The URL can be used to link to this page

Home My WebLink About9335-z ~OEl~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTH'OLD, N. Y. BUILDING PERMIT [THIS PERMIT MUST BE KEPT ON THE PP, EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 9335 Z Permission is hereby gronted to: at premises located at .~k~..~,.,~r~..~.~....~,~..~4,~a~,q~L~l~L ....................................................... pursuant to application doted ....................... ~-6: ...... ~, ........ , .1~...., and approved by the TOWN OF SOUTI:IOLD Building Inspector's Office Town Clerk Building Southold, N.Y. 765-2660 Joseph Esposito 200 Second St Laurel, ~aclosed please f~md you~ built ~de~ permit ~33~, ~d Fo~ ori ~ ~er~iters certificate ~t~ned, ~ ~t appears t~t yo~ ~ence ~y be over the rear $~de property ~e about 8 ~ches, Please check th~s ~d correct ~ ~cessa~. Yours truly Sr b~ilding Inspector -:~III~B~J~I[~tF~II.~I ~=~:~d~j-~-~Z~;~L:~¥~%~d~-~:~=:~I' II-I ::!, , ' q-~/: =ill=ilL- - o~ ~ ~l:l q -)~' ' ~ ~ I ~: :: ~ ~ ~-~ ~ ~ h' ~ h :. i :, ~ .~ , ; ' ,~ , dII~HI_EIII-'IIF;III ~l,I ,,I ' ~? ,, , ' .,l: m~m-'-.. ,. ~, ,, ,. m m m- .,~ ~, - ,,, -. ' ..... , , ,a ., .... i~U~aR~ J~j /JJ ~ ~ j* ..... F'~T0~E~" :HI "~J-I , RANGES ' COOK NG DECKS p ONENS DSHWASHERS EXHAUST FANS 'J': ~ ~ = I~ ~ ~ ~l :.1~ Il [tl:~lt.'-tll=;q~dll--',J ~t; I I~-~l~'~ .'Ill J = ~ d i -I' Il g [ "' t Ill ; ~'~O~ E~,ii' i iU ;i FUrNaCE- ~dTO~l~lfi?t ,~O~t~UX~CE FE~DER~ ~P~t ~C'PT tIMECLO~K$~ B~LLpI g~lT kEATERS I~L~T ~MMERS , .Il , .... ' ' , , I ' ' ' t~t!j::?ji ~= . :ri=Il- ,='*, t~l~l,:~ I--:l-~, =H.=U- a- I '*,z ll~ll~-IIl~:l ¥11=t::l[I~kill~l~ll~ll ; I:~IIJ'!II-~F '[I-J:!ill:(~ ~ t*-' - : - ~ ....... ' -, "- "' ,, - - ';, ' -~- -- - -. '-B" J .......... ~ , -I =ill= 11:'11= t1=111=1 I[ d J [JJ~zJJJ ~JJJ~JJJ~JJJ~.JJ[~lJJ~JlJ LJlJ~JJJc~JJJ ~JJJ~J J~JJJ~ ~J J=JJ ~ JJ:~ J~JJJ~ =J~=JJt-.Hi~ ~ ~ ~ ~[ ~;~~ ,=- ..... I ........ - , -- - , I) .... dj--Iii )IL-ill llJ_[JJ__JJ_.JJJ_lli.:JlJ..JJJ.. -iii ,ti= I, ,II-ii FO~M NO. 6 TOWN OF SOUTHOLD Building Deportment Town Clerks Office Southold, N. Y. 11971 APPMGATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in triplicate to the Building Inspector with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, ,property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposal--(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installations, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan rc~..uirements where applicable B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-exishng' land uses: 1. Accurate survey of property showing all property hnes, streets, bu!ldings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent formation required to prepare a certiftcate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelhng or land use $5.00 3. Copy of certificate of occupancy $1.00 Dote ................................................ V~acant New Building .................... Old or Pre-existing Building ............................ Land .')..~./:¢Z~r~,..~.?..~.~/ ;- Location Of Property ............... ~ .......... ..~..'~. ....................................... ~. ........................ ~. ..... Owner Or Owners Of Property .~/~.~...~.../Y.......~/....~.../'.~_~..~.~...~/...~....~.~£../~......I .............................................. / / Subdivision ................................................................ Lot No ............. Block No ............. House No.~..~ Permit No..~.~.~.~..~...~:.... Date Of Permit Health Dept. Approval ............................................ Labor Dept. Approval Underwriters Approval ./~'.~...~.~..~,...?..~,...~,.. .................... Planning Board ApproVal ........................................ Request For Temporary Certificate ........................................ Final Certificat, e .......................................... Fee Submitted $~ ........................ i Construction on above d scr'b d building and permit meets all applicable ~:odes and regulations. Sworn to before me this Applicant .~....~..~:~...~[.~,~/~~r;~~7/ ..,,.~,, ........ day of ~:.,,,,~ ..................... (stam~p or seal)~ BA~I~ARA ~, SALZO ~'"'~.,~ 'NOTARY PU~UC, ~{'a~e of New YorE'- / No. 41.4528107 / ~ ~)ual;f;ed in ~ue~ns Courtly Cerf. flied h' New York Counfy Term ExpLres ~,tr¢~ 30, 1978' ~c gHfl ,;o~ J~07 A~ ¢,9° 15'10' gJ.72 ~ £$:0" 5TN. EL S7 L LOT 8~ ,h~5 ,'. ~ LOT M/RE- ?L~CE S' SET PO~? ON ~ w/mEFC.~ LOF 80 ,~£? ~ET ~ LOF 81 LO7 88 EOF 83 PATH SHO~iN Orl OCT N,/97~" ~URVEF HOrt $HT£RRU~T£D BY DWLG. 7ffE WATER GUP?/-Y COA/FO/~M TO THE STAJVDA/~Z~$ DF T/CE ~ UFFOL K COU'A/7~ ~Et34 t~ TtdEH T OF H EA A T/{ ¢'E/:¢ 5 UR VEY Om TO LOT NUIvT~ER.~ ~HSY/N HE,~EDN ~EFEJ~ TO PERTY OF 2EORGE /. TUTH/ZL ~ OTHE/~ FILF/~ JAN IS, 1920 A5 # ~1 5urve ~u ~luorante¢d to: .~ECU~/TY~ 7-1~LE -~ GUARAA/r~ CO RI VERHEAD ~A V/A/¢s 8,4/v'/¢ ~ho.,,-~'~'"~'o..., dtroosal, and ,,:ater suppl~ fac!iii J e'~ for ti'ts loce, tien ha-~e been ~ne~tcd b~tt~15 de~rtuCnt ~d found [' Chief st S~rvioO~ ' 8U R Vg YEO' :- OCTOBER 14, I976 £O$.$O£FEYJ,4M ,F, I977,;F//VAZ su~V£Y APRIL ~,/977 FOLEY 124 l J -- £K,/44 /VD L ~-v'EL/A/G ('$ E'~- .O~z'-~ / L 2." ~RI;/)E'D