Loading...
HomeMy WebLinkAbout5176-zTowu of Southold Anuex P.O. Box 1179 54375 Main Road Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 36540 Date: 10/1/2013 10/1/2013 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 1330 Bayview Avenue, Mattituck, SCTM #: 473889 SecBlock/Lot: 106.-1 ]-15 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 3/19/1971 pursuant to which Building Permit No. 5176 dated 3/22/1971 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: addition to a one family dwelling The certificate is issued to Chad Mello of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED (OWNER) o ! Si ure FORM NO. R TOWN of souTHOLD BUILDING DEPARTMENT TOWN CLERK`S OBFICE SOUTHOLD, N. Y. ' r BUILDING PERMIT {THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETlgN OF THE WORK AUTHORIZED) ~~ rJ ~. ~ s Z. Date ........................' °~...... .~ ~ '%/. ., 19. Permission is hereby granted to: ................................................................................ ................................................................................ ................................................................................................................................................................ at premises located at ........................................................................................ .......................... ......................................................................................................... ............r...................................... ................................................................................................................................................................ ~- // pursuant to application dated ..........................................~~..~'......, 19..J~!., and approved by the Building Inspector. .Fee $......."~'~..:~ ..... ,~ . ...................................9 .... p ................................. Buildin Ins ector .., _ _ ___ _ __ _ T irosad xa i ~ ~ ~'' T ~~ ~,dr 8 ~.rn,t,¢,` TOWN OF SOUTNOLD 9/~ i~v / hef7 <nY„~„/ y,.~ C3'1 ~ a EUILDING DEPARTMENT TOWN CLERK'S OFFICE '~z3~z`/ - cxT.~•ei...o,~~Fr.ts ~ 1_ ; SOUTHOLD, N. Y. Pap/~°T•so - ~e ~td.~. /~.~ics< c~= ~ Z ` / S~N.N~.r.C~ - E/rf~ S'N rrslE PG+~stc£p 1,~ Examined .................. .1.~1'........, 19...1. APPlication No. ~~.7..Y........V' Approved ..............................1...?'~ 19.y/.. Permit No.................... (~ Diwpproved a/c ............................................................................................. ct p ..........................................................................i"~~...................../. ~... .. ~. (Building Inspector) _ ~~~7~ ~. APPLICATION FOR BUILDING PERMIT ~ - /~~'~~3'~~ W. o Dote ................../.. ~..lri.41.~..~.~.................., 19....,(n.~.. ~: 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 en the diagram which is part of this application. c. The work covered by this application may nat be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue o building Permit to theapplicant• Such permit a 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 o CeN~IiMMR1dt~l~~. __ shall have been granted by the Building Inspector. __.~~'`"~_ `~- APPLICFCTIQN IS HEREBY MADE to the Building Deportment for the issuance of a Building Permit pursuantfib•NN.::= 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 hereirh described. The applicant agrees to comply with all applicable laws, ordinances, building code, housin/g ccode, and regulations. ... , ... . ~l /. u.~tlX.1.....h ~1 ~ ....:. ..... . (Signature cfnapp-licant, or name, if a corporation) cant} State whether applicant is owner, lessee, agent, archite t, enq sneer, gener rnntrartor electrician, plumber or builder, 0„" W Nome of owner of premises .~.L1J.fd.nCY.?.... .. ... ....................T.....Tu...~................ ......................... If applicant is a corporate, signature of duly authorized officer. (Name and title'of corporate officer) ,,,,// 1. Location of land on which proposed w/ork~will be done. Mfap No.:..J'.n.~^.......T....~..~..-......./.....~.^.... Lot /No.: ~.dr.. ~!E'.l ~. Street and Number ~ ... ...., `'1r~3..•.....lb.C1.4~?..16.1.Ar.(.~4.k4~,GK~ ..(.1.:.....1.. ~ ~•S 2•_ ..... y ~ ~ 3 3 p Municipals 2. State existing use/a`nd occupancy o premises and intended use and occupancy of proposes! construction: a. Existing use and occupancy ... ....:............................................................................................................ b. Intended use and occupant; ...~.....~..~~-e~...y(~„el..a~1.r.~... ~••••••••••••••••••••• N .~- _ ~... 3. Naturo of work (check which. a licable)• New Buildi Addition ..i. ~....:..... Alteration ..........`.: Repair .............. Removal . ~............ Demolition.............. Other Work (Describe) ....................................... ' 4. Estimated Cost ..°`.~SL:a ..Q..l~ ................................Fee ........ ... ..... ..... .::.. .. ................. ............... .: ..... ..... .... ..... ...... .. ... (to M paid on filing this application) 5. If dwelling, number of dwelling unite ..........QY.t4...........Number of dwelling units on each floor ............................ if goroge, number of con ...:..: ..................................................................................::.....:........................................... 6. If business, commercial or mixed oauponcy; specify ro and dxtent of each type of ua ..............:............. 7. Dimensions of existing structure, ff any: Front .....~....~..r....h.,..... Rear ..... ~.~.~.:...... Depth ...3 Zf{7.:..,.. Height ........................ Numbsr of Stories ......,(/Y.~A...l.......:........:...........................:..:..:.....................:.....:............... Dimensions of same stnxturo with olhrotions or additions: Front .....~.a.,..~a.......::...:.... Rear ....~ .:i:.~ :........ Depth ...'j...~P. ,~f ............... Height .....~z.~:............Numbsr of Stories ....A.'):!r.~................ - 8. Dimensions of a tire nsw construction: Front ......./...`l ~ ................. Rear ....... ~.Y:~~:..... Depth ....~/..~.......:.... Height ...~.z~... Numbe---of Stories ........R7n.Ri... ...................................................:............................................ 9. Size of lot: Front ....r..::l. UwZ .. Rear ............l..C~..:?..~..... Depth ..... ~:..°..°.,~:..:: . 10. Date o~Purchasd .4~r..;~,R/tA~lfL.kvtd~~e::~.........Nome of Fomwr Owner ~'Ct'L(A~w1~fi~~.A,lt.Y~r.... 11. Zone or use district in which premise oro situated .............................:~...............,........:............................................. z 12. Does proposed construction violate any zoni law, ordirana or regulation? ..~{:(,!,,.i~: ...:............................:................ 13. Nome of Owner of promises~U/1.t.tm~..ui+d~.....Addren~.a~y~C:tsu?.~.(11~cc~+Phaw No.-~:~rYs~~:.~ Name of Architect .........:....:.......................... ....../-ddro:s ...........~ .............~..:..y..-....'. Phone No..................... Noma of Contractor Xipa.t~i.{.. .................../lddna:r~!1P.kfx':4fsr?. ... ^•Phone No.?:.(~:~~.-~1.3 PLOT DIAGRAM (U/ Locate clearly and distinctly all build)nnppas, whetMr existirp or proposed, and indicate oil act-back dimensio-x f-om Property lines. Give street and block GumRber or description according to deed, and show stroet Homo and indioote whether interior or comer lot. S- a - , __ 1~ ~l ';' ~ %~, ,' a~ I' I' f`1 ~!¢S_T__.__. ti ' (Name of indh oboes named. 'He is tM ~ ~ ~, __.i 6 L (^ 1 C3 ,- w_ ~_s._'1" __ _ _. _ ~__.. .z4_Y-Ya~_~sa_--him- -- _-_ .being duly'awom, depose and aayr that M b tM applicant (Controetar, agent, eorporaM offkeq etc.) of said owner or owners and is duly authorized to perform or how performed tM sold work and to makt and file thts a Iicotion; that olf statements contained in this application an tnu to tFN bat of hN knowledge and belief; and thor the work will. be performed in the manner tet forth in the applieafiort filed therewMh. Sworn to bsforo me thb Y7~7~ :~~..... ............~.cm... day of ~.~~~ ........:..... 197.. .. rE ................. Note Public ........ ~~/' Q~ .......~!......... .... ry , • nmRr ,.,•. County ...(Signature of applkarM) NeiARY PUBLIC, Seaea of Wew Yark ' No. 52-689!090 ' ' Guallfied to 8offolk County Commiubn Expura Match 30, 19~ 9~ N