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Home My WebLink About6493-zFOI~I NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No.Z. 588.9.... Date ..... Ma~- ...6 ....... , 19..~.. THIS CElrtTIFIES that the building located at . Deerfoot. Pat..h ...... Street Map No. MOPse ..Cov. e. Block No ...... Lot No. ~ ..... Cu.tph. o. gg..e...Ny.Y? ...... conforms substantially to the Application for Building Permit heretofore filed in this office dated . hP.I'.!! ] .8 , 19 ?B. pursuant to which Building Permit No..6t~?3Z. dated April · 19., 19 73, was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is Pr;t~ratg .One..f. am~Xy..~.w.e~.!ing .............................. The certificate is issued to Joseph Decker .... .0~aer ..................... owner, lessee or tenant) of the aforesmd building. Suffolk County Department of Health Approval May..3.. J~7~+...by ~4..Villa ..... UNDERWRITERS CERTIFICATE No..N..~.L~.8.~.3 ..... .F.~.I~..6..~ 9.~. .............. HOUSE NUMBER 3bt~ ...... Street. D.o.~rf.oo.t. Pl~J;h ........................ ......... Building in~p~r l~)l~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT / (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIe FULL COMPLETION OF THE WORK AUTHORIZED) / N? 6493 Z Permission is hereby granted to: at premises located at ........LO~.,~ ......~os~..~ave ................................................................. : ....... ............................................ l;~e.~foo$,..~'ath ........... C~at. cho~ue ....................................... :..'. ......... "~-T~ ~rsuant to application doted ............................... A]3~i.3 ...... '1'8', 19"73", and approved by the Building Inspector. Fee -~.*~.~ ............ FOltM NO. 6 TOWN OF $OUTHOLD Building Deportment Town Clerks Office Southold, N. Y. 11971 APPMGATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted 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 hnes, streets, aha unusual natural or topogroph,c 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 ar Engineer responsible for the building. 5. Submit Planning Board approval of completed s~te plan requirements where applicable. B. For existing buddings (prior to April 1957), Non-conforming uses, or buddings 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 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 ............................ Property .~,,,~,~~ ............ ,'~)~,,~,.,~,,..,~,,,. ,,~,,~,,..~,,/,~,,,,., .~,, .~ ,~.,,,~,. ......................... Location Of Owner Or Owners Of Property ........ ~//'- '.f./~.~....~.~.~...~~.~.~ ........................................ Subdivision ......~..,-~.,.~..,~.,....~.a..~,.~ ................... Lot No...: .~'..... Block No ............. House No ............. Permit No.~...~..~..~....Z. Date Of Permit .................... Applicant .................................................................. Health Dept. Approval ......~.......~.....O.....~....,/....~.....~. ....... Labor Dept. Approval ................................................ Underwriters Approval ~......./...~....~....~..?..,.~... ................ Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Final Certificate ~ Fee Submitted $ .....~...~....~....t~... ................. Construction on above described building and p~j',~zJ~t meets all applicable_ code~ and regulations. Pq3plicant .... ~. ................................... Sworn to before me this ~//~.~L./ ~ (stamp or seal) ................ day of ............................................ Notary Pubhc .................................... County THE NEW YORK BOARD OF FIRE UNDERWRITERS SW BUREAU OF ELECTRICITY -- 85 JOHN STREET, NEW YORK, NEW YORK 10038 ,,..,e .,,.p,,c..,o.,,,o.....,,,e N 146823 THIB CERTIFIES THAT ordy the electrical equipment as described below and introduced by the applicant named on the abo~e a?~l~catlon number in the premises of JoseDh Decker, Deerfoot Path, off Beebe Dr., Cutcnogue, L.I. inthefollowinglocation; [] Basement [] lstFI. [] 2nd FI. Outside Section Block was examined on ~-~arc~ ~, 197h andfoundtobeincompliancetviththerequirementsofthisBoard. FIXTURE 31 32 FIXTURES FLUCX'~ESCENT FUTURE A~LIANCE FEEDERS ,~AT, NO. A.W. G* RANGES SPECIAL REC'P 1 3o COOKING DECKS OVENS DISH WASHERS AN*T· K.W. Il AMT. K.W. SJ4T K.W. TIMECLOCKS BELL IUNITHEATERSUNITHEATERS MULTI-OUTLET · "A.E ~ .sjsj;M.;T II SERVICE DISCONNECT I NO. Of I S METER ~ A.w.O. AMT. AMP. 1YPE EQUIP· I.~2w I.~*3w 3.,~3w 3.~4w NO. ~E~C,~COND. OF CC. COND. 1 150 CB x 1/0 ~Cotor/S: 1-1/2bp I Lot EXHAUST FANS DIMMERS AN.T. WATTS ND. OF HI-LEG A- W.G. NO· OF NEUTRAI~ A· W* G. OF HI-LEG OF NEUTRAL 1 1/0 W.B. Ruland Main Rd. Mattituck, New York 11()52 ~N~RAL ~NA~R 11 ; COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. OR ADDITION VIOLATION OF !E NEW YORK STAI~ £.76'50'20"W, I~:)TE- LO'F i'i,O'5. SHOWN P-.EF ~. TO'I'4A.P OF f'd005_E_'_Ci.,'~'E; MAP:._ ;' OF: :'~ORB12.T. Y SUP. VEYF_D EA&T CUTCHOGUE VAN Tu'¢i.o I='.C. GP-_.~'EN POt;Lrr~ I~F~M NO. 1 'l'O~N OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N. Y. Examined. ....L.. .......... , Approved ............. t). ....... }.~.~ ............. , 19~.~.. ~ermit No..~.~...~..~..~ Di~ppr~,d ~/~ ....................................................................... ( u[ d~ng Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in mk und submitted in duplicate to the Bu,ldint Inspector. 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 of property must be drawn on the diagram which is part of this opplicatior c. The work covered by this applicahon may not be commenced b~fore issuance of Building Permit. d. Upon approval of th~s ap~>lication, the B~ilding Inspector will issue a Building Permit to the applicant. Such permi shall be kept on the premises available for inspection throughout the progress of the work. e. No building shall be occupied or used in whole or in part fcr any purpose whatever until a Certificate of Occupanc shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building-Deportment for the issuance of o Building Permit purauont to th Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Lows, Ordinances Regulations, for the construction of buildings, additions or alterations, or for removal or demolitmn, as herein describe~ The applicant agrees to comply with all applicable laws, ordinances, .building code, housing code, ancO.regulations. (Signature cf oppl~nt, or nome, if a corporation) ...... ................................ / s of cj~cant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builde ............. ................................................................................................................................... Name of owner of premises ~ ~.~...~ .~... '~.,~.....~.~.~,.~.. If applicant is a corporate, s~gnature of duly authorized officer. (Name and title of corporate officer) 1, L~ation of land on which proposed work will be done, Map No,: ...... ~..~..~.~ ................. Lot No.: ~ Stre, and Number ~.~.~..E~.r. ..... ~.~r.~ ........ ~ urC ~ o~ · ~,.~, ......................... ......... ' ........ 7 ............ 2. State existing use and occupancy of premises and intended use and occupancy of propos~ construction: a. ~JstJng use and ~cupancy ~ 0 ~ZZ Lo~ ...... .............................................. 3. Nature of wo~k (check whici~ applicable)' New Budding .... ~ .... Addition ................. Alterahon .... Repair ................... Remora! .................. Demohtion .................. Other Work (Describe) ........................... 4. Estimated Cost ...~....~.>,..~....'~... ............................. ~.Fee .~...(..~..~.~ .............................................................. (to be pa~d on fi'rog this application) 5. If dwelling, number of dwelhng umts ........ ./., ................ Number of dwelhng units on each floor ............................ If garage, number of cars ..... 4~../.~'...~..,,~1~..~//~..~... ...... ..-T.~.. ............................................................................................. 6. If bus~ness, commercial or mixed occupancy, specify nature and extent of each type of use ........................... 7 Dimensions of existing structures, Jf any: F~ont ............................ Rear ................................ Depth .................... Height ........................ Number of Stories ................................................................................................................ D~mensions of same structure with alterations or additions: Front ....................................Rear .......................... Depth ................................ Height ............................ Number of Stories ¢. ~F ~ ~'/ ........... :'~ .... ;'k ......... Rear ~. ¢'" ~ ...... Depth ..~..~....~......~..,4 8. D,nensions of entire new construction: Front ............. ?.7..:. ................................... Height ../..~......~......".... Nurnber of Stories ..... ./.. ................................................................. 9. Size of lot: Front ..../..~, ................... Rear ....... /..~...¢ .......... Depth .... ../..~.. "~' 10, Date of Purchase ...................................................... Name of Former Owner ...................................................... 11 Zone or use d~stnct in ~hich premises are situated ................................................................................................... 12 Does proposed construct;on violate any zomng law, ordinance or regulat~op~ ....... .~.~....~.. ......................................... 13 Nome of Owner of premrses~/~.~-~f~...~:.......-~...~...~..'~..Address ........... :~.r::~e¢..~.l.~.>~., ......... Phone No .................. Na-ne of Architect ...................................................... Address ............................................ Phone No ................... Name of Contracto ..... .-f. ............... Address .../~'/~.~..,~...~..¢'...~.. ....... Phone No~_4;¢- fZ'/~ ~...~.~...~.r .-...: PLOT DIAGRAM Locate clearly and distinctly oil buildings, whether ex~sting or proposed, and red,cate all set-back dimensions fron property hnes. Gwe street and block number or description according to deed, and show street names and indica~, whether ;nterior or corner lot. ~ /a STATE OF NEW YORK, COUNTY OF ......................; ......... ~' '~"~' ............... '...L../T~.~...~.~.....~..:..~../..3....~.~?~.~ ..................... being duly sworn, deposes end says that he is the opphca~ (Name of individual signing apphcation) above nome& He ,s the ............... .~....o.....1~...~)..~.~..~...~..~.~.,~:.. ....................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and ~s duly authorized to perform or have performed the sam work and to make and fi this application; that all statements contained in th~s application are true to the best of h~s knowledge and belief; ar thor the work will be performed m the manner set forth ~n the application filed therewith. . ...... ..... ...:.....,.. ........... Notc, County ~ignature o~pplicant) LEE h~)~rj~Rf PUBLIC, b~a e ,/ , APPROVED AS NOTED~