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Home My WebLink About9973-zFORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy No. Zr '1008/4 Date .Aug~ls.t .20.,, 19 ~30 THIS CERTIFIES that the building ................................................ Location of Property .... .69.0... ~;.u.n.s..e.~..~.a.y ~ ................. .Sg.u.~.h. 9.1.d. ............. House No. Street Hamlet County Tax Map No. 1000 Section . . .9.]. ....... Block .1 .............. Lot . .1.0. ............. Subdivision.· .C.e..dg.~..B..e.ap.h..P. 9.r.k. ......... Filed Map No.. ~.Q .... Lot No....'I .6.6. ....... conforms substantially to the Application for Building Permit heretofore filed in tiffs office dated ·.. 0.c.tobo~'..10, ..... , 19..~.Opursuant to wiffch Building Permit No .... 9973..2, ........... dated .... 99.t. qb..eT. 11 ~ 71t .............. 19. · ·, 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 ......... One Fe~lily. Dwelling(with addition) The certificate is issued to ..... Iq,- l~a~zar~o .......................................... (owner, ~ of the aforesaid building. Suffolk County Department of Health Approval ..... -. .................................... UNDERWRITERS CERTIFIC^Te NO .......... ?.? 79.9.6. .............................. Building Inspector Rev 4/79 I~OEI~ NO. 2 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE pREMISES UNTIL FULL CC~MPLETION OF THE WORK AUTHORIZED) N? 9973 Z Permissia~ is hereby granted to: .... /,.~/...z....~.~..~j ........... /.:.Z:.zt:.~.z '~:. ........... ........o ~o .............................................................. &....~ .......... E~ .......................................................... .~ ~r,~i,,, ~o~,~.a ~t ......................... ;...~.~,~.~ ......... ~.~,~=.::...:.....,~.~u~.~;: ...... ,.:~:,..,::.~ ..... pursuant to application dated ...,.:... Building Inspector, Feo $ ........................ FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, 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 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 featu res. 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. 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 $5.00 Date. ~'~.' .~./~',. ?'..~/. ~..~.".~.~ ..... New Building . ~.,~'.'~.- ...... Cid or Pre-existing Building ............ Vacant Land ............. Location of Property . .~.~. '. '~'u~.O.-5~, ¢. ............. House No, Hamlet Owner or Owners of Property ....... ~..~...~..?. P. ................................. County Tax Map No. 1000 Section ~. t~;:M~'~ .... Block ..... .~ ........ Lot .... ~ ,~,;~,~ ..... ;.. Health Dept. Approval .. ,/~.o.. ,y/. ~L~ ............. Labor Dept. Approval .... ~.o .¢) ¢-~ ............ Underwriters Approval ~.. ~'../. Z.~. ~. ~/~/. · ....... Planning Board Approval ...~ o.~,~.~, ........... Request for Temporary Certificate...x~.~.~. ~ ......... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building and p, crmi~ me~ts all ap~c~des and regulations. Applicant., .~./.'~ .~.~ .~.'., .J-~. ~ .r).~.~.~...~. ~ ............ Rev. 10'10-78 ( /i ,'~~/ TOWN OF SOUTHOLD OFFICE OF BUILDI2~G INSPECTOR TOWN HALL SOUTHOLD, N. Y. 11971 TEL. 765-1802 August J, 1980 W. A. Verity 420 Cedar Drive Southold, New York Dear Mr. Verity: : This is to advise you that the job u~nder Building Permit No, 9973Z issued to M. Razzaro on 1q/'I1/'(8 for att. (men)" appears to be completed as o£ our lg~'% inspection. Before you can legally use or occupy this structure a Certificate of Occupancy must be issued. Please fill out the enclosed form and return same to the above office. There is a fee of $5.00 for a Certificate of Occupancy Thank you for your prompt attention. Very truly yours, GEORGE H. FISHER Sr. Building Inspector enol. TOWN OF -qOUTHOLD OFFICE OF [~UILDIN~ INSPEOTOR TOWN CLERK'S OFFICE SOUTHDLD, N. Y. 11971 TEL, ~65-3660 FO~M NOo 1 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ....... .................. .............................................. ..... ...i .............. .............. APPLICATION FOR BUILDING PERMIT Date ........................................... 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 adioining premises or public streets or 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 code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. ......... ........ ................................. tSignature of applicant, or name, if a corporation) ............. ./f2 O.. ~t~k'.. D~,i~.... ;~au:thold.. El~ ............................ (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Gene~al Contractor Nome of owner of premises Michael Razzano If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ......... ~,~.6. ...................................... Plumber's License No ........... ~.~.~ .............................. Electrician's License No ..... ~..a~....~..acJ..q ...................... Other Trade's License No ............................................... Location of land on which proposed work will be done. Map No.: .~.~.~.e~'...~.e,.q~..~.e~.l~. ....... Lot No...~-.~. ............... Street and Number ...... .B..~...s..e.~...W..e.~ ........ .(~.'?..e..t;~....~¢~.~.) ............................................................. ~.O.~.t,)0.Q],¢] ........ Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ........ .O.~.e....~...n~.~.~r...,DT~..~,..:~..g .................................................................................. b. Intended use and occupancy ........ ~D~e~t~q~h~d~~B~9~Z~:!~]!~!~!~)~ ........................... 3. Nature of work (check which applicable): New Building.. ................. Addition .... ..~. ........... Alteration ................ Repair .................. Removal .................. Demolition ....................Other Work .................................................... c/ (Description) 4. Estimated Cost .~...~..0.~.,..0..0. ....................................Fee ........./~...../...?~.~.~...-~.. ............................................................. (to be paid on filing this application) 5. If dwelling, number of dwelling units ..... 5 ..................... Number of dwelling units on each floor ...~.e....~.o..o.~ ....... If garage, number of cars ........... ~,..¢te~.. ....................................................................................................................... 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 ...3~'!. ........... Height ...~!. ..................Number of Stories ....... ~.~ .................................................................................................... Dimensions of same structure with alterations or additions: Front ........ ~.~. ...................... Rear ......(;~..! ................... Depth ...3~..~. ....................... Height ....... t~.l. ................. Number of Stories ....... ~,, ................. 8. Dimensions of entire new construction: Front ..... :~3.1.~.~! ..................... Rear ...... ~37.~!!. ........... Depth ...~,.~.l..~.~ ........... Height ..(~.~...~,S.. Number of Stories ..... ~lfl ......................................................................................................... 9. Size of lot: Front ..... ~.0.I. ............................................. Rear ....~0! .............................. Depth .~.2.~.I. ....................... 10. Date of Purchase ..... ~.~Sf}. ........................................... Name of Former Owner ....... ~/.~ ........................................... 11. Zone or use district in which premises are situated ...... ~.~9..~.e.~t~l,~.o .......................................................................... 12. Does proposed construction violate any zoning Iow, ordinance or regulation: ..... T~.T~.e. ........................................... 13. Will lot be regraded ......T/~ .................. Will excess fill be removed from premises: ( ) Yes ( ) No 14. Name of Owner of premises .~.~$9.~,.e.~...[.~,P.g. ..................... Address ..~.t~.e.~,...~k~....(~.t,~Phone No..~.~..~.c)~ ..... Name of Architect .............................................................. Address ................................Phone No ....................... Name of Contractor ...l~.,.&,....~..e.~..t.~. ...................................Address .~,~.0...~.q.cl...~'..~'., ...... Phone No..~..~z~..~.O.~.9 ..... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-bock 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. STATE OF NEW, A~O~R[~,~ £~/-, I c S (Name or inaiviaua~ sigmng contrafr~ above named. (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 all staterhents contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Swor. n to before me this