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Home My WebLink About37469-Z Town of Southold Annex 8/24/2012 �O�Dc',UFFQI�ca� G P.O.Box 1179 CM ' 54375 Main Road $ �, Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 35848 Date: 8/24/2012 THIS CERTIFIES that the building PORCH Location of Property: 260 Sunset Ave, Mattituck, SCTM#: 473889 See/Block/Lot: 115.-3-6 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 1/1/1900 pursuant to which Building Permit No. 37469 dated 8/24/2012 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: enclosed porch addition to an existing one family dwelling This permit replaces BP 8969, issued 10/18/76. The certificate is issued to Sobieray, John&Sobieray,Hazel (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Aux o ' ed S). atur 7 ,tom" TOWN OF SOUTHOLD �yo�gUFFO(�Co� BUILDING DEPARTMENT y TOWN CLERK'S ,OFFICE o 4� SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 37469 Date: 8/24/2012 Permission is hereby granted to: Sobieray, John & Sobieray, Hazel 260 Sunset Ave PO BOX 1095 Mattituck, NY 11952 To: enclosed porch addition to an existing one family dwelling. This permit replaces BP 8969, issued 10/18/76. At premises located at: 260 Sunset Ave, Mattituck SCTM # 473889 Sec/Block/Lot# 115.-3-6 Pursuant to application dated 1/1/1900 and approved by the Building Inspector. To expire on 2/22/2014. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $7.50 Total: $7.50 G 1 Building Inspector tf sooTyol o �ycouNr+, ' TOWN. OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION '" ... . [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN -ATION [ ] FRAMING/STRAPPING [ - INAL [ ] FIREPLACE & CHIMNEY- [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL). REMARKS: DATE INSPECTOR _ FORM' TOWN OF SOUTHOLD.... .......................... .....:............ . ` BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. DJ Examined ............r�.. f�:...�.. ...�..�.. ., 19../,�, '10� Application No .. ..f..r: ..... ......... ............... .. ... . .+�r,`. 4 % f.. .,i jam.. Approved ...... ... ,. ., 1_Q..... Permit,No .......... , Disapproved..a/c ............... ::: ....::................................' L .. .........................I . .... (Building Inspector) APPLICATION FOR BUILDING PERMIT c Date ..........................Jls.r...: ........j: 19.,Z.f"... 4 INSTRUCTIONS ,' a. 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 scale. Fee according to schedule. _1 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 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 rr 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 herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. (Signature 0`f 5pplicant( 'r name, if a corporation) ................ ................. ...... . (Address of applicant) State whether applicant is-owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ............................... :.+..J. .:!:?.h...!. ................................... Name of owner of premises ........ 1.A,4.. ............. /// �1. R v...................................................................................... If applicant is a corporate, signature of duly authorized officer. ... .............. ........ (Name and title of corporate officer) Builder's License No. .....................:................................. Plumber's License No. ................................................. Electrician's License No. ............................................ OtherTrade's License No. .............................................. 1. Location of land on which proposed work will be done. Map No.: ........................................ Lot No. ........................ Street and Number ..................................... ... ............`.'...'. I�'..:��. ...............r :::....:....'� J Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting--use and occupancy ......................t..:'..............rr ............7 .!1.1. ..!..:t.L:.............,......................... b. Intended use and occupancy .......... r:.............. ...i. ...................... .:...... :.....i�i..................................... 9J 3. Nature of wo* (check which applicable): New Bui,Idin.g-. ............... Addition .................. Alteration ................., Derx�olitior: • Repair ............. . Removal .................... Other Work ........................................ ....... . .. (Description) 4. Estimated Cost ................. {..... . . Fee .. ......................................................................... E. _-. (to be paid on filing this application) 5. If dwelling, number of dwelling units ... ...:.i.s.::::.::.:.....Number of dwelling units on each floor ............................ Ifgarage, number of cars .........•..............:..................................................................................................................... 6. If business, commercial or mixed occupciricy.''specify nature arid extenf 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 ................................ 8. Dimensions of entire new construction: Front `; ,••••.•••• Rear ..............:............ Depth ......................... Height ............. ....: Number of 'Stories ................................................................, ,- 9. Size 'of lot: Front r . Rear Depth ....... .... � _.. E.l.. .......... , lb. Date'of�t Purchase — . ......................Name of Former Owner - ••�-�'�•• 11., Zone or use district in which premises are situated ........'.. •••- -=' 12. Does proposed construction violate any zoning low, ordinance or regulation: i.. Imo• L 13. Will lot be. regraded ......................._:... Will excess fill..be removed from premises: -(I ),_Yes. ( )a�ta 14. Name of Owner of premises .... ............................ :``...:..:..: Address ... ............:....` .::\phone No. .�.:............... I\Nameof= Architect ..................................1 ...................... Address ................................. .Phone No. ...................... Name of Contractor .......:.... ............................................. Address ..........:.......;... ..`'.<Phone No. `'.............:.:.. r PLOT DIAGRAM Locate clearly and distinctly all buildings; whether existing or proposed, and indicate all set-back dimensions from propdrty�-,lines:�Give, street. and, block number or description according to deed, and show street names and n4icgtp ;whether interior,•or corner:-lot-.: :'S hf-ter i, i i I l it STATE OF NEW YORK, S.S COUNTY OF I � I� ' p-............................being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named:. He is the ................................... ° `........... ........................................................................................•............................ (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 cthis-�dpplication; that all statements contained in this application are true to the best of his knowledge and belief; and �thbfthe work will be performed in the manner set forth in-the-application filed therewith: Sworn to'before me this _ ` wnr,t .c . J ,�� (\��`� 19..... f, .................... .0day of .....•............................... ;..: r.. Notary Public, .... ..,. ... .:Counfy' ..y'�. 1 :t`.......,e.::/., .... :........................................... j (Signatu're of applicant) J ELIZABETH ANN NEVILLE NOTARY PUBLIC, state of New York No. 52-8125850, suffolk Coupty Term Expires March 30. 1��