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Home My WebLink About14230-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No....Z,1.3,~.2 p ........ Date ...S. ? p.~.....4 ...................... 19 .8.5. THIS CERTIFIES that the building...A.c.c.e.s..s 9.C7.. ................................... Lo cation o f Property .,... ~. 75..q .1 .e .a.~.v. 5...e .~..A.v..e .. ........................... S. 9 .u.~.h.o. ~ .d.. Mouse No. Street Hem/et County Tax Map No. 1000 Section ...3.0. ....... Block ...... 02 .Lot 34 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ..... .9.4 q ............. 19 .8 .5. pursuant to which Btfilding Permit No..~ fi.2. 3. .0 .Z .............. dated .... ?/.~ ..................... 19.8.5. , 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 ......... ...... C.o.n..s.~.p.u.c..~..qb. ~..1.d.s..a. 9.cp. qs' .or.y' . ? ?.s?... .............................. The certificate is issued to Wayne g. De Petris (owner, Ye~e~Yo~ of the aforesaid building. Suffolk County Department of Health Approval .......................................... UNDERWRITERS CERTIFICATE NO ........ N/A ................... Rev. 1/81 Building Inspector TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~ 14230 Z Permission is hereby granted to: ...... ..................... ~t lt.~L,~, ~,,~. at premises located at ........................................................................... 7' ..................................... ""~ ..... County Tax Map No. 1000 Section Vr~ ~ Block ~' Lot NO......~.-...~.. ............ pursuant to application dated .......................... .~.! .......................... , 19...~..,..~, and approved by the Building Inspector. Fee $ ........................ Building Inspector Rev. 6/30/~80 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Approved ...... 7/~' ...... lg . . .Pe~it No. . . ~'~ ...... Disapproved a/c ..................................... BLDG, OEPT. TOWN OF SOUl'OLD Received ........... ,19... (Buildin$ Inspector) APPLICATION FOR BUILDING PERMIT Date ............. 1 IN STRUCTION S a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 lets of plans, accurate plot plan to scale. Fee according to schedule. o b. Plot plan, showing location of lot and of buildings on premises, relationship to adjoining premises or public streets r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- Cation. c. The work covered by t_Ms application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit ~hall 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 ~ Certificate of Occupancy ~hall have been granted by the Building Inspector. iAPPLICATION IS HEREBY MADE to the Building Department for the ssttgnce of a Building Permit pursuant to the uilding Zone Ordinance of the Town of Southold, Suffolk County, New ~ rk/and other applibable La.,~..ws, Ordinances or egulations, for the construction of buildings, additions or alterations, or t : r~moval or demolition,~s h~ein described. e applicant agrees to comply with all applicable laws, ordinances,.b.~ildh /code, housi~/~e, a~d~afions, and to mit authorized inspectors on premises andin building for necessa_rY~t .~,ns..~/.~f~ ~ e o~ apl~licant, or name, i a p r ) (Mailing address of applicant) gtate whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .......................... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... Location of land on which proposed work will be done .................................................. · .~. ................ ~.t~:~.....c3~.., .~ ....... ¢..~?..w~.....~ ~.. ~ House Number Street Hamlet County Tax Map No. 1000 Section ... 0 Block .~ ..... Lot .~..7 .......... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..... .Ck..~..~?..~.~. ~ .... . .~.~...~~ ~ ....................... b. Intended use and occupancy ................................... 1~.~~?~.F ............... 3. N~.t~e'.ofwork (checlcv~hich apphcable): New Building .......... Addition .......... Alteration .......... R~l~alr .. ~ C.T.~. Removal .............. Demolition . · .' ........... Other Work .............. !',;. ~, ~ ~ ~[ ~-O ~"'- : (Description) 4. Es~imate~¢.C.?s~ ..'. '. ......... Fee .. .................................... ~' (to be paid on filing this application) 5. If dwelling, number of dwelling units ............... Number of d elling units on each floor ........... number of cars ' If garage, · ................................................................... 6. If business, commercial or mixbd occupancy, specify nature and extent of each type of use ................ 7. Dimensions of existing structuqes, ifany: Front ............... Rea~ .............. Depth .......... Height ............... Number of Stories ................... i ............................... Dimensions of same structure with alterations or additions: Front ' Rear Depth ................... i. · · Height ................... Number of Stories ............ iA' ' ' -- 8. Dimensions of entire new construction: Front.. i~i .......... Rearl ....~. ......... Depth . .~. N t, be of ~todes 9. Size ;}lot:'Fmnt'.. ii .{.~ ............ Rear...[.c27t9. .... , ....... Depth ...'~...c? ............. 10 Dat~ of Purchase : Name of Former Owner 11. Zone or use district in which plremises are situated ................ i .................................... 12. Does proposed construction viglate any zoning law, ordinance °r regulati°n: ................................ 13. Will lot be regraded ....... ~ .................... Will excess fill ibc removed from premises: Yes No ~ Address Phone No 14. Name of Owner of premises . ~ ..................................................... Address ! Phone No Name of Architect ........ q ..................................................... Name of Contractor ....... 4 .................. 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 blook number or description according to dee!d, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, S.S COUNTY OF ................ ........................... ; ..................... being duly sworn, deposes and says that he is the applicant (Name of individual si~ning contract) above named. He is the .................... i ............................... ..................................... (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 applicatioh; 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 forth in the application filed therewith. Sworn to before me this Notary P~blic ....... ~ ~'. ~....~ .s~.,. Count. y~.