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Home My WebLink About1117-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. UPDATED CERTIFICATE OF OCCUPANCY No Z-23414 Date DECEMBER 15, 1994 THIS CERTIFIES that the building ADDITION & ALTERATION Location of Property 1555 FACTORY AVE. & 10530 SOUND AVE. MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 122 Block 2 Lot 15 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Bu$1ding Permit heretofore filed in this office dated APRIL 27, 1960 ~ursuant to which Building Permit No. lllT-Z dated~ JUNE 24, 1960 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ADDITION & ALTERATION TO EXISTING ONE FAMILY DWELLING * The certificate is issued to BLAISE DiPALOLO (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A *THIS UPDATES CO Z-918 DATED NOV. 25, 1960. Rev. 1/81 FOI~I~ iW,O. 4 TOWN OF SOUTHOLD BUILDIN~ DEPARTMENT TOWN CLERIi~$ OFFICE SOUTHOLD, N. Y, CI~RT1FICATE OF OCCUPAI~CY No. Z918 Date Novel%er 25 , 19 60 THIS CERTIFIES that the building located a~ ..~.O..Z'..,.....o~...~...o.~..r!..d.....A...v.~....~....P...a..q.t. 9.~.YS~' Map No.....~.~. .......... Block No.....~..e...*. ........ Lot No ..... .~.~*. ................................................................... conforms sabstantially to the Application for Building Permit heretofore filed in this office dated ........ , ..... Ap~r],l...27...., 19.6.Q.. pursuant to which Building Permit No...Z...],~%3.~/ ....... ~lated ..... June ~ , 19..6Q., was issued, and conforms to all of the requirements of the applicable provisions of the taw. The occupancy for which this certificate is issued is P. RIVA~I~... Q~...~A~III~ Z. D~I~I~.I If~ ...................................................... This certificate is issued to ...A..~..'~h~.!;...~9~.~gY~....-°.~.n-e-~ ..... (owner, lessee or tenant) of the aforesaid building. FOP~I~ NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT 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.° 1117, Z Date ......................... ;r~e.....2~, .............. ]~..60. Permission is hereby granted to: .............. ~attt.~¢k~i...~,,.~-, ............................ at premise~ located at "'~'O~'"~.',,.~..V'e"~"~'~:'~O~y"'A"~ .................................................................. ............................................ ~ ............. ~a'~.'t;',~t~:~'"'"~';'Y'; .............. i ......... ; .................................. : .... pursuant to application dated ....... ,..,.'......' ............ .~_13~.~.....~7 ............. 19(~)..., and approved by the Building Inspector ~ee $..~,~0 ....... L:..i~ . ~ . . , Buildigg Inspector I ' t Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 ~! ~ O~pI ~ APPLICATION FOR CERTIFICATE OF OCCUPANCY L.~iQ/jTHC~ i This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building 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 from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate 'of Code Compliance from architect or engineer responsible for the building. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing ali property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildin~ - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date N~v.e.m. ber. 29. 1994 . New Construction .... %._...;. Old Or Pre-existing ~i~l~J~ng. ~ ~.. UPDATED Location of ProDertv.~b..~.CQrqer of Factory Ave!, ~OJ~o~North Road, Mattituck, NY House No. Street Hamlet Onwer or Owners of Property Blaise 0i Palolo County Tax Map No 1000, Section.?.2. .......... Block.. 2 Lot...1.5. ....... Subdivision ................................... · Filed Map ............ Lot ...................... Permit No. Zl]17 JUNE 24, 1960~ ~. AR~I~.R COI~4ISKEY ............... Date Of Permit ................ appzzcant ...... Health Dept. Approval .......................... Underwriters Approval...~,~ .................. Planning Board Approval ...... . .................. Request for. Temporary Certificate .......... ~. Final Certicate../ ...... / GARY FMNNER O/SEN. ESQ.* TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Exomined ........................... 19.~ .... Approved ........................................ ]9 ........ Permit No ............................ Disopproved o/c ..................................................... Application No....(./...!...7 ........... APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicate 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 detoifed 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 cornrnence~,d 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 occupibd or used in whole or in p art for any purpose whatever until a Certificate of Occupancy shall hove been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Deportment 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 Lows, Ordinances or Regulations, for the construction of buildings, edditions or olterotlons, or for removal or demolition, os herein described. The applicant agrees to comply with all opplioable lows, ordinances and regulations. Ea,~old R. Reeve & Sons (Signature of applicant, or nome, if o corporation) Mattituck, L.I., N.Y. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Agent Nome of owner of .... i~ Arthur Commsk .y . If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which proposed work will be done. Map No: ............................................ Lot No: .................... Street and Number .C..~...`~...e..r.~.~.~.~.~.~.A.Y~.e~.'.~.~a.9~9.~.r~.~`~..v.~~t~t~? .................................. Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ....................~.~.~..e. .......................................................................................................... b. Intended use and occupancy ............... ~9.~..e.....*,~::.i¢ .............................................................................................. / 3. Nature of work (check which applicable): New Buildihg~ ....... ~ ........... Addition ................... .~Alteration .................... Repair .................... Removal .................... DemolitiorP..~..,B.9.~9.~......Other Wa rk (Describe) ...~e.w.....~...°..~.. 4. Estimated Cost.....~3~.O..0..0..:.0..0. ........................................ Fee ....~.:..0..0, ............................................................................ (to be paid on filing this application) 5. If dwelling, number of dwelling units ................................ 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 ................................ 0" 0" 10'-0" 12'-0" 8. Dimensions of entire new construction: Front....],.....-. ................. Rear ............................ Depth ............................ Height 8'-0" Number of Stories one 9. Size of lot: Front ...,.2.0.0.. .................. Rear ..... .2.9.0. ................. Depth ......,2, q.0. ................ 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated,.....~..e.8~.e..A~.t...~.. ..................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? ...~...o. ............................................. 13, Name of Owner of premises..A.~?:~...O..°...~l:....~...,e~. ......... Address ....~.~.t.~.t.~?.,~.. ...................... Phone NO..l~..:..9.Z~.3..9..2.... Name of Architect ........................................................ Address ............................................ Phone NO ..................... Name of Contractor .................................................... Address ............................................ Phone NO ..................... 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. Work involved: Removing old front & side porch. Building a Z/O extension at the northeast corner to m~ke a closed-in porch lO'-O"x12'-O". Completing the upright asbestos shingling. Additional aluminum storm sash & scrs~ns. painting new work & old trim. Needed electrical work. STATE OF NEWJ~r'OP~I~, , ~ ) S S COUNTY~,~....-~:yOF~) · (Name of individual s~nmg application)' above named He is the .........../,.~~ ........................................................................................................ ~( ~'~, ~:,, '(~ontractor, agent, corporate officer, etc.) of said owner or owners, and i~ duly authorized to perfoKm or have performed the said work and to make and file th s application; that all statements contained~ in this ap~],Lcation are true to the best of his knowledge and belief; and that the work will be performed in the manner'~f~?~(~e applicatio~ filed therewith. ' ~ '~,or ~, Sworn to b~ore me th s ~.~ ,~~~ ~-- '- ' of ~";'~' ~ 1~~[~ (Signature of apphcant) ..~ ............... aay o~-.~..-7~ ........... , ..........'~ ~,~ ~ Notaw Public, .....~..~..~~....County ~~~~ ~,