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Home My WebLink About9718-zl~O~w~ NO. 4 TOWN OF SOUTHOLD BIJ~.[}ING DEPARTM~.NT Town Clerk's Office $outhold, N. Y. Certificete Of Occupency No .....Z.97.~.5.... Date .....~O.v.~be;c. ....... 27 .... , 19. THIS CERTIFIES that the building located at . .8~10. ~c~und..¥ie~. Ave .... ~ee~xx Map No ............. Block No ...........Lot No .................................. conforms substantially to the Application for Building Permit heretofore filed in this office dated .~..p.r.i.l....2.7. .......... , 19.7.8. pursuant to which Building Permit No .... 97.~8Z dated .Hay... 1 .~ .............. , 19.. 7/~ was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which thi.~ certificate is ~ued is .......... . .~.~..v.~.e.e., 9.n.e..~. ~.~.a:.y., .~..e.~.~.~. ............................. The certificate is issued to ...... .R. qb. ?.'q .a.. ~.qh..~.e.l.a...Sq .h.u.r. ....................... (owner,~ of the aforesaid building. Suffolk County Department of Health Approval ........8. -. .S .0.-. ~ .0...N.o.¥.e.m.b.e.~..2.~. ~..I.978 UNDERWRITERS CERTIFICATE No. Nt~08649 HOUSE NUMBER $310 Street Sound ¥±ew Ave 5outhold~ New York .... .......................... Building Inspector County Tax Number lO00-59-7-Part of 29 TOWN OF SOUTHOLD BUILDING DEPARTMINT 'TOWN CLIPJC'S OFFICE SOUTHOLD, H. Y. IUII.~IH~ I~ERMIT (THIS PERMIT MUST BE KEPT ON THE PI~,EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 9718 Z Permission is hereby granted to: ................. ~ ................ C..t....: ............ : .................... .~ ......... .~...~...,~ ....... ~..C,..~..V..../~ .......... .............................................................................. .~..0..~...L~.~...~ ........... ,....~. ......... , ...................... .~...o..~ ...... ~.°.~.~.v..~.~.Lv.~.~.~L°.~..*..~J~(~..-.~.~....~ .................... pursuant to application dated ................................. ~....P..!.~.. ...... .~..-].., 19~..., and al:~m:wed by the Building Impector. ]FO~ NO. 6 TOWH OF $OtJTHOLD Building Department Town Clerks Office Southold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application ~-,~st be filled in typewriter OR ink, and submitted in DUPLICATE to the Building Inspector with the following; for new buildings or new use: I. 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 requirements where applicable. B. For existing buildings (prior to April ]957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey.of property showing all property lines, streets, buildings 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 ether pertinent formation required to prepare a certificate. C. Fees: J. Certificate of occupancy $5.00 2, Certificate of accupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 pete New Bqilding .....~......,... Addition ................ Old or Pre-existing Building ................ Vacant Land .............. Location Of Property`~/-~..~`~.?./~.~?~u~i~.~.~u~.~`~q~.[~j~!~ ...... ........................... Owner Or Owners Of Property .l.~..~.b.l~..~..~...&..~.~....~..~.~.~..;...~..~...~,..~..~?,.: ............................................. Subdivision ................ ,.'TT. ............................................ Lot No......-~.. ..... Block No..,-. ......... House No~...~....J..~.. Permit No.(~,.~...L~..~...~..... Dote Of Permit ..,~.l/L/2..~..,Appllcant ~,..~.?.....N..~'~"i~,..~.....I¢~.~..~....~.~....L..N.....~...;.. Health Dept. Approval ~/~.U...~,..I.~..L.~..~..~.. ............... Labor Dept. Approval ......'~7. ........................................ Underwriters Approval ,/~/,~,~,.,,.,)~,,..J.,~.].~. .............. Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Final Certificate Fee Submitted $ ,.....~-,..~..~.. .................... Sworn to before me this ~To~,~{)~'~,~ ~u~-~: /~/C. ................ day of ............................................ Notary Public .................................... County TOWN OF SOUTHEI/D OF'FlOE OF' BUILDING JNSPIEOTOE TOWN [~LERK'B OFFIOE c::nUTHDLD, N. Y. 119'71 TEL. ~6~-3660 % % THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY !~ ~p 8EL JOHN STREET. NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT only the ~ctrica[ eq~ow~nt as d~serlb~d ~ ~nd i~troduc~d by t/~ ~p~"~t ~r~ o~ t/~ ~ appl/c~t ~o~ numb~r i~ tb premises of ?~:ohert F, ehu~,,Bound View Aw:.)~outBoll~Lol. in the.following location; [] Basement [] 1st FI. [] 2nd Fl. Section Block Lot was exarnined on 0~O~ ~. ~' ~r~ ~!~ andfoundtobelncompliancewiththerequirementsofthisBoard. ,.~D~RYER~w' I OIL FtlR~pACE MO~TORSH. P. 4 1.' SERVICE OISCONNECT I NO. OF ~ ~ .~ 0 C !-~ METER OTHER APPARATUS: 1-G.F .... i. 1-10&rap Vaouum Unl~ R EXHAUST FANS DIMMERS TIME CLOCKS BELL UNIT HEATERS M~LTIL'T~ 1/0 ,{all 760 Loni~ Creek Southold, !~.g. 11!)71 L1c.657}~ 11 ~ This ce,ificu~e mu$~ not 6~ ul~er~d in ~ny munner;, re~rn ~o ~ oHice ot H~ Board H i,¢orr~-~. Inspectors mu¥ be identifi~ by tl~ir cmdentluls. CO_Py~FOR BUILDING.DEPARTMENT. THIS.COPY OF C~RTJFI.-CAT~MU~ST NOT_Bi..A~,I'~R~' .~ ~ _MAN. HEPr ~ _, t FO~M NO. 1 TOWN OF SOUTNOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. ¥, ...' ......... ....... , proved .............. ...... ..f../... No ..... ............ ............... Disapproved a/c (Building InspeCtor) APPLICATION FOR BUILDING PERMIT Date ..~J.~.~L~-.....~,~ .................... 191].~. ..... INSTRUCTIONS a. This application must be completely filled in by typewriter o~ 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 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 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 oil 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 a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........................................ ..Ce.... ~.~.r:..~.~.k.....C.~.:~.ft.~...~..~. ~.~,,.. ......................................................................................... · Nome of owner of premises B~ ~-<~, ...~..J';~u~f;~ ~,q'Ci-)O ~-~ If aRplicg~t is a corporate, s'~nature of duly authorized officer. (Name and title of cor~'orate officer) Builder's License No ...... ~..~.. ....................................... Plumber's License No ................................................. Electrician's License No ............................................. Other Tmde's License No ............................................... 1. Location of land on whic;h proposed work will be done. Map No?: ........................................ Lot No ......................... Street and Number .~.`.~..~.`~.~..~.~.~.~..~..v.~./~.~..~../~'.~..~.~..~.C-~.-.Z~/...~..~ .~.~.~Z...~..~.Y~.~.Z~i~.~ ....... 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 ..(-2..~....~../'~.~.!..~..~....~..I&~.J~..L,.~..../..V.~. ............................................................... 3. Nature of work (check which applicable): New Building.. ....... Addition .................. Alteration ................ Repair .................. Removal .................. Demolition .................... Other Work ................................................ . .... (Description) 4. Estimated Cost .... ~...~,...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 ............................ 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 ................................ 8. Dimensions of e, ntire new construction: Front ...,~.~../:...~.~.. .................. Rear ...~...K....7'.., ........... Depth ........... Height .....~....~.. ......... Number of Star.es ...... ./.~-z....~.J.......~..~.........~...~...~..,~.......~...~....~...'~.. ................................ .~ ............... / ..~...~...i. .................................... Rear ...... ./...~'./...- ............ ._. ......... D.~epth ... 9. Size of Io,: Front ...... ... --__.__ .................. 10. Date of Purchase ..... L.~..i~ ....................................... Name of Former Owner .~...o.~...~.~.......~.../~...~.,.~,J~...~.. ............ 11. Zone or use district in which premises are situated ..................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ...J~/.~. ............................................. I3. Will lot be regraded /~.~. Will excess fill be removed from rer~ises' ( ) Yes (~)"1~o ............... ~ ....... . i¢'~. '~s , 14. Nome of Owner of premises ~.~.....~.~....,,~.~..?...1~.. .................... Address .~.~e..S.~...~.~...~,;.~ ........ Phono No,~.,.~,~.....~.,?...~..'.~.. Name of Architect .............................................................. Address ................................ Phone No ....................... Nome of Contractor .~.--~..~..ff,..~..~..~....~...~......~.4:~.?....~...~.....!..~....~. Address ...~...o..~.~.~...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 lot. ~'A~'~ OF N~W ¥O.~<, ~S S ....... c. ...................... ~..jiffy... .............................. being duly sworn, deposes and says that he is the applicam '(Name of individual signi~ig contract) above named. He is the ............................................. -, ................................................................................................................................. (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 ail statements contained in this application are true to the best of his knowledge and belief; and that the work will be perfo~n~ in the manner set forth in the application filed therewith. Sworn to ~,~ore me th s ....... day of ................. .;; : N ,ry ..... ...... c ................................ No, 4~664300 %. ,-. ~.\~. ¥3,o / o .~ ~ ,,Ilc~l~ .,-, ! II~z,, ~t I ~.' .l! "~,, ~ II 2 I ,~ ,il -j ~