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Home My WebLink About7078-zFO~,M NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupnncy No..Z.~,O,~. ...... Date ............. .A.U.g...~.9. ...... , 19~... THIS CERTIFIES that the building located at Ramblez .ltoad ............. Street Map ~ Terry ldatel~,. No. .Lot No. ¶2 .~outhold I~.oYo conforms substsntially to the Application for Building Permit heretofore filed in this office dated ............ Feb...~.3.., 19..~.. pursuant to which Building Permit dated ......... F?.b... J.~. ..... , 19..7~.., was issued, and confoms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is .P.r.~.v.a..t.e. .o.n.e...f..a~..~.ly..d.¥.e.l.l.$.ng ....................................... The certificate is issued to . .8. e~..1~..o~l.e.o..~. .......... . .0~..e.l'. ......................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval ... ~T.tl,ly..~.9. .~ ~.7.~.. ~Y.. R.o..V.~..Z~L.&. UNDERWRITERS CERTIFICATE No. N]~. 3..~....A..ug..~...1.~...&...]1..~.?~.¶.~..A.~..? HOUSE NUMBER ..... } .~.9..~ .... Street..~.~.=.~..1.e.~..R..o~..d. .......................... .......................................... · ............ TOWN OF $OUTItOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 June 21, 1984 To Whom It May Concern: With reference to the Certificate of Occupancy issued on August 19, 1974 to Sal Moscola, this certificate includes the one-family dwelling; porch; and deck. Yours truly, Victor Lessard Executive Administrator VL:ec lrOB~i 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) No. 7078 Z Date .................. ~...,..~.~ .................. , 19.r~.. Permission is hereby granted to: O~o.~.,~.~=&..~uLl~...Lr~..A/.~..a~l~.~o~c o!a .... 2~...~.ox..~ ................................................... .............. ~.~t~J~o~ ....... ~.~'l.~ ........................... to ~t~.lfl...r~...~:~ ...~u~.l~... ~:.~ e.L~IJ.n~ ............................................. ~ ........................................ at premises located at ...~,.q~...1..?. ....... ~.?.~..i~..?~e..~.~ ...................................................................... ......................... :.~.g~,Ai.e,,~..,.~g&~ ............... ~u~olfl.....L:,~., .......................................................... pursuant to application dated ....................... ~:~b .......... ~.:~ ........... , 19~ .....and approved by the Building Inspector. Bullcilrig Instructor THE NEW YORK BOARD OF FIRE UNDERWRITERS ~,W BUREAU OF ELECTRICITY ~ 85 JOHN STREET; NEW YORK, NEW YORK 10038 ~,.August-?, 197~ ApplicationNo. o~ile 7~ ~5~ * N 175311 THIS CE~IFIES THAT Sa1 Na~eola~ 8/s R~ble~ ~d.~ ~00~ e/o Pleasant Place, South ~old~ L.I. ~ exami~ on 3~y ~ ~ ~ ~97 ~ a~f~nd to be in ~mpliance with the ~uirements of th~ ~. ,' SERVICE DISCONNECT S E R V I C OTHER APPARATUS! NOTE: Roughing and m'e~vlce only. I 3/0 E 1/0 outlets wired W. B. Ruland Mattttuck, L.I. COPY FOR BUILDING DEPARTM~ENT. THIS COPY OF CERTIFICATE MU~T NoT ~ ALTERED IN ANY M~J4NBL ' THE NEW YORK BOARD OF FIRE UNDERWRITERS . ~k EUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK t0038 1, N 174322 THIS CE~IFIES THAT ~y t~ ~t~M ~u~nt ~ ~ ~ ~ i~t~ ~ t~ ~t ~ ~ t~ ~ ~t~ ~um~ i~ ~ p~ ~soola, R~bler ~d., ~atn,~vlew Rd. & Pleanant,~uthold, h.I. inthef~l~ing~ation; ~ ~.t ~t.tr~. ~ 2~ ~. outside ~t~. st~ ~t ~..~i~d o. JUly 29, 197q ,~/o.~ to ~ in ~mplia~e with t~ r~ui~ments of th~ ~. RXTU~ RXTURES RA~ O~NS ~SH W~ERS OUTLETS SWITCHES FLUORESCENT DRYERS FURNACE MOTORS R]TURE AFPUANCE NIOIES SERVK2 DISCONNECT S E R V I C OTHER AI~ARATUS: Water heater: 1-2.Skw Elec.room heaters: q-2.0k~, Motor/s; 1-1/2bp OF CC. COND. ~-l. Skw, q-.75kW, 2-.§kW Oustav Bartra, 227 East Breakwater Rd. Hattituek, L.I. 11952 m MANAGIR FOR BUILDING DEPARTMENT. THIS COPY OF ,CERTIFICATE MUST NOT ] FO~ NO, ~ TOWN OF $OUTHOLD Building Department Town Clerks Office Southold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application' must be filled in typewriter OR ink, and submitted in DUPLICATE to the Building Inspector with the following; for new buildings or new use: ]. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural ar 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, Multiple 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 1957), Non-conforming uses, or buildings and "pre-existing" land uses: ]. 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 $5.00 3. Copy of certificate of occupancy $].00 Date ...J...u..1. I% 1..,.....1..9..T...4. ................. New Building ...... ]{, ...... Addition ................ Old or Pre-existing Building ................ Vacant Land .............. Location Of Property ..]~&l~.h~,.®.3~ .~&d, .S..9.g.t..~.9.~l, ..N...iq.w....Y..o..r...k. ................................... Owner Or Owners Of Property MI~.A g~ ]~r~ S.~I ]/&~cel& Subdivision ................................................................ Lot No. 12 ...... Block No ............. House No ............. Permit No...~.0.~.a~ .......Date Of Permit .~/.l~.~'.4...Applicant ..G..e.e.~'~,~....A.h.~,~..~.~....~.ll~..z..~.~..~..,.~.~...q~... Health Dept. Approval .-/./].(]./..'/.~.-..4~.S..0..-..1.a .......... Labor Dept. Approval ................................................ Underwriters Approval .8. /. .1. / 7. .4. .-. . .N. .1. . .7. .4. . .3. ~ .2. ............. Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Final Certificate .......X. .................................. Fee Submitted $ '~ - CrO~, Construction on above described building and permit meets all applicable codes and r_egulations. GEORGE AHLERS BUILDER INC. Applicant ....................................... Sworn to before me this ......... . V ~ -- ~ 0&o SUFFOLK COUNTY DEPARTMENT OF HEALTH Health Department Reference Number~) CY APPLICATION FOR APPROVAL TO CONSTRUCT A PRIVATE SEWAGE DISPOSAL SYSTEM AND A WATER SUPPLY ~_(~~ Applicant ~(~/w,':/F_ dT~'(5 Phone ~C//~ 5. Subdiv. 8. Private Well Village 3. Public Water Company Name 4. Lot size: Width_~feet 10. Sewage Disposal System: Township Length /. ,? feet 9. Public Water Distance to main (For Health Dept. Use) Ao 900-gallon septic tankL Precast q~Equivalent Block B. Leaching pools: Number of pools ~_ Precast j Block ~pecial If p~ivate well, fill in the fol Towing blanks: A. l~k capacity ~ m gallons B. l~ump G.P.M. ~ C. ~etal well depth. D. ~)epth to ground water E. Amount of water in well The undersigned CERTIFIES: "Construction of authorized installations will be in accordance with the Suffolk County Department of Health's current standards thereto. This application will be valid for one year from the date of approval indicated below and may be renewed if a current local Building Dep.a~rtme~t Permit is in effect· ~? J, '~" .,.~' . : . .. Date 'TqY/ ,/x/,~ ~ Signed FOR HEALTH DEPARTMENT USE ONLY. Based on the information presented herewith, it is the opinion of the Health Department that an adequate and satisfactory Sewage Disposal System and Water Supply can be installed on this pl~ot. S-15 Rev. 4/1/73 ~:~,.,,~,i,,~,.~ I ,'~'u I.-~ ~o ~1 _ ................. ........... ' ..................... ' ..... 7.'> ...... ~r~ .......... ~.~ ......... ~.~. ............... , 19::. Pe~,~ N~.~..~.~ ..... INSTRU~I~ ~. This ~lic~ti~ must ~ completely fill~ in by ~writer In--tar, wi~ 3 ~ of pl~, uccumte pl~ plun ~ ~le. F~ ~i~ to ~h~ule. b. Plot pJun ~i~ I~ution. of lot und of ~r~s, ~nd ~ivi~ ~ det~il~ d~rlpti~ of I~ut o~ must ~ drown on the di~mm which is ~ of this ~licuti~.~ c. ~e work c~ered by this u~licution ~y d. U~n ~1 of ~is ~pplicuti~, ~e Buil~ In~r will i~ ~ Buildin~ Permit to the ~lic~nt. Such sholl ~ ~t ~ the pr~is~ ~uil~ble for in~ ~h~ ~ ~rk. e. No buildin~ ~11 be ~cupi~ or u~ in whole or in shall h~ve ~en ~mnt~ by tbe Buildi~ Ink,tar. APPLI~T~N IS HEREBY ~DE to the Buildi~ ~ment for ~e i~uu~e of Buildi~ Z~e Q~inunce of tbe T~ of ~u~ld, ~ffolk ~un~, R~ulutions, ~ the co~truction of buildi~, ~i~s ~e opplicont ~O~s to comply w th ~11 u~l c~ble t~s, o~i~, ~ildi~ c~, h~si~ c~, ~dmit ~uthoriz~ in~ ~ premiss u~ i~ ~ildi~ for n~ in~ti~. (Signat~ of app icant, or ~me, if a co~mti~) State whether applicant Js ~ner, Ieee, agent, a~hitect, engineer, general c~tractor, el~trician, plumber or buil~r. Name of owner of premiss ....~.~.~..~~ .............................................................................. If applicant is a co~omt~ sJg~ture of duly a~horiz~ officer. ........ (~m~ ond titl~ o{ co~omt~ Builder's License No ..................................................... Plumber's License No ................................................. Electrician's License No ............................................. 1. Municlp~l~ 2. State existing use and occupancy of premises and intended use and occupancy of prolx~ construction: a. Exisiting use and occupancy ..~._~~,. ............................................................................................... b. Intended use and occupancy ....~'~~/,~-- ....................................................................................... 3~m~re of work (check which applicable): New Building ,..~ ....... Addition .................. Alteration ............ Repair .................. Removal .................. Dem~lition...,...~ ........... Other Work 4. EStimated Cost . ~ .. . (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 ......../~'-Z~. ..................................................... 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 .................... 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 .................... 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 premises ore situated ......................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ~'.'.'.'.'.'.'.'.'.~..~.. ............................................. 13. Will lot be regraded "~f~ ), ,e~_Will excess fill be removed from premises: ( ) Yes (~)~ No 14. Name of Owner of premises ...~<~.,~.~~. Address~..~....~....f~.. ,hone No Name of Architect ...... J~'~'~ e~-~7'~"."~ ................. Contractor ~"- - ~~.~. ................. Address ................................ ~9 .._~.e/~__ ~ Phone No ....................... Name of Add ress '~' "....u~......~'..~? .~ ....No .7~., Phone . ~ ............. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate oil 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 comer lot. ................... ; ................. ~ ....................................................... being (Name of individual signing contract0 above named. duly SWorn, deposes and-says that he is the applicam He is the ....................................... (Contractor, agent, corporate off cer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and fife this application; that alt 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. Sworn ~,r~r~e me this .-~ . JUDITH T. BOKEN Noto~/ public, store of New york No. 52-0344963 Suffolk Cou~n~? Commission Expires March 30, 19...~.- disposal and wate~ Supply ·. :765.266d '~ AM TO '4'~ ..