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Home My WebLink About6909-zTOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No.Z. 6.3~'1~ . .. Date .g.~431~...~lr 27 ... , 19..?~ THIS CERTIFIES that the building located at n/S ]~s~,a,ndv~o.~ I,~uo. Street Map No. X .... Block No... X Lot No.. X ........................... conforms substantially to the Application for Building Permit heretofore filed in this office dated . 8]27/F3. , 19 .... pursuant to which Building Permit No. 6909Z... dated I.O/%/F3 .. , 19... , was issued, and conforms to all o£ the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is . .One Fairly Deellin~ .w/. addition .................... The certificate is issued to Johll I~l~toeei ............. (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . .N/R ............ UNDERWRITERS CERTIFICATE No... ~ .1~9.6~3 ................................ HOUSE NUMBER 1.6~. . Street .]~Sl.~..~dTztO~..I~e.~.. G~.O~p.O.~'~;~..I~ ,. ~.o FO~,~ NO. ~ TOWN OF SOUTHOLD BUILDING D£PARTM~:NT TOWN CLERK'S OFFICE SOUTHOLD, N.. Y. BUILDING PER~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COgv~PLETION OF THE WORK AUTHORIZED) 6909 Z Permission is hereby granted to: R &..~--~f-%.~.~.--.-~-- ~T~-. F~t ~e e-l. ..... ....... 29.0Q ......... liem~to~..~pk ..................... ......... I~.vi~to~n ................................................. to ..h~td.l~...a~..~ddl~;Lom..on..ex-~in~..~.~Ltln~ ............................................................. at premises located at .J~e.O~J~,...afe..~mT~!~..¥.~e~..Tk~,T~. ......................................................... ................................. Gr.~e~p~ ......... ~,:E, ..................................................................................... pursuant to application dated ..................... ]~J~....~..~. ........ , 19~..., and approved by the Building Inspector. Fee $-'J,~J J~)O ............ ' Building Inspector~ FOKM NO. 6 TOWN OF SOUTHOLD ~ Building Department Town Clerks Office Southold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be fdled ~n typewriter OR ink, and submitted in DUPLICATE to the Budding Inspector with the following, for new buildings or new use: 1. Final survey of property with accurate location of all buddings, property lines, streets, and unusual natural or topographic features. 2 Final approval of Health Dept. of water supply and sewerage d~sposal (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 comphance 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 (pnor to April 1957), Non-conforming uses, or buildings and "pre-ex~sting" 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 in- formation required to prepare a certificate. C. Fees: I. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificote of occupancy $1.00 D te ........ New B~ilding ................ Addition ..~ ........... Old or Pre-existing Building ................ Vocant Land .............. Lo.cai,on Of Property ....~.../.~....~.~..~.~..J...e.}z...~..~.~...e. ....... ..G.~..~.~.:D~f}~.~.,...~.,......~., ................................... Owner Or Owners Of Property .~...O.~J,..~I.~.~.C)~.~.~L ....................................................................................... Subdivision .... D.~D.O.~ ................................................ Lot No...X~X~ ..... Block No..~. ...... House No..]~ ...... Permit No..~.0..?..~.. ...... Date Of Permit .....~..O.../.?./'..~Applicant 1~.~..]:~.~..~.~.....,T........?....o~'....e..Z'...~. ......................... Health Dept. Approval ........ ~'~/~ ............................ Labor Dept. Approval ....... ~..,~.~ ................................ Underwriters Approval ...~...~.c~.~ ........................Planning Board Approval ......... .~..../.~ ..................... Request For Temporary Certificate ........................................ FinaJ Certificate ...~. .................................... Fee Submitted $ ......~...~.0.0. ..................... Construction on above described building add permit meet~ all applicable codes and regulations. Sworn to before me this 6/ ~ ................ day of ............................................ (stamp or seal) Notary Public .................................... County , .r ! THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ' ' 85 JOHN STREET, NEW YORK. NEW yO~K 1OO38r. THIS ~I~IE5 THAT ~l~ t~ e~t~ ~u~t ~ ~cdb~ ~ ~ i~t~u~ by t~ ~pli~t ~ o~ the a~ ~pl~at~n ~um~r ~ t~ prem~s of J. Martoeci, 718 Island View Lane, Greenport, L.I. in the following ~atlon; ~ B~ment ~ ~,t r~. ~ 2,d rt. outEide s~o, m~ .~ .,.~i~ o. May 13, 19 7 ~ andfou~ to be in compliance with the requirements of th~ Board. fiXTURE OUTLETS FUTURE APPUANCE FEEDERS AMT. NO, A.W.G. RANGES SFEClAL REC'PT~ SERVICE DISCONNECT I NO. OF METER ICOOK~NG DECKS I OVENS I DISfl WASHERS A~AT. K. W, Il AMT. K.W. ~ MT, K, W, TIME CLOCKS UNIT HEATERS MULTI-OUTLET A,,,-. V I C I~2W 1.~'3W 3,~3W 3,~4W NO~O~:~E~C,~COND' NO. OF HI-LEG OF HI-LEG EXHAUST FANS A~T. H.P. DIMMERS NO, OF NEUTRALS A.W.G. OF NEU?RAL *Furnaces: 1-1/8hp, 1-l/4hp 1-2 ton A.C. Unit ~,ial;~;113ucK, New XOr'K ll~b~ ~ / Per 11 )/ .1' COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER; THE NEW YORK BOARD OF FIRE UNDERWRITERS 8~ BUREAU OF ELECTRICITY [~ 85 JOHN STREET, NEW YORK, NEW tOO38 YoRK THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the abo~ application number in the premises of John Martocci, 718 Island View Lane, GreenportE L.I. inthe.foltowlngtocationI [] m.~.~.t [~ Z.,Ft. [] ~.d Ft. outside s~No. Brock Lot t~s examined on May 1~S 1974 and found to be in compliar~e with the requlrements of thls Board. NXTURE IECEPTACtES .TCHRS FIXTURESRES ] ~ N~w COOKING DECKS VE DISH WASHERS EXHAUST FANS 8 23 9 8 I DRY~:RS FURNACE MOTORS FUTURE APF1JANCE FEEDERS SFECIAL REC'PT. TIME CLOCKS BELLI UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS SERVIC~ DISCONNECT NO, OF S E R V I C E METER AMT. A;~P. ~ EQUIP. 1~ff2W I.~3W 3~'3W 3.~dW NO. OF CC. COND, A.W.G. NO. OF HI*LEG A,W,G. NO. OFNEUTRAL$ A.W.G. 1 100 CB x 1 2 l OTHER APPARATUS: Acke~man & Bo~enstein Elecl;z-tc 754 North Wellwood Ave. Per ', COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. Disappr°veda/c ~'-" ~~ FORM NO. I ~. TOWN OF SOUTHOLD /z.,_ BUILDING DEPARTMENT TOWN CLERK'S OFFI~ T D APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter art in ink and submitted in triplicate to the Buildir Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan sh~ving location of lot and af buildings on premises, relationship to adjoining premises or public streets c areas, and giving a detailed description of layout ofproperty must be drawn on the diagram which is part of this applicatior 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 perm shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in pa rt for any purpose whatever until a Certificate of Occupanc shall have been granted by the Building Inspector. APPLICATION IS HEREBY A/u~DE to the Building Department for the issuance of a Bu~iding 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. .... ............................................... ( 'g q~bf applicant, or name, if a corporation) ...... ................................ (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Genez,,,'t OoM;z'e Gt;oz Name of owner of premises ............................... ~T.Q~lP,..~g;l~l~.~..q.9..~ ...................................................................................... 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..Jl~,...~'~./.i;..~.(~/~........~ Other Trode's License No.....~ ..................................... 1. Location of land on which proposed work will be done. Map No.: ........................................Lot No ......................... Street and Number .......... ~..I'~3.az~t..~:Lew..T,aa3.O~...Gz~o~I~3~.Q3~I~ ............. :. ............................................... Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ................. ~];~g...~.~.m..~..~'......~...e...~..~.....~. .............. ~'~'~ ................................. b. intended use and occupancy ................. ..~...e.....~.~.m..~.~.....~...e...]:.]......~. ................................................................. Nature of work (check which applicable): New Building .................. Addition .... ~ ........... Alteration Repair .................. Removal .................. Demolition .................... Other Work ................................................ ..... (Description) . 4. Estimated Cost ................ ~,~C~Q ........................... Fee .......................................................................................... (to be paid on filing this application) §/ If dwelling, number of dwelling units ....... .It ................... 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 .................... STATE OF NEW YORK, COUNTY OF .....'~..~f.~..~¥. .............. .............................. .~, ~1, ~l~.. ~T. ~.. ~..Q.~.~'~ ......................... being dui (Name of individual signing controcf) above namedL He is the .............. ~O~~ ........................................................................................................................................ (Contractor, agent, co,orate officer, etc.) of~id owner or owners, and is duly authorized to perform or have performed the said work and to make and file this~pplication; that all statements contained in this application are tree to the best of his knowledge and belief; and that the work will be performed in the manner set fo~h in the application filed therewith. Sworn to before me this ........ ;~.~ ....... day of ..0.~,.~.~ ....................... , 19.~.. Nota~ Public, . ........... ~.~ ........................ County ................... ~.~ .~ J.. ~:~ .................................... ~ ~ ~ (SJ~otu~e of applicant) H~ puc, r~te of [SeW Yor~ [~a. 30.0E70270 3rn, deposes and says that he is the applicam Height ........................ Number of Stories ...................................................................................... ;~ ................... Dimensions ofsame structure w th a terat ons or add tons' Front ~ ~ Rear De th l~ He ht . ~er of ¢(~','; ......... l .............................................. 8. Dimensions of entire new construction: Front .......... ..~...!.~ ................. Rear ....... i '.~.'.'.~.. Depth Height .................... Number of Stories .................. Z. .............................................................................................. 9. Size of lot: Front ........................ '1~,~ ...................... Rear ......... ~,~...e....~k~..~ .......... Depth 260e 10. Dote of Purchase ..... ~...~....~. ............... Nome of Former Owner ...~.~--~]~Z~..~.......~ ........... 11. Zone or use district in'which pre~nises are situated .................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ..... ..:.O. ............................. 13. Will lot be regraded ................. ..~..O. ...... Will excess fill be removed from premises: (~ Yes ( ) No 14. Name of Owner of prem ses .~g.lR...~.....~..~..~..O..q..O.~ .................... Address .............................. ~18 Island Vig;/(o~o ...................... Name of Architect .............................................................. Address ................................ Phone No ....................... Name. of Contractor ......... ]~l~.-..A..11~.]......q.o...~.~.?..a...c..~.~...]:~ ........ Address Z? Woo..c~,.,ia~.e. TH~one 698--0288 · ~j~j[..06~.. 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. · U f t AS NOTED