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Home My WebLink About9462-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No..g ].0,9.7.3 ...... Date ...... MaWr. 3 .................... 19 .8.2. THIS CERTIFIES that the bax/l~i~g .. po.al ......................................... Location of Property . .t*.50 ................ ~$venth S~reet Greenport Houso No. ' ...... 'S'tt:e~i ........................ County Tax Map No. 1000 Section . .(}48 ....... Block . .0.1 ........... Lot ...04.1 ........... Subdivision ..... X ......................... Filed Map No..X. ...... Lot No....X. ......... conforms substantially to the/Application for Building Permit heretofore filed in,this office dated .Sep.t. eraba.n. 2 J ....... 19.7.7. pursuant to which Building Permit No... 9/4.6.2 . Z ............ dated ... &e.D t, 9In.b.e.p. 2.1 ........... 19.7.7., was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... ·. a..aw:Lraxaing..pool..~.:i, ~h..i~r).c.e ................................................ The certificate is issned to ...ki.a?.~qn...'ff....~a~'tocchia ..... ..................... of the aforesaid building. Suffolk County Department of Health Approval .... n/~'. .................................. UNDERWRITERS CERTIFICATE NO ..... N~920.4.7. .................................. Rev. 1/81 ~uilding inspector FO~M NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE Sm)TI(OLD, N~ Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 9462 Z Dote .............................. ZAet~t ....... 25...., 19.~.~... Permission is hereby granted to: Oriea%'"~*'ue~'~g"<-,'"z'J'omst'r"Ge'"~m~'---'A/6'-Albe r t Martocchia to Bu~.,~...p~.£~t ~..~&(,~.~.n~...p(.-~t.. ~.~.~h...f.e~ae ¥..ee~eee~rye..&-.~t.i~ ....... ot p~mMs loco~d ~ .2/~..~.th...~,et ......................................................................................... ............................................... G.~;~n~.t ....... ~.,~., ........................................................................... po~ont to o~]icofion dot~ ............................ ~.....~$ ........ , ]9..~.~., ond ~pr~ ~ the Buildi~ I~tor. Fee $..4..~,,G0 .......... pERMIT INCLUDES APPROVAL TO PE~,?C, VE EXCt!'?:; FROM ABOVE pREMiSLS REGR~,DING L T DRIVEWAY ,(ON T~IJCTION CESSPOOL C~NS, t~LICTION CELLAR C~NSi ~UCTtON OTHER FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec- tor 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 Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, 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. For existing buildings (prior to April 1957}, Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peoperty 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 informa- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1.00 Building ............. Old or Pre-existing Building(X) ./~,._~.' , ~ ~Vacant Land '. ........... New Location of Property .... ~/:~i~..~. ..... 7...'.~.' .~.~.. ~..~. '.~....,'...~...z~..~.~.~?~:./'.¢~.~?~. ~;. .~../:..~..... House No. Street Ham/et Owner or Owners of Property ................ County Tax Map No. 1000 Section . ~?..Z~..l~f..~'~: B lock I~ /~..('~.. ) Lot..d, . .~/~? ..... ~ .... Subdivision ................................. Filed Map No...: ....... Lot No .............. Permit No ........... Date of Permit .......... Applicant ............................ - ...... Health Dept. Approval ........................ Labor Dept. Approval ...................... ,.. Underwriters Approval ........................ Planning Board Approval .................. ~ ,., Request for Temporary Certificate ..................... Final Certificate .... '.~.~ ......... * Fee Submitted $ ............................. Construction on above described building and permit"meets all app~jF~ble_,eo~es and regulations. 5~/~ /~' ~ppdcant., :...~~...~'. ..... ~~z~ .......... THE [-- (June Date THIS CERTIFIES THAT NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELEGTRICITY 85 JOHN STREET, NEW YORK, N~EW ¥O~K 10038 1~78 4473 N392047 4~l-Tth examined on and fou~ to be in ~mpliance with t~ ~u~rements of this B~rd. HXTURE t~E~ ]~ ..... ' fiXTURES ~NO~ I~KI~KS I O~S.w ~A BS r DRYE~ FURHA~ ~TO~ I ~TURE A~A~E ~ S~AL ~ ~ TIME ~KS r ~ ~NIT HEATE~ M~T~ ~R ~ DI N T I · ~ S E R V i C E 3nspec*lon only. Because of unusual envl~onmen~s 1. Is advisable have frequent ?es* and/or re~alrs made by a qu~ll~led person. EXHAUST FANS D~MMERS Southol d, L.I. 11971 .~'L~a,* must not ~ altered in any ma.ncr; return to the o"ce Of t~ ~ord if 'ncor,~. ,nsp~9. ~y ~ '~d",~ by~ir ~'als. COPY FOE BUILDING DEPARTMENT. THI~ COPY OF TOWN OF SOUTHOLD BUILDING DEPARTMENT ~.~//~ TOWN CLERK'S OFFICE ~UTHOLD, N. Y. Examined ............... ~.p .t ....... 2.1...., 19..~.~.. Approved " '~ 19..~. Permit No. ~?6.~.Z Disapproved a/c ............................................................................................ Application No ..... . ,~.LI:,,6, ~ .................. (Building Insp6ctor) APPLICATION FOR BUILDING PERMIT Date o ................... ....... ........ , ]9..Z2 ...... INSTRUCTIONS a. This application must be completely filled in by typewriter or, in ink and submitted 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 o~ areas, and giving a detailed description of layout ofproperty must be drdwn 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 code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. .... O~.i~n~..Tz:u~klzt~...&...Cons~...C~..lnc ............ (Signature of app icant, or nome, if a corporation) Orient ................................ ............................... State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder, .......................................... ....................................................................................................................................... Name of owner of premises ..~b.e.~...J~.~og.~a ......................................................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) No ........ ................................. Plumber's License No .... ~.~.~.~. ................................... Electrician's License Na ..... G~.~G$~G .................. Other Trode's License No ............................................... ]. Location of land on which proposed work will be done. Map No.: ....... ~ ............................ Lot No....~. ............... Street and Number .... ~ ~.~',a~ ~e.a~p.a~.~ ........................................................ Municipali~ 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ....~.~],~ ......................................................................................................... b. Intended use and occupancy ]~ ' ~ ..... ~.~a,¢e .. ~$~;~*~...p ~L ..~.Z ~...~eo ~. ~...~¢.ee.~e~D~ .................. 3. Nature of work (check which applicable): New Building.. ................. Addition .................. Alteration ................ Repair .................. Removal .................. DemoHtio~ .................... Other Work .DO. CI3,..,~...f~3~t..&(:t~3~B ........ (Description) 4. Estimated Cost ..................... .~,/.~gO.,...'t'. ................... Fee ...... 1.~'.~Og. ........................................................................ (to be paid an filing this application) 5. If dwelling, number of dwelling units ............ 0 .............. 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 .......... '1-6' ..................... Rear ........ .1re ............... Depth ....... ~tt, ............ Height .................... Number of Stories ..................................................................................................................... 9. Size of lot: Front ........................................................ Rear .......................................... Depth ................................ 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated ....... ~.LAtL..~t..:L,~It~ .......................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: .......... ,lP.O ......................................... 13. Will lot be regraded . ....... ~'eB ............. Will excess fill be removed from premises: (Z) Yes ( ) No 14. Name of Owner of premises .A;~be.~t,...J~a,~t,o¢c~.J't;[~ ..........Address ...,CJ~e~J3~3~'~ ...... Phone No ....................... Name of Architect .............................................................. Address ................................ Phone No ....................... Nome of Contractor ....0m:t.e,~,:t,,.~...&..(~...gO...Tl3.Ct .......... Address .......0.1C;Le,~t, ........... Phone No ....................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate ali set-back dimensions from property lines. Give street and block number ar description according to deed, and show street names and indicate whether interior or corner Jot. STATE OF NEW YORK, COUNTY OF ....... S~. ~.o.'l ~. ........ ................. ;';'"~O~30,.~13",'~O~g'~a;~'~ ........... ~'"":7,' ................. being duly sworn, deposes and says that he is the applicam u'qame or maiwoua~s~gmng contracr~ above named. Fie is the ....................... ~,I~;J..],~..~..C~O~.]p...0~'~.:t~.~3'. ................... 7; ............. ',' ............................................................... (Contractor, agent, corporate otricer, etcd 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 tk. ar the work will be performed in the manner set forth in the application-,--,filed therewith. Sworn to before me this ..................... ~.~ day of ........................ / Notary Public, .2 ............... ~t,,~'~r~-,w .............. CotJnty ',,~/'~~..:.~...~...~...~~,~~ ..... ~/ . / . ~ // /~'~ .... ~'~' J /// ~ ~ /g~ignatore of applic~/r~) 1'erin [xpires March 30,