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HomeMy WebLinkAbout47318-Z v7X M:!� Town of Southold 1/11/2022 0 P.O.Box 1179 co z 53095 Main Rd W�y�jo � tiSouthold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42679 Date: 1/11/2022 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 780 Legion Ave,Mattituck SCTM#: 473889 Sec/Block/Lot: 142.-2-13.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 12/14/1957 pursuant to which Building Permit No. 47318 dated 1/11/2022 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: alterations and additions, including dormers and canopy over entries to existing single family dwellin ags applied for The certificate is issued to Martilotta,Evan of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Ao 0' zed i ature TOWN OF SOUTHOLD 4��gUFFQtk'�Do BUILDING DEPARTMENT y z ' TOWN CLERK'S OFFICE SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 47318 Date: 1/11/2022 Permission is hereby granted to: Martilotta, Evan PO BOX 23 Cutchogue, NY 11935 To: build dormer on both sides of roof on existing dwelling and canopy shelter over front door. Replaces BP 189. At premises located at: 780 Legion Ave, Mattituck SCTM #473889 Sec/Block/Lot# 142.-2-13.1 Pursuant to application dated 12/14/1957 and approved by the Building Inspector. To expire on 7/13/2023. Fees: PERMIT RENEWAL $2.50 CO-RESIDENTIAL $50.00 Total: $52.50 Building Inspector FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES P�?�9RAI`xl ��Ek, T ®fid UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No. ..Z..189......... Date ........Dezember.....1) ......................19....5..7. Permission is hereby granted to• Adri ? .....V ...B.yAw k............................... ................Leg ion. e®...................................... ....................I ttitUcI y...MY......................... to ..Build...dormer..©n.-bo-th••sides..of.-roof..on.•e eVIng...d�jelling.j...and......... .......ca apy...shelter--over..front--door-................................................................................ at premises located at ....S/E--61de••0f•••Legi011..Ave-j... t-t t't ck3 ...N-4-Y®.......................... ................................................................................................................................................................. ..................... .................................,................. ................................ ........................................ pursuant to application dated .................Dwea.er......14..................190'..../and approved by the Building Inspector. / \ Fee $.5,00............. Building Inspector SII � F FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERIC'S OFFICE SOUTHOLD, N. Y. Examined.......Ac.....` ........19. � � Application No. ........... ............... Approved..........................:............19........Permit No. .............................. Disapproved a/c ............. ............. ................._ ....... - (Building Inspector) APPLICATION FOR BUILDING PERMIT Date......................DeC.CtTkber..akvi.............1957........ INSTRUCTIONS a. 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 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 whotever,iantil a Certificate of Occupancy shall have been granted by the Building Inspector. r 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 Laws, Ordinances or Regulations, for the construction of buildings, additions or a Iterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances and regulation's: i............:................................. ;. ...............k,.�. . (Sign u e of applicant,'pr name, a rpo tion) r � ........................................./....... ;...............,............................. (Address of applicant) State whether applicant is -owner, lessee, agent, architect,-engineer, general contractor, electrician, plumber or builder. ........................................... NFfR.......................................................................I..... .. .. ..............................� ................. Name of owner of premises...AAdIAMUS.....V=.. V014lt....................................••z '...................................... `. ............. 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: .......��.. ....... .1.... Lot No: .................... .. .. Street and Number ..�aG� 0I1 .. NI��t3� t1Gl �,... � p:............ .................................. .Municipality; ,{...................................... 2. State existing use and occupancy of premises and intended use and occupancy of prol�"osed construction: a. Existing use and occupancy................ u1Eyl1ZY2 .,............... �. ....... . .................... ..' .. t1, b. Intended use and occupancy...............................................: ..............�:.............................;�1................................ +, A 3. Nature of work (check which applicable): New Building....................Addition ....................Alteration ....... ........ Repair ....................Removal ....................Demolition....................Other Work (Describe) .................... 4. Estimated Cost...........$7510V.......................................Fee ..... 5'•a0......................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units........pne................Number of dwelling units on each floor............................ Ifgarage, 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..........27............. Rear ..............�7.......... Depth .....36.................. Height ............................Number of Stories ..1.*...................................................................................................... Dimensions of some structure with alterations or additions: Front ........2,7................... Rear .........727................. Depth ......36................... Height ......................Number of Stories .,�2.. ..ten............... 8. Dimensions of entire new construction: Front............................ Rear ............................. Depth ............................ Height ............................ Number of Stories ............................ 9. Size of lot: Front .........50............... Rear .........%............... Depth ........g3p............. 10. Date of Purchase ........................................................Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated.!!,A!!...,"eg.j{dent.jej........................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? .............no..................................... 13. Name of Owner of premises.....A ..Va.n...1.jy,sV,yk...Address ..matt,ktuek..............:.....Phone NO. .................... Nameof Architect.....................�1................................Address ............................................Phone NO. .................... Name of Contractor....................11..............................Address ................................:...........Phone N0. .................... 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. I Vrt `J�r '0 Q- /xj Pf i'P J ' •� IL STATE OF NEW YO l< S. , ) COU TY OF� ; ...... ..... .. �a� ............................being duly sworn, deposes and says ,that he is the applicant (Name of individual sig ng a�lication, abovenamed. He is the................................. ..................................................:..................................: ................................... i (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. Sworn to before me this ...... ...... day of ........... .e?�................ 1 5 PJotaryCEt rc to of app I ico Residing m Sir;folat York Notary Public, �� ........... . .............. ounty +Y Cora-7;skro. 52 %° County