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Home My WebLink About10101-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy No. Z9532 Date M.~y 17 19.79 THIS CERTIFIES that the building ................................................ Location of Property ...e/.~. .......... .I~/,gI~lW.O. OA1..R.o. aAt ..............S. olrl;hold ....... House No. Street Hamlet County Tax Map No. 1000 Section ... 0'~.~. ..... Block ...9 ........... Lot ..... 52, ......... Subdivision. ,-~gh~..ood. e,'b. Ba~yT~..:[.ew ....... Filed Map No..55~7. · .Lot No ...... /~ ....... conforms substantially to the Application for Building Permit heretofore filed in this office dated December .... 29 ...... , 19 .~.8 pursuant to which Building Permit No....19.,.1.0..1..Z. ......... dated .... .J..m?u..~.rT/..' .1.7. .......... 19.7.9. ,was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... ........ ...................................... The certificate is issued to ......... K..e¥~..I1 .~..K.a.$hy..LO$¥.aM .......................... of the aforesaid building. Suffolk County Department of Health Approval .... ~...ay..~.~,..'1.9'~9 .....I~I.-S.0-..15~ ......... Robert A. Villa UNDERWRITERS CERTIFICATE NO .... N~3.~559 ..................................... Building Inspector Rev 4/79 '' FOBM NO. BUILDING TOWN Perh~ission ~!s hereby granfed to: r m!ses located at~W~ .... : p~'i~ant tt application dated BLJz~d ng InJpector. (THCS PERMIT/~UST BE: KEP? ON ;THE UNTIL L ,COMPLETION OF THE ~VORK~A~JTHO~ ~ ; . i and approved by the FOI~M NO. 6 TOWN OF SOUTHOLD , Building Depm~ment Town Clerks Office Southold, N. Y. 11971 APPLIGATION FOR GERTIFICAT£ 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 disp0sal--(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 1957), 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 Cl0d condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent in- formation required to prepare a 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 $1.00 ......... ............... New BHilding .....~ .~.s~ ..... Addition ....~..~?. ..... Old or Pre-existing Building3 .......~4'.~3... Vacant Land ..A4..~.. ..... Locaton Of Property ~.~.~,~ .~..~'l~ ~i~(~ ~,.~.'. 1~..~...~...q9.¢[ .(.~....~. ~ '-' FU. , ........... ,' ............ g ................... ......... ................ Owner Owne. of Pro,.? ............................................................ Or Subdiv's'on~t ~ ~;'~/~ '~ "~ ~" ......~/..... ~6'~'~..~......~,-Cu...~o.v4..A~...~]'~.~.~..Lot No. Bilk No ............. House No ............. Permit No. J..~.~.~] ....... Dote Of Permit ../.:.~Z:~.Applic~t Health Dept, Approval ............................................ Labor ~t. Approval ................. ~:. ............................ Onde~riters Approval ~q ............ Planning ,~rd Approval ........................................ Request For Tempora~ Ce~ificate ........................................ Fin~ Ce~ificate .......................................... Fee Submitted $ .................................... ~nstruction on above described building and~,~s all~licable ~es a~ regulgtiops. , _._.....__., day of ....~..~....Z..~.~..~. ..... (stamp or seal) /~ Nota~ Public ....~..~ ......... Coun~ THE NEW YORK BOARD OF FIRE UNDERWRITERS ? p m BUREAU OF ELECTRICITY I May I 8, 19 79 85 JOHN STREET, NEW YORK, NEW YORK 1OO'48 THIS CE~IFIE~ THAT Only the el~tH~l ~u~ent ~ ~sc~ bel~ and int~uced by t~ ap~i~nt ~ on the above application number in t~ premises of Snu~ Harbor Dev., e/s Hinhwood, s/o North Bayview Rd., Southold, L. in D,e followln$ h~atlon; ~ ~,ement ~ ~st FI. ~ 2nd FI. ,~tlon Bilk ~ was examined on ~ a y } 8 s [ ~ 7 9 and found to be in compliance with the requirements of this Board. RXTURE ~Ac I I w t J RXTUR~ I RANGES IC~KING DECKS [ OVENS I~SH WASHERS EXHAUST FANS De 23~ 45 26 23 Y~S r ~RNACE MOTORS [ ~TURE APPUA~G FEEDERS SP~IALR~'PT, TIMECL~KSI BELL I~ITHEATERS M~TI-~TLET DIMMERS SER~ ~5CONN~T [ ~. ~ ~ S E R v I C E I Id0 MCB x I 4 I 4 Motor/s:l-F I-G.F.I. t-Smoke Detector Robert O'Brian 21 North Ocean Ave. Center Horiches, N.Y. 11934 Lic.2338 E Pe~ This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. TEL. 76~-2660 TOWN OF SOUTHDLD OFFICE OF BUILDING INSPECTOR TOWN r. LERK'S OFFICE SOUTHOLD, N. Y. llg?l $OUTHOLD, N. ¥. xamined ..~./-~f~. ............~.. ........... , I ..... _~ ~ppravec~ . ..~/..ere...-..;: ................. :., .,- ................................ )isopproYed Va/c ............~---- &.-----.--.-'~--'---.--------'~ ............................... ~ ..................... '. ~ (B~dlng lns~-ctar) APPLICATION FOR BUILI~]~IG BERMIT ooze ............. Z~..=g.~ ....... :.....:...., ~.Z~ .... ¢. Th s application m~ be completely filled in by ~pmwrJter ac in ink and submitted in triplicate to,the: Building. nsp~ctar, with ~ s~t~ ~ ~ war~ c~mr~d by this applic~ion m~ no~ bm commmn¢~ bm~orm ;ssuancm o~ Bui~dinD P~rmiL , '~... >: .- ,:.- d. Upon approval ~ ~;s ~p~l;c~tian~ ~ Buffd;n~ Inspm¢~or will ;~um ~ Bu;ldinQ P~rm;t ~o the o~pl;canL Such p~rm;~ ,. No bu;;dinQ shall b~ ~cup;~d ar'use8 in whole or ;n p~ ~or ¢~y pu~osm wha~mvmr un~il a C~if;ca~ o~' Occupancy :hob h~e b~m~ Qmn~ by th~ 8uildinQ I~p~or. ' ' ' APPLICATION IS ~ ............ ~ .u_ ~ ...... ~ Cautho d ~uffolE Caun~, Nmw York, ~nd athmr opp;icoblm Laws, Ordinoncms or [hm ~ppl;cont ogrm~s ~ (Si~n~ ~f ~H~n~, or ~me, if a'co~o~t~ , ~ ...................... ¢~;;'o~ op~o~"'-~ 'LT~T- ,, . .. ' . .' b~a. B ~,~. A~& C~F, ,' ' ;tote whether cpplicant m owner, lessee, cgent, a~httec, · ~ I ~ '? - ' .., h;b~ ~ ~ '~~[ ~~.~.&~ ........................... : ........................ : .............. ................... gt'9 ......................................... ~,~, o, ow~,~ ~ ~,,,,_~.~,.~:~..~_ 7.:...~.~'~.~.. ,.~ ............. ~ ........ ~ ..................... :'"": ............. ~ ....... :':'" ~,~b,~', u,,~,, ~0 ........ : ....... ~:~..~:- .............. D_~' .~, ~- ... Ele.~tricion's License Na ............. ~ .......................... Other Trcde's License No ~ n wnich nronosed work will be do .. R ': ..................... ~- .............. :~"'"7- Lac~rian of 1 .... o s,,~ ~.~ N~ ....................... i~.~:.~.~..~.,.,.A......~&~ ........................................................... ~.~.I~L. ~a~e existing use ~d occupancy of premi~as and m.~nde~ use a~d ¢cCupee~ af proposed Canst~ction: ~. ~,~,~,~,~,,¢~ ....... K~..c.~.~ ...... L.~.~ ...................... ~ ........................................................ .. l ~_~;/ t~ . ' ....... '... b. Intended use ~nd ~cupancy ..... . .......... 3. N~{~ure ~ work (ch~,ck ~vhi=h caBl ): K~ ..... ~ -- . ........ Demo~itio~ .................... Qth~%~° rk ............... ~ ........................ Repair ............ Removal ~ '" ' ' - · (Description) ' : (to be pold on filing this application] ~. ff cl.,veiling, number o~ dwe~linfl un/ts ......... ~ ............... Number of dwelling unRs on each flor ..~.~ ................. 6. If business, commer:[al or mix~ occupancy, specifi/ n:ture and exlent oF each t}~e oF use .... ~ .......... 7. Dimensions o~exist[ng structures, iF any: Fron~ ............................ Rear ................................ Depth .................... Heigk~ ~ Number o~ Stories ............................ Dimenslans o~ some structure with ~Iferations or ~d.-, t.~n~ Fron~ ............................... . Depth ' ~ , H}ight .... 5 ..... Number of Stories ................................ ..,~..~t~R ..... 8. DimenSi=ns of entire new con$huction: Front ~ ~ 0 Rear . ~.~..0. ....... 1 1. Zone or use distri¢ in which premises are slt~sled .................................. : 12. Oc~s proposed construction vi0lcte ony zoning lmv, ordinance or regulation: ..................................... 14. No, me or ~n~r at premises ~ ..... 5 ...... T ........... 'T ........... . I . PLOT DIAG~M . - · ' - ' oosed and indl..ote prop~ lines. ~ive street 9nd o/~c~ numoer or ae=~,,~, .......... ~ · _ =N , ,. $TATE OF ND,'I YORK, --~ ~,"r'v ~F .... fS.S ~i ~o~ff ~, %~¢.~.¢~..~,..~.,?.,.:..b.~. being duly sworn, deposes and soys that he is the (N~e of ~nd v~dca s ~nmg ¢ontrec } ~ is ~he ............. ~-~ ~'~ ............................................. ' ....... (Conffac~or, agent, ccrpcr0te officer, etc.) of sek~ owner ar owners, and is duly ~uthorized to perform ar have performed the said work and to nmke ~n this o$~plicatlon; tn,=t ell stc~ements contained in this apgliczdan ore true to the bes~ of his knowledge and beEe ' , ' ' filed therewith. thor the w,.r/, will be performed in:the manner se~ forth in ~ke ~pphcohon ' . j No. '~2 -'4c24r33 Yes n'f %-*0 . ' { / . ' . . 4~ _1 1--- r-- CONSULTING AND HAND' ENGINEERS & LANJ) SURVEYORS 144 MEDFORD AVE. PATCHOGL~, N.Y. 11772 ~ 4 dAo /979 FILE~ 7~' 7~ S~EET~ ~ OF ~ ApPP. OV~.D/AS NOT ~.D DATE~ -I OT~. ~ 3~.,,,..l, 1%7c3'~ BURTON AND HAND CONSULTING ENGINEERS & LAND SURVEYORS 144 MEDFORD AV~ PATCHOGUE, N.Y. 11772 /& ,. BURTON AND HAND CONSULTING ENGINEERS & LAND SURVEYORS 144 MEDFORD AVE. PATCHOGUE, N,Y. 11772 '1 J4a./, / 979, " BURTON AND HAND ONSUL~NO ~NOm~S & L^ND SUrVeYOrS 144 MEDFORD AVE. PATCHOGUE, N.Y. 11772 *l iz. L .... --1 L J II II BURTON AND HAND ' CONSULTING ENGINEERS &LAND SURVEYORS PATCHOGUE, N.Y, 11772 t J I BURTON AND HAND ENGINEERS & LAND SURVEYORS 144 MEDFORD AVE, PATCHOGUE, N.Y. 11772