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Home My WebLink About6957-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy Z10675 No .................. THIS CERTIFIES that the building ................................................ Location of Property N/$ 8ound View Avenue, Ma~ituck, New..~.o.r.k.. House No. $~aet Hamlet County Tax Map No. ! 000 Section ...~A ....... Block ..... 1. ......... Lot... A ............ Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit her, etofore Filed in this offic~ dated .... .J.~r~. 2.1 ......... ,19 75. pursuant to which Building Pe .nnit No .... 6.$$.7..Z. ........... dated .... ~).c.~Ql~gr..~$ ............ 19~., 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 ......... Accesaory BuVnding ((~arage) John DiVello The certificate is issued to ........................................................... of the aforesaid building. Suffolk County Department of Health Approval .... .~/.R. ............................. ..... UNDERWRITERS CERTIFICATE NO ...... ~/.R. .................................. .. .... Rev. 1/81 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 UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 6957 Z Permission is hereby g~ed at premises located at ...... ~lAt~..~llllgt.'~:~e1~...A!glt ................. ; ........................................................ Mattituek pursuant to application dated ..........................nl'.l~q41...2.~ .............. 19~.~ ....and approved by the Building Inspector. 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 features. 2. Final approval of Health Dept. of water supply and sewerage disposel--(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. B. 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 featu res. 2. Sworn statement of owner or previous owner as to use, occupancy 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 ... J~]-y. ].,. ]-98]- ........... (Ga~acje) New Building/ .... .X ........ Old or Pre-existing Building ............ Vacant Land ............. Location of Property .N~th. ~]~. Of. SO~ql. Vi~. Ave ..................... Mattituck,. ~ ..... House No. Street Ham/et Owner or Own ers of Property .. John. DiVello. and. Frances. DiVello .......................... County Tax Map No. 1000 Section . 94 ............ Block ... [ ........... Lot... 6 ............ Subdivision ................................. Map No ............... Lot No ............... Permit No..~.~. ~.7...~'-. Date of Permit .... .~./?.~Applicant .... ~ .... ~.~. !<..~e.~.. ....,,' .... Health Dept. Approvar ........................ Labor Dept. Approval ..................... ~.. / Request for Temporary Certificate ..................... Final Certificate ...... ~ ...... ~:~¥ , ~ ~u Fee Submitted $. 5.00 ........................ ~ ~O Construction on above de~ribed building and permit meets all applicable codes and regulations. ~~ ~& ~ST.~, P.C. ' ...................... R~. 10-10-78 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL File No ................................ Date../~,///_/~-~'/~....~. ....... 19 . .~./.. .. 7~ 5~.. ~.o.~ ~z ~. ~/.. . .z~c Z~.c ~. 7..~'.~ ........ ~,s~ ~,,~ ,o~xc~ t,a, ~o.r,~n~atio, aa,e~ .... ~. 4 ........... ,~9 .~Z. ~o~ ~=,, ,o ~o.~,=, .... ~r.~.~. qz..~q.~/w~.~.y ................. a, House No, Street Hamlet co..ty T.~ ~.~ ~o. ~00o se~tio.. ~ ~ ...... mo~ ... ~ / ........ ~ot .~ ....... Subdivision ................. Filed Map No ................. Lot No ......... ~ ........ is returned herewith and disapproved on the following grounds ~-. :~..~. ~.x ,q / p. ~'~ e ~.~ 7~Z. ~:c~ . . ~. . ~ ,: ~z plax ./~ , . . ~ /~., ~7//~ ~ ............ .... .... RV 1/80 t~on of section 72_09 ol the NewYork State Educatio~ LBW. Cop~es of th s survey map not bearing the land surveyor'S d~ng institution listed hereon, and to the assignees of the 7_ NOTE · ' MONUMENT SURVEY FOR JEAN LORETTO MA TTI TUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. SCALE' I"' 50' JUL Y 9, GUARANTEED TO: LAND SURVEYOR N.Y.S. LIC. N0.287'25 ........... -te .................... ...... ,o..Z.s. ..... ~- m~ ~ A ~ ~ INSTRU~IONS . . . ~. Th~s u~c~tlon must be completely fill~ m by ~ewriter o~ in i~ ~nd s~mi~ in tripli~te to ~e BuiMi~ In~r, with 3 ~ of pl~s, aocumte pl~ pl~ ~ ~le. Fee a~o~i~ to ~h~ule. b. Plot plan ~ing I~tion of lot and of bui~ings ~ premises, relationship to adjoining premiss or public struts o~ ar~s, and givi~ a detailed d~ription of I~ ofpr~ must be drown on the diagram which c. ~e work covered by this a~licati~ may n~ be comme~ before i~uance of Building Permit. d. Upon appeal of this ~lic~ti~, the Building Inserat will issue a Building Permit to the applicant. Such permit shall ~ k~t on the premises awiluble for inaction thr~ghout the work. e. No building shall be ~cupi~ or u~ in whole or in pa~ for any pu~ose whoever until a ~e~ificute of ~cu~ncy shall h~ve ~en gmnt~ ~ the Budding In--tar. APPLICATION IS HEREBY ~DE to the Buildi~ Depa~ment for ~e i~uunce of ~ Building Pe~it pu~unt ~ the ~uild~ng Zon~ Ordinance of the Tow~ of ~hold, Suffolk Gaunt, New Yo~k, ~nd other upplicuble ~, O~i~ or ~u~tions, for the construction of buildings, udditi~s or almmtions, or for mm~al The applicant ogres to comply with ~11 ~p~licable I~, ordinal, building c~, housing c~e, admit ~uthoriz~ in~to~ ~ premises a~ i~ ~i~l~s for n~es~ in~ti~s. ............................ (Jo~ Dtvello) Sold View Ave. ~ttituck ~dd~s of op~licam) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Owner Name of owner of premises ....~DJ:t~..~.~.:~.~n~.el~q...[l~'j~,~,p. .......................................................................................... If applicant is a corporate, signature of duly authorized officer. . (Name and title of corporate officer) ~ 0 Builder's /ice~se No ........................... .......................... Plumber's license No ................................................. Electrician's license No ............................................. Other Trade's license No ............................................... 1. Location of land on which proposed work will be done. Map No.: ..... ~ .............................. Lot No.......Z~... ............... Street and Number ..... ~./..~.......~..~.ql.....~..~...e..w....~.~...e. ......... .~.a..l;..t.~.~.~...o..~. .................................................................. Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ..... .~..~...e..1...]:.:l:...~.~ ........................................................................................................ b. Intended use and occupancy ....... ~.~e..~.~.1~.]~.~.~..~..$..e..~.a.~.~..a.g.e.~..~..~..~..~..~..@.~...~.~.~. ................. ~: ,~--.Nature of work (check whicl~plicable): New Building................,.~ .................. Alteration ........... ;.~..: Repair ...: .............. Removal: ................. Demolition .................... Other Work .................................................... (Description) 4. Estimated Cost ............................................................ Fee ....~..O..e....Oq ......................... ................................................. (to be paid on filing this application) 5. If dwelling, number of dwelling units ..... .9. .................... 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 ......... .2.~ .............. Depth ...... .~.Q ............. Height .................... Number of Stories .....O~f~ .......................................................................................................... 9. Size of lot: Front .... ~..0..0.....+. ........................................ Rear ..... .~..~..~..e.. ........................... Depth ..3 .~......+...../....~...0..0...?. 10. Date of Purchase ..... ................................................... Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated "A" d:[st 12. Does proposed construction violate any zoning law, ordinance or regulation: ~.~,.q .................................................. et 13. Will lot be regradedi ....~.] ..................... Will excess fill be removed from premises: ( ) Yes (Z) No 14. Name of Owner of premises ...~....~...~...D..~y...e.~.~.o. ................... Address .....~.~.~.~.~...q~ .....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. See filed plan attached STATE OF NEW Y. OP, JC ,. t COUNTY OF ...... .~...t~...[..o....~... ......... John Dlvello ................................................................................................. being duly sworn, deposes and says that he is the applicant (Name of individual signing controc0 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 end to make and file this application; that.ail 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 %t forth in the application filed therewith. Sworn to before me this ~ , ................... day of .................... Notary Public,~.~....~..~ou~'n~l~\v~' ...'~....~i~ ..... ...'~...~~ ........................ TERRI LEE El. AK /' ~' (Signature of applicant) NOTARY PUBLIC, StaLe ot New York No. 52-6[68295 ~lified in Sm~olk Coumy ~el~ni~ion Expires March ~,