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Home My WebLink About3840-zTOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No, Z 3160 Date ~1~.. . .2.$. , ]0 68 (~rTel~ ~E~,le~E~)tl'~L~nl:~Jilding located at ....~../'.~.....~..~..e..~,..~..~,.~.~...?..~.$.~. ....................... Street Map No ....................... Block No ....................... Lot No ..... 3..8. ............ .0..~.~.e.,.~...~.j....~..?,~.~. .................... conforms substantially to the Application for Building Permit heretofore filed in this office dated ........................................ .~.~.?...~..~. ........ .~.~.., 19....~....~ pursuant to which Building Permit No ..... 3.~..J~...Z dated ........................... .A..~.~';[~......t.1......, 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 ........ Private one family dwelling The certificate is issued to Frank Pi{~za & Wife 0truers (owner, lessee or tenant) of the aforesaid building. H.D,Approval ~uly 19, 1968 by R. Villa ......... .............. Building Inspector FOR~ 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)' 3840 Z Permission is hereby granted to: pursuan¢ to application dated Building Inspector. J-Zee ~..~.~,.~......~:.. NO. ! TOWN OF SGUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Exam,ned ...... ........... ,lc)........*r Approved ........................................ , 1c) ........ Permit No ............................. Disapproved a/c ............................................................. -~.., (Building Ihspector) Application No. ~-~f(2 APPLICATION FOR BUILDING PERMIT Date April 1 1 19.,.6..,8. ..... INSTRUCTIONS o. This application must be completely filled in by typewriter or in ink and submittbd 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 application. 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 issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southo[d, 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, building code, housing code, a:nd regulations. (Signature of applicant, or name, if a corporation) Mattituck (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Contractor Name of owner of premises ..... ~f~k...~;:J,9, Z.a~....&...}~,~.~ ................................................................................................. 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.: .....G..~..e...e..~....,A..e..~.e...$. .......... Lot No.:~..8. .................... Street and Number ...................... Oz. iez .t. .................................................................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...... ..~..a...c.~..~.~....~..~...~.~ .................................................................................................. b. Intended use and occupancy ............ O~¢....~f),~;i,],~...ql, w'.e.~;i,;~; ....................................................................... 3. Nature of work (check which applicable): New Building ~ .......... Addition .................. Alteration .................. Repair .................. Removal .................. Demolition .................. Other Work (Describe) ........................................ 4. Estimated Cost ..1.~.~O. Q0 ............................................. Fee ..... 1.0...0D. ......................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ...... o~e ............... 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 o.lterations or additions: Front .................................... Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front ......... .6..~.:zlk. .................. Rear 6bt-l+ Depth. 26 Height .................... Number of Stories ......... ~ ...................................................................................................... 9. Size of lot: Front ....!.k.:.O. ................. Rear .................................... Depth ........ ~.~.0. ................. 10. Date of Purchase ..................... ~.c)..6..~. ......................... Name of Former Owner ......... ~..f~1~/.a,~'..~.a.'lt~' ........... 11. Zone or use district in which premises are situated ........ II..3:1]....~.~.s.~ .......................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? .......... ~O ............................................. 13. Name of Owner of premises ~.~,~.....~.,1~f~.~ ......... Address ..~i~.~l~ ......................... Phone No ..................... Name of Architect ...................................................... Address ............................................ Phone No ..................... Name of Contractor A. Reilly & Son AH,Ire~ Mattituck Phone No. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property Iines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, ~ c c COUNTY OF ..S.~ff. ol~ ............. ~ .... ................................... ~oz'.~a~..~e,'L].~b~ .............................. being duly sworn, deposes and says that he is the applicant (Name of individual signing application) abow; named. He is the .............................. Q.QYJ,t~'~3.$.Q~'.. .................... ~..:../..(..~./.~.~.~.......'~...~..0...~...~....../..'..~...~, ............ (Contractor, agen~ 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 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 11 day of ADril , 19 68 .~ ~ ~. ~ ............................... ........................................... ................................... Notary Public~~...~G.f.~<~.. County -- (Signatur~f app~cont) NOTARY pUbLIC. State o~ ~ew YO~ ~ ~ No. 52-3235120 Su[~oIk County.. ~orm Expires March 30, 19~ S-9 SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH TO WHOM IT MAY CONCERN: The sewage disposal at E~ Green Way West Orient Date July.19~ 1968 Bldg. Permit No. S0-372 facilities for a structure located (Give deed location) Orient, Southold have been inspected by this department and found to be satisfactory. Owner-Frank Piacza Builder~ Reilly and Sons DiszrB~% r ~c t ~ngtne e,r