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Home My WebLink About6388-zFORM NO. 6 TOWN OF SOUTHOLD BI.NT.DING DEPARTMENT Town Clerk's Office $outhold, N. Y. Certificate Of Occupancy No..~5.6.7.1 ...... Date ...........N..~.., ..... .2.~. ..... , 19. ?~. THIS CERTIFIESthat the building located at Gr~en~ta~..Eas.t ............ Street Map No.~a~e~ Ac... Block No ........... Lot No...~ ........ Orient.. N.~Y, ......... conforms substantially to the Application for Building Permit heretofore fried in this office dated ............. .l~.r...6..., 19.7.3. pursuant to which Building Permit No...638~ dated ..........N~.. ?. ....., 19.7.3., was issued, and conforms to all of the require- -ments of the applicable provisions of the law. The occupancy for which this certificate is ~ssued is P. rivate, one. fsm~ly. ~lwell~.ng ....................................... The certificate is issued to . J. oseph .Trazzo...and. ~,fe .... {~rtter.~ ................ of the aforesaid building. Suffolk County Department of Health Approval (owner, lessee or tenant) .S.e.~., .! 3...!97~...b. ~r..R. :. y~.~.~..a.,, UNDERWRITERS CERTIFICATE No...N.. :1.~.2.Q73 ...... .A.~g.. 3.Q...'1.9.7.3 ........... HOUSE NUMBER i. ~.~O ........ Street ....G.r.O$~.~. y..E.~; ....................... Building InspectoI 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? 6388 Z / ,.pjrmi~si°~ is hereby granted to: pursuant to application dated .................... .~:!§..~. ............... ~ ........... , 19..~.3.., and approved by the Building InSPector. Building Inspec1~or FORM NO. 6 TOWN OF SOUTHOLD Buildi.g Delta.merit Town Clerk. Office SouthoJd, N. Y. 11971 APPLIGATION 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 lines, streets, and unusual natural or topographic 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, /V~ultiple 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 19§7), 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. Dote 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 November, 28,197 5 New Building ~[ ................. Old or Pre-existing Building ............................ Vacant Land ............................ location Of Property ......... ..~../...~.....G..~...e.e.?.?...a:.~.....~..a..?.~ .......... .O..r..~.e.~.... ...................................................... Joseph Tre ~.~.o Owner Or Owners Of Property ....................................................................................................................... Subdivision~ Green Acres at Orient 4 ................................................................ Lot No ............. Block No ............. House No ............. Permit No. 6~8 V, DateOf Permit ,~,,,/.,~../,~....Applicant Vincent DeT, ettera Health Dept. Approval .S...0...-..1..~.Q~. ........................... Labor Dept. Approval ................................................ N 112075 Underwriters Approval .............................................. Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Final Certificate ......~. ................................... Fee Submitted $ .....~.~...,..0...0. ................... Construction on above described building and ge~mit meets,~all/applicable codes and regulations. Applicant .......... /~..~.~.... ....... ~ ..................................................... Vincent DeLettera /'~W//D7 ~ Sworn to before me this ..... of ............ Notary Public .................................... County (stamp or seal)/~'~ 7 / THE NEW YORK BOARD OF FIRE UNDERWRITERS ~ BUREAU OF ELECTRICITY ~ 85 JOHN STREET, NEW YORK, NEW YORK '10038 THIS CE~IFIES THAT ~,~, Jo~epR ~ezzo~ e/~ ~r~u-~ ~,~ - ~ '~ in the fotlowing l~atlon; ~ Boement ~ lst Fl. ~ 2nd Ft. ~lltslde ~ction Bilk w~ examin~ on ~ I~ U ~ ~ ~ ~ ~ ~ ~ ~ ~ and found to be ln compliance with the requlrements of this Board, RXTURE OUTLETS 14 DRYERS IECEPTACLES 31 SWITCHES 19 RXTURES RANGES OVENS DISH WASHERS EXHAUST FANS FLUORESCENT SYSTEMS NO. OF FEET OTHER APPARATUS: Vur~nac~s: ].-1/~np, l-1/l~h~ ~OtO~'~ · E R V I C NO. OF CC. COND. OF HI-LEG NO. OF NEUTraLS COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. SUFFOLK COUNTY DEPARTMENT OF HEALTH N.b. Reference No.,DO APPLICATION FOR APPROVAL TO CONSTRUCT A PRIVATE SEWAGE DISPOSAL SYSTEM Address ~,.:..~' ~.: ~d~ ~ ~ ::C \~,',~,,.~, :,~ i-~.16. Section 2. Property location ~t.~,~f ~ 7. Lot No. ~4~A~ ~ ~f~ ~e~' ' 8. Private well~ Village~ TownshipS9. Public water 3. Public Water Company name ~. Distance to main 4. Lot size: Width~feet Length ~- feet (Enter on center plot below) 10. Sewage Dispos~System: 00~ gallon septic tank: Precast~ Equivalent__Block ~ching pools: Number~Precast~Block Special be in accordance with the ards thereto." Date~ The unde,rsigned ERTIFIES: "ConstrUction of authorized Suffolk If private well fill in blanks below: Tank capacity~ ~als. Pump G.P.M. ~ Total well depthS' Depth to G.W. ~ Amount of water in well ~' Test Hole Data Feet 0 2 4 6 8 10 12 14 16 18 installations will County Department of Health's current stand- Signed~ FOR HEALTH DEPARTMENT USE ONLY, Based on the information presented herewith, it is the opinion of the Health Department, that an adequate and Disposal System can be installed on this plot. Date 7y~'~'~. Signed satisfactory Sewage S-15 Revised 4/]/72 Disapproved a/c ............................ ~ .............................................................. .........................................................................................., ~.. . ............ :...~ ........... ~~~-~x~~i'"' - ............ ........... '/'/~?-~ "~ ..~....~ ,~/~"'~. ~" - ~ ~' ~'~' PERMIT · ~ ",'- ~ APPLICATION FOR BUILDING ~ /~,-,~L.~ ~ ~c~ ~.L_ ;1 ,-,. Date ~.~...c~....: ........... ..(~.. ............... , 19.~T....~ ..... ' "7 ' 'INSTRUCTIONS, ,, ', ' , a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building 3 sets of plans, accurate plot plan .to scale. Fee according to schedule. .' b. P~ot plan', shying location, of d~/,~nd of, buUdings .ap P~emises, relat[on~hil~ to ,adjoini~ng preF~i~es or public streets or areas, giving a detailed description of layout of property must be drawn On diagram Which is pert 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 ke 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 Occupency 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 t~he Building Zo Ordinance of the Town of Southold, Suffotk County, New York, and other applicable Laws, Ordi~ancas or Regulations~ for the .e~nstruction c buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees tO comply With all al~plia~bla law~ ordinances, building code, housing code, and regulations and to admit authorized inspectors on premises end,in buildings for ne,ss~, r~ ins~,~ioaL . (Signature of applicant, or neme, if a corporation) ,' State whether' applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber' or builder. ............................................... ........ ........... ............................................................ Name of own~ of premises .~...~.~:...~...~...',~..e.~.~. :.......~.]~":."~'--,:-,:-,:-,:~,.c2..:. ................. ....................................... :': ................... If applicant is ~ corporate, signa, ture of duly aUthorized officer. ~ Name and title of corporate officer) Electrician's License No.....~...~.~.....~.~ ................... .~..;..,~ ...... ', ' Other Trade's License No .......... ~....~_.. ......................... 1. Location of land on which pro.p_o~d work will be done. Map No..~'.....~... .................................. Lot ._~ ........ ~...'. ............ Street and Number ........................................ .~.....~ ................................................................. I...~ ........ ~ ............. .~ ~ 0 MunicipaliW 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ............................... ' .................... u~,. ............................................................................ b. Intended use and occupancy ~ ................... x.?..~.!.~. ...... ~.1~. .......................................... .'. ............ .,. 3. Nature of work (check which apl~liceble): New Building ....... ./..'. ............ Addition ..................... Alteration ............... Removal Demolition Other Work Repair ............................... (Description) 4. .................. ........................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ...... ~.....,.... Number of dwelling units on each floor If garage, number of cars ................. .~ ......................................................................................................................... 6. If business, commercial or mixed occuoancy, specify nature and extent of each type of use ...... ~ ...................... 7. Dimensions of existing structures, if any: Front ...... ..~..~. ........ Rear ......... ~ ............ Depth .~lj....~.~,...~..~...-. ........... Hmght ........................................................... 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 ........ ..~...~... ............. Depth ...~.~....~..~....~...'~...;. ..... Height ................................................. Number of Stories ......................................................................................... 9. Size of lot: Front .......... ~/~.. .................... Rear ............. ./.~ .................... Depth ........... /....~....; ............................ 10. Date of Purchase .~ .................................. Name of Former Owner ? 11. Zone or use district in which premiss are situated ~[ ................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: .......... ~ .......................................... 13. Will lot be regraded ._~1~'~>.. .......................... Will excess fill be removed from premises: [ ] Yes [~ No ~l'oseo~ 't'~e~=o. ¢,~eeso,~¥ ~,~,-r . ..~.~.-~..T.' ~.~....~..~.~...~9~....: .. 14. Name of Owner of premises ....... ~ ................................................................................. Name of Architect c.~ ~.__~ss) (Phone No.) (Address) (Phone No.) Name of Contractor ..~..i.9n~,~,~..~......~...~...L~.~.T.r..~T.~..e.: ...... ~f~.~u~~;~?~z~2~z~ ...... (Address) (PhOne 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 wheth- er interior or ~orner lot. COUNTY OF .............. ~'"~'Jd"~,~c.... ............... ~ ....... ; ........................ .~....~...~.~ ......... being duly sworn, deposes and says that he is the applicant above named. (Name of individual si~ng contr t~_//~ ..... ~ He is 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 file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will'be' performed in the manner set forth in the application filed therewith. TERRJ LEE ELAK , ~ NOTARY PUBL C, State of New York ~ No. 52-6! ............................... of .............. t ~ ..-... ~ 'lllllelion-'Ell~kes March 30 ].gj~f, ,~/"-~'~/, ,~,./.~/.--,~ -- (Signature of applicant) =J~*~ I~~ ~OT- 4~ /A~P oP F~oP~TY ~,,-,-,, , d O~6PIJ T~gTgTZO ToWN o~ ~ouluo~,~.Y. SUFFOLK CO~TY HEAITH DEPAR~N: Chief of ROPb~16K VbNTUYL K~t~K TO fiOUNPATION ,PLAN SCALE ? I < FLOOR PI. AN SCALE + 0" KI TCHEI\IDI ~11 19'~ _ ii~ L IWN6 ROOM /5~"X 20~ D° BFDROOM 12- 14 //~ - 10 II~ - 1.4 L2- , , ql{Ic< t4- ~ £/~L, t ~6.'ff