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Home My WebLink About2016-zFO~M NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No ..... ~...[.7..~. .......... Date ......... .~',.o..¥.~.m~:~ 4 , ~9...~. THIS CERTIFIES that the building located at ...~..~'.~.~...~.~.~.~ ............. Street Map No. ee Block No. *~ Lot No. ~ . .. conforms substantially to the Application for Building Permit heretofore filed in this office dated ................................. ~.~...~. ................ , 19....~ pursuant to which Building Permit No. ..... ,~ ......... ~O~,~. dated ....................... ~.~.~...~ ................ ~ 19..~., 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 ........ The certificate is issued to ~i~ oltver~ (owner, lessee or tenant) of the aforesaid building. / ............. vuilding Inspec~'~;' .........~1' .............. FOI~I~ NO, 2 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N.° 2o16 z Date .................... ~p~,~.......]; .................. 1963._ Permission is hereby granted to: ................ l~a.t t.~.tuek .......................................... to ....Bul~.d...a~..a~.~.t.~n..~..~n..~x.~.s~;i~g..dwel.~.~r~ ..................................................... at premises located at ....L~t~.-~ .... ~).,.,.sl~..a~:l'e~ .................... !.!f.?.f..~:'....,:.'. .......................... .................................. .il/8.....$outl~..I~$ve t ........... ~attStuek .................................................. pursuant to application dated ....................... &pF.'l.~. ....... .~. ................... 19.6.~.., and approved by the Building Inspector Fee Building Inspector FO~M ~0. ! TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved kk 19 ........ Permit No. ~Z_ ~)-~L~ J (o Disapproved a/c ................................................................. ......................... .................. Application No.. ~ O I (~. APPLICATION FOR BUILDING PERMIT ////. INSTRUCTIONS o. 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 detailed description of layout of property must be drawn on the diagram which is part of this applica- tion. c. The work covered by this application m~y not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue o 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 MA,DE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other a:pplicable Laws, Ordinances or Regulations for the construction of buildings additions alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances and regulations. ........................ .................... (Address of appJicclnt) ~/ State whether 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 proposed work will be,clone. Map No.: .................. .~ ..................... Lot No.: ...................... 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction. a. Existing use and occupancy ......... ~ .................................................................................................... b. Intended use and occupancy ....... ~ .................................................................................... 3. Nature of work (check which applicable): New Building .................... Addition .....~C[....~'. ....... Alteration .................. Repair .................. Removal .................. Demolition .................. Other Work (D,~ibe) .................. 4. Est/mated Cost .........~)...~:.~.~ Fee c6 ~ (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 occupo'ncy, specify nature and extent of each type of use .................................... 7. Dimensions of existing st~'uctures, if any: Front ....... ~.~. ............... Rear ... ,] x' / Depth .............................. Height ....~..,~,~-~ ......... Number of Stories ....................................................................................... ~ "~ .............. .~ ' . ..~ ................. Dimensions of same structure with alterations or additions: Front ................................ Rear .................. .......... ~. ................... Number of Stories ............................... Depth .......... ~..//, ................. Height / . 8. Dimensions of entire new construction: Front .............................. Rear .............................. Depth .............................. Height .............................. Number of Stories .............................. 9. Size of lot: Front .............................. Rear .................................. Depth .............................. 10. Date of Purchase .......................................................... Name of Former Owner ............................... 11. Zone or use district in which premises are situated ..................................................................................................... 72. Does proposed construction viol.ate any zoning Taw, ordinance or regulation? .............................................................. 13. Name of Owner of premises ...................................... Address ................................................ Phone No ................... Name of Architect .................................................... Address ................................................ Phone No ................... Name of Contractor .................................................. Address ................................................ Phone No .................. PLOT DIAGRAM Locate clearly and distinctly ail 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 Jot. STATE OF NEW YORK,/ /~, ) SS COUNTY OF ..... ,,IK~.~/~.~.~.,) '' .................... .~'//,,~(<(4. xY.r,:¥j,4.~f,~?~..~.?..../... ............ being duly sworn deposes and says that he is the a I cant (Name 8f individuai~ning application) PP above named. He is the ......... ~xx/~(;.~ ............................... (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 contained Jn 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 befor~ me thb /, .............. ~O~:~day pf .......... ~:7~:f:..~ ............... , 19...~.~ ~ // Z; ~ , ~ ....... Z .? _ _ ........... .......... TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN tLiLL SOUTItOLD, NEW YOP~K CERTIFICATE OFOCCU' 'TPANCY' NONCONFORAiING PREMISES THIS IS TO CERTIFY that 'the [~_/ Land /× ! Building(s) IZ I Use(s) Pre C.O. #- 14869 Date-~ber ]_~2 1986 located at 550 Shore Drive, Mattituck Street Ha~nlet shown on County tax map as District 1000, Section_ 106 , Block l ] Lot l l , does{not)conform to the present Building Zone Code of the Town of Southold for the following reasons: insufficient total area; nonconforming accessory garage in sideyard. On the basis of informatioii presented to the Building Inspector's Office, it has been determined that the above nonconforming /_~/Land ~___/Building(s) /Z/Use(s) existed on the effective date the present Building Zone Code of the Town of Southold, and may be continued pursuant to and subject to the' appli- cable provisions of said Code. IT IS FURTHER CERTIFIED that, based upon information presented to the Building Inspector's Office, the occupancy and use for which this Certifi- cate is issued is as follows: property contains two-story one-fami]y wood framed dwel]ing, added to by Permit #]746 and C.0. #2016; also contains two accessory garagegand and A~ricultural Zone with access The Certificate is issued to ~ of the aforesaid building. all situated in the A-Residential to South Drive, a town road. Julia Oliver (owner, lessee or tenant) Suffolk County Department of Health Approval N/A UNDERWRITEfiS CERTIFICATE NO. N/A NOTICE IS HEREBY GIVEN that the owner of the above premises ~LAS NOT CONSENTED TO AN INSPECTION of the premises by the Building Inspec- tor to determine if the premises comply with al~ applicable codes and ordin- ances, other than the Building Zone Code, and theref6re, no such inspection has been conducted. This Certificate, therefore, does not, and is not intended to certify that the premises comply with all other applicable codes and regula- tions. V i c t Pec °r Executive Administrator