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Home My WebLink About9502-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17786 Date FEBRUARY 22, 1989 THIS CERTIFIES that the building ADDITION & ALTERATION Location of Property 10290 COUNTY ROAD #48 MATTITUCK~ NEW YORK House No. Street Hamlet County Tax Map No~ 1000 Section 108 Block 2 Lot 1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 17, 1977 pursuant to which Building Permit No. 9502-Z dated OCT. 17, 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 ADDITION & ALTERATION TO EXISTING ONE FAMILY D~IELLING The certificate is issued to THOMAS P. SIDOR (owner) of the aforesaid building. SUFFOLK COUN%~f DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PENDING 12/7/1988 PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 BUILDII~G, P~RMIT (THIS PERMIT MUST BE KEPT ON THE PREMISi COMPLETION OF THE WORK AUTHORIZED) !S UNTIL FULL N? 9502 Z Permission is hereby granted to: aeo ..~.~....,...!..o..:.,,.:~..,....*./.C:,.,~.,:,,~:..e.~,~.,.~..a.~.o,~ ........... ........... S.at~?,hoi~L ................................................. build .additJon g. elter~tlons on existing dwelling (moved to locations tO .................. :.:; ....... ', ............................................................................................................................. at premises located at ..~../.B....~A~'.. ....................................................................................................... ............................................ .~.~..t ~..~..~.~A¢......!.~.,.~.: ................................................................................ pursuant to application doted .......................... 005.-.-.I.~ ............. , 19...~.~.., and approved by the Building Inspector. Fee $ ].~.....0..0. ............ . , Buildi'hg in-spector ( APPLICATION TOWN OF SOHTHOLD BUILDING DEPARTMENT TOWN HALL souTBOLD, NEW YORK 765 1802 FOR CERTIFICATE OF OCCUPANCY NEW CONSTRUCTION ..~....OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........ Location of Property...I.0,,~;?0. ................. HOUSE NO, STREET HAMLET Owner or Owners of ............................... County Tax Hap No. 1000 Section ..[.0.~.. Block.......~ Lot ..I ....... Subdivision ....................... Filed Map ........ Lot .......... Permit No. ..~'O~,...Date of Permit .......... Applicant ................... Health Dept. Approval .................. Underwriters Approval .............. Plaoning Board Approval ................ Request for Temporary Certificate ....... Final Certificate ., .~, ........... Fee Submitted: $,.~,.~ ............ APPLICANT .................. rev. 10/14./88 TOWN OF SOUTIIOLD OFFICE OF BUILDING INSPECTOR ILO. BOX 1179 TOWN IIALL SOUTIIOLD. N.Y. 11971 TEL. 765-180,2 To Whom This May Concern, We are unable co complete your Certificate of Occupancy because ,of the following reasons. /_~/ An application for Certificate of Occupancy is ,ot on /_~////,~{o Undcrwr±tcrs Certificate on file. I~t The check Lsd/not ou filc.)~2~,~ /~/ No }lealth Dept. Approval on file. /-~/ No final insDection has been made. P]ease contact our office on this matter. Thank you for your cooperation. Bui l<] (~</ Dept. ***/~/ Ho Plumber solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 FOUNDATION FOUNDATION (1st) (2nd) ROUGH FRAME & .PLUMBING 3. ZN~ULATION PER N. STATE ENERGY CODE FINAL / //¥~ 7 ~3/~ ¢f~ (~22 ADDITIONAL COMMENTS 765.1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [/~IFINAL REMARKS: DATE INSPECTOR TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved ............ ~.C ........ .~...~. .......... , 19~.~.~...~... Permit No...~.:....~.....~....."~....;..'~.....: ..... Disapproved a/c ~.....~~' APPLICATION FOR BUILDING PERMIT Application No .......................... INSTRUCTIONS LO a. This a.pp/icotion ,mu. st be completely fil!ed in by .typewriter or in ink and submittec~ in triplicate to the Building~ ~nspector, with 3 setg at pm~s, 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 pub c streets o~ 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 Occuponcy~,~ 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 t. he Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinanc.e.s or Regulations, for the construction of buildings, additions or alterations, or for removal or demo tion, as herein descr,bed. The applicant agrees to comply with all applicable laws, ordinaries, building c..ode, housing code, and ragu at om, and to..., admit authorized inspectors on premises and in buildings for n~essary inspechons. ......... (Address of applicant) Sto~whether applicant i~.~owner,~L~lesseqt~pgent, architect, engineer, general contractor, electrician, plumber or builder. Nome of owner of premises ~r~e~ ~&~O~ ~ If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ......... .(~..:...~.....%..~...~ .................. Plumber's License No ................................................. /aa0 - /~-.2- / Electrician's License No ............................................. Other Trode's License No ............................................... Locat on of and on wh ch sed ark e n N~o No ~'~ . . A 1. * 'Ch Rropo w ~v' b do e. P ': Z~"~ .......... Lot NO ......................... Street and Number ....~,,.~.1;......~......~.../~ .................... .....~.~..~_,~...~: ....................... i ..... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: o. £xi$ifing use and occupancy ..... !....~..73....q....~,. ................................................................ b. Intended use and occupancy ...... .~...~t .... ..~....~....Cr....~ ......... ~ .................................. property lines. Give street and block number or description according to deed, and show street whether interior or corner lot. 3. Nature of work (check which applicable): New Building..; ................ Addition .................. Alteration ................. Repair .................. Removal .................. Demolition: ................... Other Work ..................................................... ~ ~ , ~ ~ ~ (Description) 4. Estimated Cost ..~. ............................ ~ ....... ~.Fed ...................................................... ~ ...... ~ ............................. (to be paid on fil!ng this application) 5. If dwelling, number of dwelling units ............................ Number of dwelli,ng units on each floo~ .......... 1 ............. If garage, number of cars ............................................................................................................................................. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .............. ; ............. 7. Dimensions of existina structures, if any: Front .../,-~ .................... Rear ...,..l...r~..~ .................. , Depth- ./,,w,.~. .......... r-might ....;~....L...I..,~. .... NurnDer at ~to 'es ....................................... : ................ .. .............................. i ................ Dimensions of r~ame structure with olteratior~s or additions: Front ..~l.....~.....~...~.~ ........ Rea; .....~'...-~'..'. ................ Depth ....~m.~. .................... Height ...... 1~.-,~ ................ Number of Stories .........! ...................... i 8. Dimensions of entire new construction: Front ...... ..~.....~....'. ................... Rear .......~..~.. .............. D~pth .....~'.....~.. ............. Height ...l.~-~..~ ....... Number of Stories 10. Date of Purchase ........................................................ Name of Former Owner - -: 1 ~, Zone or use district in which premises are situated ..... i./~ .......................................................... I ..................... ' .......... ]2. Does proposed construction violate any zoning law, ordinance or regulation: .'.~.~:~ .............. ;.....;.', ....................... 13. Will lot be regraded ..YP,.,,~ ............... Will excess fill be removed from premis.es: ~ Yes ! ( ) No 14. Name of Owner of premises .~.t.~..e. 3.~......'~...~..~.~...o..Y...c~ .......... Address ................................ Phor~ No ....................... Name Architect .............................................................. Address ........... .: ................ ..~ Phone No ....................... ° Name of Contractor'~ ~ ................. Address ..,'&~.l~q~}.~,)~.,*.... Phorm No. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-brick dimensions from names and indicate STAT~ OF NEW YORK, [ c c ' C au I'~/F~' OF ................................ ~'~ ................................................. being duly sworn, deposes end soys thor he is the appliconf (~ome of individul~! signing contract) ' above named. He is the ...... ,, r _t .~..O..~...~..12.'~...~..T~..¢~..~'.. .................................................................................................. ,'. .................................. (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 all statements contained in this application are true to the best of his knowledge and bell~ and thor the work will be performed in the manner set forth in the application filed therewith. Sworn to I~e;fore me this .~ ~ ,, . ...... ..... of ....... ........... , (1, - . N~l~.~ii~~ ........... County. .... ~.,~ig~n a~.;; ~.~ . ........................... tJOTARY IVdBLIC, State of New York Ho. 52-464372], Suffolk County Term Expires March 30,