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Home My WebLink About9491-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z18861 Date MARCH 5, 1990 THIS CERTIFIES that the building. Location of Propert~ 1405 CUSTER AVE. House No. County Tax Map No. 1000 Section 070 ADDITION SOUTHOLD Street Block 009 Lot 4.2 Hamlet Subdivision Filed Map No. Lot No. conforms substankiall¥ to the Application for Building Permit heretofore filed in this office dated OCT. 7, 1977 pursuant to which Building Permit No. 9491Z dated OCT. 7, 1977 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 AN ADDITION (PATIO-DECK) ON EXISTING DWELLING. The certificate is issued to MARIO & MARIA ZORI (owner, ~) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Building Inspector Rev. 1/81 TOWN CL!m~(S omC~ SOUTH'OLD,` N~ Y~ ' BUILDING pERMIT (THIS PERMIT MUST BE KEPT ON THE:PREMISES UNTIL FULL CQMPLETION OF THE WORK AUTHORIZED) N? 9491 z Permission is hereby gronted to: ..... Hr~.~.i~....~o~.i ................................................. / ~'~ ~ ........... .~..~.~z...~,.z..~ ............ ..s..~.~.C~.o..Z..~ .......... to .,~g..t..z.~..,~..~.~..t.g...o.p....~ ~.~,~.f..o. ~.~t. ~.?.~. ),..ar.:...e..~.~ ~.f~.~ ,.~,,.~.]...?:~ ~. .............................. at premises located at ..~/..~...I,~g.~.f,~.~..~.~ ......................................................................................... ....................................................... ~.¢m.'~.h.o.$~,....~.,.¥,~ ........................................................................ pursuant to application dated ............................. .0.~.~ ....... ~/. ......... , 19...7~., and approved by the Building Inspector. Fee $....~:~..,.0..0. ......... TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NEW YORK 765 - 1802 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY DATg..Eeh~ua=~.ZS..L~90 NEW CONSTRUCTION · ~ .... OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........ Location of Property..1405.C~ste~.Ave~ue ................ ~Gu~oLd ............ HOUSE NO. STREET HAMLET Marlo & Maria Zori Owner or Owners of Property ................................................. County Tax Map No. 1000 Section ..070. Block .~ ..... Lot ..%..~ .... Subdivision ....................... Filed Map ........ Lot .......... Permit No. 9491Z i0-7%7~ .......... Date of Permit..... . - oApplicant ................ .. . Health Dept. Approval ..7~.7~ .......... Underwriters Approval..~r~r29 ...... Planning Board Approval ................ Request for Temporary Certificate ....... Fee Submitted: $ ~-qq Final Certificate APPLICANT .... . . . rev. 10/~4/88 Z~ + 1-1 TOWN ClaRK'S OFF - SOUTHOLD, N. Y, APPLICATIOfl FOR BUILDING PER/rUT INSTRUCTIONS o. 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 ~cale. Fee according to schiedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or~ areas, and giving a detailed description of layout ofpropert¥ must be drawn on the diagram which J$ IXlrt 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 permlt~~" shall be kept on the premises available for inspection throughout the work. e. No building shall be OCCUpied Or used in whole or in port for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREB. Y MADE to the Building Department for the issuance of a Buildi.ng Permit pursu,a, nt to the i~:~uCli~t~oZn~. ~orO[hdienca~nCsetr~t~hor~ oT~ui~ Sout~ho, l,cl.:. Suffolk Cou.n. ty, New York, and .other appl,cable Laws, Oral nanc, or The a--Ii-Z! ..... a ng,s., a,a~. ~TJOnS or a!terat~ons, o.r for removal or clemolition, as herein descr bed. up c~n~ agrees ~o comp,y w~tn a. app.caom ~aws, ordnances, budding code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary Jrl~pectJons. ,.~ ......... ........ ....... ..... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises .......... ~ ...... ~ ............................. If applicant Js a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. ~ Plumber's License No ................................................. /ooo- 7o-P- Electrician's License No ............................................. Other Trade's License No ............................................... /.~.,,:c~ 1. Location of land on whicharoposed work w be dane Map No · Street and Number ~'"'~'" ~'~ ~ .... ~~'-~. ........... Municipality 2. State existing use and occupancy of p,r~,mises and intended use and occupancy of proposed construction: o. Exisifing use and occuparmy ................................................................................................. "~'"~"~'~ b ntended use and occupancy ... t.~ ~~~ (/f~,..J' . ............... 3. Nature of work (check which applicable): New Building'. ................. Addition..................~'~ Alteration ...~ ........ Repair .................. Removal .................. Demolition... ................ Other Work ..................................................... (Description) f o oo X._ . 4. Estimated Cost ............................................... Fee"..-:-~' ............................................................................ f (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 ............................................................................................................................................. 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 ................................ ~/7- 8. Dimensions of entire new construction: Front ..... ..~.....D....-.../,..D. ............. Rear .....P?..~..~.(.~ ........... Depth ....~/...~..~..-....~... Height .................... Number of Stories ~ 9. Size of lot: Front ........L .Lt'T~... ............. ........................ Rear .......................................... Depth ................................ 10. Date of Purchase ........................................................ Name_of Fprmer Owner ........................................................ 11. Zone or use d~str,ct m whtch premises are situated ....~.~...~.~ .......................................................................... 12. Does proposed construction violate any zoning Iow, ordinance or regulation: ........... ~ ...................................... 13. Will lot be regraded . ......... ~ ......... Will excess fill be removed from prer~s: (,) Yes ~(~ No 14, Name of Owner of premises .~/...'~'. .~...~,~......~~ '~'- ~- ....... Address ...~. No. Nome of Architect ............... ~..~ ......................... Address ................................ Phone No ....................... Nome 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, end show street names and indicate whether interior or corner lot. STATE OF NEW Y~-~S S COUNTY OF ...... .~.~:.../j~r..?._~_.::..) · .............................. ......~.J. ........................................................ being duly sworn, deposes and says that he is the applicon! (Name of individual signing contracf) above named. He is the .......................................... ~..../~ ............ ~.~ ............................ ~':; ....... ~"Z ............................................................... (~ontract~agent, co~orate othcer, c.~ of said owner or owners, and is duly authorized to perform or have performed the said work and to ~ke and file this application; t~t all statements contaihed 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. day of ........ 19 ................ ....... ............ . .......... ~ .,. / ~ ~[I ~ ///// · ~gno~ure~t oppHcan~/ T~ ~s March ~. I I ~ I ' [ r