The URL can be used to link to this page

Home My WebLink About5299-z galFfQt,tCDGa Town of Southold 8/5/2020 . P.O.Box 1179 o ` 53095 Main Rd Southold,New York 11971 ��*x Alfa CERTIFICATE OF OCCUPANCY No: 4511 Date: 12/28/1971 THIS CERTIFIES that the building RESIDENTIAL ADDITION Location of Property: 980 Bayview Ave,Mattituck SCTM#: 473889 See/Block/Lot: 106.40-17 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 5/14/1971 pursuant to which Building Permit No. 5299 dated 5/14/1971 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 private one family dwelling_ 8/5/2020 Corrected for Building Permit number only The certificate is issued to Smith,William&Vera of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED A ho ' d gature FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupnncy THIS CERTIFIES that the building located at ~a~ew. Awe ............... Street Map No.~ck No ........... Lot No. ~ee..F... I~t~tltuek ............ conforms substantially to the Application for Building Pemit heretofore filed in this office dated ............ Ma~, ..... ~19..~ pursuant to which Building Permit No...~'~)~. dated ........... liar' .....~.1~., 19 .~., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is . .PF~'e~. ~. f~k%]~'..d~eI-l.t~.nI ...................................... The certificate is issued to . M~i].,~i A+ .Sl~th ....... ~ ...................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . .N.~.R~ .............................. III'61., 9~0 . . . . . . /~/'" ' ' :":. .~. . ~': ~./. .~. '. .*:~. . . . A .'. : : . ~ Building Inspector FORM NO. S TOWN OP SOUTHOLD BUILDING DEPARTMEI~r TOWN CLERK'S OFFICE ~OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 5299 Z Permission is hereby granted to: .............. .w..$..~,2 ~;%....~.. ,~. to ..~u~.l~l..~.~.,1,t,&e~,.~..ea~t~.. &v&,l..lAz~ ............................................................ at premises located at ............. ~t~..~ .................. *~a~l~l~....~Jl~ .................................................. ........................................ ~....~r~$~..,~ve ................ ~4~$emelm ........................................... pursuan~ to application dated ............................ ~ ........~1~ ............ , 19...~i1., and approved by the Building Insl~:tor. 'rOWN OF soUTHOLD BUILDING DEPARTMENT TO~'N CLERK'S OFFICE SOUTHOLD, N. Y. ................. ...f_., ....... ....... . . Approved ........................................ , 19 ........ Permit No ......................... Disapp roved a/c~~ ............................ " .......................... (ii'Ji'd ......................... APPLICATION FOR BUILDING PERMIT INSTRUCTIONS o. This application must be completely filled in by typewriter or in ink und submitted in duplicate to the Buildin~ Inspector. /~ b. Plot plan showing location of lot and of bbildlngs on premises, relationship to adjoining premiee~ or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram whlch 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 punmant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable I.awl, 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. ~illia~ A. (Signature cf applicant, or name, If a eorparatlon) (Address of appllca,lt) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber ar builder. Name of owner of premises ...... ~l~,~X~L~.A.....$m,s.th ....................................................................................................... If applicant is a corporate, signature of duly authorized officer· ................................................................................................(Name and title 'of corporate officer) /~~' ~'t~'~ 1. Location of land on which proposed work will be done. AAa No '~ . . Lot P ............................... No.: ....................... Street and Number ...... ~.8~....]~.~.:Le.w..A~'m ............ N~,t;~,-i.~aolr. ...................................................................... ~'~ ~ Municl~llty 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ....... I1.~1~'1'[t~ ........................................................................................................ b. Intended use and occupan:', . ..................®ame.w't.th...arz..afft&l.t.t.e-~ ........................................................... 3. Nature of walk (check which applicable): New Building .................. Addition .Z~ ...........Alteration .~E. ......... Repair .................. Remova~ .................. Demolition .................. Other Work (Describe) ...................................... 4. Estimated Cost ............ ;7.O.Q....~. ................................ Fee ..~.QQ. .............................................................................. (to be paid on filing this application) 5. If dwelling, number of dwelling units ........... tll3,~ .......... 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 alterations or additions: Front .................................... Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front .................... ~. ............. Rear ...... .¢~ ................... Depth ...6 .................. Height .................... Number of Stories ......... .e..~..e. ...................................................................................................... 9. Size of lot: Front ............................ Rear .................................... Depth ................................ 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ ! 1. Zone or use district in which premises are situated ............. ~A.e...~:~L~.~ ..................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? ..... ~e. ................................................. 13. Name of Owner of premises W.~,.e~J:J.~h .................. Address .......J.~t~l.~31elr ............... Phone No ..................... Name of Architect ...................................................... Address ............................................ Phone No ..................... Name of Contractor .......... J~.~ll# ................................. Address ............................................ Phone No .................... PLOT DIAGRAM L~cate 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. ~~ I? STATE OF NEW_YO~K. I lee COUNTY OF ........ L....S'"'"" ................................... : ...... ~:J~L.l.,~,~l,..~.e...~J:Lt,]~ ............... being duly sworn, deposes and says that he is the applicant (Name of individual signing application) above named. He is the ....................J~t~ez',,..~t~J,],ci~ .......................................... '~, ....................................................... (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 oil statements contained in this application are true to the best of his knowledge and belief; and thor the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this.1...~...., d_.aj/ of 19..7..~.? l~~ ............... ......... .......... , /¥L~_/)~L~ / // J' L_ ·/U ................. .~....'. ............... ~ ............. '.(.'.:.:~....~ ......................... Notary Public,L.,~..~J~,_~9?~J....~J~_.,~ ...... County. ef-~-~j/( (Signature of applicant) L/ ELIZABETH ANN NEVI~E NOTARY PUBLIC, Stote of New York , Ne. 52-8125850, Suffolk Cou~,tv,(i ~ Term Expires Mirth 30, 19~