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Home My WebLink About8430-zFOlt~l NO. · TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No.Z?395 ...... Date ............. Dee .../~ .., lg. r~ THIS CERTIFIES that the building located at R,0 ,W. · .Naug.].-es. Dr ....... Street Map No..~ ....... Block No. xx ...... Lot No, m' "Pa~ttituck' · 'N~Y'. ........ conforms substantially to the Application for Building Permit heretofore filed in this office dated - - l~r 19 19.76. pursuant to which B~_~ilding Permit No. 8t~30Z.. dated 14a~- 19 '" 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 'Private. 'garage & private one' family dwe~ting ~itk 'addi°cion'' The certificate is issued to .-Peter l~a~one ....... Owner .......................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval N,t~, ....................... UNDERWRITERS CERTIFICATE No. N282~5-2 · · · bi~y · '~0 ' 19~6 ................. HOUSE NUMBER · '~[2 ... Street. 'Naugles- 'Drtv~ ....... ~¢at~ituek ...... TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT 6N THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 8430 Z Permission is hereby granted to: FOR~ NO. 6 TOWN OF SOUTHOLD , Building Deportment Town Clerks Office Southold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled ~n typewriter OR ~nk, and submitted in DUPLICATE to the Building Inspector with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, aha unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposal--(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwnters. 4. Commercial buildings, Industrial buddings, Mulhple Residences and similar buildings and installations, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed s,te 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 property showing oil property lines, streets, buildings and unusual natural or topographic features. 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 in- formation required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 ..... ....... New Building ................ Addition ................ Old or Pr~-existing Building ................ Vocont Land .............. Location Of Property .... .S'.~.:..~......~..,.~~.....~ ........ :~~ ................... Owner Or Owners Of Property ...~./.~...~ ............................................................... Subdiv,sion ................... ~ ........ = ......................... Lot No ....... ~'ock No..:..~.. ...... House No.....~.....~.. Permit No...~.....~....0....~.. Date Of Permit ..?/...L2/..L App,icont ........ .......................... Hearth Dept. Approval .... .~....~ ........................... Labor' Dept. Approval ............ .~.....(..~'.. ........................ Underwriters Approval ~ ............................ .~..~..~...Planning Board Approval ....~.....~ ...................... Request For Temporary Certificate ........................................ Fincd Certificate Fee Submitted $ ....~....~ ..................... Construction on above described building~and ~, mee~s~ll~,p~lic~ab~le/?des~and regulations. Applican~ ~ ~ ~ t ............................... (stamp ors,I)p,~ [~HS~ ,2 ~. 73 ....................... L~)~ g ~ '>'7"?IV(-'-- ~, -~ ,T, HE iNEW.YORK BOARD OF FIRE .UNDERWRITERS ~,ak~ · -~I,,-,il: ,h~ '~ I .... '; "~ ~' , BUREAU OF ELECTRICTY 'l~l ~ ..... / ,~, ~ ,~ , ,'1 'ii* ~, 85 JOHN STREET, NEW YORK, NEW YORK 10038 ,, , o-t. Ma-~ ~10. lq76,~, l~ ~ ~ Applicatio~No, onJile 8~0~l~, t , ' Pete Matone',,,Naug~s'Dr., Mattttuck, L'.I.', ~':~'? "" w~examtned°~ ~ t ~. 197~,-~; ;, [ :,'-~tu~°undt°he'nc°mpha~e~thth~,requ'r.m~ntsofthisB~rd RXTU~E RANGES C~KING D~KS EXHAUST OUT.TS SWIT~ES, DRYERS FURNACE MOTORS ~TURE A~A~E FEEDERS TIME,LOCKS UNIT HEATERS MULTI,UT/ET DI~ERS SYSTEMS NO. OF FEET OTHER APPARATUS. ,, Richard Gwydir, Cutchogue, L.I. 11935' ' ";" ' ' ' ,, 'q ' ~ Lie. 2002E ' Th~s cerhhcate must not be altered in any manner, return to the~ office of the Board if incorrect. Inspectors may be D Disapproved a/c ........................ APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter o~. in ink and submitted in triplicate to the Building Inspector, with 3 sm 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 of areas, and giving a detailed description of layout ofpraperty 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 herei.n described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulat,ons, and to~ admit authorized inspectors on premises and in buildings for necessary inspections. (Signature of applicant, or name, if a corporat:on) ............................... ............................... State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. (Tt~De r Name of owner of premises ...~.e..t;...e.~....~. ~,.~..~.q ........................................................................................... ~ .......................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ..... ~.e..~ .................................... 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 ...... zd~ ........... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ..... ~.e...];..]:.....:~...~ ....................... ; ................................................................................ nrivate ~em~.~nrv ~,~e & Porch additio~ or, dwlg b. Intended use and occupancy ............ ~.~.~ ................................. . ............................. , ............................. 3. Nature of work (check which applicable): New Building....:~3~;3; ........ Addition ........ ~ .... Alteration 3~C....:: ..... Repair .................. Removal .................. Demolition .................... Other Work ..................................................... (Description) 4. Estimated Cost ............................................................ Fee ...~.~......0...0. ............................................................................ (to be paid on filing this application) 5. If dwelling, number of dwelling units ..... .o...~...e. ................ Number of dwelling units on each floor ............................ If garage, number of cars ............................................................................................................................................. If business, commercial or mixed occupancy, specify nature and extent of each type of use ............................ Dimensions of existing structures, if any: Front ............................ Rear ................................ Depth .................... Height ........................ Number of Stories ................................................................................................................. Dimensions of same structure with alterations or additions: Fron~ .................................... Rear .............. ; ............. Depth ................................ Height ............................ Number of Stories ................................ ':'~ 8. Dimensions of entire new construction: Front ..... 2~. .............. 2~ ....... Rear .......... ~.~ .......... 2OOepth .1.~ ................. 2~' Height .................... Number of Stories ...................................................................................................................... 9. Size of lot: Front ...~.0.Q. .............................................. Rear ...... 2.0(~ ............................ Depth ...J.'],{)....+. ................. 10. Date of PurchaSe ........................................................ Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated ...~.A..t!....d..$..s..~.. ......................................................... 12. Does propased construction violate any zoning law, ordinance or regulation: ....... ~ ........................................... 13. Will lot be regraded. ......... Z~O .................. Will excess fill be removed from premises: ( ) Yes ( ) No 14. Name of Owner of premises ....~..~.~e~...]:~'l Q~. .................. Address .......... ~4~.~.t~k~,G~ Phone No ....................... Name of Architect .............................................................. Address ................................ Phone No ....................... Name of Contractor ...............sB~l~,e. ................................... Address ................................ Phone No ....................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. see Attached plato STATE OF NEW YORK. tS S COUNTY OF ..... .$...t~..~.D,,~r~ ......... f ' ........................ .?..e..l~.~.;~...~g.t~,~ ............................................ being duly sworn, deposes and says that he is the applicanl (Name of individual signing contract~ above named. He is the .................................... C~,-'~Z~ ..... ~D~.i.~.~l.~ ....................... ;'; ............. Z ............................................................... (Contractor, agent, corporate orricer, 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 all statements contained in this application are true to the best of his knowledge and belief; and tha~ the work will be performed in the manner set forth in the application filed therewith. Sworn.....................to before..~..~j~me this ':'"'"~ ~.~......,.J~ ~. of ...... e.r .c.h .. , 7.6 Notary Public,~/,/_.~__.~.,..~..v~r~-~-,--~ounty ........ i~i'~'r~'ature of applicant) .......... JUDITH T. BOl~Eht otcry [:ubllc, Stale of Ne~ ~:m~' I'~. 52-0344963 Suffolk County (:emrnj~/on ~¢pire~ March 30, 19__~"~