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Home My WebLink About9679-zNO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupancy No. Z9323 . Date December '~ 19.. 78 THIS CERTIFIES that the building located at ...8.1..4.5...A~..v.a~..'..s..L..ar~..e ..... ~e~xxx Map No ............. Block No ........... Lot No .................................. conforms substantially to the Application for Building Permit heretofore filed in this office dated ... April ....17 ....... , 19.'.~8. pursuant to which Building Permit No ..... 9.6.7.9Z dated ....A?.r..i} .... .1.7, ....... , 19. '?.8., was issued, and conforms to all of the require- ments o£ the applicable provisions of the law. The occupancy for which this certificate is issued is Private One F~nily Dwelling The certificate is issued to ....... I~ob.e.~:t. C:l,~rk ................................... (owner, of the aforesaid building. Suffolk County Department of Health Approval .... .8.~.S..Or~.~..' .O.q~..o.b.~r...2.~.,.. ?97.8. UNDERWRITERS CERTIFICATE No .......... .N.4.0.~.7.?? ........................... HOUSE NUMBER 8145 .... Street Alvah' s Lene ~tchogq. e, N. Yo / BuiYdinl~ Inspector County Tax Number lO00-101-1-part of 14.2 FOF.~H NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTtiOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 9679 Z Permission is hereby granted to: ..... :~/...~: ....... .?:..L.!~..,:..:!~...~.~ ........... ~..!:.?..!:...'..q.. .. ~o ...... ~ ~.~ :.~.t , ~ ......... ?. ......... :tt~:.~:.:..~..~..9.:.~: ......... .(~t ~,z ~ .......... L.h.:: :.'..~ L.:~ ......... at premises located at ............ ~..~..~......~..(...~.fi~..~..Z ........ /.:.'~......: ......................................... ........................................................................... .C.~..zL~L.d.~?.Zz.~.~Z. ............................................ pursuant to application dated /~'~tb (719 7~ and approved by the Building Inspector. /~ Fee $...?...(.. ............. FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, 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 Inspec- tor with the following; for new buildings or new use: 1. Final survey of property with accurate {ocation of a~ buildings, property tines, streets, and unusual natural or topographic featu res. 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 installa- tions, 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 peoperty showing all property lines, streets, buildings and unusual natural or topographic featu res. 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 informa- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $I.00 $5.00 Date ,~L,~ .~-~.. New Building ............. Old or Pre-existing Building ............ Vacant Land ............. Location of Property ..................... House No, Street ,-- __ ~' Hamlet Owner or Owners of Property .(~,-~ .'~L2~-.~: ...... /.~.( .~. ~. · · .~ ,,.. ~.~,~ ........... County Tax Map No. 1000 Section ..../.~. ~. ...... Block ..... ~. ......... Lot~lh~-~. ~. t~. ,~,-~,',. ~/J~' ,~ Subdivision ................................. Map No ............... Lot ,No ............... Perm~t,o. ~.~. ~.~ 2. Date of Permit .......... App,oant ~..~. &-~..(;~.. ~. ~.... · :. · Health Dept. Appro, al., ,?.&.-.'.O:~... 3~ ....... Labor Dept. Approval ........................ Undemtriters Approval. ~ ................ Planning Board Approval ...................... Request for Temporary ~ertificate ..................... Final ~ertifieate ....................... Fee Submitted $ ....... ~,. ,0~.. ................. Construction on above described building a~mit meets all applicable codes and regulations. ,.~. ,0. ,o.,, &~" ' '~~-*~--~-- THE NEW YORK BOARD OF FIRE UNDERWRITERS ;)rn BUREAU OF ELECTRICITY ~ 85 JOHN STREET. NEW YORK, NEW YORK 10038 ~,t. October 12, 1978 App;~,t~,No.o,f~ 98312:5 N405799 THIS CERq'IFIES THAT only t~ e[~ctri~ equ' nta descr~ i~t by t ' ~m on t ~pp[' ' amstar in the followlng lo.etlon; E~ Basement [] )~st FI. ~..e=ami.~ao. October I0, t078 [] 2nd Fl. Section Block and found to be in compliance with the requirements of this Board. 150 S E EXHAUST FANS D~MME~S R V I C I/O Elec. Room Heaterst3-1.25gW,2-1.0KW,4-1.SK~ l-Smoke Detector I/O Corar~ ELec. Route 112 Box 242 Corem. L.I. 11727 This cerfificote must not ~ oher~ in ony manner;, r~urn to the office o~ the ~erd i~ incorr~. Ins~ors moy ~ i~ by t~ cr~entiels. copY FOe ~mma ~m~. mm coPY oF TOWN OF SOUTHOLD TaWN OLE~K'S ~FFIOE S~UTHOLg, l~O~.~ NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ~is~pproved o/c ............................... (Budding Inspector) Application No ................................ APPLICATION FOR BUILDING PERMIT ............ . INSTRUCTIONS a. This application must be completely filled in by typewriter or' in ink and submitted in triplicate to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets o~ areas, and giving a detailed description of layout ofproperty must be drawn on the diagram which is part of this application. c. The work covered by this application may not be commenced bet:ore 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 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. - ...... ' ............... (Signature of applicant, or name, if o corporation) ....... .......... (Address of opplico~ft)k~)~',~ ~,~,~0-y~ State whether applicant iS owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ..................... ~u'~.~,~..¢.::~ ............................................................................................................................................... Name of owner of premises ......... ~..O...~.~..~)~.....~. .............. C...~.:..~.../~./.~'. ........................................................................ if applicant is a corporate, signature of duly authorized officer. .... (Name and title of corporate officer) Builder's License No ....... ~ ........................................ Plumber's License No ..........~ 2f~ ~ Electdcion's License No ............................................ Other Trade's License No ............................................... 1. Location of land on which~roposed work will be done. Mpp No.: ........................................ Lot No ......................... Street and Number ....~/~q' ....... ¢.....~..~..~.Z.~..~:.....~.O .~'...C.~..../~'..'.~.~...~.....'.~/~.....~../~di~:~...~.!. ...... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction; O. Exisiting use and occupancy . ..E/~ .f~ (~.. ...(./b..~: ................................................... ¢.~.~ £a~L L . .. p~/~e~c ~ ........ b. Intended use and occupancy ............................ .~ ..................................................... / 3. Nature of work (check which applicable): New Building~ .....~/. ........ Addition .................. Alteration ............... Repair .................. Removal .................. Demolition .................... Other Work ................................................ .... ~ .~. (Description) 4~ Estimated Cost .............. .¢.~...i..c.~ .................. Fee .......................................................................................... (to be paid on filing this application) .5. If dwelling, number of dwelling units ...... ..~..~.~.~. ...... Number of dwelling units on each floor ....-9.. ,~..~....~. ......... If garage, number of cars ............O...~.....~. .................................................................................................................. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ....~....~. 7. Dimensions of existing structures, Jf any: Front ....72....f,~..:.-'.. ........ Rear ................................ Depth .................... Height ........................ Number of Stories ................................................................................................................. Dimensions of same structure with alterations or additions: Front ....................................Rear ............................ Depth Height Number of Stories ....................... 8. Dimensions of entire new construction: Front .......... ~-~.~... ................. Rear ...... ~....~.. .............. Depth ....~....~. ............ / ' Height ........ ~.. ......... Number of Stories .......... ~ ............................v ...................................................... /' ....... 9. Size of lot: Fro~t .... ~..~.../..?~14~. Rear ...... /....~....~. ..................... ~[~_e, pth~ ....~...~..~... ........... 10. Date of Purchase ........................................................ Nam~e~of Fo~rmer O~wne. r .~.~.'./~.../..~...~...~'..~.. ........................ ..... ~ e/~ 11. Zone or use distr,ct in wh,ch pram,sas are situated .....~."'~.l.~......~J.O ........... ~ .......................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: .,.~..4~. ......................................... 13. Will lot be regraded ...~.~.~. ............. Will excess fill be removed from premises: ( ) Yes (,~) No Nome of Architect ..,..~...~....~...~,. ....... ~.~.z~,..~. ................ Address ..5~,~P~:,~ .......... Phon~ Name of Contractor ..~..~..~9...::.....~...~.k,/~......C.b'...~...~...'~.. ...... Address ..C'..49Z.'~.a/f,,~....~c~m....... Phone PLOT DIAGRAM Locate clearly and distinctly oil buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block number or desqription according to deed, and show street names and indicate whether interior or corner lot. ~,3 STATE OF NEV~A40.P,I~ ~ Id, ~ S S COUNTY OF ~..'~,~.,..(~.....f ' , .................. · ~.~t~.¢;.¢4-~......~. ........ ...~....~..~.~,..r)...~_.~ ........ being duty sworn, deposes and says that he is the applicon, (Name of individual signing contract) above named. ,.~ He is the ................ ¢bc?~......~.....~.~....~ ....... ~ ...... .s~, ..................... V ~ (Contractor, 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 statements contained in this application are true to the best of his knowledge and belief; and tha~ the work will be performed in the manner set forth in the application filed therewith. Sworn to__before me this ..... /'.. 7..~.~ ...... day of ........ ...~./~. K'.. ~.. / Notary Public,. ....................... ~'"'~"'--~'~/'t"" County ....... ~¢~.....y.~..~..;-7..;-.....~..:.....-~.. ..... Term Ex~J~es M,~rcll 30, ~'~ ..... ?7£ ', 0 () l f) ~ t. ~ SUITE. CO DEPT. OF HgALTH IiI~RVIo~: ,' ,, ', , 8TAT~'M£NT OF INT~NT SUn- Ark 'Constructkn, Inc. .... o' : 3~3A Cal~erton-Westhampton Road ~J WIL~ ~ONFORM ~ THE i ~J ; OF H~LTM, i ,,' 07~x.x?, : ~., : :'. ~ ~ ~ .s'-~o-~ , Sun-Ark Cons'b'ucUea, lne, 353A CaNerton-Westhampton Road FOR Ap,~movaa. me, -, ,m~, Y ~lverton. New York lt933 OCT 2 319 ?~tc~ll%i~ ~'or this lod~tiol: ~ ~ ~:~ ' JO THIS SURVEY IS A VIOLATION OF , · -' , ' ~LI FOR ~PPROVAL OF coNs~U~ :~Y : ~ DENC~ WILL ~FORM TO TH~ ...... ,, .~ . STRND~ OF SUFFOLK CO. OEPT, APPLICA~ ~FqF I~L~'re ~ R:~ 'pL,~'tt APPP,6V~ A~ 2. FRAMING INSPECTION 4. FINAL WHEN JOB COMPL. NOT RESPONSIBLE FOR 4 REQUIREMENTS CF N.Y. 5 ,L,~ CODE J PAUL J.~ STEII]EL PAUL J. S~F. ICF. L 479 Middle Country ~oad Coram. New York 11727- F hkv ~-v-- ~k? 7? PAUL J. STEIO£L ARCHITECT 479 Middle Co, retry ~oad Coram, hbw York 11727 il¸ il PAUL ~lr, ~TEIB[L __ 479 MiddL ',:,':'y ~oad Coram, h,,-'~ \_4< 11727