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Home My WebLink About11836-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No...Z.~.1.5.9..8 ......... Date .... .~.py.~..1..8 ..................... 19 .8.3. THIS CERTIFIES that the building ................................................ Location of Property 4795 Vanston Road Cutchogue House No. Street Ham/et County Tax Map No. 1000 Section ...1. ~. 1. ...... Block . J .6 ............ Lot ...0.0.5.: 9?.4. ...... Subdivision ..... X. ......................... Filed Map No. X .Lot No. X conforms substantially to the Application for Building Permit heretofore filed in this office dated .... .~.u.l.y...2.9 ......... , 19 .8 .2. pursuant to which Building Permit No... ~. ] .8.3.6...Z ........... dated ...4 .ug.u.s.~. . .3 ................ 198..2. , 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..p. r ~y.a.~. 9.9.n.e. r ?.a.m. ~..~ y..c~w..e.J..z.~.n. &. ....................................... The certificate is issued to ALPHONSE & ROSALIE TRIZZINO ..................... /o¥.'o;, ¥~4d~-'~;,~'~ ...................... of the aforesaid building. Suffolk County Department of Health Approval . J .2.-.S. 9.-.6fi.,..4/.8./..8.2.,..~ 9.b.t.....~....V. ~..1.~.a.,.. UNDERWRITER S CERTIFICATE NO ......... ~..5. ~ $ 5.0.7. ............................... Rev. 1/81 Building Inspector BUlL ~H .~!, i SOU~H'OI~D, N., Y. i (THIS PERM(T MUST BE KEPT ONi ~-i,E PR~^ COMPLETION OF THE WORK A0't'H~RiZ£Di · 1'836 Z Date S UNTIL,I ULL and approved by the FORM NO, 6 TOWN OF SOUTHOLD ]~uilding Oapertmen~ Town Hail $outhold, N.Y. 11@71 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OB ink, and subr~itted 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 ail buildin§s, property lines, streets, and unusual natural or tonograohic features. 2, Final approval of Hea~th 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. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate sur~zey of peoperty showing all property lines, streets, buildings end unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of bulldings. 3. Data 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 $5.00 ~ b~$ 2. Certificate of occupancy on pre-existing dwelling land use ~] 5.00 3. Copy of certificate of occupancy $1.C0 New Building .... .~. ....... Old or Pre- lng Building(,'~) .......... =/Vacant Land -. ............ Owner or Owners of Property ~,~?hK,~ ~ ~l ~ ~ '' I'~O County Tax Ma~ No 1000 Section ~ ~ I ' Block Lot. Subdivision ................................. Filed Map'No, .,: ....... LotNo. , ' ......... ,o. .................................. ~,~ ~,. ,~,o~...l~.~.t.~ ....... :~o~ ~;. *~o~ ...................... ,.. Underwriters Approval .~ ....... - .......... Plannisg Board Approval . ,' ........... ~ .., Request for Temporary Certificate ..................... Final Certificate ..... - ....... ; - F S b itt d S ' 88 u m e ............................. Construction on above described bu,ldmg and pe~ee~ll Z~cab~odas ~eg. lations. - -' . . -- .. j ~ ~q~qt~ THE NEW YORK BOARD OF FIRE UNDERWRITERS 1000~]. BUREAU OF ELECTRI~[T~ 85 JOHN STREET, NEW YORK, NEW ~ORK 10038 THI~ CE~TIFIE~ THAT only the electrical equlpme~t ~ described belo~ and ~ntrod~ed by th~ applicant ~ed on the ab~e application ~umber ~n the premises of in thefollowlng location; ~ Basement ~ 1st FI. ~ 2nd FI. .Section Block Lot was examination ~'~l ~ ~ ~ and found to be in complldhce with the ~equlrements of this Board. FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS FIXTURE OUTLETS SWITCHES FLUORESCENT DRYERS SYSTEMS NO. OF FEET OTHER APPARATUS: ~,btors: 1--.lhp o 1-G.F.I. NO OF CC. COND, PER 1 NO. OF HI-LEG A W, G, NO, OF NEUTRALS A W, G. O~: HI-tEG OF NEUTRAL 1 1/0 20~1 ~helley Pl~e This certificate must not be altered in any manner~ return to the office of the Boa~d , Lic#533 GENERAl. MANAGER 11 may be by their credentials. FIELD INSPeCtiON FOUNDATION FOUNDATION ROUGH FRAME & PLUM~ INSULATION PER STATE ENEf ~gD~ o FINAL ~N DATE COMMENTS (1st) N. ~. ,' ADDITIONAL COMMENTS: Memorandum from.... BUILDING INSPECI~ORS OFFICE TOWN OF SOUTHOLD Town HALL, SOUTHOLD, N. Y. 11971 765-1802 FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined .t,~; ,,,,...ff... ...... 19 .~..~ Disapproved a[5 ......................... ~ ....... ~/ / ................ ....... INSTRUCTIONS Application No .............. a: This application must be completely filed hi by typewriter ',or jn ink and submitted in triplicate to the Buildi Inspector, with 3 sets of plans, accurate plot plan to scale. Fee acc0rding:to schedule· b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public stre* or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this apF cation· 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 peru shall be kept on the promises 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 t 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, 9r for removal or demolition, as herein describe The applicant agrees to comply with all,applicable laws, ordinances, ~building c~qi housing code, and r~gulations, and admit authorized inspectors on premises and in buildings for necessa~ ~~~ (Si ~l~re o f appliea'nt~t6r name~ff a 'corporation) ........ ..... · . ........ (l~iling address of applica.n~) State whether applicant is owner, lessee, agent, architect, engineer g~eral contrac~,.~electrician, plumber or huild~ Nmne of owner of premises ............. I' .......................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized Officer. (Name and title of corporate officer) Builder's License No .......................... Plumber's License No. Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done ................................................. County Tax Map No. 1000 Section ...\.\ 51. ............ Block .. ~ .~.[ ............. Lot...~...~..~..~'3 ...... Subdivision t/~ Filed Map No Lot (Name) 2. State existing use and occupancy of pre~nises and intended use and OcCupancy of proposed construction: a. Existing use and occupancy ~'30'C'~'3~' .~..'~..~..~' b Intended and oeo. upa cy 3. Nature of work (check which app'licable): New Building .'~ ....... Addition .......... Alteration .......... Repair .............. Re,noval .......... Demolition .............. Other Work...; ........... / Description) ......i ........ . .. .... . ' Estimated Cost {tlr..~.aO.(~....C~. ....... vee.~:.'.~ ../,< .'.'- .......... · ....... : : ('t'o be paid on filing this application) ;. If dwelling, nmnber of dwelhn~ units ...... [-. ........ Nmnber of dwelling units on each floor ............... If garage, number of cars . ..~r.: ...................... L If business, commercial or mixedloccupancy, specify nature and extent of each type of use .................... 1. Dimensions of existing structure[, if any: Front ............... Rear .............. Depth .............. Height ............ '... Number of Stories .......... i ............................................ Dimensions of same structure with alterations or additions: Front ................. Rear ................. ;.. ................. Number of Stories Depth ....;... ~ ............ ;. Height ........................ L Dimensmns of~ntirenewconstrdction: Front..'!!~.~ .... ~.. R.:~r.: :...f .~. 'ii' Depth .Z~./. .......... Height ,.. g~'. ......... ,Number of St6ries i '" '~< ' ......... L Size of lot: Front . .,~. ~.~'.. 7/, .......... 'I~; i .~ i ............... ep ~/i~,. ~ i i i .......... ). Date 6fPurchase ........... ~ ................. Name of Former Owner ............................ 1. Zone or use district in which premises are situated .................................................... 2. 'Does proposed construction violfite any zoning law, ordinance or regulation: ~ ............................ I. Will lot be regraded . ~C.5 ,~... ~ ........ t ........ Will excess fill be removed f/.,o~nl!~0_b: Yes · m '~ "~ · I1~ d.~ ~ ~d, ~o ~ . Name of Architect .~..Y'c. ~ 1.".~.~..~..~/.$.t,~..C..V~Y?_.~,... Address . .~.~.$.~..%~'~<c{~h&~{~.... Phone No. ~.~../.-. I I.I.Y .... Nmne of Contractor · .~ .'~,~,-.L~.1.'. 5,%'¥~.g' .~. · · Address .qC~O.~..\~-V~..~-)..~.~..V~.~. Phone No..ia.7. (: '..ofi.~.~-/ .... PLOT DIAGRAM Locate c/early and distinctly all :buildings, whether existing or proposed, and. indicate all set-back dimensions from roperty lines. Give street and block number or description according to deed, and show street names and indicate whether Xerior or corner lot. ~ TATE OF'NEW YORK, OUNTY OF.. '~' ~/~"~'f' ' '-'r)-- , , .............. ......... being duly sworn, deposes and says that he is the applicant (Name of individual sigrdng contract0 >ove named. is the ......................................................................... (Contractor, agent, corporate officer, etc.) said owl~er or owners, and is duty authorized to perform or have performed the said work and to mahe and file this )plieatlon' that all statements contained in this application are true to the best of his knowledge and beliaf; and that the 'ork will -~ performed in the mannbr set forth h~ the application filed therewith. ~vom to be'fore me this ... ~.~ .o??. ....... day of .... ~.~.. ! O0~l~l~d in : of.applicant! SUFFOLK ~CO: HEALTH DEPT. STATEME~ ~ INTENT THE WATER ~y AND ~A~ SYSTEMS FOR THIS ~N~ WILL CQN~M TO THE ST~AR~ ~ THE ~JFF~K CO. D~. OF HEALTH ~RVICES. SERVICES -- FOR, APPROVA~ OF C~TR~T~ ~y DATE: ,,~ ~D: L. P. RODERICK VAN TU~P.C. LAND SURVEYORS . .i GR~ORT NEw YORK , LENd L~V 4 vbdT L-A~ I i ALL CONSTRUCTION SHALL MEET _ o~ ut' ............ ~ Oa~,liardo As~ooia~es DESIGNE~S-Pi.ANNERS-DRAFTSMEN ~ , 693 BROADWAY, MASSAPEQUA, N,Y, 516-54t -1119: 1 !~758 .............. ~-.oF:C- 60NTRACIOR [0 VFRIFY AL[ DIMH~SIONS ?,ND fiOND!TiONS A1 TH[ BtHLD!i~ :l 34§99 ia{e~ BES~GN ERS- PLANNEFIS ~ D RAFi'S N~iN 693 BROADWAY MA~APGOUA~ b II, Ii ' AJ' 't'H£ BIJILDtI'~, ASsoeiafes. DESIGNERS-PLANNERS-D~AFTSMEN 693 BROADWAY, MASSAPEQUA, N,Y, 4x~e' u?~ /_4~T THE [lUll DIN~ DESIGNERS. PLANNERS-DRAFTSMEN 693 BROADWAY. M,~$SAPEQUA.