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Home My WebLink About9383-zFO~ NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Town Clerk's Office $outhold, N. Y. Certificnte O[ Occupnncy No. Z8.0.~.8. ...... Date ............... p.e.q...6 ......, 19.7.7. THIS CERTIFIES that the building located at .. Bi~.ch. Lane .............. Street Map No.B±reh. ItillsBlock No ........... Lot No..9 ..... Cutahogue .... K,~/, ....... conforms substantially to the Application for Building Permit heretofore filed in this office dated ............ Aug...8., 197.7,. pursuant to which Building Permit No.. dated .............. Aug..9...., 19 .~.~.., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The oeeupaney for which this certificate is issued is . Private. one. fa~uily..dwe]..]~,ir~g .wi.th .ad~itloll ..................... The certificate is issued to . ~.2qb~.r.d..L.a?.k .......... Q~¢n.~ ......................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . .N.~R... .............................. UNDERWRITERS CERTIFICATE No. P.e.n.d.~.ng .................................... HOUSE NUMBER ... ~.~0 ....... Street ...Bir2hLa ........ Cutchogue ............. Building Inspector '~TOWN BUILDING DEl 'tOWN CL~RK~S SOUTH'OLD, N. Y. (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL cOMPLETION OF THE WORK AUTHORIZED) N? 9383 Z Permission is hereby granted to: ....... ~:?....: ...... ~.~.~,~ ................................ ....... ~......~ ...... ~.~.~ ................ : ................ Building Inspector. . OO Fee $..../..-~........ ........ THE NEW YORK BOARD OF FIRE UNDERWRITERS I S BUREAU OF ELECTRICITY ~- 85 JOHN STREET. NEW YORI~ NEW YORK 10038 THIS CERTIFIES THAT MI', I~lchard Lark~ Main l~do~ [] Is~ FI.]~ 2nd FI. Section BIoek and fOund to be in compliance with the requirements of this Board. FIXTURE SWlTcHis OUTtJ'T$ FLUO~'ESCEI~rr 7 9 FURNACE W:)TO~s 9 Tm~ CLOCKS mM/AilS SI~VlCE IXSCONNICT i 2.0 kw hot rater hemter $ E R ¥ I C Walter Finger Box 991 Mattltuck, L,I. Thlsce~m~ ll952 Llc. 184~E the off~ d ~ ~ard ~ iKerr~, Inq)ecton may ~ OF ClRTiYlCATI !1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. ¥. Examined ................... ,./~........~,. ....... , 19..7.,~, Approved ................. ...A.,..,~.,,~,7, ...... ~., ,9.ZZ Permit No ....... ,?..,~?,,.,,~,.~,,~,.,~ D,sapproved a/c .................. ................. .......... ?,'T' ['? ¥??!!~tr "?~'~','" t~"~'~ '~',,*~ ~ ........................ ~ ................................ ~ ...... ~ .~ ( b [ y ~1 ............ ~ ........~,7~...:~~ ............... · ................. /- - . ..... [Du ang nspector) %b )56(~ 0: ~ '~, ~," '~:77 ~ ~ /(~:~- APPLICATION FOR BUILDING PERMIT App,ica, io. No. ~' ' ' ": · ~ Date I ,~ ~x,,,v,' ~ !:: ': INSTRUCTIONS ~.'/Th, is~;~j~p, lif:~tjon' mus~ be'completely filled in by ~pewriter o~ in ink ~nd submitted ntr c~te to the Build,n Ins~cf~5~[t~'3 ~ets[of pl~ns,:acc~rate plot plan to ~ale. Fee according to schedu e P g b.: P~bt~l~n ~h~wi~g location of lot and of build ngs on prem ses, relationship to adjoining premises or public streets m ore~ and ~JWng a detailed description ~layout ofproper~ must be drawn on the d agram which is pa~ of this application. c~ T~drk covered by this-qpp] Co~en may not be commenced before issuance of Bud ng Perm t d. Upon approval of th~s apphcahon, the Budding Inspector wdl msue a Budding 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 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 ir~ buildings for necessary inspectio~ns. /"7 / ...... ............................. (S'g ature of applicc~nt, or name, ifa corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises .......... .../~...,......./:,.~...:.~....~. ................................................................................................................ If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ..................................................... Plumber's License No ................................................. Electrician's License No ............................................. Other Trade's License No ............................................... ~/)[:::~'/'f ///L/.~.~' 1. Location of land on which proposed work will be done. Map No.: ........ .~..2...~.~. ................ Lot No.....~.....~..~.. ......... Street and Number ..,~'..~..iO J~IT~, Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy b, Intended use and occupancy ....=.~.~L(~.,'/....Jc~ ............ .~....L..T......~. .............. .~....~....'?.,/...~..../.O..,.~.. ....................................... 3. Nature of work (check which applicable): New Building'. ................. Addition .................. Alteration ................. Repair .................. Removal .................. Demolition .................... Other Work .................................................... (Description) 4. ~stimated Cost ................................................... Fee ........................................................................................ (to be paid on filing this application) 5. If dwelling, number of dwelling units / Number af 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 ................................ y 8. Dimensions of entire new construction: Front ........... ~'~ ................... Rear ........ ~..~. ............ Depth .....~.~. ............. ~.. Height .................... Number of Stories .(. ............................................................................... 9. Size of lot: Front ................... .(.!....0. ............................ Rear ........ I I O Depth. ~,~) O 10. Date of Purchase ........................................................ Name 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 14. Name of Owner of premises .......~.: ......... ..L:..~....~.....I,~. ................. Address (~ ~"~-~0~ £ Phone No. Name of Architect .............................................................. Address ................................ Phone No ....................... Name of Contractor J~J'Jv) ~- 'J~J~ Address .~..g..T...C*...(!..O..~....~.....~.... 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 Iol. ItO . STATE OF NEW YORK, ! c c COUNTY OF ................................ ....... ...~....~. ................ ...'~..?.~...~...~.. ............................................ be ng duly sworn, deposes and says that he is the applicam (Name of individual signing contracf) above named. ............................................... ............................................................... 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 ~rue to the best of his knowledge and belief; and tha~ the work will be performed in the manner set fo~h in the application filed therewith. .......... .................... ............................. N~, ~2-464312L ~affolk County Term Expires ~r.h