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HomeMy WebLinkAbout1168-zTOWN OF ~OUTHOLD BUILDING D.EPARTMENT 'I'OWN CL~.RK'S OFFICE SOUTHOLD, N. Y. C~-RTIFICATE OF OCCUPANCY TH~S CERTIFIES that the building located at S/S Main Road, Mattitu ............................ : .......................... Street Map No .......... ,~*., ...... Block No ..........*.*~ ....... Lot No ....... ~.~ ..................................................... conforms substantially to the Application for Building Permit heretofore filed in this office dated ....i .......... .A.~.~.:~..~.....]'...0. ............ 19..6...0... pursuant to which Building Permit No. ................... dated ................ ~t~.ejg~,~....1..0. .......... 19.....6.,0, was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is ~ssued is ~IUAT~ O~ ~AM~I~¥ This certificate is issued to JOSeg)h ~'~i~O~ owne~' (owner, lessee or tenant) of the aforesaid building. FOI~M NO. 2 TOWH OF SOUTHOLD BUILDII'4G O[PARTMF~qT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 1168 z Dote .................................. A~g.~,S'~....Z..o.. 19..~..O... Permission is hereby granted to: ...Ma ~t ~.t uck ~...New...¥o~:k ............................... to ..... ~uild.. attached..qarag~..on ..pziv. ate ..one...famillr. dwal Xir~g ......................... at premises located at ....s./~.~..M..~..i...n.....R..~."~..d..~....M...a...t..t..i...t.~....c~..*....N....e3~......Y.9.~ ........................................ pursuant to application dated ................................. ~l,~..l~O ........ 19..~0., and approved by the Building Inspector Fee $....~..00...]9&~ cash Building Inspector FORi~ NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ............. ~~x~/..~. 19.~..~.. Approved..~ ......... ~4',~.....~..~.. ' 9 .....~...~e r mit No ..... .'..~...../.'./...~......~...... Disapproved a/c ........... ~ .............. ~~____.____..~_ ~ , ....... (Building Inspector) AppJJcation No.....~...~.(~ ..~... ....... APPLICATION FOR BUILDING PERMIT Date. August 10 ,,, 60 INSTI~UCTIONS a. This application must. be cor0p[etely filled in bv typewriter or in ink.and su~omitted in dup{ico~e to the Building inspector. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this location. 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 progress of the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certifica/~e of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuanoe 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, ordinanc, es and regulations. (Signature of applicant, or name, if a corporation) Mattituck. blew York (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Contractor · Joseph Pumillo Nome of owner of premises ..................................................................................................................................................... If applicant is o corporate, signature of duly authorized officer. (Name and title of corporate officer) t. Location of land on which proposed work will be done. Mop No: ~'* Lot No: S/S Main l{oa~, Mattituck, igew Yor]~ Street and Number ....................................................................................................................................................... Municipality ': 2. State existing use and occupancy of pr. emises and intended use and occupancy of proposed construction: / use and occupancy Private one family dwelling a. Existing ..................................................................................................................................... ,,.. . . . w/ garage b. Intended use and occupancy ................................................................................................................................ 3. Nature of work (check which applicable): New Building .................... Addition ...... ~ ......... Alteration .................... Repair ....................Removal .................... Demolition ....................Other Work (Describe) .................... 4." Eslim~ted Cost ...... ~ ~ .5. ~. .0. .t . .0. .0. ..................................... Fee ~ .5. . :. .0. . .0. .............................................................................. (to be paid on filing this application) 5. If dwelling, number of dwelling units ............. ~ ................ Number of dwelling units on each f oar ........... ~ .............. 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 ............3...0.?.. ......... Height ............................Number of Stories ...~. ......................................................................................................... Dimensions of same structure with alterations or additions: Front ...... ,~2..~ .................... Rear Depth ........ .2...~..~../.~,.0.~ ...... Height ....... : ...................... Number of Stories ............ .~. .................. 8, Dimensions of entire new construction: Front ......... ~.O ............... Rear ...~Q.,~ .................. Depth ...... .2].~, ................. Height ............................ Number of Stories ....... !. ................... 9. Size of lot: Front ............................ Rear ............................Depth ............................ 10, Date of Purchase ........................................................Name of Former Owner ........................................................ 11. Zene or use district in which premises ore situated ...... ~]~.~.R.?.~'~.&~?...~..~...~.`~..~.~..~..~..~..A.g...~.~J..~?..~.~..~..~..~.~.~ ............ ~To 12. Does proposed construction violate any zoning Jaw, ordinance or regulation? .................................................... 13. Name of Owner of premises.~.¢~..e.J?~-...~.l-~tR~...~P......Address ][4~;i,~x.,~Cl,~...J4-,~,.~,~.~l&.g~hone NO ..................... Name of Architect ........................................................ Address ............................................ Phone NO ..................... l'r~-In TutbJll ..................................... Phone NO. Name of Contractor .................................................... Address ~attr,&tuo~ ~, ¥o 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 numbers or description according to deed, and show street names and indicate whether interior or corner lot. this application; that all statements contained in this application are trj4ie to the best of his knowledge and that the work will be performed in the manner set forth in the apl/fill:arian ,filed therC~t'h. Sworn to before me this ~ ml)lr~ r ,~ ~,/~ r~ STATE OF NE~,V ¥¢P~, ) S S. COUNTY OF ~.z..z..9.z.& ........... ) ................................................................................................ being, duly sworn, deposes and says that he is the applicant (Name of individual signing application) /~ . . . Contractor ~ above named, me is the ......................................................... ~t' ................................................................................................. (Contractor, agent, corlborate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file and belief;