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Home My WebLink About7890-zNO. 4 TOWN OF SOUTHOLD BUH~ING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. Z~.O~ ~ ...... Date ........... .May.. 7. ....... , 19..7.6. THIS CERTIFIES that the building located at . .E/.~.. NRs. s.a.u..P.o..~.t...t~..a.d.. Street Nass, Pt Prop Map No..~... Block No .......... Lot No, Pr;..8~. 8:.82 ..... C~;.~hOgL~e ..... confoms substantially to the Application for Building Permit heretofore filed in this office dated .......... lia. lr...~...., 19..7..~ pursuant to which Building Pemit No. ?.8.9..0.g.. dated ...... . .l~.Ir .... ~ ...., 19 7~., was issued, and conforms to 411 of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is .P..r~yat...e..o..n~.. f.a.m.i..1;f..d.¥.e.l.l.i.n, g, .w.i.t.h.. a.l.t.e..r.a.t.i.9 .n' .&..a..d.d.i.t.i..o.n. ...... The certificate is issued to .C.h. Ti.s.$o.p.~e.l'. ~.t.~l~il.e. ..... .,~W~.0~'. .................. (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . ~,R., ........................... UNDERWRITERS CERTIFICATE No..N.. 2.8.C~..26 .... A.p.z'Lm...~.8...~. 97.6. ............. HOUSE NUMBER ... ~97.~. .... Street ....N.a.s.s..~.u..P.o..~.n~..Rp.a.d. .................. FOI~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE P]~EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 7890 Z Date ......................... .]~]t ........ ~ .............. ]9.25. Permission is hereby granted to: ......... L'utcho~e .............................................. ~o ..~..~.,..~..a....~ ...~¢ fl..~.$.1.~z.. ~a .. ~,;~.~.~.~'~g ..~.a~l~ ............................................................. at premises located at ...L. 9.~S...[}.1...~...62, ....... ~..~.s,s. aa..P.~l~l;..2r~.!~ ............................................. .............................. ~/S.. ]~b~nuaa.u..... ~.~o ~:~_1:.. ~aad ....... C~+-4:ho tDae ................................................ pursuant to application dated ........................[~ua.~......~'. ................ , 19...~..~., and appraved by the Buildin~ Inspector. Fee $.~.~.,_.0~. ............ Building Inspector 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 m typewriter OR ~nk, and submitted In DUPLICATE to the Building Inspector with the following; for new buildings or new use: I. Final survey of property with accurate location of all buddings, property hnes, 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 certificate of Code comphance from the Arch,tect or Eng,neer 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 buddings and "pre-exmting" land 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 Dote 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 certificate of occupancy $1.00 Da,e ....... ....... New Building ................ Addition ................ Old or Pre-existing Building ................ ¥ocont kond .............. Location Of Property Owner Or Owners Of Property ......... ..(-~.: ....... ..-~...T....~....~....!...¥...~..-~. ...................................................................... ~[ ~ ~,~ ~rU pD,~-1 ' No~...~.~.'..~. Block No ............. House No ............ Subdivision ............................. ~ .................................. -or Permit No .................... Date Of vermit ............ ~. ....... Applicant ................................................................. /'Z ~ ........... : ................................ Health Dept. Approval ............................................ Labor Dept. Approval ... /kf Z~. Underwriters Approval ...../~/......~....~...~..¥......~......~..---- ''-- .......... Planning Board Approval .....~../:....~.. ......................... Request For Temporary Certificate ........................................ Fincd Certificate .......................................... Fee Submitted $ ........... ~..~. ............ Construction on above described building and permit meets all applicable codes and regulations. Applicant ..................................................................... : ................................... Sworn to before me this ................ day of .............................................~...-.... Notary Pubhc .............. .~... ...... County (stamp or seal) THE Vote April 28, THIS CERTIFIES THAT NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85JOHN STREET. NEW YORK,NEW YORK 10038 :~76 .,pp,l, oti.,,~,.o ,,,,s,~ s4u?? N 2 only the electrical equipment as described below and introduced by the applicant named on the above appllcatton number m the premises of Christopher Stabile, Nassau Point Road, Cutchogue, L.I. iathefollow,nglocatioa; D a.s~,,,e.,t ~ l~t~'t. [] ~,,,~ r~. outside s~t~o,, .lo~ ~t ~.~ ~..,i,,~d o. Ap ril 2 6, 19 7 6 and fouad ~o bern compliam e ,~ith the require.tents of this Board. RXTORE FIXTURES RANGES OVENS DISH WASHERS~ EXHAUST FANS OUTLETS ~ECEPTACLES DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS TIME CLOCKS UNIT HEATERS SYSTEMS DIMMERS NO OF FEET SERVICE DISCONNECT S E R V I C E OTHER APPARATUS Elec.room heaters: 5-1 · 5kw, 1-1.0kw, 1-.5kw Daniel A. Fogarty, Jr., Box 1000 Mattituck, L.I. 11952 Lic. 771 This certificate must not be altered ,n any manner, return to the office of the Board if incorrect Inspectors may be ~dent,f,ed by~ II TOWN Of SOUTH~ lUlLDIN~ DEFAItTMIHT TOWN CLERK'S OFFICE ~OUTHOLD, H. Y. Disapproved o~ ...................... Dote .............................. ~.. ............... , ~INSTRUCTION$ ,,n o. This application must be completely filled in by typewriter or' in ink and submitted in triplicate to the Bu'ld' g?~ 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 m areas, and giving o det,,iled description of layout ofproperty must be drown on the diagram which is port of this application. c. The work covered by this npplication may not be commenced before issuance of Building Permit. permit d. Upon approval of this application, the Building Inspector will issue o Building Permit to the applicant. Such 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 a Building Permit pursuant to the,-~,~ Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicuble 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 to[-_j admit authorized inspectors on premises and in buildings for necessary inspections. ~7 (Signature of applicant, or name, if a corporation) Cutcho~e (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. builder Name of owner of premises ...C.~..~.~.~.~l~e.~...~['~&bil.e ............................................................................ If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No....~.e..e..b..e.. ..................................... Plumber's License No ................................................. Electrician's License No ............................................. Other Trade's License No ............................................... L ot on of on which proposed work wi" be done. No.: ....... Lat ........ Street and Number ..~.~...~.~&~l.....P.o~....~oa~ ................. (~,~o,~n.~. ................................................... Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. ' Exisiting use and occupancy ....DT~I~'i ~, ........................................................................................................ b. Intended use and occupancy .S~..~..e....V..kt;~..~..zd~:lr, J.o~.....~.Ga~auge3 ..................................... 3. Nature of work (check which applicable): New Building.. ................. Addition ....X~ ........Alteration ...XX ........ Repair .................. Removal .................. Demolition .................... Other Work ................................................ . .... (Description) 4. Estimated Cost ....................... ~..~...0..0...+_, ...................... Fee ...1..~........0~). ............................................................................ (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 ................................................................................................................. Dimensions of same structure with alterations or additions: Fran¥ ....................................Rear ............................ Depth ................................ Height ............................ Number of ~tories ................................ 8. Dimensions of entire new construction: Front ......... 22~ ...................... Rear ....2~ ................... Depth .~..~ .................. Height .................... Number of Stories ..... tle'Q .......................................................................................................... 9. Size of lot: Front ........................................................ Rear .......................................... Depth ................................ 10~ Date of Purchase ........................................................ Name of Former Owner ........................................................ ""d t 1 1. Zone or use district in which premises ore situoted ...... ~. ....... ~1,~ ................................................................................. 12. Does proposed construction violote ony zoning law, ordinonce or regulation: .... ~ ............................................... 13. Will lot be regroded .......]re~ .............. Will excess fill be removed from premises: ( ) Yes ( 3~ No 14. Name of Owner of premises .....~.~..s..~.o.~.~.e..?.....~..~...a:~..~..~..e... Address ...~'~l,~g~g~ ........ Phone No ....................... Name of Architect .............................................................. Address ................................ Phone No ....................... Name of Contractor ....... ..~..~,....~..~..q~.~. ................................. Address ....C..~...~..~...h..o..~[~... ........ 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. See Attached STATE OF NEW YORK, COUNTY OF '.....~.fp'l,k ......... ........................... ~....~.~.~1.~1. ................................................ being duly sworn, deposes and soys that he is the opplicam (Name of individual signing contract0 above named, ]~L[der 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 oil 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 forth in the application filed therewith. Sworn to before me this ................. ..... Notory Pub ' ic, ~',~I~/~,'~..~-,T~.'... · ~f'.~'~-~"A~'4-'/OU nty .~ .................... ~/~.. ~.~ ................................ 4/ - ' '(Signature of applicant) JUDITH T. BOKEN Nefe~ Public, State o~ New York /fig: ~"0344963 SUffolk County ~li,,Ion E~ire, Mar~9~