The URL can be used to link to this page

Home My WebLink About5320-zFORM NO. & TO~VN OF $OUTHOLD BU~.r~ING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupnncy No..~..b~..6.0. ..... Date ..............No¥ ..... 3t..., 19.7.1. THIS CERTIFIES that the building located at ~.lckh~m...~-.v.e ............. Street Map No..X~ ..........Block No..X,XX .....Lot No.. ~C~,X .... Ea.ttltuck .. N.,Y. ...... conforms substantially to the Application for Building Permit heretofore filed in this office dated ........May ..... 22..-, 19.?1. pursuant to which Building Permit No. '5320~, · dated ......... ~'..ay ..... 21+..., 19. ?.1., 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 . ~: r~va t e..or.:e..f.a~.i.l..y · ~we]. ] ir:g ....................................... The certificate is issued to .. ~. a.tsy. & .Ke le~ .Ga.~.~ar, o ..... W~'rer. s ................. (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval ·. - N..:3. ............................ i:euse ;~ £7~ Building Inspector FOR~ NO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMEN~ TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 5320 Z Permission is hereby granted to: to at premises located at ......... ~,(~..~.~.....}~.....~$~t~b~.a.'~.e ....... i~.~,~'. ..................................... ............................................................ ~..t. ~.~..t~.~ .~. ........... .~:~..~.~...~ ................................... pursuant to application dated ............................... .~..$,~ .......... J~.~.!....., 19.~.~..., and approved by the Building Inspector. Fee $....~.(~ ........... · Building Inspector J BUILDING DEPARTMENT TOWN CLERK~ SOUTHOLD, N. Y. Di~appraveda/c ......................................................... Application No. ~'.~ ~ APPLIC TIOH FOR IUILDING PERMi Dot, ............. INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink und submitted in duplicate to the Building'~, Inspector. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoinlng prornleee or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram whlch Il IxIrt of ~h application. c. The work covered by this application may not be commenced before issuance of Bglldlng 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 ir'~oection 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 Q Building Permit pureuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other appllcGble Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, al heroin described. The applicant agrees to comply with all applicable laws, ordinar~e~ building cede, housing cede, and ragulatlafls. ....... ........ ..... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumb~ or builder. ........................ ............................................................................................................................................................ . . · Pa~.oy J. end Helen Gmlqeno Name Ot owner ot premises ................................................................................................................................................. ~ If applicant is a corporate, signature of duly authorized officer. ................................................................................................ o (Name and title'of corporate officer) ~ · · Llbe~'.4147~ P. 58], . 1. Location of land on which proposed work will be done. ~nap r~o.: ........................................ I.or No.: ........................ Street and Number ~2S2fd-'NLckham Ave. Ilatt~tuck, N,Y, 11952 Municipality 2. State existing use a~d occupancy of premises and Intended use and occupancy of prapaeed comtructlon: ~UIIIBI ~ hous! a. Existing use and occupancy ................................................................................................................................... b. Intended use and occupan? .....~.U.I~I~#.T....I~gu~IO. ............................................................................................... 3. Nature of woik (check which applicable): New Building .................. Addition .......IC ......... Alteration ............... Repair .................. Removal .................. Demolition .................. Other Work (Describe) ...................................... 4. Estimated Cost ~3,,O0,..on..,tt, O...,j40,o,,no ................ Fee ............ $.~...0n .................................................................. (to be paid on filing this application) 5. If dwelling, number of dwelling units ............................ Number of dwelling units on each floor ........ .[. .................. If garage, number of cars ....... II[~..Gi.~g~. ................................................................................................................ 6. If busine~, commercial or mixed occupancy, specify nature and extent of each type of use ............................ 7. Dimensionso e itingstructures, lf any: Front 25 ri. Rear [8 f~t.o Depth 35 "a' i ...................................................................... Height ........................ Number of Stories ................................................................................................................. Dimensions of same structure with alterations or additions: Front 30 f'~,. Rear ].6 De_tL 35 p nil ................................ Height [2 ............................ Number of Storiesotto s ~t. ..... ~'"f'f.'; ................ zo ~t. 8. Dimension~ of entire new construction: Front .................................... Rear ............................ Depth ........................ one Height .................... Number of Stories ...................................................................................................................... 9. Size of lot: Front ..42..2...f:..t. ........ Rear ..~,~.68..~'.f... ............ Depth ...&6S..~.t.. ............ June 23t [956 ~,.,.,.,, £di~wz'd N, Schww 10. Dote of Purchase .............................................................. e of Former Owner ....................................... ~...X .......... 11. Zone or use district in which premises are situated ........ .~...~.~1..~...~....~/....~. ............................................................ 12. Does proposed construction l:j~n~.zo~I law, ordinance o~b~g~lo~i~Pkh.l~B.ql~Ve.; ....................... : ................. 13. Name of Owner of premiseskl, lLLel~...Ge, lo~art~ .........Address .J~w.t,[.L~,lt~,ke...~l.~.° ....... Phone No....J~o.nw ....... no ne Name of Architect ...................................................... Address ............................................ Phone No ..................... Name of Contractor ....D.~DJlI. ...................................... 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 comer lot. STATE OF NEWt, YOJ[~, nt COUNTY_OF ..~ ...... )..~.e.. .....Y., .............. ~.~-....~..-...~. ......................... ' ....... being duly sworn, deposes and says that he is the applicant (NarRe of(i~divi~lual sil~ning application) above named. He is the (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 ~vat the .work will be. performed in the manner set forth in the appian filed therewith. om to before me mis ..... ............ ....... : ....... ;._:.:_.:..: .................... Notary Publ, ,~..~.~..,.~ ...... ~ County - ' '" ' - '~-' - T~i~ na tu ~C~l~' '~'~'r~¥f - ............ VAL~RI~ ~. CARI~v / '~' ' /L/ ' ~ ~ ' "' ' ' NOTARY PUBLIC, State of New York No. B2-iS0~aS0 - S~ffo[k County Comrtliasion Expires March ~0, FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in duplicate 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 featu res. 2.Final approval of Health Dept. of water supply and sewerage ~isposal- S~9 form or equal). 3.Approval of electrical installation from Board of Fire Under~,riters. 4. Commercial buildings, Industrial buildings, Multiple Residehces and similar buildings and installa- tions, a certificate of Code compliance from the Architect ~r Engineer responsible for the building· 5.Submit Planning Board approval of completed site plan requi~bments where applicable. B. For existing buildings (prior to April 1957), Non-conformin~ 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 prev ous owner as to use, occuP, ancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings Or premises, or other pertinent informa- tion requ ired to prepare a certificate. C. Fees: 1, Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1.00 $5·00 Date .., .~.u.n.e., .2.~. ~...~.9.7.9. ....... New Building ............. Old or Pre-existing Building × Vacant Land 2735 Wlckham Avenue, Matt~tuck, NY Location of Property ............................. ~ ............................... House No. Street Hamlet Owner or Owners of Property Helen L. Galgano County Tax Map No. 1000 Section 139 Block .. 12.. Lot 4 Subdivision ................................. Map No ............... Lot No ............... Permit No. ,5.3..2.0..~... Date of Permit .5/2..4./7.9. .Applicant ·. :..P.a.~.s.¥..G?.,~cj..a.n.o. .............. C.O. #4460 dated 11/18/71 Health Dept. Approval ........................ Labor Dept. ~,pproval ........................ Underwr, iters Approval ........................ Planning Boa<d Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $. ~...0..0 .................... ./ Construction on above described building and per~i,'k~e/,eJ~aTt,I,;a~'pt ~blfl,6'o~j~