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Home My WebLink About10105-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No....z.l. 4..63.2 ........ Date ......... ~.u.iX ,}3., ............... 19 .8.6. THIS CERTIFIES that tbe building .. 9?.qe..8.s.°.r.Y.b..u.~.~.~.'.:zp.q..{p.l.a. yh.g.u.8, o.} .......... cation of Property . .9.395..S.o. un,d.v.i, ew .A. vo. .Southold, N. Y. Lo - - Hous~ bio. ' .............. '~'t/ebi ....................... h~r~iei County Tax Map No. 1000 Section . , .0.5. 9. ...... Block . . .0.6. .......... Lot ...2.1. ............ Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in ttds office dated ·.. ~.a.n.u.a..ry..1. 7., ..... , 19..7.gpursuant to which Building Permit No .... ~..0.1.0.5. z. ........... dated ...~..a.n.u.a.r.y. 3.9. ~ ............ 19.79, 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 ......... ............... .~9.qe.s..s.o.r.y, buJ-ld±n~ (Dla2~house) The certificate is issued to ........... G..ep.r. cXe...L....P, ,e,n,nX . .I,V ........................... (owner, ~'J~l~ of the aforesaid building. Suffolk County Department of Health Approval ............. ~/.A. ......................... UNDERWRITERS CERTIFICATE NO ..................... ~/.~. ......................... Rev. 1/81 Building Inspector FOEi~I NO. 2 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 10105- z Permission is hereby granted to: at premises located at .............. pursuant to application doted .................. ...~.~.....~...~.. ........... , lZ.~..., and approved by the Building Inspector. Building Inspector THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY .~000~') [;; 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT only the electrical equlpmen~ ~ ~scrlbed beJo~ a~ int~duced by the applicant ~ed on the a~e appfication n~mber i~ the premises of in the followlng locatlon; ~ Basement ~ 1st Fl. ~ 2nd FI. Section Bl.?k Lot ~s examined on ~'fll~ ~r ~.~ ~ ~ ~ ~ and found to be in con pllaoce with the req~irements of, this Board. FIXTURE FIXTURES RANGES OVENS DISH WASHERS FANS OUTLETS SWITCHES iNCANDESCENT FLDO~E$CEN~ DRYERS OTHER APPARATUS: S E I C AWG A, WG NO OF NEUTEAL5 Charles ~. H~ll-Omni Services li~.#657-B ~60 Leu&, Creek Drive , GENERAL~NAGER'~ ~ ~ ~ This certificote must not be ottered in ony, monner; return to fhe office of the ~j[~ct. Inspectors mey be id~fied by their credentiols. ~k COPY FOR BUILDING DEPARTMENT, TH S COPY OF CE~TIF[CAT~E ~S~QI BE AL~EREDt tN ANY ~' ~ B'-/i,.J A I FORM NO, 1 TOWN OF $OUTHOLD BUILDING D£PART/~ENT TOWN CLERK'S OFFIGE SOUTHOLD, N. Y. ., ............................. ............... (Buildin~ Inspectod APPLICATION FOR BUILDING PERMIT 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 p an show ng ocation of lot and of bu Idings on premises, relationship to adjoining premises or public streets o7 areas, and giving a detailed description of layout ofproperty must be drawn on the d agram wh ch s part of th s app cat on. 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 all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. ~ ........ ........ 190F Soundview Avenue ......... $.q~,~ho.1 d.,...l'~y.....11 9.7.1. .......................................... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Owner .................................................... Name of owner of premises .......... Q.eOr. ge..L.....P..enm~._IU. ............................................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ..................................................... Plumber's License No ................................................. Electrician's License No ............................................. Other Trade's License No ............................................... 1. Location of land on which proposed work will be done. Mop No.: ........................................ Lot No ......................... Street and Number ..... 3,c~.QE.,.~io~n~.v-i.ew..Av~nu~..-~o~¢ho~ .................................................................... Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: o. Exisiting use and occupancy ..... . ......... ~e~:iclence,.,.,, ................. ......................................................................................... b. Intended use and occupancy ........... ~,~.,,~i~ ................................................................................................ 3. Nature of work (check which applicable): New Building ...... .X.. ......... Addition .................. Alteration .................. Repair .................. Removal .................. Demolition .................... Other ~___~rk ................................................ . ..... - / ///2 ' (Description) · 0 C t ~.10 Fee 4~. ....................... t ..................................... 4. Estimated os ...................................................... "' (to be pad an f ng ths oppicaton) 5. If dwelling, number of dwelling units ............................ Numbur of dwelling units on each floor .................. If garage, number of cars ................................................................................................................... ~ .......... 6. If business, commercial or mixed acaupancy, specify nature and bxtent 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 entire new construction: Front . ~.~ ......... Rear ......... 8~. ............... Depth ....... ~ ............. Height....~3" ............ .... Number of Stories ........... ~ ............................................................................................ 9. Size of lot: Front ........................................................ Rear .......................................... Depth ................................ 10. Date of Purchase ........................................................ Name of Former ~ner ........................................................ 11. Zone or use district in which premises are situated ..................................................................................................... 12. Does proposed construction violate any zoning law ordinance ar regolotion: ............. ~D. ...................................... ~3. Will lot be regraded ......~.~ ................. Witl excess fill be removed from premises: ( ) Yes (X) No 14. Name of ~ner of premises .................................................... Address ................................ Phone No ....................... Name of Architect .............................................................. Address ................................ Phone No ....................... Name of Contractor ............................................................ Address ................................ Phone No ....................... PLO~ DIAG~M Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set,ok 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. ~ couj, OF / " ........ I d duoYs gn .,g co act) above n a m~,J.~ e,s 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 ill- thb applicatian; that all statements canto ned n this application are true to the be~of his knowiedge and belief; an. tha~ lhe work will be parlor ~d in the manner set forth in the application filed lherew~.