~ti~s. ........ ................. ....... .............. .................... ...... ....... (Addm plicant) ~ ~ State whether appli~nt is ~ner, lessee, agent, amhit~t, engineer, general contractor, electrician, plumber or builder. If applicant is a corporate, signature o duy au oriz o ' · (Name and title of corporate officer) Electrician's License No ..................... :,,~..~J...-..~ ..... Other Trade's License No ............................................... Location of land on which progesed work will be done. Map No.: ........................................ Lot No...~.~. ............. Street and Number .......... .~.~ ....... ~...c.~,...~ ........... ~...~.~....~.... .......................................... Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ............ ~.~t'X~..~t~.~.../~.. ...... x/2/~4~...~. ....................................................................... // b. Intended use and occupancy ................................................................................................................................ '~ 'Nature of work (check which'applicable): New Building.. ................. Addition .................. Alteration ................ Repoir .................. Removal .................. Demolition .................... Other Work ........ ~ ..... .~.. ....... ..~...~.. ,~, · ~. ......... (D~cription) 4. Estimated Cost ..../.~.,~.~..~..., ....................................... Fee '~' (to be poid on filing this application) 5. If dwelling, number of dwelling units ............................ Number of dwelling units on each flor ............................ If garage, number of ~m ............................................................................................................................................. 6. If business, commerciol or mix~ occupancy, speci~ noture end extent of eoch ~pe of use .............. ~ ............. 7. Dimensions of existing structures, if any: Front ............................ Rear ................................ Depth ....... ............. Height ........................ Nu~er of Stori~ ................................................................................................................. Dimensions of some structure with alterotions or edditions: Front ....................................Reef ............................ Depth ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front ................. ~ ................. Reef ............................ Depth ........................ Height Number of Stories 9. Size of lot: Front ~ "~ ~ Rear ~ Depth 10~ Date of Purchase ....................... ................................. Name of Fo~er ~ner ........................................................ 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 . ......... ~0. ......... ". Will excess fill be removed from promises: ( ) Yes (~) No 14. Name of ~ner of premises ..... Name of Architect ............... ~.~1~.~.~ .................... A~re~ ........................... ~.... Ph~e No ....................... Name of Contractor ~~....~.~.~.~..~.~ ..... A~m~.~[~.~~ho~ ~~... PLOT DIAG~M Locate clearly and distinctly ~11 buildings, whether existing or proposed, and indicate all ~t~k dimensions from prope~ lines. Give street and block number or description according to de~, ~nd show street names and indicate whether interior or corner lot. STATE OF NEW YORK./ I Z ~SS COUNTY OF ...... !.;.~,!~..~....)' ' ..................................................................................... :..., ...... being duly sworn, d~oses and says t~t he is the applicam (Name of i~ividual signing contrac~ above nam~. He is the ............. ~..(...~.'......:....~..~...~..~...~ .......................................................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly aut~rized 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 that the work will be performed in the manner set fo~h in the application filed ther~ith. Sworn to before~me this NO~'? PUBLIg, S~te of Hew Yo~ -- t F-CE:q-I N6 ,'i -- ~.Y.~TI~G -to D~/A,z~iN :::: 1-0 ~,~ "k,-'~/,OVE'D~ .! i - TWO ~.4 '$ F-CX.Ii,,I P&TIC, N~, \X/ALL L k ? ,S,OI~I'H=· ELl.. · NOI~TH' LLIf~}VI ION