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Home My WebLink About5973-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building InsPector Town Hall Southold, N.Y. UPDATED Certificate Of Occupancy No. Z-16280 Date October 13, I987 THIS CERTIFIESthatthebuilding ONE FAMILY DWELLING WITH ENCLOSED PORCH Location of Property 2930 Little Neck Road Cutchogue, New York h&b~ k/ol ....................................................... Street Hamlet County Tax Map No. 1000 Section . . J .0.3 ....... Block 9 .Lot 8 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated June 28, 1972 pursuant to which Building Permit No. 5973 z dated June 28, 1972 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 ......... ONE FAMILY DWELLING WITH ENCLOSED PORCH * The certificate is issued to DONALD & SUE MORGAN ..................... ?o¥ 'o;,'f Yi gdtk'x .................... of the aforesaid building. Suffolk County Department of Health Approval Jan. 24, 1973 by R. Villa UNDERWRITERS CERTIFICATE NO. . . N67244 Jan. 17, 1973 N/A PLUMBERS CERTIFICATION DATED: *THIS C.O. UPDATES CO dated March 7, 1973 Rev. 1/81 Z5024 Building Inspector FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No..Z.~.02.I+. ..... Date ........... 14areh... 7 ..... , 19.73. THIS CERTIFIES that the building located at Wilson.. &. Little. N.e~k. RdStreet Map No. l~eelo.a .~linol'Block No ........... Lot No .... ~l~;~llOgll0 . .I~ ..~.. ........... conforms substantially to the Application for Building Permit heretofore filed in this office dated ........ J~¢~e. · .28..., 19.72. pursuant to which Building Permit No. dated .......... Jurte...28..., 19.72., was issued, an~d conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is .. Pr. iva~;e..one..f, amily .dwalling ...................................... The certificate is issued to ... Palll. H.,..ltelada ...... 0~ex' .......................... (Owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . .Jail., .21~..1.9~3...DY. f~-..Vi!.!a.... UNDERWRITt!RS CERTIFICATE No .... .~..67 .~.... Jan.. iT...~197.~ ................... HOUSE NUMBER... 29.~0 ..... Street...LJI g.¢tO, l~ok. R~ ............................. ..................... ............ .................................. · ' :! :': ...... t Budding Inspector ~OP~N~ NO. ~ TOWN OF SOUTHOLD 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? 5973 Z Permission is hereby granted to: ...... ........... · ~,!~t~'~e~ .............................................. to .... ~'a~ta:..r,,e,,e ..o~e...C'am~.7.. ~s'e2.~ n'g ................................................................................. at premises located at ""~t~"'~"'~'~;a!~l~ .......... ~' ........................................................ ....................................... ~ .............. ¢~e~e~.... ~¥~ ............. ~ ........................................................ pursuant to opplication dated 'i; ...... ... ................... ~'~1'1~'""~:~'"?" 19..~'~., ~nd opproved by the Building Inspector. PERMIT INCLUDES APPROVAL TO REMOVE EXCESS FILt. FROM ABOVE PREMISES BY REGRADING LOT / DRIVEWAY CONSTRUCTION / CESSPOOL CONSl RUCTION / , CE Lt. AR CONS~ ~UC~I'ION ~- OTHER FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE oF OCCUP' Instructions A, This application must be filled in typewriter OR ink, and submitted e~ to the Building Inspec- tor 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 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 Under'writers. 4. Commercial buildings, Industria~ 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 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 other pertinent informa- tion required to prepare a certificate. C. Fees: Additions $25.00 I. Certificate of occupancy New Dwelling $25.Q0, Accessory J$]O.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 (~]Upda~d C.~t.) $ 50.00 Date NewConstruction ...... Old or Pre-existing Building ............ Vacant Land ............. House No. street Ham/et County Tax Map No. 1000 Section .... /.~ .~. ...... Block . .....~ ....... Lot ..... ~ ........ Subdivision ................................. Filed Map NO ........... Lot No .............. Permit No ........... Date of Permit .......... Applicant .................................. 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 .... .,c_.~x~ ...... /~.,[ ~).~,.4~ ~(~- ............... Rev, 10-10-78 FO~ NO. S TOWN OF $OUTHOLD Building Depmtment Town Clerks Office Southeld, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and sbbmitted in triplicate 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 dispcsal--(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple R~sidences 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 o~ property showing oil property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner os 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 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 $1.00 $5.00 New Building .................... Old or Pre-existing Building ............................ Vacant Land ............................ Location Of Property ~`~.~.`~.:~?~~.~'.~/~/'.~.~'~?/`~`~'~`~~~/'~.~'~'~ Owner Or Owners Of Property - . Subdivision ,..~...,~..'2~.. .................... Lot No ...... .,(~..... Block No ............. House Permit No..~:~.7...~.,:,.Z:., Date Of Permit ...~.. ,~,.~...~.,~..~Applicont ........ .~..,..,. ,~.~.; ......................... Health Dept, Approval ..... [..~....2....~..T...~,~. .............. Labor Dept. Approval ...~ ............................................ - '?7 · Underwriters Approval ....... /....... /.. .~.. ......................... Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Final Certificate J Fee Submitted $ .................................... Construction on above described building and permit meets oil applicable codes and regulations. ^..,,con. ............... .......................................... Sworn to before me this ~ ~/~¢~ ................ day of ............................................ (stamp or seal) ~'~ Notary Public .................................... County ~e~,~j * TITLE NO, S-394055 WILSON DI£TZGEN t35 11846 now or formerly Jeon ''~' younq NOTE: ~EWS~ONS YOUNG & YOUNG OCT. II~ 1972 4-00 OSTRANDER AVENUE, RiVERHEAD, NEW YORK ALDEN W, YOUNG HOWARD W, Y, OUNG SURVEY FOR: PAUL R. RENDA & WANDA H. RENDA C UTC H OG U E ~ ~_~t~L~.Y .~tT ~,~ ~',.~,~ R~ CO. · ow~o. SOUTH~D ~ ~ ~ ,.... ~: J-,~ SUFFOLK CO., N. Y, SCALE: I''= 50' daN. 6, l~~~'2~ TITLE NO. S-394055 WiLsoN DIETZGEN 135 H846 ROAD IV.? · nov/or :fo~m,efiX Jeon S~'¢'°~n~1 SUFFOLK COUNTY HEALTH DEFARTMENT DX~E 3AN~41973m The sewage disposal and v'ater supply facilities for this !ccavion have been inspected by this depa~m~t Chief of General Engineering Services ' · -- MONUMENt' .... , YO~K STATE LAW .~v,s,o.s YOUNG & yOUNG, OCT. II, 1972 4-00 OSTRAND£R AVENUE, RIVERHEAD, NEW YORK OCT. 20,1972 ALDEN W. YOUNG SURVEY FOE: PAUL R. RENDA AT ~,,~l~, ,~ ~AR~: ~ u l~ n ~ ~ U ~ ~CU~' ~ ~E ~ ~ ~RANTY CO. TOW. o~ SUFFOLK CO.. N.Y. dAN. TP N0. S-394055 WILSON DIETZGEN 135 11846 RoAD no: er f°rm~rly jeon $' youn¢ · = MONUMENT o~o~ tc , , ..... .£vlszo-s YOUNG & YOUNG OCT. ii, 1972 400 OSTRANDER AVENUE, RIVERIr!,EAD, NEW YORK SURVEY FOR: PAUL R. RENDA CUTC HOGUE ~ :~RIT~:;~ TL~Ea O¢~NTY CO. SOUTH~D v. ~x ~ ., SUFFOLK CO,, N.Y. Approved ........................................ , BUILDING DEPARTMENT TOWN ,CLERK's OFFICE SOUTHOLD, N. Y. Disapproved o/c ............................................................................................ ..................... ................................. Ce, " Date ~ ................................................ , 1'9...~ .2.7 .... INSTRUCTIONS a. This application must be completely tilled in by typewriter or in ink and submitted in triplicate to the Building Inspector,~ithl~l 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 or areas, and giving a detailed description of layout of property must be drawn on 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 kel:~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 ~n,~. 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~7 Ordinance o~ 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. Edward Abitz Bnmt,~&ctor Inc (Signature of applicant, or name, if a corporation) Mattituck (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ............................................................... ~il~er ................................................................................................................ Name of owner of premises .... .~...LLI....R..,....R..~,.ql..a.. ............................................................................................................. If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Beebe M~.n r '~*~- ~' 1. Location of land on which proposed work will be done. Map No.: .............................. ~ .................... Lot No. Street and Number ....1~ll&c~..~;..Li~.t~f,.....N.e, ck...R.d. .........C.ut, aho&um ............................................................ ~L~ ,,~ 0 Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ....... veecafz~, ............................................................................................................... ~ o~.e, f~m~ 1_ ~w*.e. · . ................... ~ b, Intended use and occupancy .............. ~... ~.z*~,~ ....................................................... ,,, 3. Nature of work (check which applicable): New Building .,T~,~. ........... Addition ..................... Alteration ............... Repair ......................... Removal ......................... Demolition ........................ Other Work .................................... / ~ "~ ~ {Description) 4. Estimated Cost ............ .~.~.f ~)(~) .................... Fee ..... ~:Z.~.~.../.. ............................................................................. (t° be paid on filing this application) 5. if dwelling, number of dwelling units ....~z~e. ..... Number of dwelling units on each floor ......................................... If garage, number of cars ..~ ............. ...L-~...~. .................................................................................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of usa ..................................... 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 ........... ~2~ ............. Depth ........... 2,6 ................. Height ................................................. Number of Stories ..... e~_e ............................................................................. 9. Size of lot: Front ...................................... Rear .......................................... Depth .................................................. 10. Date of Purchasa ..................................... Name of Former Owner ............................................................................ 11. Zone or usa district in which premisas are situated 12. Does proposad construction violate any zoning law, ordinance or regulation: ......... r~) .............................................. 13. Will lot be regraded ........... ~es. ................. Will excess fill be removed from premisas: [ ] Yes [?] No 14. Name of Owner of premisas ...~....~..~D.~ .............................................................................................................. (Address) (Phone No.) Name of Arch'tect ..................................................................................................................................................... (Address) (Phone No.) Name of Contractor ........ ~,..~.b~r~ ........ ,~t;~,,L~;:~c,]~ ......................................................................................... (Address) (Phone No.) PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all sat-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate wheth- er interior or corner lot. STATE OF NEW YORK, ) SS' COUNTY OF ................. ~A~O .~L~ .................. ) ............................................... · .~...~...~.~..~.....At..~.~.I~.g). ......................... being duly sworn, deDoses and says that he is the applicant above named. (Name of indivbt,,~t signing contract) He is the ................................... .~ZL~['&P~.~Q~ .................................................................................................................................................. {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,.tbe bd~LDl~'dltb ~ed~ and belief; and that the work will be performed in the manner set forth in the application filed therewith. ,xofon, Pu~ic, Stole of New York No. 52-0344963 Suffolk Coun Commission EXpir~Mm, ek 30, 9 Notary Pu blic,~...~..:.~...~.~unty .... ~~...~...~~ ..................................... o/ (Si&,nature of applicant]