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Home My WebLink About4595-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Ottice Southold, N. Y. Certificate Of Occupancy No. Z- 386? ..... Date ............ J~l~... 2.$ ..... , 19.70 THIS CERTIFIES that the building located at .. g~l~IL~,.~l ' &' 'Mead0~ ..... S~eet Map No..~tt.,- -Estm~k No ........... Lot No. confoms subst~tially to the Application for Building Permit heretofore filed in this office dated .......... ~a ..... 2~" 19 69' p~suant to which B~ding Pemit No.. ~'~9~' dated .......... D~e ..... 2~'" 19 ~9" was issued, ~d conforms to ~1 of the req~r~ ments of ~e applicable provisions of the law. The occup~cy for w~ch this certificate is issued ~ . 'P~$~te' ~e' fa~ly 'd~lI~g ...................................... The ce~ificate is issued to . ~ 'AbUZz ......... ~e~ ......................... (owner, lessee or ten~t) of the ~ores&d b~ld~g. Suffo~ Co~ty Dep~tment of He~ Approv~ 5~y .... 21" 1'970' "by' ~' 'V~Ia' ' ........ ~.~..~.~. .......... B~ld~g Inspector ~ 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) No. 4595 Z Permission is hereby granted to: ............... ~t~t ..~ £tak ................................... to ........ ~.~..~..g~...~~ ........................................................................... at premises located at .............. ~,...,~l~.....~t~t~;~,~ll~.,]~lr~tll~- .............................................. ...................................... ¢~t.~..&..l~e~..la~ ....... ~t.~eiJ ..... i ...................................... pursuant to application dated ............................... ~ll..,..J~J ........... , 19...~, and approved by the Building Inspector. Fee $..J,~,~]~ .......... FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall ~louthold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitte~to the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposal--(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peoperty showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of anv housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 / 2. Certificate of occupancy on pre-existing dwelling/ land use --?re-Ex±sting C.O. $15.00 3. Copy of certificate of occupancy $1.00 Yacant, land C.O. $ 5.00 Date December 4, 1984 ~op¥ of Existing C.O. e~e'Building .. ,x .......... Old or Pre-existing Building ............ Vacant Land ............. Location of Property .M.e.a.dp.w..L.a.n.d..&..C.a.r.d.i.n.a.1..D.r. iy.e,,..Ma..t.t.i.t.u.c.k, ........................... House No. Street * Ham/et Owner or Owners of Property ...A.r.c.h.i.e..L.iy.i.n~.s.t.o.n. ........................................ County Tax Map No. 1000 Section ...1.i.5 .......... Block . .5 ............. Lot .... 1. ........... Subdivision. }ia.t.t,L.t.~.c.~c..~.s.t.~.t.e.s.,..I.N.c... ........ Filed Map No. 4.4,5.3. ...... Lot No..3.7. .......... Permit No...4,5.9.5.Z.... Date of Permit .......... Applicant .A.b.~.~..(.L._i?.~.~.8.s.t.o.~.) ................ Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Copy, of Request for Temporary Certificate ..................... Final Certificate ...x. ................... Fee Submitted $ 2,..0.0 .................... ,Z.'...- Construction on above described building an ' e all p ' ab odesand regulations. ~k~,_(,-'~ ~-~,--~ Applicant an/~/~//~/~/~~~: o~ (-0 ~- '~ LOq '¢'~{~'~~/"~2's'~{¢;r'n'~; ....................... Ray. 10-10-78 S-9 SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH Date Julv 21:1_970 Bldg. Permit No. h5752 TO WHOM IT MAY CONCERN: The sewage disposal facilities for a structure located (Give deed'location) Mattituck Estmtes~ ~ot ~7 have been inspected by this department and found to be satisfactory. District , r,,~Di~s t r ic t Enginee~~'' IN)B~ NO. I ~ 'U~DINGDEPARTMENT ~ ~.~.~ ,. ¢ TO~ CLERK'S MFICE /.~ ~ ~ ~ ~ ~D, N. Y. Disapproved ale .............................................................................................. APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Buildin~ Inspector. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets o~ areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this applicatic,~ 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 permiP)7:~) shall be kept on the premises available for ir~pection 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 H.EREBY 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 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, and regulations. Edward Abits Contractor Inc (Signature of applicant, or name, if a corporation) ...... ~a~.ti.tuck ..................................................................... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Owner - builder Name of owner of -rem se- Edward Abitz If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Location of land on which proposed work will be done. Map No,: ..M~...t...t....E...s...t. .................. Lot No.: ..,,3..?. ................ Street and Number ...... ~&ltckLlla,1. l:lr..&....e&clow..T.a, ......4v~,ttit~Aoir, .................. ~ Municipality T/d, ......... State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .......... .v. aD~.lxt,..J~l:K1 ......................................... .. ' b. Intended use and occupancy ............... .~P~qL.~.~,~L~....C1JR.e.i~JJ3~ ................................................................... ~ 4'-' 3. Nature of work (check which applicable): New Building ..... ,T~ ........ Addition .................. Alteration .................. Repair .................. Removal .................. Demolition .................. Other Work (Describe) ........................................ 4. Estimated Cost .....2..0..~.~ .......................................... Fee ...1.0~.Q0. ........................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ...... .9.TJ.~ ............... Number of dwelling units on each floor ............................ If garage, number of cars ..........~.~1:). ............................................................................................................................ 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. Dimensions of entire new construction: Front ...... ~ ......................... Rear ......... .l~ .............. Depth ...... 32 ............. Height .................... Number of Stories ......... D~I~ ...................................................................................................... 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 !!~,!~ ~,'J,-%t, .............................................. 12. Does proposed construction violate any zoning law, ordinance or regulation? .......... nD ............................................. 13. Name of Owner of premises ...~..~.~.....~...b.~..~.~. ................ Address .....]~..~.~.~.~..l~..g~ .................... Phone No ..................... 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 number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, COUNTY Of ....~IZ~'D.,].~ ........... Edward Abits ...being d sworn, deposes and says that he is the applicant (Name of individual signing application) above named. He is the OWil..e...~. - .. .. (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 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. Swam to before me this ................... day of .................... ................. , ..... ........... ........................ ELIZABETH ANN NEVILLE NOTARY PUBLIC. Str. fe of New York No. 52-8125850. Suffolk County Term Expires r,~rch 30, 19~