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Home My WebLink About1455-zFOI~iH NO. 4 TOWN OF ,SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, bi. Y. CERTIFICATE OF OCCUPANCY No. Z 1292 Dote January. 24 ...... , 19..~.~... THIS CERTIFIES that tho building located at ..~../..~,..~..~.~.e....]~.~.~.~...J~j.~.~.~.,,. Street Map No*.?? .................. Block No...~.~.e( ............. Lot No .................. .~.~ ............................................ conforms substantially to the Application for Building Permit heretofore filed in this office dated ............. ~.~.....~..~. .................................... , 19..~.~... pursuant to which Building Permit No.~..~-.~'~..-~... dated ..~Ui1~...23 ................................. , 19...4;.1. was issued, and conforms to all of the requirements of the applicable provisions of the I.aw. The occupancy for which this certificate is issued is .......... ............. P.P.,3:.VAT~ ..~,I~1~...~,.T~. D~/,~ .................................................................................. This certificate is issued to ~t~l, gl ~', Jr., Owrie~' (owner, lessee or tenant) of the .aforesaid building. FOP~IH NO. 2 TOWN OF $ooTHOLD BUILDING DEPARTME~qT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS F~ERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 1455 Z Permission is hereby granted to: Date .................................. 'J~n~ "2'3 .......19. '6'.1." .......... ~[tr.t in...qid~r.,...J.m,. ............................ .......... ~ J.~:d:~e'' Fqo./~d ........................................... ........... 1.~ tt ~ ~ 0~ ~'" ~i~' ' ~//9~ ........................ to .......... b. uilfi..addit ~ozq...to...pr.i~rat~.. c~n~., family.. ~we.~l&~g. ..................................... at premises located cat ....... .~.../..s....~.~.~d.~...~..e.~R..~...a..d..:.....~..a...t..t...i..t.~g~.`....~...e.~..~. .............................. pursuant to application doted ........................................ Jt~e...2~ .......19..B.1.., and approved by the Building Inspector Fee $5~...OO...ca.s;h.. l~aid Building Inspector ( ' . TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ................ ...~....~....~,~... 19 ........ Approved ................ .'~...~x~'~..,.~ .~.. 19:..~.../.. Per m it No ........ Disapproved a/c ......................... : ........ ~ ....................................................... .......... ...... : ............. (Buildi?g Inspector) Application No ..... ../.~. ].~...]~.... APPLICATION FOR BUILDING PERMIT ~!~ ~une 23 61 Date ............................................................ 19 ............ 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 odjoining 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 Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuanc.e 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 and regulations. Martin Sidor, Jr. (Signature of applicant, or name, if o corporation) Middle Road, Mattituck, New Yokk (Address of applicant) State wheth.er applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. · Mar tin Sidor, Jr. Name of owner of premises ..................................................................................................................................................... . 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 s/s Middle Road~ Mattituck Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: o. Existing use and occupancy ..............Q.n...e.,...f..a..m..'.z..1._v'....d..w...e..1..1...i..n..g ......................................................................... b. Intended use and occupancy ............. '.' ............. [~ .................... '.'.../'.a..d..d..z.'..t..a..'..o..n. ..................................................... 3. Nature of work (check which applicable): New Building .................... Addition ......X. ............. Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost......$..6...0..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 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 ........ .3...6. ............... Rear ....... ..3..6. ................ Depth ...2...8. ..................... Height ............................ Number of Stories 2 Dimensions of same structure with alterations or additions: Front 36 Rear 4.4 Depth ..... 28. ................. . ...... Height .............................. Number of Stories ...... .2. ........................ 8. Dimensions of entire new construction: Front ........ .8. .................. Rear ..~.~...8. ................. Depth 12 Height ............................ Number of Stories ........ .1. .................. 9. Size of lot Front .... .1...5..0. ................ Rear ......... .1...5..0. ............ Depth ....... .2..0..0. .............. 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated ..~...A.~....R..e...s..i..d.e..n..t...i..a..~...-..A...g..r...i..c..u...~.'t.~.~ .......................... 12. Does proposed construction violate any zoning law, ordinance or regulation? ...... ~Q ......................................... Martin Sidor, Jr-.. Middle Rd., Mattit~ck ]3. Name of Owner of premises ........................................ ;kaaress ............................................ Fnone NO ..................... Name of Architect ........................................................ Address ............................................ Phone NO ..................... ~ Eugene Horton -.. New Suffolk ..- Name of L. ontractor .................................................... ,~aaress ............................................ ~'none 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 ,-', 2., STATE OF NEW YOE, K. ) S S. COUNTY OF ...s...u...J:..~..o...1..k. ......... ) Martin Sidor~ Jr. be n~ duly sworn, deposes .and says that he is the applicant (Name of individual signing application) i the Owner ............... above named. He s ..................................................................................... . ................ : ...... (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 statements canto ned Jn this application are true to the best of his knowledge and belief; and that the work will be performed in the m.annej'l~l~l~f ir?, rJ~EiNn the application filed therew th. Sworn to before me this l~ Ptlblic, State of New York ........................ June ~ '?~-~,3449~,1Suffolk County f a~ppJi~c~nt?._ ~ 23'rd day of ...................... ~...~,.....~',~,~t~,¢,f~./Cfarch 30. ]9~ --- (Signature o , NoraW Public, · ........................... FORI~I NO. 1 TOWN OF SOUTHOLD ,uI,O NG ,EPARTMmT TOW. omc SOUT.O,., ,. v. E×om ned ............ ¢.c../... Approved ............... ...... Disapproved a/c .............................................................................................. Application No ......../..'...~..~. ~..-~.. ...... APPLICATION FOR BIJILOING PERMIT Dar ~ J~/ne 23 61 INSTRUCTIONS o. This application must be completely filled in by typewriter or in ink and su{)mitted 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 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 p art 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 issuance of o Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New Vork, 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 and regulations. Martin Sidor, Jr. (Signature of applicant, or name, if a corporation) · ............ (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ~ Owner .... i.^~ Mar tin Sidor, Jr. , . Name of owner of ~,.~,. ~ ................................................................................................................................................... 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 S/S Middle Road~ Mattituck Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: n' an One fam~l.~, dwelling ' a. Existing use a a occup cy ........................................................................................................................ : ........... " " "/addition b. Intended use and occupancy .................... ............................................................................................................ 3. Nature of work (check which applicable): New Building .................... Addition ..... X ............ Alteration .................... P, epair .................. ;.Removal .................... Demolition .................... Other Work (Describe) .................... 4. Fstimated Cost.....~.~..~.O.*..~.(:} ........................................ Fee ...... .~,5,.Q.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 ......... 3~. .............. Rear ........ 3.6 ............... Depth ...~. .................... Height ............................ Number of Stories .......... .2. ............................................................................................... Dimensions of same structure with alterations or additions: Front ....... ,~6 .................... Rear ......... ~.4 .................. Depth .....~.8. .................... Height .............................. Number of Stories ...... 8. Dimensions of entire new construction: Front ........ ~ ................. Rear ..~I~,..IB ................ Depth .....~.;~ .................. Height ............................ Number of Stories ........ ;1 ................. 9. Size of lot: Front ..... '150 ................ Rear .......... :L$.O ........... Depth ....... ~OQ ............. 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated...'.*.~l'.,.~l.;l,.f,l,~.~,l,.'t'.~;(-.~t,l.~.,1~ ......................... 12. Does proposed construction violate any zoning law, ordinance or regulation? ....... ~1'O ........................................ 13. Name of Owner of premises....~....~.~.&..n.....~..~.~..°...~.~.....~...~Address ...~.~-.~....e...~.~..*..~...~.~...t'..b..~.~fe NO ..................... Name of Architect ........................................................ Address ............................................ Phone NO ..................... Name of Contractor...~'..¥.~.e...~..e....~...O.~.O..n.. .................. Address .....~..e...~...~.~..~.~. ............. Phone NO ..................... PLOT D~AGRAM I,ocate 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 STATE OF NEW YORK, ) S S. COUNTY OF ...~.~££O,1,~ ........ ) ......................... .1/~...~.t2~..~.&~.I~,,...~1',~.~ ............................... being duly sworn, deposes and says that he is the applicant (Name of individual signing application) above named. He is the ............................. ~ .................................................................................................................... (Contractor, agent, corhorote officer, otc,) 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 statements 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. Sworn to before me this 'JUDITH ~. BOKEN N'~t~ Pubhc, State ~ New York [ ) .......... ~ .... day of ......................~.~2¢~,,~ounty.~ ~ (Signature of applicant)