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Home My WebLink About8313-zNO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupnncy No..Z. 7..8.1.5. ..... Date ...... .A.u.g.u..st .8 ............, 19.7.7,. THIS CERTIFIES that the building located at . .P.a.~..~.d.~.s..e. Po~..n.t..R.o. 9.d .... Street Map No. - .... Block No. --- Lot No, --- conforms substantially to the Application for Bnflding Permit heretofore filed in this office dated No.v~.mbe. r 24. , 19.7.5. pursuant to which Building Pemit No..8.3..1.3.Z.. dated .. N. ov..~Ab..er...2.4. ....., 19..7.5., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is The certificate is issued to . R.ob.e..r.t ?.n.d. l~.a.r..i.e..S.c..al.i.a.,..o..~..e?.s. ................. (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval ................................ 315771 UNDERWRITERS CERTIFICATE No ............................................. 4550 Paradise Point Road HOUSE NUMBER ...... Street .......................................... SOU d, N.Y. Building Inspector FO~ NO. 2 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN GLERK'S OFFICE SOUTHOLD, N*. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N9 8313 Z Permission is hereby granted ,to: ................ .~,~QI~o.I~ ........................................ Building Inspector. Fee $:..~[~atJ:~. ......... at premises located at .-J~,,..~-O..,..~l~.~..,i ....................................................................... ......................................................... ~a'~k~..~..~,i ......... .1t.~.~i~ .................................... · ............................. ,. .............................................. ~ , ?..~ ~z.:.~z.: ............................. ;~ ................... · pursuant to application dated .......................... Jt~J~.,...~. ............ , 1~,.., and approved by the TOWN OF $O~THOLD ~ Bu[[d[n9 Depo~mo~t Town Clerks Off~¢e $o~thold~ N. Y. APPLICATION FOR CERTIFICATE OF OCCUPANGY Instructions A. Th~s apphcation 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, anti unusual natural or topographic features. 2.Final approval of Health Dept. of water supply and sewerage d~sposal--(S-9 form or equal). 3.Approval of electrical installation from Board of Fire Underwr,ters. 4. Commercial buildings, Industrial buildings, Mulhple Residences and s~milar buildings and installations, a certificate 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 buddings and "pre-existing" land uses: 1 Accurate survey of property showing all property lines, streets, buddings 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 houssng code or safety inspection of buildings or premsses, 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 certificate of occupancy $1.00 C~te .... .~. ·..-Z.../...~ .'.7....? .................... New Bu. ilding ................ Addition ....~.. ......... Old or Pre-existing Building ................ Vacant Land .............. Location Of Property .... ~..~..4..~...~.~.......~...<Z/../~../...~......./...~....~....~.. ......................................................... Owner Or Owners Of Property ......... .2~...../;~... ................ ..,~...~ ............ .,.~..../-.../..~./~.. .................................. Subdiwsion ................................................................ Lot No ............. Block No ............House No .~...~.~..~ Permit ,o.....~....~....~.. ...... Date Of Permit ~.~/.~.~.~...Applicant .....~..~..~,.~,~.~.....~..~f,.,./../.'~...~..~. ................... Health Dept. Approval ................ ...Z~...~.~--~ ........... Labor Dept. Appravol ...... ~./~.,.~, .......................... Underwriters Approval ...-~....~..~..7..Z../. ................ Planning Board Approval ...,~../,~..: ...................... Request For Temporary Certificate ........................................ FinoJ Certificate ..~ ............................ Fee Submitted $ .................................... Construction on above described building and per.mit meets ~lll applicable codes and regulations. Sworn to before me this ~ ~t ................ day of ............................................ (stamp or seal)' /.."r ~ ~ THE NEW YORK BOARD OF FIRE UNDERWRITERS ak BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 ,,,,,,.December 8. 1976 ,,,,,,.., ..... ,.',,o.~,'e 850226 N 31577~ THIS CERTIFIE~ THAT only the PIeclrt¢ al eqtzlpment as de~crd~ed belotv and Introduced by tile appfi~,an t na.ied on the abote appllcatgon n~l tabor ,n the pretnlse~ oJ Robert Scalia, Paradise Post Rd., Southold, L.I. ,.,~,ey,,n,,.i.sto~.,i,,~, ~ ~.~,,,~.~ ~ ~r~ ~ ~.~ rn outside .s~,~o. m.~ ........... ,i,,,,,~,,,, December 6, 1976 ~.,tfo,.,,,~o~,~,,,,.o,,,~,t,.,,~,,,~,~,~.~,,~, ....... FIXTURE RECEPTACLES[ SWITCHES [ FIXTURES ~ RANGES ]COOKING DECKS J OVENS JDISH WASHERS EXHAUST FAff ~RY~S j FURNACE MOTORS J ~uTuRE APPLIANCE F~EDERS ~SPECIALREC'PTj TIMECLOCKS J BELL UNITHEATERSJMULTI-OUTLET DIMMER~ ~ -~ ~ ~ TRAN ~ ~-- SYSTEMS -- SERVICE D~SCONNECT J 0 OF J S E R V I C ~ METER -~ ~ ..................... OTHER APPARATUS Rudy's Electric, P.0.Box Il0 Selden, L.I. 11784 Lic. 86~E GIENEEA[MAN_~_.) Th~s cerhf~cate must not be offered m any manner, return to the office of the Board ff incorrect Inspectors may be ,dent,f/by.~*e~r c,edent,als TOWN OF SOUVNO'~.~ TOWN CLERK'S OFFICE ~UTHOLD. ~. ~. ~,,~Z~ ~,~,, ................. :.~ ........ L:L..., ,,~.z~,,~,,,~ .... ~..3..Z.Xz. Disapproved o~ ~ "~ ~ ................................................ :::::::::::::::::::::::: INSTRUCTIONS a This application must be completely filled ~n by typewriter o¢ 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. Plot plan showing location of lot and of buildings on premzses, relationship to adjoining premises or public streets az areas, and giving a detaded description of layout ofproperty must be drown on the diagram which ~s part of th~s application c. The work covered by thru apphcatlon 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 permil 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 Occupanc5 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 thf 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 applicable laws, ordinances, building code, housing code, and regulations, and t, admit authorized inspectors on premises and in buildings for necessary inspections. ........... ....... ................ (Signature of a~/)licant, or'name, if a corporation) ................. ........ ........... (Address~f applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder &~ ~...Z. ..:.. ~.' Nome of owner of premises .............. ~. ..~.; .............. ..~'....?,,.. .... .f..~. ................................................................... If applicant :s a corporate, signature of duly authorized officer. (Name and t,tle of corporate officer) Builder's L,cense No ......... ...~....~/. .................................. Plumber's License No. Electrician's License No. ' ~,G,.,' Or,; ~ "~%~' ';~ Other Trade's License No ............................................... ~ ~ ., ~f~.. ¢ / ~ ~ ' Location of land on whic~ proposed walk will b~ done. ~ p~. ~ ................................ ~ot No ..................] .... Street and Number ...~%.....~.L%.* ...... .~ ..... &~ ........... ~..¢:~ ............... S.~ ...... ~ ................. X ........... ~ ....... ~ Municipali~ State existing use and occupancy of premises and imende~ use and occupancy of proposed construction: ~ ~,~,,,~, .s~ ~n, o~.~n~ ............. .C~:=S..¢..: :-.*:~..~ ~.L: .................................................................. b. Intended use and occupancy .............. ~ ~..~..C.~.~-~.k.~. ~....: .......... ~~ ........................................ 3. Nature of work (check which applicable). New Building ................. Add,ban .................. Alteration ............. Repair ................. Removal ................ Demohhor ........ Other Work ................................................ (Description) 4 Estimated ¢:ost-....1, ................................................... Fee ...q.:.--~ .............................................................. (to be pa~d on filing th~s application) 5 If dwelling, number of dwelhng units ...................... Number of dwelhng umts on each floor .......................... If garage, number of cars ................................... 6. If bus~ness, commercial or m~xed occupancy, spec~ nature and extent ~f each ~pe of use .......................... 7Dimens,ons of exist,ng structures, if any' Front ...~/..~..~..~.... Rear ........ He,ght ..... .......... Number of Stones ....... J..~.. .......................................................................................... D,mensions of same structure with alterat,ons or add~t,ons' Front .. m~C..:....~...:... ........ Rear ..:.~...~.~..~.' Depth .......... ~....~ ........... Height .......... ..... Number of Stones ..... ]....~.~ ............. 8 Dimensions of ent,re new construct,on' Front ..... :~...~ ................. Rear .... .~.f~...~ ........ Depth ..... ~.~ .~ .... / Height ...... /.~... Number of Sto~es ................................................................................ ~ ................ ~--~ -/ 9 S,ze of lot: Front ............ /.~ ................................... Rear ..... /...~...~ ..................... Depth .~.~...~ ................ /~~ ............... ................... Ow,e, 11. Zone or use d~str,ct in wh,ch premises are s,tuated ..... ~_~.~. ~. ~..~.~...~ .......................................... -- 12 Does proposed construchon violate any zoning law, ordinance or regulahon: ........... ~.~ ........................................ 13. W,II lot be regraded .... ~..~ .............Will excess fill ~e removed fr~~..j Yes ( ~ No 14 Name of Owner of premises ..~ ~.~ ~.L..~ ' ~ ......~ '~..?~.Ch.Q.(..~.." Addre~ ..~.~...~.-,.~... Phono No.~--~.~.~ Name of Architect ..................................... ~ ......... Address ................................ Phone No ...................... Name of Contractor .~.~.¢,.. ~ ~.[.~.~.~ ...... Address~.~t~.~.~.~... ~hone ~o.~..~..~ PkOT DIAG~M ~oc~to cleorly and distinctly ~11 buddm~s~ whether ex~stin~ or proposed, ~nd mdtc~te ~11 set-~ck d~mens~ons froc prope~y hnes G~ve street ~nd block number or description occordm~ to deed, and show stroet n~mes ond inducer ~hether interior ~r corner lot being duly sworn, deposes and says that he is the opphcar STATE OF NEW__YORICk_ ,t L ~ S S .......... ~"~i~;;;~"~ont racf) ....... above named He ~s the .......................................... ~ ...................................................................................... (Contractor, agent, corporate officer, etc ) of sa~d owner or owners, and is duly authorized to perform or have performed the sa~d work and to make and fil this application; that all statements contained m th~s apphcat~on are true to the best of his knowledge and behef; an that the work will be performed m the manner set forth in the apphcation filed therewith. .~c~.°.r~.:.f..°.r.: dmaeytho~S.....'~.~.., 19~. , ~[ ~' ~ ~ ~ ) Nota~ Public,. ........................ :~ Coun~ ¢.....~ ....... ~~~.~.. ~~~ (Signa~re of applicant) ~ ~t~I~A~H ~ ~ AR PUBLIC, SI~ nT ~w yn,L