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HomeMy WebLinkAbout1497-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No...g-: 17.7.22 ........ Date . .,Ianuary .30,. 1989 .............. THIS CERTIFIES that tile building ..... O.~E..~ .AI~.I.L.Y..D.I~.E.L.E.I..~G. ........................ Location of Property 3825 STARS ROAD EAST MARION, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section . . .2.2. ....... Block . .2. ............ Lot ., .2.6. ............ Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to tile Application for Building Permit heretofore filed in this office dated July 17, I961 pursuant to which Building Pemlit No. 1497Z dated .............. August 1 ,' 196. ..... I . ....... 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 ......... ONE FAMILY' DWELLING WITH ATTACHED DECK PHILIP FRUMENTI & MARIA ELENA FRUMENTI The certificate is issued to ..................... ?oh;nb;', ~t~e2~'ff ..................... of the aforesaid building. Suffolk County Department of Health Approval ......... I~I/,A .............................. UNDERWRITERS CERTIFICATE NO ........ N./,A. ............ PLUMBERS CERTIFICATION DATED: N/A Building Inspector Rev. 1/81 FOI~M 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°. 1497 Z Date .......................... :~J17,.... ~.~....,1, ..... 19..6.~... Permission is hereby granted to: · ..~i.14.:t..~...~e~t~t ...................................... .................... · 1,..~9...R~d.f.o~&.S.i; .......................... ............................... ~.o..~.~...e..r..~ ................................. to .build...ne~.. ~ne..faz~£1y...d.~:e lli~g ..................................................................................... at premises located at ..... k[/~....~:~..s-.~.~4..,(-O-..~.o.A~.) ............................................................. ............................................................. ~.a s47..~4~:,:~ o-~l ......................................................................... pursuant to application dated ..................................... ~T:I&~ ....... ],.~......19...6~l, and approved by the Building Inspector Fee $..t.0,~0 .......... Building Inspector /,, TO~N OP SO~THOLD B~ILD~NG DEPARTMENT TO~N DALL SOUTHOLD, NE~ YORK ?65 - 1802 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY NEW CONSTRUCTION ....... OLD OR PRE-EXISTING DATE.. !/.3.0/.89. BUILDING ...... VACANT LAND 3825 STARS ROAD EAST MARION, N.Y. Location of Property ........................................................ HOUSE NO. STREET HAMLET Owner or Owners of Property. PHILIP & MARIA ELENA FRUMENTI County Tax Map No. 1000 Section . 22 Block 2 Lot 26 Subdivision ....................... Filed Map ........ Lot .......... Permit No. 1497Z 8/I/61 PHILIP FRUMENTI .......... Date of Permit .......... Applicant ................... Health Dept. Approval .................. Underwriters Approval .............. Planning Board Approval ................ Request for Temporary Certificate ....... Final Certificate ...~ ........... Fee Submitted: $. 25.00 APPLICANT ...................... rev. 10/14/88 //~/~ Co ) '7'1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTFIOLD, N. Y. E, . C~.~c~ , i~ ( xam'ned .............. :.,..~....J~ ............. 19...~, .... Approved ........................................ ]9 ........ Permit No .............................. Application No.../.~Z(...~.~....¥. ......... D sapproved a/c t; '/''\' '~::~"~' ~ D:,;'~ ....................... ............................. (Building Inspector)/. APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. 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 drown 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 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 alterati°ns, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinagces and regulations. (Signature of apl~licant, or name, if a corporation) .... ...... (Address of applicant) ~ State wheth.er applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. - ' 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 p~;oposed work will, be done. Map No: ............. ~ ............................. Lot No: ..~.~....~.. ........... Street and Number ........ ~.......~....~: ........ ,..~. ~....~..~. ~ ....................................................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .................................... /~t.t./. ........................................................................................ b. ntenaea use aha occupancy .............................(~..t....;.....:';.'.'~ .............................................................................. / 3. Nature of work (check which applicable): New Building........~... ......... Addition .................... Alteration .................... Repair .................... Removal .................... Demolition ........... ,~. ....... Other Work (Describe) .................... 4. Estimated Cost......~......~...-~-....~ ................................... Fee ..... ~..~..~.~ ......................................................................... ' (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 ................................ 8. Dimen'sions of entire new construction: Front......~..~...( .............Rear ~(~ ~ Depth D,, ~,6, , Height .....'.'~....~...~. ........... Number of Stories .....~'....../. ............ 9, Siz~ of lot: Front ....../...~,...~...~. ........... Rear ..... ./...~.,.°...~. ............ Depth /°.~,'/ 10. Date of Purchase ...... ..~...~'...~..~..Z.~.~ ...................... Name of Former Owner .~..r-~m............~...~ ................ 11. Zone or use district in which premises are s~tuated ......................... ~ .............................................................. 12. Does proposed construcfiog violate any zoning law, ordinance or regulation? .....~....'~......~ ............................ 13. Name of Owner of ...... Addres~/..':~'....~../..-:.."z..~.~...~....,..~...;~/'"'mane 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 descriptip~z according to ,deed, end show street names and indicate whetl~er interior or corner lot. ,~/~/~. ,~ii~6//~/~'/u/"~ ~ .... :L.-z ........ , STATE O~ NEW~O~,~ ) S S COUNTY OF .~~..,.) ' ~~~' beng duysworn, deposes and says that he s the app cant obovo homed. Ho is the ......... ~.:..;~.~ ....... ~...; .................................................................................................................... (Contractor, ~ent, corporate officer, etc.) o{ ~oid owner or owners, ~nd is duly outhorized to ~erform or hove performod tho soid work ond to m~ke ~nd this opplicotion; that oil statements contoined n th s applicotion ~re truo to tho best of his knowledoe ond ~nd thor the work will be performed in the monnor set {orth in tho opplic~tion filed thorewith. Sworn to before me this JUDITH T. 7~ - ~~ ~t~HiD Stere al New York (Signature of applicant) ............. ~..~:... da~f ..... L"~'""~'~'Z ......... : ~3. s,~o~ c.u.tv . ~ [::: - Note P: blic. ~ZZ ~~~'e~ ~"'¢~ 30, l,~ .. .. /