HomeMy WebLinkAbout1547-ZTOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
CERTIFICATE OF OCCUPANCY
THIS CERTIFIES that the building located at ..,~/.~I...D.I~k..AV~ ....................................Street
Mop No...~3[~ ............ Block No..:J[313[ ............. Lot No ............... JlJJ~.t~l~kt.....#'~'~. ...............
conforms substantially to the Application for Building Permit heretofore filed in this office dated
..................................... J~.~Jj.t~..11 ............ , 19.6[.. pursuant to which Building Permit No. ,iT~,~.~....
dated ............................ ~t,....~l,~..., 1961..., 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 ..........
....... ~.i.~.a~e.. ~.. f~0,t ].~... ~el ~ .......................................................................................
This certificate is issued to ....~Zt.e~l..Zll~K~t~ .................. 0~1~' ..................................................
(owner, lessee or tenant)
of the a:foresaid building.
Building Inspector~
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.o 1547 z
Date ............................. ~.p~......~ ......... 19..(~.
Permission is hereby granted to:
Fred..L....l~o~r.e.... ~t/C.....li~l...E~po~.~o ...........
........... Mat. t ~-tuek ...............................................
to ....Bu~d.. ~n...achl~t~on.. ~n..~n..e~t.~ n~.. d~e.21~n~ ......................................................
at premises located at ......J~tj,J~,.A~iq~ ...................................................................................................
................................................. J~a¢.t [.~uek .........................................................................................
pursuant to application dated .............................. ~tl~eT'.....'l.~....1 9...671., and approved by the
Building Inspector
Fee $.....~',00' .........
Building nspe~dt~Y" /
FORM NO. I
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
,, ,, ;zZ vZ
Appraved ........................................ 19 ........ Permit Na ..............................
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
a. This application must be completelv filled in by tvpewriter or in ink and su~omitted 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 port of this location.
c. The work covered bV 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 port for any purpose whatever until a Certificate of Occupancv
shall hove been granted by the Building Inspector.
APPLICATION IS HEREBY MADE 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 applicable Lows, Ordinances or
Regulations, for the construction of buildings, additions or o Iterations, or for removal or demolition, os herein described.
The applicant agrees to comply with all applicable lows, ordinances and regulations.
Fred L. Moore
(Signature of applicant, or name, if a corporation)
Mattituck, New York
(Address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Contractor
Fred J. Esposito
Name of owner of premises .....................................................................................................................................................
If applicant is a corporate, signature of duly authorized officer.
(Nome and title of corporate officer)
1.
Location of land on which proposed work will be done. Mop No: ............................................ Lot No: ....................
Park Avenue, 100' e/Marratooka Rd., Mattituck
Street and Number .......................................................................................................................................................
Municipality
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
one family dwelling
a. Ex~st~ng use and occupancy .....................................................................................................................................
" " "/addition
b.~ntended use and occupancy ................................................................................................................................
3. Nature of work (check which applicable): New Building .................... Addition ..... ~ ..........Alteration ....................
Repair ....................Removal .................... Demolition ....................Other Work (Describe) ....................
4. Estimated Cost ....... ~ ....... .$. .1. ~. . .0. .0. . .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 ..............................
40 Rear ..... ..4..0. .................. Depth 28/23
7. Dimensions of existing structures, if any: Front ........................................................
Height ............................ Number of Stories 1
Dimensions of same structure with alterations or additions: Front ..... S~a,.14E .................. Rear ................................
Depth .............................. Height .............................. Number of Stories ................................
8. Dimensions of entire new construction: Front......4.0. ................. Rear .4.0 .......................Depth ~.~ .......................
Height ............................ Number of Stories .....1. ......................
9. Size of lot: Front ..... 1...0. Q ................ Rear ....1. Q..0. .................. Depth ....3. g..0. ..................
........................................................ Name of Former Owner ........................................................
10. Date of Purchase 1960 - 61
"A" Residential
11. Zone or use district in which premises are situated ................................................................................................
12. Does proposed construction violate any zoning law, ordinance or regulation? ....... iLO. ........................................
13. Name of Owner of premises...F...r..e...d....E...s, lq..°..s...i..t..°.. ...... Address ........... .M...a..t...t..i.,,t.u.c...k. ........... Phone NO .....................
Name of Architect ........................................................ Address ............................................ Phone NO .....................
Name of Contractor ....... F.~.~..I~.,...~Q.g.[.~ .............. Address ...... ~.~.f,,%.~1~gA~ ................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.
STATE OF NEW YORK. ) S S.
COUNTY OF ...... ~.l~g],~.....)
Fred T.. Noore
................................................................................................. being duly sworn, deposes and says that he is the applicant
(Name of individual signing application)
above named. He is the Contraetor ...............
(Contractor, agent, COrlSorate officer, etc.)
of said owner or owners, and is duly authorized to perform or hove performed the said work and to make and file
this application; that all statements contained in this application are true 3~'t~e best ,~F-~is knowledge and belief;
and that the work will be _Derformed in the manner set forth~u in the application/filed ,th~rew~th.~ . /
thi D!rH T. BOKEN
Sworntobefore me s N~aF~p.;~, State of r~ew¥ork r~ ///,///~ ~~
llth~,, ~f September_ . ,l~Z__t~r ~.~. suffolk County /(Sh~fa't6're'o%' apph'cant)
..........................~"~' ~ - J ~z~i" ~' ........... ~'"';'~/.'/~7."~Z~n £xmres March 30, 19
Notary Public, ~,~~"'--"(/~ -~ .....