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Home My WebLink About8630-zFO'~'~' NO. 4 TO~FN OF SOUTHOLD BIJ~.FtI~G DEPARTM~.NT Town Clerk's Office Southold, N. Y. Certificete Of Occupancy THIS CERTIFIES that the building located at ...Hia~atha .~atk ......... Street Map No. xx ..........Block No.xx ........Lot Noxxx....aouthald.. i~,if, .......... conforms substantially to the Application for Building Permit heretofore ~ed in this office dated ............. June.. 9., 19.76. pursuant to which Building Permit No..8630Z. dated ............Junt.. 9..., 19.75., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which thi.~ certificate is issued is . .P!'.f.v.a..t.e..o.n..e..f.4~..i;ly...d.w.e.!l. ~Dg ....................................... The certi/icate is issued to . .In~slo. & .Joan .Acca~lo ....... (hmers ............... (owner, lessee or tenant ) of the aforesaid building. Suffolk COunty DepaH~uent of Health Approval .. $~p.l~.. i~.. UNDERWRITERS CERTIFICATE No..1~299.9.9% ..... &u~..2.~...197~ .............. HOUSE NUMBER ...... .1.Q10... Street .. lt~wa~im. Path ....... ~lluthold ....... FOI~ 1N'O. 2 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNT)L FULL COMPLETION OF THE WORK AUTHORIZED) N? 8630 Z Permission is hereby granted to: ' ' · . ~::~~..a.~ ........................... ................ ............ pursuant t~ application dated ....................... ::~"~"~:?'~'"':;~,:? :~9':,~, :? i' Bui,lding Inspector. , ,; BUILDING DEPARTMEN¥~I~ - , Date June 9 19 76 C} ,.STRU ,O.S .9 a. This application st be completely filled in in ink and submitted Inspector, with 3 set~ 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 streats o~ areas, and giving a detailed description of layout ofproparty must be drawn on the diagram which is part of this apPliCation. c. The work covered by this application may nat 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 o Building Permit pursuant to tl~e Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinance~ 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, hou~ng code, and regulations, and to admit outhori~z~Tt in~e~q~ on premise~ and in buildings {or nece~a~ect~// ...... .......................... 7 {~ddress of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. r r ' Az~ elo & Joan Accardo Name of owne of p em,ses ....... ~ ........................................................................................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ..................................................... Plumber's License No...~.~..~....~..~..u...~. .......................... Electrician's License No. Ad. Ta~e ~..1 O Other Trade's License No ............................................... 1. Location of land on which proposed work will be done. Map No.: ........... ~ ........................ Lot No ....... ~ .............. Street and Number ...~1.a~l~a..~.~l:h ........... .So~tbo;L~t ................................................................................. Municipality 2. State existing use and occupancy of premises and intended use and occupancy of Proposed construction: a. Exisiting use and occupancy ........ .?.e,.q.~L.(.a~.=~.~.e.ct..~r..~L.JLp~e~Zs.). ............................................. b. Intended use and occupancy ...... .o..~...e.....~..a...~.......cl:.b'..]...g ........................................................................................... 3. Nature of work (check which applicable): New Building...~ ......... Addition .................. Alteration ............... Repair .................. Removal .................. Demolition .................... Other Work .................................................... (Description) 18,500 + - 50.10 4. Estimated Cost ......................................................... roe .......................................................................................... (to be paid on filing this application) i 5. If dwelling, number of dwelling units ..13~{~ ................... Number of dwelling units on each floor ............................ If garage, number of cars ............................. ..o.~..e. ......................................................................................................... 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 3.br~'.~.~. ............ Height .................... Number of Stories .......... 0..n..e. ..................................................................................................... 9. Size of lot: Front ' Rear .......................................... Depth ................................ 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated ......"~..n...~l,~.t~ ............................................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation: ....... ~. ........................................... 13. Will lot be regraded ....~..O. ..................... Will excess fill be removed from premises: ( ) Yes ( ) No 14. Name of Owner of premises ...~l~.e...]:..°.....~..c..~.~...~..~...°...~...~.. ..... Address ......~..e..]r.~..e.~ ........... Phone No ....................... Name of Architect ........... .:. .................................................. Address ................................ Phone No ....................... ............................................................ Address ................................ Phone No ....................... Name of Contractor same 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. . See filed plans STATE OF NEW YcO.~,,~ ~SS COUNTY OF ...... .~...t~..±.~...'~.. ......... f ' ....... i ........ i ................................................................................ being duly sworn, deposes and says that he is the applicanf (Name of individual signing contracf) above named. Owner- builder 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 ;thor the work will be performed in the manner set forth in the applica~ljJed therewit~:;~-i Swam to before me this 9..... day of ................ Nota Pub.c, ............................. ounty ........ .................................. ~H ANN NEVILLE NOTARY PUBLIC, Stute of Nuw York No, 52-81258~0~ Suffolk County iTHE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 88 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT,: i ' Taurus Homes, s/s.Hiawatha's .Path 112' e/o Warbass0~ Street, · . · . Southold~L.I.~ i ~ · in the~ollo~i.g locotlon;' L~ Basement ~ lst FL [] 2nd Fl. outsid~ s..~o. ~o~ rot ,~.~,,~,,.,i.~do. August 19, 1976 ' and found to be in comptlance w~th the requlrements oy thls Board. 16 O~ CC, COND, 1 2 *Future 'app'liknce feeder/s: 1-3#14, 1 GFI. ''~ I smoke' Advance: Elec. Co. 5 Plaza Lane Selden, L.Io 1178/I 1-3#8, 1-2#12 Llc 325 D This certificate must not be ahered in any manner; return to the~ office of the Board if incorrect. Inspectors may be identified by 9.1 T£STH~£ sand ~grav~ gand water el = 1~.6 TEST HO£~ 9.1 sand ~grav~ coarse sand water HIA WA TI.IA test ho 257e[.: 144 . SLq~'OI,K OoUNTY ~IEAI~TH DEPAtlT~,i~Z ~ ~£,t~dMEt,~ ' ?;i~KE O:PIPE NEAREST WATE~ MAIN - 3000' t , THE TITLE GUARANTEE CO. UOSEPH H?KOLLEN ;8 RIVERHEAD SAVINGS BANK, ' OSEPH H. KOLLEN ~ANITA ANITA KOEEEN , KOLLEN i~, SOUTHOLD YouNG's '~O~NG, LAND SURVEYORS ~' vER'~EAD, NEW YORK 976 ~ ; I =50 76 800 APPROVED AS NOTED DATE: NOTIFY ELIILDING DEPARTMENT 765-~.660 9AM TO 4PM FOR P. EQUi~' ED INSPECTIONS: 1. BEFORE BACKFILLING FOUNDA' t I t&"4" . . .,.., o D r ?J B!¢w___Ycrk 1- Ii