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Home My WebLink About10000-z _ Mo. fo TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk'. O:tfice Southold, N. Y. Certificate Of Occupancy No. .. .~?:?1. ... Date. . . . .r-rC?'!~~1'?~~. .~q. .. ...... ., 19.. 7f3 THIS CERTIFIES that the building located at . ~9.q . ~~ :t.~~J;'~~.~~"j;. ):..~~. . . ~ Map No. " . ~ .17.~ . . . . Block No. .. . . . . . . . . Lot No. I. I? .. . . . . .,5.E? .Ii<. .5.7. . . . . . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated.. .OP:t.ql;J~.... .23....., 19. .7.e pursuant to which Building Permit No. .1.a.OODZ dated ... Oc:to ber. . . .30. . . . . ., 19.7.8., 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 ...... .~r:~ y~~~ . ~?:~ . ~~~~:r. ~~~~~~f1i .w~~? .~~?-.~ ~~?!l. . . . . . . . . . . . . . . , . The certificate is issued to . . . . . . . . . . . . . ~~ ~ . ~~ry. !1.~<!-~~Z:~~.r: . . . . . . . . . . . . . . . . . . . . . (owner, leD~._-~)oc of the aforesaid building. Suffolk County Department of Health Approval ............. ;:/B.. . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE No. .... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . HOUSE NUMBER. .. ;'O.QQ. . . ... . Street. . .... .. .,?;L:t<1;Errp~E1~'j:;. ~~~'.............. . . . . . . .. .. .. . . . . . . .. .. .. . . . . .. . . . .. . .. . . . . .. .. . C\l.t.Gl).Og)..\~. . Ne.w . '{p.r.);. . .. .. .. . . C' I, {J ..-. -. .. . ~i. . . . .7..r: .1:&\.. . . . . . . . Building Inspector County Tax Number 1000-104-2-4 FO~ ~0. · 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) N? 10000 Z Permission is hereby granted to: ~'-O~&&' .,~ LE-~ ~ "~'/ LDL--'~ ...... ........... et premises located at ...................................................... --.~. ................................................................ .......................................................................... ~z~..~.~.~..~ .............................................. ........ L ......................................................... ~.~ .................................................. ~ ................................ pursuant to application dated ............ :..-f.. ......... .~.~.....~.~., 19~.., and approved by the Building Inspector. /~. o?- Fee $..L. ................... TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR Town Cler}'s Off;ce .eoe,~ N°. 15000 So.,~ota, N. v. Date ...... 30 / ~*cotvoo of ~ ~&r ......... ~ ........................ ... . ............. ~ ~ ~~ .......... ~ for · e~ for B~g In~pe~or ........ TOWN OF $OUTHOLD , Building Department Town Clerks Office $ou~hold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in DUPLICATE 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 end installations, a certificate of Code compliance from the Architect or Engineer responsible for the building~ 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey.of property showing all property lines, streets, buildings and unusual naturot 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 in- formation required to prepare o certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $!.00 New Building ................ Addition ....z.. .......... Old or Pre-existing Building ................ Vacant Land .............. Location Of Property ~.~..~.~e.~.r~s..V..e..e.~..~.a~.e.~.C.~.~..q~h..Q~.U~.~D~Q~9~ ......................... Owner Or Owners Of Property .,..[~G.,...[v],8?~T~r...JVI~C~.~i~.~.e~ ....................................................................... Subdivision ..... ,~,,~?,,s,~..?,.,e;~.,~,~ .............................. Lot No..,:.57 ....... Block No ............. House No ............. Permit No. 10000 Date Of Permit ~.0../.?..~. ........ Applicant Geo?.Ee khlers, Builder Health Dept. Approval ............................................ Labor Dept. Approval ................................................ Underwriters Approval .............................................. Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Final Certificate .......................................... Fee Submitted $ .................................... Construction on above described building and permit meets all applicable codes and regulations. Applicant ..a~..0.~]~ AHI~..E..~,.S~ B~IZ~DDE.R.~.....Z.,N.,,C..: ................................... Notary Public ................................... County /~ ." '1" '1' "." 'II"......"",., ......-.~-~--:;~~~,~.."". THE NEW YORK BOARD OF FIREUN9ERWRITERS BUREAU OF ELECTRICrrv ... '.. I 811 JOHN STREET. NEW YORK. NEW')YORK100$8 I er Da.e December 4. in'! Applica.ion No. on file 995055 N412815 THIS CERTIFIES THAT only .he .,.d,.;.,al equip....... ... deoeribed below and in.rudueed by .he applican. ....mod on w........ ""p/lea_ number In .he pro....... oj I~ary Mldwlnter.Blttersweet.Pine Tree ild. .Cutc110bue.l~.r. in theJollowinglocotion; 0 Bcuement [3 1st Fl. 0 2nd Fl. Section Block Lot tmIS examined on November 30.. 1978 andJound to be in compliance with the requirements oj this BOard. F1xruu ourLITs ICEI"IACUS SWIrCHIS IIIXTUIIS INCANDESCENT FLUORESCENT "mill' IANGES AMT. K.W. cootCtNG DICkS AMT. ItW. OVINS AMT. IC.W. DISH WA_S IXHAUST FANS AMT. K. W. AMT. H. P. 2 DRYERS 5 3 FUtlNACE MOTORS 2 AMT. K.W. OIL H.P. GAS H.P. AlTUIE APPUANClIIIIDHS SPIOALlIC'PT nME CLOCKS IILL UNIT HIATUS MULn..ouTUT AMT. NO. A. W. G. AMT. AMP. AMT. MY$. llANS. AMT. H. P. SYSTIMS NO. Of .... _RS AHoT. WATTS SlRVIa DISCONNICT AM'. AMP. TYPE NO. Of S E _.1 IQUIP. 1.112W l,:rw 3,3W 3J14W NO.OfPE~c..COND. R V. I A. W. G. NO. OF Hlo.t.EG OF CC. COND. C E ct. :':'J"o NO. OF NEUTRALS A.W.G. OF NEUTRAL 1 100 en x .1 II 1 11 OTHH APPAIATUS: l-a.F.r. J-SmoKe detector outlet .......... U~.., / --S ./.I?f"'--;''..t''.;{ V/"! . Y '.L ' '- '\ J 1.10 .15<~9ii 11' \ ',,- "'::: Per. t ,r- " This certificate must not be altered in any manner;, return to the oHice of the Board if incorrect. Inspedors may be identified by th~ credentials. Gustav Bartra 227 r.:. Breakt1B. tel:' !ld. Mattltuok.N.Y. 11052 _ _~~!'.!. FOIt BUjy)ING DIJIA8T..M.INT. T!l.!~J;OPY OF CERTIFICATE~~ST NC?T-.!I_~TE~m _I~NY MANNE~~ TOWN DF' -C;OUTHOLD OFFICE OF BUILDING INE~PEOTOR TOWN r-LERK'~ OFFICE SOUTHOLD, N. Y. 11971 TEL. 765-2660 11:;"--1' -', ,r .::. ~?()! " /..,~ r~, .. . - !:,,~' "'~'",,:,:.,.,.,.."'~q"~~"~~--r- ~ ~,'.. ,.~ '\ 1; ~"I"; f :'i~ ,:",'-t,:4t~, ,~~~~'!'" ' ',' ',~ ~'~ :)~';'f<\ _ d:Si'1' "",\/,\" ","" , <:s:;\ ,.~,- '~"',,';:)"'{~~T-l; J(. , . '~~.. ....:';5>,'<!i,.f '(' ~ "'. ':\11'., :~, Z",-\)(~'" r' '(~'''', '1 ~'" r,;} :I;.';"(!<\ ' . . ~ "'" 1'1, "'", \ """~I '. '/ ~. , ,.. " ,,t J, ' ...' ' :"Iil,I!"'''~' - ~': "ti\.. ,J!":, ~.rf ,.11." .f.~J'f1' If L ~ ':\~' - '", ',4""" '~~"r>"'L""'"'-:''' ,r :;. 1 \\~':I,I",,';;_ ,.;)~":,,.\t" I', ~"",*,..,:,_."". 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'tr-'", :', ' ''ft ,~;-~~., .:,~A!- 'it.{ :'1tf ,> '-""~*~~"P"'" . ~":;,:J "':~...., "" ",:;~.Ljl,,~ ~~;i._~ ,~'?+\:>_ I"~, ,,~e/}~ ''1 ,to:, .J:~;H~t::;~::~," '~-s..,:" t, ,~,..r: l;...~.~t-:,~~ .'1", ..",) ,"'w"" ;11'" ,." ~ "l""" "'~. ,_;.~' ,:r:;'~ ~~. ..-- ,'" ;f.~:,.:l'1 ~-.I:.~ "', '!. l' t:~ -If, ~., ..'Mt .~ .', ~, t ...;"'--+-= :;;~,~::<.~,;(. ~> ,,,:::~ {: . ." .,~~:,,;~3~~ ~', '.1~ ", _,_ ___.+_,-;-. ,___ _____",:. .,~~~,~~'il'~; :~' , . . ,~"" '*" ..~<l, -?,lZ4j2,~.f .&~:~1~~":~~" . &. k .. ;' ~JJ:....c.. -::--:-flr . ""'~~I' ,.". :':,. '''>-:'''~:~' ." '''',' '....~ . ..... ~ /M' -r.-;-; I . I I I I I IIb'l I I I I ! I , , I I j -~" -,,~ .... N /! I I , ! " i i I / "f' , r-- , /r:1i' <- laj, j,&" !y_ '~,p"'D""r J~' .. I? All. .... ['n.t I sr.., ~f' f- - _ ~,""'" ~~.". ,/.' ~ ~"Q I ,,,,,- ~~ lO~~ <' " UI I ~ -"'.,,---~- /tJc>' ftd/efi'.$weef _ A4ne / ' :, 110 0011 r ) i f "3 -I $' ('f' ))"i ~. ':',~ , l\~ ! ;~ , I" I,.. : ':>,.. ,N,;,:. "',. , ';0"" ;;;. ',,7;t i-;'!' .',Ii t I I I r: ; , , l' I, .j........ -r' '? ~, ('/;. , J.;;'~ 'j~~ :..,! , "", )1:, { ..; >':> " fi: '" "'1' " ~ FORUM ~qO. 1 ~/ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN GLERK'$ OFFICE SOUTHOLD, N. ¥o E am,ned .... Od ,o'TF ~proved, ................ ~.~.~.~....,~~ 19Z~ermi, No..Z..~....~.~ ............. Disapproved =/c ...:.~ ........... ~........~.~:;- {Buildinfl In~pecIor) Application No. [0 ~9~90 APPLI~AT}ON FOR BUILDING PERMI~T Date ................ .0. g..%. g..b..e..!2....2.~. ~ ....... 19Z.8. ....... INSTRUCTIONS a. This application must.be, completely filled in by typewriter or in ink and s~bmitted in triplicate to the Building inspector, with 3 sates of plans, ac'curate plot plan to scale. Fee according to schedule. b. Plot plan showing IocatJor~ of:lot and of buildings on premises, relationship to ad oining premises or public streets or areas, and g v ng a deta led description of layout ofproperty must be drawn on the diagram which Js part of this application. c. The work covered by this application may not be commenced before issLuance of B~uilding Permit. d. Upon approval of this applica~tion, 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 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 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 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 in buildings for necessary inspections. GEORGE AHLERSs BUILDERs INC. (Signature of applicant, or name, if a corporation) 250 Cox Lane, Cutchogue, New York /1935 (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ................................... .q .e...q.e. .a..! ...q.o...q .¢...z:.a..q, ,¢.g D..u. $.% ........................................................................................... Name of owner of premises .............. ..~..s..~....~...a..~.~....~,.~.~.~. ................................. if applicant is a corporate, signature of duly authorized officer. ........................................................................................ George Ahlers, President (Name and title of corporate officer) Builder's License No .......... ~..~ ...................................... Plumber's License No. 491P Electrician's License No ..... !P..2.~.~ ............................ Other Trade's License No ............................................... Nassau Farms Map Location of land on which proposed work will be done. Mop No.: ........................................ Lot No ......................... Street and Number ........... .~.~...~..t;;..e..~..~.W.~.~..'L;...~,~ .................................................................... Cu~ahagz~ ........ Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: o. Exisiting use and occupancy ........... .o...~..e.....~8:.m±]_.~... ~.'w..e].].-i~. .......... b. Intended use and occupancy ........... g..~..e....~..a,.m.~..~y....~.~.~.~],~.~ ....................................................................... 3. Nature of work (check which applicable): New Building,. ................. Addition ....... ~ ........ Alteration ............. Repair .................. Removal .................. Demolition .................... Other Work .................................................... (Description) 4. Estimated Cost .....~.~.0..0.,..0.0. .................................. Fee .......................................................................................... (to be paid on filing this application) 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 ............................ 6' 6' 6' 7. Dimensions of existing structures, if any: Front .......3 ................... Rear ...... ~. ....................... Depth ..~. ............... Height ........................ Number of Stories ............. ..]: ................................................................................................. Dimensions of same structure with alterations or additions: Front ..... 5~.t. ........................ Rear ...... ,,5,0,.t ............... Depth .~,(~.~../~.~.~. .............. Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front ....... ~, ........................... Rear ..,'1./~. .................... Depth ..%~..~ ............ Height .................... Number of Stories ..................................................................................................................... 9. Size of lot: Front ................. ~,D.Q.t. .............................. Rear ...~.0.0.? .............................. Depth 20D.? ....................... 10. ,Date of Purchase ~.., .................................................... Name of Former Owner ........................................................ 1 ], Zone or use district in which premises are situated ......... A .......................................................................................... 12. Does proposed construction violate any zoning Iow, ordinance or regulation: ....... D..g ............................................ 13. Will Jot be regraded . ........... .~..o. ............ Will excess fill be removed fr.omoremises: ( ) Yes ( ) No 14. Name of Owner of premises .~.~.:...~?'...~.~.....~.~..cl:~..z..~...~..e.~. ........ Address .~e~e~?~.~. Phone No ....................... Nome of Architect .............................................................. Address ................................ Phone No ....................... Name of Contractor .Ge.O.~F~fL.A~L¢;C,~¢,Bg,J,~L~1,ftZ'.~ ....... Address .~¢~..%~,~,fl ............ Phone No ....................... PLOT DIAGRAM C~t'bc~0~u.e ~ ~ 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 end indicate whether interior or corner Iol. r r' 0 STATE OF N · ~ - [~-S /Q COU TY ....... o (Name of individual signing 'contract) ~'-"-~"-'"~---~. sworn, ~eposes and says that he is the applicom above named. He is the ................................................................................................................................... (Contractgrr, agent, corporate officer, etc.) 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 s~tements contained ip this application are true to the best of his knowledge and belief; and thaT' the work will be perfo/r~ed in the manner set forth in th~,gpplicoti6n filed therewith. (Signature of applicant)