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Home My WebLink About8786-zFOl~l NO. 4 TOWN OF SOUTHOLD BUILI~ING DEPARTMENT Town Clerk's Ot~ice $outhold, N. Y. Certificnte Of Occupnncy No. Z.7.347 ....... Date .... November..3, ........... , 1996.. THIS CERTIFIES that the building located at F~.S. Theres& .Dr ........... Street l~tt£tuck Map No. 425~ ....... Block No. XX ........ Lot No. 3.6 .............................. conforms substantially to the Application for Building Permit heretofore filed in this office dated .&uq~st. 9.,. ] 9.7.6 .... , 19 .... pursuant to which Building Permit No.8.7.86Z... dated .&ugust. 9.,. ] 9.7.6 ..... , 19 .... , 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 .. Unattached..two. car. g~,'age, and. ~troage. builxling ............... The certificate is issued to .... Paul. R.. Renda .................................... (owner, ~ ) of the aforesaid building. Suffolk County Department of Health Approval I~/It ................................. UNDERWRITERS CERTIFICATE No..N..3.0.9.6.2.6. ................................... HOUSE NUMBER ].].~5 ......... Street ...T.h.e..r.e.s.a...D.r.. ........................... ........................................ s. Building Inspector FOR!~ NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTNOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Ne 8786 Z Date .......................... ~?~g~3'b""~ ........ , 19-76" Fee $.%f~.t.~.Q ........... Permission is hereby granted to: ............ ~.au&.....~'~n~ ...................................... ................... · ~h~r. esa...D.~¥e .......... ~.~¢.i.t. -~ek to ~i..?..i..%;~....~.~.W...Dr~i~e...g~rmg~...£ac~.es~y..~i~i~.). ..... i ....................................... at premises located at .... 3~o.t.......~,....~ee.p..~$o~e..C,]~...~5.t, .......................................................... .................................................. ~ezeaa..~. ........ ~.t~.t,~; .~ .¢uCk.....[¢.,.~., ........................................ pursuant to application dated .........................~F~ ......... .c~ ............ , 19.~.6..., and approved by the Building Inspector. FO]iU~I NO. $ TOWN OF SOUTHOLD , Building Depo~ment Town Clerks Office Soufhold, 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: 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 disposalw($-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, o certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed s~te plan requirempnts where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or I~uildings and "pre-existing" land uses: 1. Accurate survey.of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. Swam statement of owner or previous owner os to use, occupancy~and condition of buildings. 3. Date of any housing code or safety inspection of buddings or premises, or other pertinent in- formation required to prepare a certificate. C. Fees: ]. Certificote of occuponcy $5.00 2. Certificote of occuponcy on pre-existing dwelling or lend use $5.00 3. Copy of certificote of occuponcy $1.00 ., ...... ...... New Building .......... Addition ................ Old or Pre-existing Building ...... I .......... Vacant Land .............. t Location Of Property ........ .~...,/~...~...~....~...~'./.~....~. ~.,[...~..~........-~......,..,..~,...~ ,..,,¢../..,..-.: : ................. / Owner Or Owners Of Property ........... .-~.~...C.l ..~.......'~......~/./~..~.-..~.../'~. ..... /..~'./~.../~.~..~. ................................... Subdivision ................................................................ Lot No. Block I~1o ............. House No Permit No...~...~..~'.~....~-/.. Date__/.-;'Of Perm,~ '"'~'~"u"~'t'~'~'~Applicant~/ ...... '~"/~'~""~"'"~"~'"~"~'J;), ,/~-2 ........................ Health Dept. Approval ...... .~..~./..~'...: ....... .:.. ......... Labor Dept. Approval .[......x~...'.~'...~....z~...: ......................... Underwriters Approval ~...4.,0...~....~....~.....~. .............. Planning Board ApproVal ..~....~.,~. ........................ Request For Temporary Certificate ........................................ Final Certificate .....~ .............................. Fee Submitted $ ...... .~.~..~.~ ................ Construction on above described building and permit meet** all app~licable ice,des and regulations. Applicant .................. ..~..~%....~.. ........... ~ ............................................... Sworn to before me this ................ day of ............................................ (stomp or seal) / - I / I'-I ot:ry Public .................................... County THE NEW YORK BOARD OF FIRE UNDERWRITERS ak BUREAU OF ELECTRICITY I 85 JOHN STREET, NEW YORK. NEW YORK 10038 ,,.,o0ctober 28, 1976 ~ppl,.'o,lo..,'oo. yi,e 88q093 N 309626 THIS CI=RTIFIES THAT only the eleclrical equipment as described below and ~ntroduced by the applicant named on the above application number in the premises of Paul Renda, 1165 Thereasa Rd., Mattltuck, L.I. ~. a,~ f,,Uo,,,.~ ~.~ao.~ ~ ~,,,~.~ ....,.,,,,.,,ao. October 22. 1976 RXTURE ~ECEPTACLES SW TCHES FIXTURES ~YERS ) FURNACE MOTORS i FUTURE APPUANCE FEEDERS ~ I P TRAN SYSTEMS SERVIC~ DISCONNECT NO OF ~ S E R V I C E OTHER APPARATUS Ruland Electric Co., a~riouck, L.I. 11952 Lic.2q2~E -~-~ This cerhhcate must not be altered m any manner, return to the office of the Board If ,ncorrect. Inspectprs may be ,dent,f,e~cr~nt~ls / TOWN O~ ~OUTHOLD ~ BUILDING DEPARTMENT/~/~'~ (~)'~ ~'' C~~ ~ TOWN CLERK'S OFFICE ~ ~~ ~ Disapproved a/c ................... __ ~ APPLICATION FOR BUILDING PERMIT Date .................. ...~.....~....~... ...... .~. ........ 19..?...~.... · INSTRUCTIONS o. This application must be completely filled in by typewriter or' in ink and submitted in triplicate to the Building Inspector, with 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 oF areas, and giving a detailed description of layout ofproperty must be drawn on the 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 kept 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 been 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 Ordinance of the Town of Southold, Suffolk County, New York, and~other opp i¢oble Laws, Ordinances or "1 Regulations, for the construction of buildings, additions or alterations, or for removal or demolJti~n, '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! ~-~ . L{, I-~ (Signature of app1~ml'7'oT-i~--~, ~f a corporation) (Address of ap. plic6nt) e. , \ State whether applicant is °wner' les~~.~ier' general i.~ntract°r' electrician' plumber °r builder'~..~...~.~ _ Name of?wner of premises ........... ..........~;~..~...~.~..: ....................................................................... If applica, nt is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ........ ~i.i .......... ~' Plumber's License No ................................................. Electrician's License No ............................................. ~-~C~ Other Trade's License No ............................................... Street and Number ..... .~..~..~......~...~......~: ........................... ..~/~.~..~....c..C~,.,[~J..?.I..: ............. Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: Intended use and occupancy ~C6,-~d ¢ ............... ~ ........... t 3. Nature of work (check which applicable): New Building-. ................. Addition .................. Alteration ............... Repair .................. Removal .................. Demolition .................... Other Work ................................................ (Description) 4. timoted 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 ............................................................................................................................................. 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 ........... i ................ Number of Stories ............... .~. ............... >_~k/~ [ ........... 8. Dimensions of entire new construction: Front ~0 ~ ~ O .................................... Rear ............................ Depth .......~. .... Height~:...~; ..... Numbe~ .~.of.~t~.r.~.e~ ....................... I~;'~'; .......... 9. Size of 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated ....................................................... ~.[ ......................................... Does proposed constructigrl violate any zoning law, ordinance or regulation: .......... .M.'¢...0. ...................................... 12, Will lot be regraded . ........v.~x,Q ........... Will excess fill be removed fram premises: ( ) Yes ( ~No 13. ~J 14. Name of Owner of premises .................................................... Address ................................ Phone No ....................... Name of Architect .............................................................. Address ................................ Phone No ....................... Name of Contractor ..... ~.....(...~.~..~...b...~. .................... Address ........ ~.~.,,,,~f~ ..~ .......... Phone No..~...~..~.T..~/..~.(. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions fram property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. STATE. OF N ~YOJ~/'J ~ COUN .................. 7;.~.~..:..i(..~.......C.~.. ................... being duly sworn, deposes and says that he is tne applicam dx~m~ of individ~ual s~ning contracO above named. - , ~..'~, He is the ............................. ..~.....~...~ ....... ~-~:.~.:~ .................................................................... 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. Sworn to before me this ~-, Notary Public, . ................ ,..~4r~c..~'~c./'~'~f,,,c~ounty ............. ~~ .................. ~,,3~g nature