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Home My WebLink About8927-zFOR3~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnle Of Occupnncy THIS CERTIFIES that the building located at . D.Q$'~.o.o.~..L.a.r.,e ............ Street Map No. Q.ay.~...l~y... Block No ........... Lot No, . .i.~.9 .... E..,..Y~..~..i.O~ ............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ............ 0¢.i;...20,., 19.7(5. pursuant to which Building Permit No..8.9.~... dated ............. ~.c.fl... 2.0..., 197.6.., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for Which this certificate is issued is .Pr;~v. at~.e..o.z~o. ~,a.~.ly..d~e~ ~.Ing ~r.~th a.d...~ .!..t,.t.o.l~ ...................... The certificate is issued to . .1~'..a .tir.a ,~.ct~.el~ leartil~IL ..... ~ael'~ .............. (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .~? :'.R.~. .............................. UNDERWRITERS CERTIFICATE No..1~1t.~[~ ...... D.e.e... 2.~... ~9.~.6 ............. HOUSE NUMBER .... .]?.0. ......Street .. D.O{f~,O.o.~. I~, .......t~,. l~t~il~ll ......... BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 8927 Z Permission is hereby granted to: .~.J..~..~Ln.~.B..e:.r.t..a~.n..i.~.~...~.~$.~?..i..n..d.~.N...~..m..e.~.)..~.A/C A~drew ra~zzi Southold at premises located at ........ ..~..o..~....o..o..d.....L.~..r~. ..................................................................... E, Y~rion pursuant to application dated ............................. .0.?...~.....?O. .......... , 19..~...6.., and approved by the Building Inspector. Fee $...!. ~. ';.0..0- ......... THE NEW YORK BOARD OF FiRE UNDERWRITERS ~L 85 JOHN STREET. NEW YORK, NEW YORK 10038 ,~.,~ December 28. Z976 .,...ca,io,,~,~.o,,~.. 89S280 N 318398 THIS CERTIFIES THAT only tb,e el~trlcal equipment ~ described below and i~troduced by the applicant ~med on the above application ~umber in ti~ premises of A. Fanizzi, 370 Dogwood Lane, East Marion, L.I. in thefollowin8 locat~or,; ~ Basmnent ~ 1st FI. ~ 2nd FI. ~,~i.~o. December 23, 1976 FIXTURES DRYERS ] FURNACE MOTORS SERVICE mSCONNECT I-~ I S E Garage Section Block Lot and fottnd to be in compliance with the req remen ts q[ th~s Board. RANGES COOKING DECKS OVENS ]DISHWASHERS EXHAUST FANS R V I C E ._oo ~ A W G NO OF NEUTRALS OF CC COND ~__.~OF H!:LEG_ ~ OF NEUTRAL TOWN OF SOUTHOLD , Building Depa~tment 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: 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-0 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple P, esidences and similar buildings end 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 end "pre-existing" land uses: 1. Accurate survey.of property showing all property lines, streets, buildings end unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occul~3ncy 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: l. Certificate of occupancy $5,00 2, Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 Date ~-~ ~ "- ./~ New Building ................ Addition .. ~.... ....... Old or Pre-existing Building ................ ¥ocant Land .............. Location Of Property ...... .~..~.~...~.:.0....~...0.,~. ....... ~'~.~.~.. ............ .~...~-./~..~.;~,..j.~..../. ............. Owner Or Owners Of Property ...~....~....~.. ~`~/~-~~!~.~/~/~/~.~"/~.~.~~/ ........... Subdivision .~U.U~.,D.l~.~.~.~,~....~..~.~:~..Lot No.~.:7..~. ..... mock No ............. ,ouse No...~..7..~. · , . ...... Perm,t ...... Date of Perm,t i Health Dept. Approval ......... ~.~.~. ......................... Labor Dept. Approval ................. ~J.~.,~ ..................... Underwriters Approval .... ,4~.-.....~.~.~.~.:.~..~..~ .......... Planning Board Approval ........ .~-././~[ ..................... Request For Temporary Certificate ....... ; ................................ Fined Certificate ........... .~.... ........................ Fee Submitted $ .......... .~.~..!....,~... ............ Construction on above described building and p,e~,'t m/~,/~p,p~licable codes and regulations. Applicant ..... ...~.~ ~.,/.~(~... · .~-v~- ............. >, ...................................... Sworn to be oe me this ~ Z~O ~ (stamp or ,eel) ~,/)V'/0 o, FORM NO, ! TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE Disapproved o~ APPLICATION FOR BUILDING PERMIT SOUTHOLD, N.Y. ~' /~, ~¢~,- ~-~-~ App,,cot~on No. ~:.~.L....7. ............. E Dote ...................... .O.. ...................... , 19..7/.:z~ INSTRUCTIONS ~ a. This application must be completely filled in by typewriter ac in ink and submitted in triplicate to the Budding 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 or 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 hove been granted by the Building Inspector. APPLICATION IS HEREBY MADE ta 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, end 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 admit authorized inspectors on premises and in buildings for necessary inspections. (Signature of applicant, or name, if a corporation~ ~.~..,/..:..~.'.~:...:~..~...c ........ ,.,~.~,~,::-/:~..~D. ............ (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........................... .~.,>2dt./,r~/~,~ ................................................................................................................................................. Name of owner of premises ~: ~~ '~2 x~:~(:~:-~ ......... ':~'~2~ ff applicant is a comorate, signgture of duly authorized~ officer. Builder's kicenso ~o ..................................................... ~ Plumber's kicense ~o ................................................. ~ [lectrlcian's kicenso No ............................................. Other Trode's License No ............................................... ,.~/,~ ,~.-,, --~,'> ~. Lo=,,on of ~.~ o. w~,~ ~.~o~,~.~ --w°rk w," ~. ~o... M~ No.: ...... ~.~...Z ................... Lo,No ..... ~.~. .......... Street and Number .......... ~¢Z¢.bZ:~......~,~ ................................................... :~.~?~¢,4 ...... Municipali~ 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ................... ~A,.~.~.~~;~' " ~ ........................ .~ ........................................................ b. Intended use and occupancy .................. ~g~z(~ ...................................................... 3. Nature of work (check which applicable): New Building.. ................. Addition ........,~. ...... Alteration ................ Repair .................. Removal .................. Demolition .................... Other Work ................................................... .~...~?~ (Description) 4. Estimated Cost ................ ..~...t...g.~Z;O...,.~.~. ................ Fee ........................................................................................ (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 .......... ./'.i../...),~.. .......................................................................................... Dimensions of same structure with alterations,or additions: Front ................... ~.y.~ .... Rear ......,~...~....f ........... Depth ......... ,~..: .............. Height ......... 'M...~x. ............ Number of Stories ................................ 8. Dimensio.~s of.e?tire/~ new construction: Front .....~.....~J¢.~;~/, ............... Rear ....... ~..,~...I. ........... Depth · Height .................... Number of Storms ........... t..:~ ..................................................................................................... 9. Size of lot: Front ........... ..~...~.*...7..~ .......................... Rear ...... .~.?..~.?...~.~ .................. Depth ........ .-~.;~ ................... 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 1 1. Zone or use district ~n which premises are situated ..................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ........................................................ 13. Will lot be regraded . ............ ,~ ........Will excess fill be removed from premises: ( ) Yes (x/~l No 14. Name of Owner of premise~/~..~K,~'x~.......'72-------------~.~..~m'.~.¢~,Address ................................ Phono No. Name of Architect .............................................................. Address ................................ Phone No ....................... Name of Contractor~,c~,Z4~ ...... //~Z.'T/,~..,~..,~.~,,.. Address ~...(.....~,~fC..~...q. 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 whether interior or corner lot. STATE OF NEW YORK, IS S COUNTY OF ...... Ij~'~O.l.~ ......... ,r · ........................ ,.I'~J~I...~.,,..,B~;I:'.~I,~, ................................... being duly sworn, deposes and says that he is the applicam (Name of individual signing contract) above named. 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 tha~ the work will be performed in the manner set fo~h in the application filed therewith. Sworn to before me this .......... ~ ...... day of ................... ~ ....... , 19..~ /~ _ ~ , ~; ~ f';~ r/-'~ . ,; (Signature OT appficant)