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Home My WebLink About8411-zNO. 4 TOWN OF SOUTHOI.D BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupnncy No. ~'~/7 ...... Date .......... Mal,..2~l ....... , 19.. ~? THIS CERTIFIES that the building located at ' BlS'01d 'Ma~t~ 'Rt)a'd ...... Street Map No. 'LeW~s Home~l°ck No ......... Lot No ......... South'old' · N ;Y', ........ conforms substantially to the Application for Building Permit heretofore filed in this office dated ....... Mai' ' · ' ~, 19 '76 pursuant to which Building Pemit No.. O)+l ~Z dated ..... l~&I' "l ~"" 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 . .Bus4.ness k.v~.Zc~2ng. '('Rest'au~ant')' 'witk 'addi't, ien' ................. The certificate is issued to . 'Arra~mdo-Cappa' fl~en:,~mt;(l~'.' 'Re it~r'o,~e~ ....... (owher, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval - N,R · .................... UNDERWRITERS CERTIFICATE No. '~287~2" ' .............. HOUSE NUMBER .... 629U0 ' ' ' Street ... Rk'~h'i ' Rb~d' ' ' 'Sdf~th'6Id ............... ........ .... t' .. f"~ Building '~sPec~ l~Olg~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 8~11 Z Building Inspector. Fee' . Date ~..~..~ ~ 19....~... Permission is hereby granted, to: .. ~ .................... :'"': .................... 7'"': .......: ........., , , , .................................................. : ................................ >~: ...... ' "~ '~' · ...... ~ .... "~":'7'Y~' ...... ~'"":7 "~~ at p~m scs l~ated at ~.~..~ ................................ :....:..:.':...::,:.~...~: ............................... ~:. ..................................... :.: ..... :..;..~,,....,.,~, ........ , .......... .... ; ................... ; ..... . pu~nt-to abplication dated ............... ~ ~. ;. 1~ and o~r~ed' ~ the FORM NO. a TOWN OF SOUTHOLD , Building Depar~ment Town Clerks Office Southoid, 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-9 form or equal). 3. Approval of electrical installation from Bo~rd of Fire Underwriters. 4. Commercial buildings, Industrial buildings, AAultiple Residences 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 and "pre-existing" lend uses: 1. 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 certiflcate of occupancy $1.00~/. Date ~ New B~ilding ................ Addition .....~ O1~ or Pre-existing Bui~lding ..... ~. ......... Vac, g~ Land ~ .......... Location Of Property ..... .~-~........~.~......'.~....~...~?..~...C~-~...~.......~.....'.....~ Owner Or Owners ~ Property ..~~~ ........ ~ ............................................................. ........ .............. ............. ........... Permit No .~...~..././.....~T..-' ..... Date Of Permit .~../../.~.'./.ZL...Applicant ..~.~....~-.~.~~ ..... Health Dept. Approval ...... ..~....!...~... ......................... Labor Dept. Approval .......... J...v......~.,~.~..~. .................... Underwriters Approval ~...~ .................................... ''~ ~'- .~.~..~anning Board ,a~pproval ..... ~~ .............. .. Finctl Certificate Request For Temporary Ce~.if~ate .................................................................................. Fee Submitted $ ....c~.~ ........................ Construction on above described building a_~nd permit meets~all appl~b~.,~./odes and regulations. ~. .................................... ~. ....... ;~.~ ..... ~ ................ Sworn ,o before me this ~7~-)~-''~ '~ ...... ~.,..I day of ....... .~ ',..~....jrt~....~..~ (s'mp or se~l~. '~ ~ ,~__~ (~ ~ .o,o..u.,,. ....... ~ ~.ou.. ~~' - ' THE NEW YORK BOARD OF FIRE UNDERWRITERS , BUREAU OF ELECTRICITY I ak 85 JOHN STREET, NEW YORK, NEW YORK ~,,,.,,c,,.o..,.~o.o~.~.e 901662 N, 328762 n.~ March l~, 1977 THIS CERTIFIES THAT o~y the e[~tHcm~ equ~pmen~ ~ described below and int~duc~ by t~ appllcan~ nam~ on Che a~e appl[cat{o~ number in the premises of Armando Cappa, East Main Road, Southold, L.I. inth~followinglocatlon~ ~ Basement ~ ~,tFI. ~ ~nd Fl. outside F T RE I fiXTURES - RANGES Cbo[INOOE~K~ 09ENS ' [DISH WASHERS, EXHAUST FANS ~ 4 3 2 I~ /., /,, ~,. ~ }I~1,, SERVICE DISCONNECT NO, O~ ; - S E R V I ~'~ ',, ~ ~ ~ .~ ~,[,,",1";' ~' ," '~: ......... ~ ~ - OTHE~ APFAEATUS. Peter Bogovic, Main Road, Southold, L.I. 11971 Th~s certJ{cote must not be altered in any manner; return to the office of fha Board {f incorrect Inspectors may be }denhfied Ltc.137E Per by the~nt,als Disapproved a/c~ .......................... ~FFLI~ATION ~OR EUILDING PERMIT TOWN OF SOUTHOLD 9/////? 7- ~.g.z~~~ BUILDING DEPARTMENT ~~~Z~, ~. TOWN CLERK'S OFFICE ~UTHOLD, N. Y, 19~,~.. Application No...~.~. ............ INSTRUCTIONS a. This application must be completely filled ~n by typewriter or in ink and submitted in triplicate to the Buildin[ Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plat plan showing location of lot and of buildings on premises, relahonship to adjoining premises or public streets or areas, and giving a detailed descriphon 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 wdl issue a Building Permit to the applicant. Such permi. 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 Occuponc~ 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 applicant agrees to comply with all apphcable laws, ordinances, building code, housing code, and regulations, and t, admit authorized inspectors on premises and in buildings for necessary inspections. / ~. ...... (,~...c..~.t'..~..~...~, ................................... L (Signature pf applicant, or name, if a corporation) .. .... :. ...... .................. (Address of applicant) State whether apphcant is owner, lessee, agent, architect, engineer, general contractor, electricmn, plumber or budde, Nome of owner of premises ...,.k...¢~.....~.~'.(~....~..t.~:~..'....¢~...~..~ ............................................................................................. if apphcont is a co~orate,,,aignature of dljly authorized officer, [ . / (Name and title/of corporate officer) Builder's License No. ..~..~:~ Electrician's license 'N~.. -~?--~..~ .... ~. ~ Other Trade's License No .............................. .~ ............... 1 Location of land on which proposed_work will be_done. Map ,No . .;,.~,p...;. ................ : ........ Lot No ....................... Street and Number ...~.,,~:J....~...,.....~.......~.~.~.~ ............. ~:~~.~.....~..y. ........................................... Municipality 2State existing use and occupancy of premises and intended use and occupancy of proposed construction: a Exisiting use and occupancy ....~~ ._7~.'-'-~...~ ................................................................... b. Intended use and occupancy .~~.....~.....~....~.....~....L.~.~. .................................... 3. Nature of work (check which apphcable). New Buildmg ............ Addition . ~ ........ /. A/(teration ... / : Repmr .................. Removal ........... Demohhor ......... Other Work ........... ~. ......................... . ,-- ~ (Descrlphon) 4 Estimated Cost~)+-_.......,.... ................................... Fee ../~ ..~ ............................................................ (to be paid on filing th~s apphcahon) 5 If dwelling, number of dwelhng units ................. Numbcr of dwelhng umts on each floor ...................... If garage, number of cars ......................................................................................................................... 6. If business, commercial or m~xed occupancy, spec~fy.natu!e and extent of ecu~h type of use ................... ~ ... · , . f 01~ jl ~ ' 7. D, mens,ons of expst,ng_ .~,- structures, ff any Front...l ~ __~?-.~,-. .... Rear ...... ,~...~4:'~.'.i, ...... Depth .,~..~...,~ He,ght-/---~/ .... Number of Stones .... ] ....... /. ....................... '~L'''M'/g~~' .......................... ,l ,- -/~u~'4~' ":"~ Dimensions of same'structure with alterat,ons or addmons. Front ..L/..I?...~/~ ......... Rear Depth ............................ Height .................... Number of Stones ../...l .................... ' 8 D,mensions of 2.pt,re new constructmn: Front . ~..~......~ .................... Rear .~.~. ...... .~. ............. Depth ./~.. .... ~ ..... He,ght .l..~"~r/~. Number of, Stor,.e~ .... t ................................ , ....... ~ ........................... , ......... 9 S,ze of lot: Front ./..~....~..~..~...--'~ ........................ Rear ...,.~.~...,/~.4~..--'~ .............. Depth .,~.~.~..~....~.:~... 10. Date of Purchase ............... ,/ ............................... Name of Forrr~r Owner .................................... /.'. ............... 1 1. Zone or use d~stnct in which premises are s~tuated ................................................................................... 12 Does proposed construchon wolate any zomng law, ordmance or regulatmn: ./.~. ............................................... I 13 Wd lot be regraded .... ~..ff ................. Wdb~excessJlll be removed from premise~. (.,) Yes 14. 1'4ameofOwnerofprem,ses.~..~...-~..1~.~/..~..~ ....... Address ..~.'~'~....~.~.... Phone No ...................... Name of Arch,leer ........... '~-~' ~ //~~i ......... Address ..~_..l~,~,,,~ /x.427 ............ Phone No ..................... Name of Contractor,..~.,--..~p~_ ... Address ...*'..:.~.*;r.~...~..~.. .... Phone No. PLOT DIAGRAM Locate clearly and d~stmctly all buHdmgs, whether ex,stag or proposed, and indicate all set-back dimensions fret property lines Gwe street and block number or description occordmg to deed, and show street names and indicat whether interior or corner lot STATE OF IEW YORK, COUNTY OF ..... SL~ffall~ .......... ~' · ...................... .A.z'~cqlldJ~..~a~.~. ................................. being duly sworn, dapases and says that he ~s the apphcan (Name of individual s~gning contracf) above named· He is the .............................................. .9~..e.l?. ...................................................................................................... (Contractor, agent, corporate officer, etc ) of sc~d owner or owners, and ~s duly authorized to aerform or have performed the sa~d work and to make and fil~ this Gpplication; that all statements contained m this apphcat~on are true to the best of his knowledge and behef; an, ti,ar the work wdl be performed m the manner set forth m the apphcat~on filed therewith. Swdrn to before me this ......... ....... o, ..... Notary Public,. .................... ~.U,.~..~9..1...k. .............. County/ ~..~....~~ ..... ~..~'~..~ ......... ~_....f. ~.y. ........... ~ · ~ .-, .-~ . ~ ' .// (Signature of applicant)/~~ NOTARY ' Term Expires ~arch