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TOWN OF SOUTHOLD
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 ° ~ $ ~ °t ~ Z Dote 19~'~.
Permission is hereby granted to:
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County Tox Map No. 1000 Section ...,.~...~1/.r~..,~..... Block .........d.2:..~iLot No..Pp~~.....Y....
pursuant to application doted .........~!.~l<.~r 19..A..9 and a roved b the
Building Inspector.
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SURVEY FOR
SUFFOLK COUNTY DlVARTMFNf O! HEALTH SERVI ' / 10
fpR ACPROVAL Of CONST4UC11pN ONLY AT MAT 7ITUCK [~'~JULY BT ,
5~ TOWN OF SOUTHOLO SCALE. I"[20' ~
NOV O9 19A1 f SUFFOLK COUNTY, NEW YORK MO BT-0136
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O~~FFOU~~D
pry
VICTOR LESSARD ~ < Town Hall, 53095 Main Road
PRINCIPAL BUILDING INSPECTOR ~ r~ P.O. Box 1 179
(516) 765-1802 y0"` ~ ~ Southold, New York 11971
FAX (516) 765-1823 "Ol ~ ~oa~
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
April 26, 1989
Mr. Andrea Buonavito
35-09 156th Street
Flushing, NY 11300
Re: Suffolk County Tax #1000-123-2-10
385 Center Street, Mattituck, NY
Dear Mr. Bounavito:
We have received a complaint regarding the construction of
an addition on the side of the house.
According to the Code of the Town of Southold Article XXVIII
Section 100-281 a Building Permit is required for any construc-
tion.
In order to avoid any legal action you must apply for a
Building Permit immediately.
Thank you for your cooperation in this matter.
Very truly yours,
SOUTIiOLD TOWN BLDG.DEPT.
L
Vincent R. Wieczorek
ordinance Inspector
VRW:smw
D ~ O ~ BOe1RD OF HE.ILTH
D 3 SETS OF PL.1NS
FORMN0.1 SURVEY
TOWN OF SOUTHOLD CHECK .
BUILDING DEPARTMENT SEPTIC FORM
TOWN HALL
BIDG.DEPT. SOUTHOLD,N.Y.11rJ71 NOTIFY
TOW~LOFSO/ Lb TEL.:765~1802 CALL _
Examincd.~~i ~.....,19... MAIL T0:..35`09•../SG,~r'"• .
p ~,P~w-~Ce.,aq ~ y /1300
Approved .,,~/3~.......,, 19~~PcrmitNo.~~~~0.~~.~ v 0
Disapproved a/c
i..C,,~-
uil g Inspector}
APPLICATION FOR BUILDING PERMIT
a
Date 19G?•I
' INSTRUCTIONS
a. Tlris application must be completely filled in by typewriter or in ink and submitted 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
or 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 this 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
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
Rc;ulations, for the construction of buildings, additions or alterations, or for removal or dem lition, as herein described.
Tl[e applicant agrees to comply with all applicable laws, ordinances, build' _ code, housi de, and reg ations, and to
admit authorized ir~,tcr~o,re and in building for necessary inspe ti
it ~ ~
t t, (Signautre of applican , or name, if a corporation)
Tt3 fb?`tRrt~A~~U z7t~4s7.lllaf! ~~ttt;xl
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F , ;{ate (Mailing address of applicant)
State whet}{"~>~~i~31~a~[~``~' ;A,f,aT3{1i'+tsE-t
q ~ r 1` e en[, architect, engineer, general contractor, electrician, plumber or builder. I
.........°3I't).F-,~i'IJS.a~t ~`~+~~5 6%e 1•-i,":'r r: I
e - •^;7' ,.i ter. a nv~~~,t '~O./L-Q-CLi
dame of ow~ei•tof`pierriiSes . ~ ,
„ai,t~ ,,[;[6t' aLlr~;~yy;y,t (as on the tax roll or latest deed)
3 .R1
If applicant is~~,,conp'ipraddIDn~;t~'1~i"~uis~` bF~iuly authorized officer.
`c"',yjl'~n~iY 1~ 45hat i'df ,[S~.'6.R~!,r~~ ~ "
..........k:1$. ::..till~^.y31'ji`':?;}} Ti.44
(Narrte~atYdVtit9e"~if c'orp'orati; officer) '
Builder's License No . .
Plumber's License No . .
Electrician's License No .
Other Trade's License No . .
1, Location of land on which proposed work will be done. ~ 1,~~,~' ~Q P~'
HouseNumbcr Street.
3 ...Hamlet
County Tax Map No. 1000 Suction ,'~'~~'lock , a- Lot ~ O
Subdivision Filed tap No. Lot .
(Name)
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Exis[ing use and occupancy ~ r7ocad2
b. Intended use and occupancy . 7.4ivh~~
3. Nature of work (check which applicable): New Iluildin a
Repair Removal g ' " " • • • • • Addition . , . .Utcrati n , ,
• • • - • • • Demolition : Othr~c +5-~.;
wwr
4. Estimated Cost . ' (Dcscrjptio~t)
~ Fee..... i._- _ 3 1.
^ ,
(to be paid on`ti]lhg~this.ap~licaiion)
If aarallcnnumbcr of carsvcllin. • • • • • : _ • • •
o g units , , , , , , , , , , Number o(dwclling units on each Cloor:.... .
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . ~ ~ •
7. Dimensions of existing structutcs, if any: Front . ,Rcar Depth . •
Height Nufnber of Stories . . , .
Dimensions of same structure With alterations or additions: Front • ~ • • ~ ' ' ' ' ' ' ' ' '
Depth....... .Height. Rcar..................
' 8. Dimensions of entire new construction: Front , ' ' • ' ' ' • • • • Number of Stories . .
Height Rear............... Depth
. Number of Stories . •
9. Size of lot: Front Co Rear ~ ~ .
10. Date of Purchase (.`t.~~ Depth ~.~Z:............. .
••••••••••••••••...NameofFormcrOwner w:`./~°!N--
l 1. Zone or use district in which premises are situated ~ • • ~ • ' ' ' ' ' ' ' '
12. Does proposed construction violate any zoning law, ordinance or regulation: ~ '
13, 5Vi11 lot be regraded ' , ,Will excess Gll be removed from premises: Yes No
~ ~
14. Name of Owner of premises j~or;t
;mac w Address 1~~,~5~,~. Phone No,~ .cam.. .
~ G~
Name of Architect ~ ~;~'%~0.3.. ,
Name of Contractor . • . - • . • . • • • ' ' ' ' • Address ...................Phone No............... .
• ' • .Address . .Phone No. .
IS.Is this property looted •within 300 feet of a tidal wetland? *YES....NO~
*If yes, Southold Towp Trustees Permit may be required.
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.
i
~'I APPROVED AE NOTED
FEE:
NOTIFY BUtLO1NG pEPA
E~(~
AT'
' 786-1802 9 AM TO 4 PM FOR Tr?E
FOLLOWING INSPECTIONS: '
t. FOUNDATION - 'T1A10 REQtNRED
FOR POURED CONCRETE
2. ROUGH -FRAMING & PLUMBINQ
' 3. INSULATION
b. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR G.O.
ALL CONSTRUCTION SHALL MEET
' THE REQUIREMENTS OF THE N.Y.
STATE CONSTRUCTION ENERGY
CnOES. NOT RESPONSIBLrL FOR
DESIGN OR CONSTRUCTION ERRORS
STATE OF NE1V YORI`,
COUNTY OF .
S,,S
(Name of individual sip ' ' ' ' ' ' ' • • • • being duly sworn, deposes and says that he is the applicant
,ning contract)
above named.
llcisthc
(Contractor, agent, corporate officer, etc.) • • • • • ' • "
~f said otvncr or owners, and is duly iauUtorizcd to perform or have performed the said work and to make and file this
=PPlication; that all statements contained in this application arc true to the best of his knowledge and belief; and that the
•vork will be performed in the manner s'et forth in the application filed therewith.
iwam to before myye [Iris
•..........,°.2PS. day of.~~`~~'.'~'1?. 19!~y
rotary Public, ~ , Ill , , , , , County
~.w~
~,-k~~ .
BEIENK,DE~VOE
~NoR47078`iB,SUflblkCouotyY~a,~~ (Signature of applicant)
Term Expires March ~0,19.~µ
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SURVEY FOR
ANDREA J. BUONAIUTO JUNE 1o,ls6e
MAY 6,1988
OCT. 29, 1967
AT MATTITUCK DATE JULY 21, 1987
TOWN OF SOUTHOLD SCALE I"=20'
SUFFOLK COUNTY, NEW YORK No. 87-0736
N UNAUTHORIZED ALTERATION OR ADDITION TO MIS
SURVEY 6 A VIOLATION OF SECTION 7209 OF THE F
NEW YORK STATE EDUCATION LAW S-(PSE N 4y
NCOPIES OF THIS SURVEY NOT BEARWG THE LAND 6
NOT BEYCONS DERED TO BEA VAL~D STRUE COPYNALL rO~P,~ID w, `OG O~
RGUARAMTEES INDICTED HEREON SHALL RUN ONLY TO ?
HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT THE PERSON FOR WHOM THE SURVEY IS PREPARED * O
ANO ON HIS BEHALF TO THE TITLE COMP/WY, GOVERN-
N NEAREST WATE11 MAIN_MI. ~ NSOURCE OF WATERS PRIMITE _PUBLIC _ MENTAL AGENCY AND LENDING INSTITUTION LISTED
N SI1FF CO. TA%MAP DIST 1000 SECTION ~ BLOCK 4~ LOT OIO HEREON, AND TO THE ASSIGNEES OF THE LENDING
R THEME ARE NO OWELLIMBS WITHIN 100 FEET OF THIS PROPERTY INSTITUTION. GUARANTEES ARE NOT igAN SFERABLE
OTHER THAN TNOBE SHOWN HEREON. TO ADOI TIONAL INSTITUTIONS OR SUBSEOUE NT
N THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM Fql THIS RESIDENCE OWNERS
WILL CONFORM TO THE STANDARDS OF THE SUfFOLK COUNTY DEPARTMENT * 01 STANCES SHOWN HEREON FROM PROPERTY LINES
tOE%ISTING STRUCTURES ARE FOR A SPECIFIC
OF HEALTH SEMICES, PURPOSE ANO ARE NOT TO BE USED TO ES TABIISN (,q Su~E'(~
APPLICANTS PROPERTY LINES OR FOR 7HE ERECTION OF FENCES
ADDRESS
TEL. YOUNG 8r YOUNG 4000STRANDERAVENUE
RIVERHEAD, NEW YORK
NOTE ¦=MONUMENT ALDEN W.YOUNG, PROFESSIONAL ENGINEER
AND LANG SURVEYOR N.YS.UCENSE N0.12845
HOWARD W. YOUNG, LANG SURVEYOR
N THE LOGTKM/ OF WELL(W), SEPTIC TANK(ST)B CESSPOOLS(CP) SHOWN HEREON N.Y. S. LICENSE NO 45893
ARE FROM FIELD OBSERVA710N5 AND OR DATA OBTAINED FROM OTHERS 2.8.
TELEDYNE REST N01 A9