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Home My WebLink About7190-zNO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26833 Date: 12/13/99 THIS CERTIFIES that the building ADDITION Location of Property: 5896 SOUND AVENUE (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 121 Block 4 Subdivision Filed Map No. __ Lot No. __ MATTITUCK (HAMLET) Lot 27.1 conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 16, 1974 pursuant to which Building Permit No. 7190-Z dated APRIL 19, 1974 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 EXISTING ACCESSORY GARAGE AS APPLIED FOR. The certificate is issued to GENEVIEVE A. WOESSNER & ORS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPART~NT OF HE~LTH APPROV~_L ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A N/A Rev. 1/81 FOBM NO. f~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, H. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE P'RE~ISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 7190 Z Date ...................... Permission is hereby granted to: .~e.~s...,~umaba~ ....................................... ............. Y~tt;Ltuok .......................... : .................. at Premises lOCated at .J~I~..A~ ..................................................................................................... ........................................................ Na~t~4mek....tJvYv ............... ~ ........... : ........................................ pursuant to application dated .......................... J~ ....... &pF,~l~....., 19~f...., and approved by the Building Inspector. Fee $:1~,~ ............ ( v ,-' Budding In~L=~or~ - [ BU!LDINC D£PXRT~ENT 765 1802 ~,~ ~ NOV /d'PL~CA'~!ON FOP C~R'r;FICA'R,; ,. les~ tha~t 2/i0 :~f IZ lead. pre-~.x~st Lng la.ld uses: A,:c ~r~ te .~'~a_ .~.,,, of pr:4,2~ ~ ~nu~u~l p,a~ral or ~4)}g.-tff, ic q-~;tifica~e of Occupancy - New lw~!lins $25,00, ekli~£op~s :o dwelliP, g $25.00, ~,IL~ ,~tlcns uo lwel].i ~5 ~25.06, Swlm~f~; pael $2~ ~0. Acces~{~ry Building $25.00, 2. CerclfLc~te of Occupancy ,,n ?r,;-ex~:::z:~g Bulldin% - $100.00 15. Cc~y of (?erttficate ~,I: Occ:::i;ancy - 55.00 ovar 5 .,,'ears - $10.00 a. Updated Certificate of Occu~:zmty - $50.00 5. Tempc, r~ry CertifN'ane of O,'cupancy -- Res[,!enti.~] $i5.00, Cemmetciai $15.~2U ..... ........................ e~.' Construction ........... Old 9t Pre-exis~ing Building...~ House No. Street Hamlet ~ur:ry Tax },fnf ~;o lO00, Secrion...~i,.O~...Block..~.~-.~O ...... Lot..~.7:~.~ ......... abdivision ................................ .. . Filed anp ............ Lot ...................... .rm!t No...~.l.~h..'~: ..... Date Of ?,!rml: .............. -,',?p~i,:at~: .... ~.~..~.'.-T/~ ............ · -~!th Dept. Approval ......................... Undet74rirars Approval ......................... ~alming Board Approval ................. ques~ far: Temporary ~' '¢' ..... t,'~na! Cercicate.....~ ..... FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Disapproved a/~....,~ ........ ~.,._., _..~ Application No. .~...~...2 ................ ~ APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date ................................................ , 19 ............ ~ a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building? Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets areas, and giving a detailed description of layout ofproperty must be drawn on the diagram which 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 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 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 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, and to admit authorized inspectors on premises and in buildings for necessa~ inspections. K. ( 'g e of Ol~plic;~/or ~e, if o corpora';i~A'i ............... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Nome of owner of premises .......................... ~.. ......... ~.~.~ ....... .~.& ................................ If applicant is a corporate, signature of duly authorized officer. ........................ ................................................... (Name and title of corporate officer) Builder's License No ..................................................... Plumber's License No ................................................. Electrician's License No ............................................. Other Trode's License No ............................................... ~- Local-ion of land on which proposed work will be done. Map No.: ..................... ~ .............. Lot No ......................... Street and Number ...... ~.~.~.P....,'~..~..~......(../~?~.....~C..(,,~.~,.-TC?r..b ....... ..~.J.~...~...~...~.(.~.=-..../.,L~,Z.: .................... M(Jnicipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ...... ~'~../~..L~.~...-C~ ...... ._~....~...~..!..~...c...~.....~...~y. ............................................................ b. Intended use and occupancy .q .~...q.(.~.~..-~.......~..~9. g...~ ................................................................................ ~3 ' ~ ' N~ature of work (check which applicable): New Building .................. Addition ........ J. ........ . Alteration ................ Repair .................. Removal .................. Demolitior .................... Other Work ................................................... (Description) 4. Estimated Cost ...... ~'..../....~....~....~...:..~.o. ....................... Fee 0 (to be paid on filing this application) / 5. If dwelling, number of dwelling units ....../(~./...."~... ........... Number of dwelling units on each floor ............................ If garagew 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 ....... :.~...C?..[ .......... Rear ~ cD ' Depth ....Z..~.. ......... Height ......~ ............... Number of Stories ......... ./.. ...................................................................................... Dimensions of s~)m~e structure with alterations or additions: Front .................................... Rear .... ....~...._O..... [ ........... Depth ......... ..~...~... .............. Height ....... ./..~...~ ........... Number of Stories ......... ./. ..................... 8. Dimensions of entire new construction: Front .....,,t~..//~.. .................. Rear ............................ Depth ........................ Height .................... Number of Stories .................................................................................................................... 9. Size of lot: Front .............. ./..(...~.,...~..o. ........................ Rear .......... (:'.~'....~.:....~ .......... Depth .....~....O....~ ............... 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 11. Zone or use district in which premises ore situated ..................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ......... li~. ..................................... 13. Will lot be regraded . ................... : ....... Will excess fill be removed from premises: ("O Yes ( ) No 14. Name of Owner of premises ..O..g..~...~.~.~....~.....~....../~c~z~...~.~.L..~:.. Address ,z~./TZ'..,...~,~.; ....... Phone No.%~./~.~...~...-~.~..~.~. Name of Architect .............................................................. Address ................................ Phone No ....................... Name of Contractor .~..~.~'~-~.-~.,~.....,$~...I.i~ ¢' ................ Address ...~..~......~.. Phone No....'~.....~.;...~...~.~.~. PLOT DIAGRAM Locate clearly end distinctly all buildings, whether existing or proposed, and indicate oil set-back dimensions from property lines. Give street and block number or description according to deed, and~, street names and indicate whether interior or corner lot. ! _ -,------'-- / ./'/0 ' STATE OF NEW_YORK, ~ S S ............ .(~....~../~..~.~..C.-~.[..~.........~.;.....'~.....~..~...~.;.~...~.~..~ ............... being duly sworn, deposes and soys that he is the opphcom (Name of individual signing contracf) above named. He is the ................ ~.~.~ .......................................................................................................................................... (Contractor, agent, corporate officer, etc.) ~ cwncr cr o'.vno~nd is duly authorized to perform or have performed the said work and to ~ke 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 fo~h in the application filed therewith. ..... ....... ................. , ~blic,/ ~ (S,gnat [ARBARA O, ~ON~' ~f ~ant) NOTARY PUBLIC, State of NewYor~ gu~llfled in Suffolk County Commission ~xpires