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Home My WebLink About7932-zFOF. M NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, BI. Y. Certificate Of Occupancy No. Z~7.(~ ..... Date ............ llc~ .... 3 .... , 19.75. THIS CERTIFIES that the building located at .. ]g/.8 It~h ~._~e .......... Street Map No. ~ ....... Block No... ~t .... Lot Bio, x:~ ·. ltou$,ho:Ld · · N.,.][, ......... conforms substantially to the Application for Building Permit heretofore filed in this office dated ......... lf~ay..l~ 19~. pursuant to which Building Pemit No.. ~'.93~.~'. dated .......... l~y...l St., 19. 7~, was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is . .Pr$.~ate..(acc®~t~or~.)..Garag~. (with b&th) .................... The certificate is issued to N~.e.h..o~.a~t..C~. ~*~ ...... O~e~' ...................... (owner, lessee or tenant) o£ the aforesaid building. Suffolk County Department of Health Approval N.*.R; ........................... UNDERWRITERS CERTIFICATE No. ~,2~.~....0~t. 22..~97.~ ................. HOUSE NUMBER . ?.~0 ....... Street ... Rue~. La~ ............................ ...... ..... Bu~ ding Inspector FO]~i~ NO. 2 TOWN OF SOUTHOLD BUILDING DEFARTMENT TOWN GLERK'$ OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 7932 Z Permission is hereby granted to: ~tc~a~.. ~orae...I mT.~o~eme~...C ~..A~.C.. l~ie~0_~ s G'~,o~te ..................... · 6~eenp~c'l~ ................................... to .. J~u,~3,~, .. l;~w...p ~ iv.i~ ,~ .. g~a ;r.~, g~ ........................................................................................... at premises located at .... .W/~..,~l~Ch..~,ZLe ..... ~.1~.,~;..~1,~ ............................................................... ....................................................... ~'~z'ccul~or ~ ..... -~,¥. .................................................................. pursuant to application dated ........................... ~y..-.1.-~. .......... , 19.~.~..., and approved by the [3uilding Inspector. Fee $-...~.0,~00. ........ FORM NO. $ TOWN OF SOUTHOLD , Buildi.g Deportment Town Clerks Office Southold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCIJPANGY Instructions A. This apphcahon must be filled in typewriter OR ink, and submitted in DUPLICATE to the Building Inspector with the following; for new buildings or new use: I. Final survey of property with accurate Iocahon of all buildings, property lines, streets, aha unusual natural or topographm features. 2. Final approval of Health Dept. of water supply and sewerage disposal--(S-9 form or equal). 3. Approval of electrical installahon from Board of Fire Underwriters 4. Commercial buildings, Industrial buildings, Mulhple Residences and similar 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 buddings (prior to April 1957), Non-conforming uses, or buildings and "pre-ex/sting" 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. Date of any housing code or safety inspection of buddings or premises, or other pertinent 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 Date .... .[. . .G. ./. .~. .[. /. .?. .5. .......................... New B~ilding ..... .X. ......... Addition ................ Old or Pre-existing Building ................ Vacant Land .............. Location Of Property .......... .uJ.../..S....R..u...c..h....L..a...n..e. ........ ..G.~.e..?..n.~..D.~....N.....Y,... ....................................................... Owner Or Owners Of Property ..... .N..J,.G~Ig,1,.~,~..~u.t;4'.~p~ ............................................................................... Subd,vision ................................................................ Lot No ............. Block No ............. House No ............ Permit No.....?..9..3..2. ......... Date Of Permit ...5./.~...5../.~.5....Applicant ..R..[..c..h..~...e.~...H..g..m.~...~.m.D.~.v..e...m..e..n.~....D.g..-. .... Health Dept. Approval ............................................ Labor Dept. Approval ............................................... Underwriters Approval ...... .N......2..5..[..6...~..~. ...................... Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Fined Certificate ..... .X. .................................. Fee Submitted $ ....5...,..Q..Q. ........................ Construction on above described buitding//~ ;r~,~ ~s/~p~e ~gulations. Applicant L~...~.I ....... ~..[./.../.. Zxf~--~,~....~/.-4/..L~Y,.~ .............................. Rich~e~ Home Imp~-ovemen~ ~o.,Inc. Sworn to before me this ....... day of ....... THE NEW YORK BOARD OF FIRE UNDERWRITERS E1UREAU OF ELE~CTR[CITY 85 JOHN STREET. NEW YORK, NEW YORK 10038 Ootobe - -975 so78 .3 N 25_1_646. THIS CERTIFIES THAT only the electrical equ~p~rtent as described below and introduced by tl~e apphca~tt r~a~ned on the above appllca~tor~ ~ttt~tber trt ~he premises of Nicholas Cutrone, w/s Ruch Lane, s/o North Rd., Southold, L.I. in the followi,,g lotat,o,; ~J Basement ~ 1st Fl. ~ 2nd FI .bect,on garage FIXTURE - P ! i I FIXTURES RANGES -TcooKING OECZS l OVENS ~ EXHAUST FANS RECE TACLES SW TCHES t ...... ~ei~'--~'------~ r-------~ ..... ~z~ K W ~ ~ -~ i -- ~ ~ ~ ~- -~ SYSTEMS ~Z~ 'O~C FURNACE, e MOTORSoAs ~ H P ~, FUTURE~MT~APPLIANCE FEEDERS~ W G ,SPECIAL REC'PT~T ~ A~sq TIME CLOCK~ ~ 5 ~IUNIT HEATE~S~ ~MUN~ OF' ~T DIMMERS SERV{CE OI~CONNECT ,' NO]OF ~ , S E R V I C ' E ..... , ~ OTHER APPARATUS. Panelboard/s: 1-6clr 125amp., 1-~.5kw hot water heater. Town Harbor Lane Southo!d, L.I. 11971 < : 0 ," d lC) ~ ~NAUi'HOIJIZ[D ALTEiIA?ION OR ADDITION TO THIS SURVEy I$ A YIOLATION OF SECTION 720~* OF THE. NEVI YOFJ4 STAT~' [DUCAT/ON .(,AW, Examined ........................ ./.7. ......... proved ............. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ,,,m,t No. Disapproved a~..:: ....................... ~ (~uilding Inspector) / APPLIGATION FOR BUILDING PERMIT /' / ';' 7'/ Date ......... z..~..~ ...... ~....: .................. , 19 ......... INSTRUCTIONS a. This apphcation must be completely filled in by typewriter o~ in ink and submitted in triplicate to the Buildi. Inspector, with 3 sets of plans, accurate plot plan to scale, Fee according to schedule. b Plot plan showing locahon of lot and of buddings on premises, relationship to adjoining premises or public streets areas, and giv.ng a detailed description of layout ofproperty must be drawn on the diagram which is part of this applicatic 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 Buitdmg Permit to the applicant Such peru 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 Occupan. 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 tl Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describe The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and admit authorized inspectors on premises and ir~ buildings for necessary inspections. (Signature of applicant, or'name, if a~rporation) (Address of applicarit) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or butid~ / I: Name af owner af premises .................................................... : ........................................................................................ If applicant ts a corporate, stgnature of d~ly authorized officer, (Name and t~tle of co~orate officer) Builder's Lic~se No ............ ~.:~/...~..~ .................. Plumber's License No ........ /..~.~ ..... ~ ......................... Elec~daiad~ License No ..... ~ ...... -~ ......................... Other Trade's License No ............................................... / z/ f / - ) Locatton of land on which proposed work wdl be done. Map No ............ :...~.....4 ........... ~.. Lot No ...................... -- , / t ~ .... //, ~ / Street and Number ................ ~.~. ........ ~ ........ ~ ....................................................... (..~ ............................................ Municipality State exmtmg use and occupancy of premmes and infended use and occupancy of proposed construction: a Extslting use and occupancy .......................................................................................................................... b Intended use and occupancy ....... ~......~....:...:..,~ .............................................................................................. 3. Natur~ of ~¢ork (check which applicable) New Budding ............... Addition Alteration ........... Repair .................. Removal .................. Demoht~or .................Other Work .................................................. ~ (Description) 4. Estimated Cost ................... :..r:...:.: ........................... Fee Z.. ................................................................................. (to be pa~d on filing this application) 5 If dwelhng, number of dwelhng umts ........................ Number of dwelling umts on each floor ........................ If garage, number of cars ............. ./.~ ...................... 6 If business, commercial or m~xed occupancy, specify nature and extent of each type of use ....................... 7. Dimensions of ex~stmg structures, if any Front ....................... Rear ................................ Depth ................... Height ........................ Number of Stones .......................................................................................................... Dimensions of same structure with alterations or add,hans Front .................................... Rear ........................ Depth ................................ Height .................... Number of Stories ................................ 8 D~mensions of entire new construction Front ............. Height ...... :.4 .......... Number of Stones ........... ./. ................................................................................................ 9 S~ze of lot Front ...... .......... : ................................. Rear ....... '..; ............................. Depth ...::..:...?.~.'. ............... 10 Dale of Purchase .................................................... Name of Former Owner ...................................................... 11 Zone or use distnct in which premises are s~tuated .. / .z, . / 12 Does proposed construction wolate any zoning law, ordinance or regulation ...... '.:....A ......................................... ./ ~ Will excess fill be removed from premises. ( ) Yes ( ) No 13. Wdl lot be regraded ...... ~-..'. ............. ,- 14. Name of Owner of premises ..::..:....:~..../....,;..M..:..~..:.£.~..'.:..~ Address ..;..'...".2. ..... .~..:.~.;...~.. Phone No ..................... Name of Architect ................................................... Address ................................ Phone No ..................... Name of Contractor ..... ,....~. ~..-.r.' .... -....-... ' ........ ,/.~'..,,,.~. Address ..... ; ......... ;..: ......... .~:.'Phone No. "? "~" PLOT DIAGRAM Locate clearly and d~stinctly all buddings, whether exlshng or proposed, and red,cate all set-back dimensions fra~ property lines Gwe street and block number or description according to deed, and show street names and indicat whether interior or corner lot :/t i"/. STATE OE NE~.~y,~F-~/ t c c COUNZ¥ .. ...... .................. ~¢~....~.~..~.....~. .......... ; ............... being duly sworn, deposes and says that he ~s the apphcar (~me of mdividua[ s~gning contracf) above nam~ He ,s the .................... ~~~ ...................................................................................................... (Contractor, agent, corporate officer, etc.) of sa~d owner or owners, and is duly authorized to perform or have performed the said work and to make and fil th~s apphcat~on; that ail statements contained m th~s apphcohon are true to the best of his knowledge and behef; an tha~ the work will be performed in the manner set forth ~n the apphcation filed therewith. Sworn to before me th~s ............... (~doy of ....... ~.~..~ ..., 1Z. ~ (Signature'of applicant) ..... ................. ....... FOuw NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. ¥. ..... APPLICATION FOR BUILDING PERMIT Date ...~..~...~..~ .............. /~ ................., INSTRUCTIONS a. This application must be completely filled in by typewriter or' in ink and submi~ed in triplicate to the Building 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 m areas, and giving a detailed description 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 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 a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable 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 cede, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. (Signature of applicant, or name, if a corporation) ................................ .............. State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. _/ ........................ ............. ....... /.., ......... ................................................................................................................ Name of owner of prem sas ...~...J..~/~ ~..../.~..~..........~...~...?..~?... ~..~. ...................................................................................... If applicant [s~a corporate, signature o} ~_.J_y authorized officer. (Name and title of corporate officer) Builder's License No ............... ,~..Z.~....../..~....~... ............ Plumber's License No ........... ~.....~ ................... Electrician's License No .......... ~ ............................... Other Trade's License No ............................................... and on which~__~j_r__~,~-..;..~...-w.;..-~........7........proposed work will be done Map No' ~'/'~//'-~7~ - ~- Lot No 1. Location of Number ....... .~.(. ,..~.. ~.../~...~.....~... · ..c:~. · ...'/...... -'~' ·....iT.....~...'..".../~. ?.. ~ .,~..~. ' ~..~..'~' '..~...'"'"' ............ ' .'"'"'""'"'""' ' ''"'"'""'"'""' ' ' Street and Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ................................................................................................................................ b. Intended use and occupancy ........ .~....~.....'~.. ~...~... ~ ............................................................................................ 'ure of work (check which applicable): New Building' ...., .~..... .... Addition .................. Alteratlon' i...~ ........... ~pair .................. Removal .................. Demolition .................... Other Work .................................................... (Description) .. Es. mated Cost ..... O Fee (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: Front .................................... Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front ........... ~.~....~. ................ ~. Rear ........ ..~....~.. ........... Depth ..~.~ ................ I ,~1 ! Z Height ...... /../. ......... Number of Stories ..... ....................................... ~ ............................................................... 9. Size of lot: Front ................~7......~.... .............................. Rear .......... .?...~ ......................... Depth ....... ~'.i.~...,.~.. .............. 10. Date of Purchase ........................................................ Na~,~ of Foi~ner (~ner~, ...................................................... 1 1. Zone or use district in which premises are situated ........ ~l..?...J~...~..~,.~.6.:...~.~. ........ .~.~, .......................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ...... ./..¥..~. .......................................... ,/ 13. Will lot be regraded .....7..~..~.., .......... Will excess fill be removed from premises: ( ) Yes (cz) No l/ l l ~, l 14. Name of Owner of premises ../..Yj..c.../~..~.../...~..~......~.ff..~..r..~...¥...~.. Address ./~.?...~..4'..~.....~.,~.~...7~..../..~.... Phone No ....................... Name of Architect .............................................................. Address ................................ Phone No ....................... Name of Contractor ~..~...¢ff/~../?~.~..~.....~.....~....~....~.x~..~Z~'~11 ~ ~' 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. COUNTY OF ................ ................... ~..-~..~.c...,..~.......:.z ............................. being duly sworn, deposes and says that he is the applicam (~i~';~Ge of individual signing contract0 above nam~rd. 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 ~ke and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work wilt be performed~ Sworn to before me this .................. ~...~')day of ........ Notary Public, . ............... ~.;..~. ,NOTARY PUBLIC, No, $2-4522026 . Cornm~ssios~ Expirel M~rcJt 30d 19,~,,~ the manner set forth in the application filed therewith. ..... Ca,n ...... ...... .................... (Signature of applicant)