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Home My WebLink About9174-zFOltM NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No..~.7.9..6.6 ...... Date ......... .0.q~;...2.0. .........., 19. THIS CERTIFIES that the building located at . .~.r. qa.~.w.e~tA~$~..~.q[~..d ......... Street Map No. i~a ~ ~..Pi; .... Block No ........... Lot No, 29.0. ...... (J.'l~.ehO g~10... ~i!., ~. ,. ..... conforms substantially to the Application for Building Permit heretofore filed in this office dated ........... .April.. 7., 19..?7 pursuant to which Building Permit No...0.t7.~Z. dated ............ ~p~,.i.1..?..., 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 . .t~?~.v.s!.~;.e..o.b.e..i~?)~.~.y..~l~(e.']:].~n.~f ...................................... The certificate is issued to :~:..A.n.t.l)q~Ay[ .t.tg!~.~.t.~f .......... .0~,,.,r.~:F ................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . .0. q.t.. J.~..~.9.7.7...b.y.. ~.: .V..i~.~:a. .... UNDERWRITERS CERTIFICATE No..~.6~.2....0.q~. J,~,. ~ ~.~. .................. HOUSE NUMBER ...... ~ ~.. Street ....By.q~d~r.c~l;~,~..~.d. .... .~.~]];~.,~o.g~ .... TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTH'OLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is hereby granted to: ................ ~.b..&....??.7....?ff. .A .......... i~k.~...P..t ........ to ! .................................................................................... at premises located at .~.r.~:...[;.~?.O.....~,~.~:::.:.~:~..~.~,...~:~e~ ................................................................... .............................. i~.c ~.~ :~..-: ~.~/....~;ca ~.~t~ ¢~ · · 1L'~a~i ............ ~¢h~gue ................... pursuant to application dated ..........................~.~,~......~x ............... , 19...~'.~., and approved by tk, e Building Inspector. Fee $6 ...... :~ ............. .... . , ,, UNDERWRid~ERS THE! NEW YORK BOA OF FIRE .............. 3604 :',~ ;Hl~land'&Home s, SZs" Broadwat e~ R~ ~ 823' swl~s : ' ':'~FIXTURES OVENS 'DRYERS h FURNACE MOTOR~ FEEDERS TIME CLOCKS UNIT HE~TERE; MULTI-OUTI.ET DIMMERS';," SYSTEMS NO. OF FE~T~ Thi~ certificate must not be altered in any n~an~er~- return to the office of the: B~ard if incorrect, nspectors ma~ be ,dent,fred 'their c~ede~nti~lg::i N 41°IB'5~"E. O EL 3o o SERVICES FOR APPROVAL OF CONSTRUCTION ONLY DATE ..... HS REF NO__ APPROVED GUARANTEED ONLY TO NY, S LIC N0. O48992 ItAROl D F TRANCHOtl JR PENN NC. NO. 21115.E JOE~ NO. 7~'-7 r--ILE NO NASSF~,U PClN-F SURVEYED FORt POiND CLU~ PROPE,~FIE~, INC SI TUATE D AT' ~ASs:,/'~U floI N"F TO'CNN OF .%0'JTHOLE) :$UFFOLY~ COUN'FV ~.Y SCALE I": OD' DATE ~-Id-t~77 BOOK NO. DI PAGE 7~ HAROLD F TRANCHON JR PC. LAND SURVEYOR SUCCESSOR TO WILLIAM G f'c~EIER NORTH COUNTRy ROAD- WADING RIVER NEW YORK 11792 (516) 929-4695 ALT 473-3626 SUFFOLK COUNTY THE WATER SUPPLY & SEWAGE NAME DEPARTMENT OF HEALTH DISPOSAL FOR THIS RESIDENCE ~L~ WILL CONFORM TO THE STAND- ADDRESS ARDS OF THE SUFFO[K COUNTY ~)_ DEPT. OF HEALTH SERVICES. SUFFOLK COUNTY THE WATER SUPPLY & SEWAGE DEPARTMENT OF HEALTH DISPOSAL FOR THIS RESIDENCE SERVICES FOR APPROVAL WILL CONFORM TO THE STAND' OF CONSTRUCTION ONLY ARDS ~OF THE SUFFOLK COUNTY ~a.to, ~No o. ms ~[H~t~ *0 SURVEYED FOR' ~HE TITLE COMPANY. ~TION LISTED HEREON, AND TO LOT NU~ GUARANTEED ONLY TO: NAME /~-/¢/~ ~ ~g;' ,'> O/ '?o. ADDRESS FlEE NO. N~S~U PO~ N.Y.S. LIC. NO 048992 HAROLD F TRANCHON JR , PEN N, LIC. NO. 21115-E POINT CLpE~ PROPE~.'FIFZ.~ INC.. sITUATED AT' NA.~-_-_-_-_-_-_-_-_-_,AU POINT TOV~IN OF ~HOLU 5UFFOU~ COUNTY SCALE t"=O0' DATE ~-14-l~77 FILED MAP NO ~" DATE 18-Al- BOOK NO. ~1 PAGE HAROLD ~ TRANCHON JR. LA~D SURVEYOR SUCCESSOR TO WILLIAM G. MEIER NORTH COUNTRY ROAD- WADING RIVER NEW YORK 11792 (516) 929-4695 ALT. 473-3626 § R0^DWATERS P~OAD 'o D ATU i'~ ~?ROX ~ mA~*E. HEAREST WATE. I~, IV)~lN IN E×¢ES~ OF ~ FT. SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES FOR APPROVAL OF CONSTRUCTION ONLY DATE ___-- HS REF NO. APPROVED. HAROLD F. TRANCHON JR PENN. LIC. NO. 21115-E THE WATER SUPPLY & SEWAGE N~ME ~//~-W~N~' ~' DISPOSAL FOR THIS RESIDENCE WILL CONFORM TO THE STAND- ADDRESS ~ ARDS OF THE SUFFOLK COUNTY DEPT. OF HEALTH SERVICES. ~c~<~ ~/~, ~, ~//77~ TELEPHONE 5V~' SHALL RUN ONLY TO THE PERSON JO~ NO ~ - 7 FILE NO. NAS~U PARED. AND ON H~S BEHALF TO SURVEYED FOR: lHE TIT~E COMPANY, ~OVERN~EN- TA~ AO[NCY AND ~ENDIN~ ~OTIO~ LISTED HEREON. AND TO LOT NU~E~ ~0 ~ OF SECTION C ~HE ASSmNEES OF ~HC [E.Dme POI~ QLU~ P~PE~I~ IHt - mST[TUHON. ~,ARAN~EES ARE ' NOT Y,~NSF~RASL~ TO ADDmONA~ INSTiTUTiONS OR SUBSEQUE~ 0WNE.S. SITUATED AT: NA ~U POI~ COPIES 0F ~lS SURVEY MAP N~ TO~ O~ ~OL~ - NEARING THE LAND SURVEYOR'~ SUFFo~ COUNT"/' ~.y. ASHALLvALIDNOTT~EBE ~PY,~NSIDE~ lO BE ~CALE I"= &O' DATE ~-1~- 1R77 FILED ~AP NO, 7~ DATE I~-~-~o ONLY TO: BOOK NO. ~1 , 8~ : PAGE 7~ HAROLD ~ YRANCHON JR. LAND SURVEYOR' T~ ~ SUCCESSOR ~0 WtLLIA~ G. MEIER F- . NORTH COUNTRY ROAD- WADING RIVER N Y~S L C. NO. 048992 NEW YORK (5~6) D29-46~95 ALT. 473-3626 GUARANTEED · admit authorized inspectors on premises and i~ buildings for BUILDING DEPARTMENTT/~ ~ ~ TOWN CLERK'S OFFICE ~/~ '~/~~'~' d ......... ........... Z.... .......... .o. .......... .......... ~p a ............................. .~. ....... , I~ ........e ~ o. ..z ................ ~....../~ , ~ / Disapproved ~/C ~ ........................................................................... ~~ ............ ~ F/~ ~.~ .... ~.~ r ~ ~ _/~ (Building Inspector) /~ &c~x ~,~ J_. ~. ~ w APPLICATION FOR BUILDING PE~IT ~ ~ -- /~ Date ,..flZ~.~E.)...I ........ a. This app motion must be completely filled in by ~pewrlter ac in mk and submitted Inspector, with 3 sets of plans, accurate plot plan to ~ale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets areas, and giving a detail~ description of layout ofproper~ must'be drawn on the diagram which is pa~ 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 a 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 part for any purpose whoever until shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for ~e issuance of a 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 constru~ion of buildings, additions or alterations, or for removal or demolition, as herein descri~ The applicant agrees to comply with all applicable laws, ordinances, building c~e, housing code, and regulations, and to. n~essaw in~ections. , corporation) (Address ..... r-' ~ G~~ R~, '~$~ . State whether applicant is owner, lessee, agent, architect, engineer, general contractor, e ectric on, plumber or bui der. ..................... .................................................................................................................................................... ~ame o~ owner o~ premises ........... ~ ................................. ~.~ ........................................ I~ applicant is o corporate, signatu~e o~ duly authorized o~icer, (Nome and title of corporate officer) Builder's License No ..................................................... Plumber's License No ........................................... ~"~_ f 0 F-- 11--' Electrician's License No ..... .~....9..~.....~.. .................. /~ /n~-~ ?-- ~'0-- / y ~. Other Trade's License No .........~(~t'O~ .................... C15-- - b~'e6~ C ~ ~ ~q 0 ~/ 1. Location of land on which proposed work will be done. M~p No.: ...... .~..: ......................... :~.. kt N ......... ...~ ............ ~ 0 E) t. ~g~-~ ~' ~ ~ - ~ - Street and Number .~.~.A.b.aa.~u..~.g....s~.....~..~.Ap...Y..{~.a.~.~.....~..L....`..`.~.g.*.~..`` .............. Bunicipoli~ 2. State existing use and ~cu~ncy of premises and intended use and occupancy of proposed construction: a Exisiting use and occupancy ...... ~CL~.Lq.~M.Z....Lc?TE ....................................................................................... b. Intended use and occupancy ....... ~ ........................... g ....... g .................. (a; ..................................................... 3. Nature of work (check which applicable): New BL ildm~ ' ............ Addition .................. Alteratlon ............... Repair .................. Removal .................. Demolition .................... Other Work ................................................ ~a ,~ '~-- (Description) 4. Estimated Cost ~ '~ ~ ~ Fee .......................................................................................... (to be paid on filing this application) 5. Jf dwelling, number of dwelling units ............ J .............. Nt,lmber of dwelling units on each floor ....... [ ................... If garage, number of curs ...................... [ ............................................................................................................. If business, commercial t~r mixed occupancy, spe(;iJy no~tJre and extent of each type of use ......... '~. .................. Dimensions of existing slluctures, if any: Frot~t ............................ J~ear ................................ Depth .................... Height ........................ Number of Stories ................................................................................................................ Dimensions of same structure with allerations or' uddil'ions: Front .................................... Rear ............................ Depth ........................ ......... Height ............................ Number of Stories ................................ B. Dimensions of entire new construction: Front ......... '...,.~_~..'. ............... Rear ...... : ........ ~ ............. Depth ...... .................. Height .................... Numbm of Stories ............................................................................................................ 9. Size of lot: Front b '1 ,..~.] .............................. I<o,',,' ...-I-Q..~.,..Q..~. ............... Depth ...... ?L~2..~...t..~. ......... 10. Date of Purchase .................................................... No-ne of Former Owner ........................................................ 11. Zone or use district in which premises are situuted .k(F..t~.Jf-).c-r,~!-.~,,,'-'.-~,~q-c~ 12. Does proposed construction violate any zoning law, ordinance or regulation: ..... [~.0. ............................................ 13, Will lot be regraded ....... ..~..~ ........... Will excess fill be removed from premises: ( ) Yes ( ) No 14. Narne of Owner of premises .................................................... Address ................................Phone No ....................... Name of Architect ......... '" - -- '~'H'~I~.~.O..~........~..~u, LO,.~. ...... Address ...l~,~c,..~..q.,~.°.L.~.t. Phone No. Noose of Contractor t ~ r~r~C-~ Address '~ Phone No. PLO-t DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, (and indicate all set-back dimension, s from property lines. Give street and block number or description according to deed, and, show street names and indica?e whether interior or corner STAT£ OF NEW~T'ORI~ ~, . ~ c c couN'r¥ ...... r ......... ..-02o.%.c. ................... bei,~g duly sworn, d~poses and saXs thor he is the oppliconl (No~e of individual signin¢ controcf) above named. ~ , .......... ...... ........ ............... (Contractor, agent, corporate o[ficer, etc.) of said owner or owners, and is duly authorized to perform or hove performed the said work and to make 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 flied therewith. Sworn '~' befored. ofme th is ..... ~: R~TA K. SCHRA~M / / ~TARY PUBLIC, Stale of New York No, 52.~530650, SuffoJk Counly Commission Expires March 80, 0 f ~¢)