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Home My WebLink About9333-zFO~ NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupnncy No..Zg.0.0~. ..... Date ...M~y ..... 8 ............ ,19..7.8. THIS CERTIFIES that the building located at /~07~5' CO~q~zJr' Rcrad' · 2rf· · Street Map No .......... Block No ......... Lot No ................................ conforms substantially to the Application for Building Permit heretofore filed in this office dated J~me . .20. , 19.77. pursuant to which Building Pemit No...c)~.Z dated . . J~me..2.~ .... , 1977.., was issued, and confoms to all of the reqn~re- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is .t~IUATE. 0~ FAMILY ~WE~ .~,I?,G .............................. The certificate is issued to .. John & .Manbr..Peno~ct:i ........................... (owner, ~..~gOt ) of the aforesaid building. Suffolk County Department of Health Approval .7,-,50-82 .. ~/.18/7:.8 ........... UNDERWRITERS CERTIFICATE No ..... H~62~2~ ............................... HOUSE NUMBER .40755 .... Street .... Co~z~t;~. R.o.~4 ....~? ................... ........................................ $ov~.ho~.,..~w .York. ................ .... .... Building Inspector FO~ NO. 6 TOWN OF SOUTHOLD Building Deportment Town Clerks Office SouthoJd, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This apphcation must be filled in typewriter OR ink, and submitted m triplicate 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, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposal--(S-9 farm or equal). 3. Approval of electrical installation from Board of F~re Underwriters. 4. Commercial buildings, Industrial buildings, MultJple Residences and similar buildings and installations, a certihcate of Code compliance fram the Architect ar Engineer 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 buildings and "pre-existing" 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 inspechon 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 a,e ...... ............... New Building ....~..,. .......... Old or Pre-existing Building ............................ Vacant Land ............................ Location Of Property ~, I~_ - t ,~, 0 0 / I Owner Or Owners O~ P, roperty ........... ~...~. ............................ .0.. ........ !.~ .................................................. Su~v~s~on ~.l..~...?.,./.~..0..o...~....K~.~....o..K~ ............. Lot No...~..~ .... B~acU No .... .-'7. ..... ,ouse Permit No. ~.3...3.3.2. .... Date Of Perm,t ~..~.St....2.7..Apphcont .,J.~../~.~....~..~..q.~.~...~ .......................... ~// ~-'1'7 Cs"' ~/ "' 7-5,~- ~:~ ' Health Dept. Approval ....... ~.L....° ~ ................. ~ ........ Labor Dept. Approval ................................................ / Underwriters Approval ............................ /. ................ Planning Board Approval Request For Temporary Certificate ........................................ Final Certificate .......................................... FeeSubm,tted* ........ .......... Construction on above described building and permit meets all applicable codes and regulations. Applicant .. .?~ ........................................................................... Sworn to before me this ................ day of ............................................ Notary Public .................................... County (stamp or seal) COUNTY OF SUFFOLK DEPARTMENT OF PUBLIC WORKS N.M. KAMMERER, P.E., L.S. Date May 5, 1978 John &Mary Perotti 40735 Middle ~oad Southold, New York 11971 Dear Sir: Re: Permit No. County Road 14329 27 - Middle Road County Treasurer has been authorized to refund your security in the amount of 300.00 . ( ) Bond No. to cover work on this permit is herewith released and returned to the Bonding Company. This is to advise you that work under the above-captioned permit has been inspected and found to be completed in a manner satisfactory to this Department. Very truly yours, ABC/ELB/er A. Barton Cass Chief Engineer cc: ~-_ma~~X ilding Department of Southold Main Road Southold, New York 11971 42.1 :,THE NEW YORK BOARD OF FIRE UNDERWRITERS :'r'. .... ~" . ' 85 JOHN STREET, NEW YORK, NEW YORK 10038 : ~[,~:[~ L ~ *g~ ,THIS CERTIFIES-THAT ' ~' '-:"' , - ' ~ ,:', ', -=~ -,,: ._ =,._ :- only the el~trlcal equipment ¢ &scribed bel~ and int~uc~ by r~ appg~ant na~d on the a~ove appt~atlon number in the -JJohn. Pe~ot~i~_n/s. -, North_ _ _ Rd. w/ Kennys Rd., Southold, L.I.~_~ _ t:,,- /' -, "' i.,~.fo~o~A~o~.~o.~ ~ ~gAe.~~ ~ ~t ~t. ~ ~.~ ~t. out. side s~'o,, ,-~" ~,~.~ "~ ~.~2.~. ~October ~31,- 1977 andfoundtobe~neomplianeewlththerequirementsofthls~o.rd. DRYERS , FURNACE MOTO~ ~ ~TURE AP~ FEEDERS '3PECIALREC'PT TIMECLOCK¢ ~ nELL )UNITHEATERS %ULTI~UTLET DIMMERS ' K W T~NS SYSTEMS ' , . METER 0 ~ ' - .... - ' " :': " - ;'-' . , . ' . ' ~ ....... ' ~ot water eater. ,.l,~.5kw ....... . - ,,-_. = , .. _, ..... ,,- , ,' Howard Dillingham - -,',- : ~/~-"~":,7~ , ~¢rtlflC, :: . in'-any man ; ' 'Board if incorrect. Inspectors may' TOWN OF SOUTNOLD / BUILDING DEPARTMENT TOWN CLERK'S OFFICE __ SOUTHOLD, N.Y. Examined ..... ............. ,97.. App,ca,on ............. Approved ...~ ....................... , 19 ........ Permit No.....~. .............................. ................. ...... ........ ........ ........ (Building Inspector) °ate .... ................... INSTRUCTIONS a. Th:s application must be completely filled in by typewriter or 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 buddings on premises, relahonship to adjoining premises or public streets , areas, and giving a detailed description of layout ofproperty must be drawn on the diagram which is part of this applicatior 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 ~ssue a Building Permit to the apphcant. Such perm 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 Occupant shall have been granted by the Building Inspector. APPLICATION IS HEREBY /V~DE to the Building Department for the issuance of a Building Permit pursuant to th Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances c Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describe¢ The apphcant 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 applicant, or name, if a corporation) (Address of applicant) //23 D, State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ............. ..o..~:.~..~£.x ....................................................................................................................................................... Name of owner of premises ...~.0.~.~.' ...... ..~..~..~....~..~. ....... ..~..~...~..~..?.-J~.4J ................................................................................ If applicant is a corporate, signature of duly authorized officer. \ (Name and title of corporate officer) Builder's License No ..................................................... Plumber's, License No ........ ~ /~ ~~ ...... ~ b_ -~ -7~ ~7__~2--~_~,r ~ ~ Electr,cians L,cense No...~~ /['~O ~r Other Trade's License No ............................................... ~, Location of land on which proposed work will be done. Map No ......................... ~... Lot No ...... ~.~ ............ Street and Number ..~..L~.~. ~.~ ...... ~.~ ............C.(,.~,..~Z~ ....................... ~ ................ 2g. 6~.~.Z.~. ....... Municipali~ State existing use and occupancy of premises and intended use and occupancy of proposed construction' a Exisihng use and occupancy .......... .~.~.~..~. ............................................................................................... ~. ,n,..dedu~...do~.~a.~ ............ ). ..... ~.~..~.t.L.y ..... ~.~.~.~.U.V..~ ......................................................... 3. Nature of work (check which applicable) New Building ..... V~..... Ad&hah ........... Alteration ............ Repmr .................Removal .................. Demolmor. ................ Other Work .............................................. ~ (Description) 4. Estimated Cost .... {~.?./..b..°...O. .............................. Fee ..~....O. ............................................................................ (to be prod on filing thru application) 5 If dwelling, number of dwelling umts ....~..~....~.. ......... Number of dwelhng 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 exmtmg structures, tf any Front ...... ~ ............. Rear --' Depth .................... Hmght ........................ Number of Stories ............~ ....................................................................................... D~mens~ons of some structure with olterahons or addmons Front ............ ~. ...................... Rear .m .................. Depth ..................... ~. ........ Height ........... ~Z .......... Number of Stones .... -- 8 D~mens~ons of entire new construct,on' Front .~.8.: ......................... Rear ...... .~..ff... ............. Depth ! He,ght ....... ../~.. ...... Number of Stones ..... ~..,~...~.. ...................................................................... .~ ............ 9 S,ze of lot Front ..~...~..' .......................................... Rear ...... ,~/..~ ............................ Depth .~..Z~. ..... 10 Date of Purchase ...... ..~.2).¥.~'../.~/..?.~.?.Z .................. .Name of Former Owner~.~.~.f.~.~...?..~..~..~.....~.¢Y....~ .~.... · lc u~ ~...?k. ~ 11. Zone or use d~stnct m which premmes are s~tuated .¢z_~'..~ .................. ..................................................... O 12 Does proposed construchon violate any zoning law, ordinance or regulation ....~. ............................................... 13 Wdl lot be regraded ....... ~.?.. ............. Will excess fill be removed from premises: ( ) Yes ( ~fNo 14 Name of ?wner of prem,ses .~.~.~ +H~fl~ ~.~°~-~L Address~.~..u~CT~Z.~ ~/'V~ PhoneNo~¢-(:~3zi Name o, Architect ........ ' ........................................ Address~.'.?.i~..~.!i!}}i~!i;~i.~.ii~.iTPhone Nome of Contractor ........................................ Address ................................ Phone No .................... PLOT DIAGRAM Locate dearly and distinctly ~11 buddings, whether existing or proposed, and re&cate all set-back dimensions fro property hnes Gwe street and block number or descnphon according to deed, and show street names and in&co whether interior or corner lot STATE OF NEW YORK, ~S S COUNTY OF ~..,~;.~f .... ~ ...... f.,,/.~Z~- ................. /f~6-R.~.~4 ....... ¥..;~.,JD..~O.~ ....................... being duly sworn, deposes and says that he ~s the apphc (~e of mdiwdual s~gnmg contract) above nam~ He ~s the ...................... ~ .............................................................................................................~ (Contractor, agent, corporate officer, otc ) of sa~d owner or owners, and ~s duly authorized to perform or have performed the smd work and to make and this apphcat~on; that all statements contained m th~s apphcahon are true to the best of his knowledge and behef; that the work wdl be performed m the manner set foRh m the apphcation filed therewith Sworn to before me th~s ........ .......... o, .......................... , .................... ............................ ............ ....... ....................... ~/~E ~';'SO~ ~~ ~ (Signature of mpplicmn~) ~Y~UBLIC, State m N~w ,,,~ No. 52-464372], Suffolk Cou~ N.4B Ot tO ~. 4 I ~AtlON ~W.