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Home My WebLink About99-zFORM~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at ..~.,~.....~.,I~..,~G...~.~.~ ......................... Street Map No ....... }[~.~ .................. Block No ........ conforms substantially to the Application for Building Permit heretofore filed in this office dated ....................... .~¢.~.~.~.~.....~....19~'?. .... pursuant to which Building Permit No ..... ..~....?.?. ............. , dated ....................... .~...~.1~..~..~.~.~..~..~'......~.... 19..~.~.., was issued, and conforms to ali of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ............ ......................................... ................................................................................ This certificate is issued to ...... H,...~.~...J~eJ~.~. ...................... .(....Q.I~.~.~..~.....). .................................... (owner, lessee or tenant) of the aforesaid building. NO. 2, TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, bi. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET O~ APPROVED PLANS AM, D,, SPECI,FJ~,A~IONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No ...... ~'"' ~9 ........ Dcffe .............. ~ C>D-%.~:~l'~' ~'~.... 9 .~ .............. 1 9. Permission is hereby granted to: C-oP~on K, Ah.l.e.z.-.~.....A/C...-.IC....-;~:....~u~,~t.eS~ ...................... .~,~ e.~. · L~9 ~ J ~mm ~p o.pt,;.~ ... ~.,.~-, ................. ot premises Iocoted ot ....X./~,....¢93..~P~:~:~t~..L¢~rt~ ....... i ........................................................................ .................................................... 4~a.%.t, &tu.o!~.r ....~'~.,,~.,-. ..................................................................... pursuant to application dated ...................... ~qe~{~>~'t'~12--.--9 .............. 1 9..~.~.., and approved by the Building Inspector. Fee BUILDERS OF FINE HOMES WM. F. ABITZ & SON MATTITUCK NEW YORK ESTIHATES FURNISHED MARLENE BU NGALO~S October 19, 1997 Town Of Southold Building Department To~ Olerk~s Office Southold, N.Y. Ref. Permit ~ Z 99 Please be informed that the wokk on the above permit has been completed. Will you please make your inspection and issue an O. 0. for ~. H. F. Buc~ley. Yours truly, GORDO Con~dtin~ ~n~ineer N K. AN JAmespor~ 2-8227 LERS, P. E. September 9, 1957 Mr. Howard M. Terry Building Inspector Building Department Town Clerks Office Southold, N. Y. Re: Alteration Buc~ley House Mattituck, N. Y. Dear Sir: Enclosed please fins check in the amount of five ($5.00) dollars and Form No. i in duplicate, submitted herewith for an Alteration Permit on the subject construction. Should an Appeal be required because of the violation of Sections $05 and 507, please contact the ~riter so that variance may be applied for as soon as possible. Thank yo~. Very truly yours, K. Ahlers cc E. G. Abitz FOI~M NO. 1 TOWN OF SOUTHOLD BUILD)NG DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, iq. Y. Exam.ed ........ 2 Approved ........................................ 19 ........ Perm t ~,~ ................................ Disapproved o/c ....................... ..,~m~...TT.~ ............ > ...... . ...... -, ~ .'..i~ . - .................................... ...~:..~ ................................. ::. ......................................... ........... /.. ....... .......... (Building Inspector) Application No APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building Inspector. b. Plot plan showing location of lot and of buildings on premises, relationship to adioining 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 location. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Up~)n 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 progress of 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 and regulations. (Signature of applicant, or name, if a corporation) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrican, plumber or builder. ............................ ~t..P.~z,.z r,,.~..u...~..../...~-): ........ ~:.o...:...~,%~./.~./.,~/,~.....~..N.~./~/.£~. ................................... Name of owner of prem se~ ~.~. ~.~. fl* .E ~O..,C..~.~. ~ .~.~.~. ..................... ~:: ~u~.~ ~,xrr.-r.q..~.~ u~ ......... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which proposed work will be done. Map No ................................... Block .................................. Street and Number J~,~, ~,L,.,~.~, J~.. ~-. ~....~.. ~ ~ , ,. 2, State existing use and occupancy of premieses and intended use and occupancy of proposed construction: a. Existing use and occupanc ~.~ ]~ O~ b. Intended use and occupancy ...... ~ g' ~b~ ~ ' 3. Nature of work (check which applicable): New Building .................... Addition ..... ~....Alteration.....~...' Repair .................... Remova] .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost ...... ..~...'~..O.~.r.~.O .......................... Fee ............... ~..~.,.(~.~. ...................................................... (to be paid on filing this application) FEES: 5. If dwelling, number of dwelling units ...... d).~...~,, .......... Number of dwelling units on each floor....~:~.~..~.. ........... If garage, number of cars ........... ~...~...~...~.~...~..~'~.~:~`..4:..~.~'.~..7~.../~.Z~........~..~.`./.~..~../.-~.. ....................................... 6. If business, commerlcol or mixed occupancy, specify nature and extent of each type of use ................................ 7. Dimensions of existing structures, if any: Front ....... ~..../..I. ............. Rear ......... ~.J...~ ......... Depth .......~...~..f. ............ Height ...... /.~..I .............. Number of Stories ............. ~...~...~ ................................................................................... Dimensions of same structure with alterations or additions: Front ........... ...'~:....o,~'...../. ...... Rear ......~..~.~.../. ................ Depth ....... ~.....c~...t. ............ Height ........ ~..~../. ............ Number of Stories ..... C~.~..~... ............... B. Dimensions of entire new construction: Front ......... ~..~..../ ........... Rear ......... ./..~.../. .......... Depth .J.~-~..f. ................ Height ..... L.~?...! ............. Number of Stories ..~....~...~,~.. ............. ~__~,~,9~ /fc~,~' Z.Z ~" /,5~/ / ! 9. Size of lot: Front ..........'~..O~... .......... Rear ........ Z...~... .......... Depth ......./...~...6..Z ........... 10. Zone or use district in which premises are situated ............ .~....~ ................................................................. 11. Does proposed construction violate any zoning law, ordinance or regulation?..~.~.-~.....~.,.~...~..O.~l. ................ 12. Nome of Owner of premises. H,. ,~...~.,~.~./~.¢,./~...~.. ...... Address ..~?~//:.~'f~.~....~.~. .......... Phone NO. Nome of ~.~c~..!~g~ct.~...C~.~.,..~klL~J~.~..2..i~..~' ...... Address ~O.P*.....C:~..~,.,J~..~I, ........ Phone NO. ~,~.-..~.~..Z..~.... Name of Contractor..~g'.~.,...(~.~.,.~./~.'./..Z*....~r ................ Address ../.I~.~..7ZZ'./..Z'.~...C:.~.;,~,~,...Phone NO..'[..-...~../.I.~ ..... 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 numbers or description according to deed, and show street names and indicate whether interior or corner lot. ....... w ........... ........... STATE OF NEW YORK, ) ~ - : COUNTY OF .~b~. ) SS,' YO~I~ .............. ,wor , d, (Name of individual signing application) obove n~med. He is the ..................... /~ (Controctor, o~e~ corporote omcer otc,~ of s~id owner or owners~ ond is du y outBorized to perform or hove performed the soid work ond to m~ke and file this opplicotion~ that oll stotements contolnod in thi~ oppHc~tion are truo to the host ond thor the work will be pofformed in tho monnor ~et forth ~n the opplicofion filod thorewith~ Sworn to before me this~'~"~~ ........ ~... day of ........... 19,..~. ....... Notary Public, ~~~.County ..... ......... ~ ~:,iJ,,,~ i,, ~,, '~'(, ~: ': FO~I~ NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLEP~K'S OFFICE SOUTHOLD, N. Y. Examined......~...~.~ .......... 19..~:...Z A ' pproved ........................................ 19 ........ Permit No ............................... '.. Disapproved a/c .................... ............................. r:'~'... ':'J'~.....'.'~ . J ........... ............................................. ........................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building Inspector. b. Plot plan showing location of lot and of buildings on premises, relationship to adioining 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 location. c. The work covered by this opplicotlon may not be commenced before issuance of Building Permit. d. Up.on approval of this 6pplicatlon, the Building Inspector will issue a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the progress of 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 Jaws, ordinances and regulations. I ...... ~...~..~r.~z~7;..~y~ ........... r,......~:?.....~?Z...f~..~ ............. I i . (Signature of applicant, or name, if a corporation) · 'i^ddress .... ....... State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrican, plumber or builder. ..A...~..p.~) .~..&. ~..T. .~. .P.~m.,F..~..~.~..~.O.~..~...k......~..~..C~.L~..~;e ...................... Name of owner of prem~ses....~.R`.~.~.L~$...~.~.~`.~.g...c.~..¥....../~/k~.~.~-..~..~.~.~......L..A.~....~..~. .~.lZ~..N...,..~... If applicant is ~ corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which proposed work will be done. Map No ................................... Block .................................. Street and Number ............................ J.VJ../k~.~l~.~..~l..~...~,/~.~ .................................................................... 2. State existing use and occupancy of premieses and intended use and occupancy of proposed construction: a. Existing use and occupancy ........................ [~.F-~'~.l.~.~:~...l~..~ .................. b. Intended use and occupancy .... ..i~..[¢.~.~..~.~.C,..~...~...I.....Cr...A:..~....C~.,~.. ....................... 3. Nature of work (check which applicable): New Building .................... Addition ~ A teration ............ Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost ......... ~......~..O~.,..O..O. .................... Fee ..................... ~...~.~..~..~. ..................................................... (to be paid on filing this application) FEES: 5. If dwelling, number of dwelling units......~.Z~'.~.. .......... Number of dwelling units on each floor....~./J~....~... .......... If garage, number of cars ........ ~...4Z~-7...~.~.~.~~....~...~c.~..~r...~.~.......~-~.....~.../~......~...~./~..T.. .................................... 6. If business, commerical or mixed occupancy, specify nature and extent of each type of use ................................ 7. Dimensions of existing structures, if any: Front ........ .~../..~. .......... Rear .......... ..~./..~ ........ Depth ....~...~.../. ............... Height ........ ~f..~. ............. Number of Stories ....... ~...f~....~.~. ......................................................................................... Dimensions of same structure with alterations or additions: Front ......... .~..~.....~ ........... Rear .....'~'~'~...../. ................. Depth ........... ~..~.. ............ Height ....... J.~. ................. Number of Stories ...~.4~....~... ................ ! ! 8. Dimensions of entire new construction: Front ........ /.~'.. .............. Rear ............ /.~.. .......... Depth ..... ~'....2..../. .............. Height .......... /....~. ........... Number of Stories ...... ~ ........ c:~ ~-~-- /'~ x ,b~- X I ~ ! ! 9. Size of lot: Front ..........'Z..~.. ........... Rear .......... 7...~.. ........... Depth ....... ./..~..~.~..../ ....... 10. Zone or use district in which premises are stuated ............................. : .......................................................... 11. Does proposed construction violate any zoning law, ordinance or regulation.....~..~...,~......~.¢~...~....~..7.. ......... 12. Name of Owner of premises.~..F,..~.~,/~../,-r~....'~.. ...... Address _/~.~,~.I~.~......L=~. M.~.......Phone NO.~.....~...°/..~¢~ .... Name of ~..~=~.,./~.~..~r. db .~..'~,,E~.~...~.,.~..,.. Address .j~J./~16C)l~...l~/'~,..d,,~.~..l~....Phone NO. Name of Contractor.....~.~.....C~....~.~..l..."~.,~. ........... Address ..~J~.~E~.l.T.g..cc.k~....~.. ~ . PhoneNO. .~..~..~'.~:~ .... 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 numbers or description according to deed, and show street names and indicate whether interior or corner lot. ~15c¢ J~' ~ - ~ T. ~J STATE OF NEW YORK, ) COUNTY OF ..~.O.~-~..O...~...K".....) S S.' ...~...~...~ ....... ?,..~. .......... being duly sworn, deposes and says that he is the applicant (Name of individual signing application) above named. He is the .............. ~.~...~..~_~_. ............................... . .~/ .... (C. ontra,ctor, ra~ent, corporate~officer of said owner or owners, and s duly author zed 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 belief; and that the work wil~ be performed in the manner set forth in the application filed therewith. Sworn~re me this ........ .?.~.~. .... day of 19...~..'~.Z. f applicant) / Notary