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Home My WebLink About8393-zNO. 4 TOWN OF SOUTHOLD BUH.DING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. ~692~. .... Date ............ H. ar.~.h.....1 ~.., 197.6.. THIS CERTIFIES that the building located at ]g/.~ .Pi~.s.~. S.~. ............. Street Map No. ~ ...... Block No....:~4¢.... Lot No, . ~ .... N..ew..S.u..ff.f.o.l.k.. ~...Y.: ..... conforms substantially to the Application for Building Permit heretofore filed in this office dated .......... F.o.b...!.8..., 19.?.6. pursuant to which Building Permit No. dated ....... .l~.a.~....~.. -, 19.7.6., 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 .PrJ,~l;~..om..f.s,~l~y..~l~r.e.~.].~g..~.~.l~.h.a.n..a.d.d.i..t;.io.n .................. The certificate is issued to .S.a~..V.$~t;..o.r.e..L.o.r..i8. ..... 0.~.e.~. .......................... (owner, lessee er tenant) of the aforesaid building. Suffolk County Department of Health Approval I~,ft, ........................ UNDERWRITERS CERTIFICATE No...N2.727.?? ..... .~.a.r.,, .8 .... ! 9Z6. .............. HOUSE NUMBER ....1.1.7~ .... Street .... FSr~.t .$~.e~ ..... .N.e~ .S.B~,.f.Q]~ ...... ......... FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N; Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL CQMPLETION OF THE WORK AUTHORIZED) N? 8393 Z Permission is hereby granted to: -' "' ........................................... ::.::..;..!...;.)::[:;iJ..LL; ......... :.~....: ..................................................... i ............ at premises located at ..~,...~..~.~...~.,~...~,~.,., ...... ~ .......................... [ ............................................. ........................................... : ........................................... ~, ................. .. ..... .~,,..~- ........................ : .................. '~ pumuant to application dat~ .............. , ......... ;~! i~. andzg~prov~ by the :~x~] ~ FORM NO. 6 TOWN OF SOUTHOLD , Building Department Town Clerks Office Southold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ~nk, 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 ail 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, Multiple Residences and similar buildings and installations, a certif~cate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed s~te plan requirements where applicable B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-ex~sting" land uses: 1. Accurate survey.of property show~ng all property hnes, 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: I. 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 .......... ............ New B~lilding ................ Addition L/ Old or Pre-existing Building / Vacant Land L~ot,on Of Prope,~ ......... ~/~... ~.,..'.:.~.~ ...... ~.~. .............................................................................. Owner Or Owners Of Property ......... .s~../..V../~../.~ ...... ~'-~.~:X/.~. ......................................................................... Subdivision ................................................................ Lot No ............. Block No ............. House No ............ . ,, , .~:~../.~..~.~:~:.~:~ . ...... ....~....~:~..~' ......... Permit No. ~:,~..~.~.~...~... Date Of Permit ..~/.~../.)...~..Applicant Health Dept. Approval ............................................ Labor Dept. Approval ............................................... Underwriters Approval ...... .~...~..~ ............................... Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Fin~ Certificate Fee Submitted $ .................................... Construction on above described building and ~e-~rmi~/m~appl~g_~able. codes and regulations. Applicant ~ ~,. ~.~ · .).... ,~'~.. ,~..~.~..~. ........................................... Sworn to before me this .......... (stamp or seal)..-~ ~- /~ ~?/ '" "~ IhtIt:,,j' NEW,,'YORK BOARD, aFl ,FIRE UNDERWRITERS , .I;',~{,_qkl Itl ,, !ii t /,,,J,l BUREAU OF:' ELECTRICITY t[ fll nj ~d iii IH= hi-HI=JIF- ?85~JOHN, STREET, NEW~YORK;'NEW YORK 10038 ',~ , I , ~ '- o~y t~ el~trwal equipment ~ below a~ introduc~ by'the applicant named on the able application number m the premises of ~z : j ~az ~orza zrs~-'o~el uronar~ m~m m mzng O~.lJ~ew O~[IO~j..~e~e I~IL~' :ill: ll-,h~ ~" ' - ' - -Il ~' I 1~t' r 'I ~ ~ ' ', ' iI1~Ii ,, '' ,-:' ~ , , ;~ ' - ~J~ /~ H~-,4 't''' J ~ Ji~::flf~a high :' ;lil~i-d~ ,11 ,~-.,. ;, .~ ~2) ~ ,, i;. ~ ~o~ ri ,h I1~ ,'.. .; ' RXTURL ' FIXTURES RANGES COOKING DECKS OVENS EXJ FAN: ~ OUTLETS j , , ~, ,;~,jmox, iDA, Fialn ~.~j Ill' Ill'ill il h .... ' , ir ~ GENERAL~AN~R '" / : Mattituck,.~.I.~ 11952, u ,,, ,~-,, il., I, ,, ,: Lio.783E , ~J_~.. '. il . ,,~ l,~ ~1, ~. ,t, ~, ~ ..... ~fi-d 'fi 'H; 'I'III t -'~ ' , , , ~ 'i ' ~ Per This c~rhflCat~ must not b~ otered in any manner, relurn 1o the office of the Board If incorrect, nspectors may be identified rby thelr~als. Construction Details - Alteration ~alvatore Loria First ~treet New Suffolk,~ew York Existing Car Port 16 ~ 16 (Winterizing same~ Plates - 2 2x& (Double 2 x 4 ) Walls 2 x 4 on 16 ,, Oenters Sheathing 1/2" C.D.Xo Throughout 15 lb ~'elt 18,, perfection cedar shingles (laid 6" to weatherl Sheetrock - 3/~' with three coat spackle ~earExtension ( 8, x 16, ) Plates 2- 2x4 (Double 2 x 4 ) Walls 2 x 4 on 16,, Centers Sheathing 1/2" C.D.X. Throughout 15 lb Felt l&' perfection cedar shingles ~laid 6" to weatherl Reiling Joist~ ~ Rafters - 2 x 6 16" on Center s~e,e, trock- 3/8~ wit~ ,three coat spackle 9~ncrete : Slab 5~' poured concrete Footings 12" x 36" Concrete mix 1-2-4 Grit Examined Approved FOR,M NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ......... ....... ..................... ........ /. ..... , ,92& ..... ^pp,,cat,an ................ APPLICATION FOR BUILDING PERMIT Date.....~..e...~.?.. ,u:..a.~.,..~.... ,.1:.~.. .................. 19.~.6.. ..... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Buildinc 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 gwing a detailed description of layout ofproperty must be drawn on the diagram which is part of this application. c. The work covered by th~s application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Budding Inspector wdl issue a Building Permit to the applicant. Such permii 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 Occupanc} 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 th, Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances o, Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described The apphcant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, end t. admit authorized inspectors on premises and ir~ buildings for necessary inspections. 50' North of Kiz~ St ) ......... ..~..J:.~....b.'~.e...e.~..~..,...~9.E..~...u~...~.o....Z~.. ........................ (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ......................... .......................................................................................................................................................... Nome of owner of premises .... ..~..8....]:.~'...8:..~...0..~..~....~..0..~...~...8.. ......................................................................................................... l~f. gpplicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .......... ~.e.....~.. ................................. Plumber's License No ................................................. Electrician's License No ........ ,~./..,~.~....~.. .................. Other Trade's License No ............................................... kocahon of land on which proposed work will be done. Map No ........................................ Lot No ........................ Street and Number .................................................................................................................................................. Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: a Exisiting use and occupancy .......... P..~..e....~.~.~..~.~'..l~ffi~:J. zl. eIl?.~ ............................................................... b. Intended use and occupancy ............ ..,~...__/./~/ 3. Nature of work (check which applicable). New Building ............. Addition .................. Alteration .... .~.. ..... Repmr .................. Removal .................Demohhor ............... Other Work ................................................. (Description) 4. Estimated Cost .........~.~..C)..0..0..t..O...0. ........................ Fee .................................................................................. (to be paid on filing this apphcat,on) 5. If dwelling, number of dwelhng units ............................ Number of dwelling units on each floor ......................... If garage, number of cars ................................................................................................................................... 6 If business, commercml or m~xed occupancy, specify nature and extent of each type of use .......................... 7. Dimensions of ex~sting structures, ,f any: Front ........................Rear ................................ Depth .................. Height ........................ Number of Star,es ...................................................................................................... D~mensions of same structure with alterations or addmons' Front .................................... Rear ..................... Depth ................................ Height ........................... Number of Stories ............................... 8 Dimensions of entire new construction: Front ................................... Rear ............................ Depth .................... Hmght ..................Number of Stones .................................................................................................. 9 S,ze of lot Front .......... ..1:.5...0..:.?..0.. .............................. Rear .......... ~.]-...5..0..,.~.&.. ................ Depth ...~QI,.~-.~. ............ 10 Date of Purchase ............ Z.'..~..~...~......~... ...................... Name of Former Owner ..... ~.z5;~.,~/....~.. .................. 1 1. Zone or use distr,ct in wh,ch prem,ses are s,tuated . . ~...e.~..J:.~..e.~.'9..$~.~. ........................................................... 12 Does proposed construction wolate any zoning law, ordinance or regulation' ..,~,q ............................................... 13. W, II lot be regraded ....... .~...O. ............. Will excess fill be removed fr~..~g~C~t~: ( ) Yes ( ) No 14 Name of Owner of premises ..~.~..Z.~¢.~p~..e...~,p~;L~, ............. Address .J[e.W..~l~.~.O.,1,~, .... Phone No?..:~..&..T..5..5...g.?. .... Name of Architect ..................................... Address ................................ Phone No ...................... Nome of Contractor .......... ~e..].~ ........................... Address ................................ Phone No ...................... PLOT DIAGRAM Locate clearly and dmtmctly all buildings, whether ex~stmg or proposed, and red,cate all set-back dimensions fron property lines Gwe street and block number or description according to deed, and show street names and ind~cat, whether inter,or or corner lot STATE OF NEW YORK, [ c S COUNTY OF ............................... being duly sworn, deposes and says that he is the applicon (Name of individual signing contractO above named. He ~s the ........................................ q11~fl~. ................................................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, end ~s duly authorized to perform or have performed the sa~d work and to make end this application; that all statements contained in th~s apphcotion are true to the best of his knowledge and belief; on that the work will be performed m the manner set forth in the apphcation filed therewith. Sworn to before me this ...... .... day ........ // , ~' - /~'~ / / .' . ~'~ '- (Signature of applicant) ~H~,, ',Z.~ ~.' ' ~ :~'.lk ~ ur, t,