The URL can be used to link to this page

Home My WebLink About113-z FOR~IVI 1VO. 4 BIaEa.DYYdG I2:EI~11,R`a'D9EIV'r' ~°~vvra c~E~as°s ®FFacE sozr~Yl®ze~° rv. GEat7"IFICA'T°E ®F ®CCBIPANCY No.......~'...92~.... Date ........................L~7c~'~mb~tr 25 6th 19....... THIS CERTIFIES that the building located at ~f.~..1',~~3;fl. Rt3«.,...5,/N~t7tg,3.~S$i1~gt Map :Qo Block No....L~7!'c. ,.ot !`io...~ '~C~.ttick' ~rwrr conforms substantially to the Application for Building Permit heretofore filed in this office dated ...................^a!G'~.~N,ntl?y".7;...r Q, 19~.~... pursuant to which Building Permit No....... dated ................~~$~#1.".1~~x...2..Q,.., 19.~.7~.., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is PRIpA!t`E qNE F~tR'IIL1l Lt47EI,Z,~NC issued is . 't'his certificate is issued to .......>:.'~':c"'fYi~[..£E1k~f~.iK..t....QC~Yi.~~ (owner, lessee or tenant) of the aforesaid building. ,n, Building Inspector FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERIC'S OFFICE SOUT&IOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES V>~4Tgl,4;I~;;S~~;4Q~ A~~P13,t~~~~r~~F~~S,,,,A~(~q~P~~~,FI~~T~s~,N~,, UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No....,<,1.g Date .................~~:rt,~':7?J~:r......^.Q..........19~7.... Permission is hereby granted to: .n " 7 jr+ ws tr n .f?11.t^e z~7~e~~a3.....,~/..d....~.t•.~rx~ :..ZSta~~.1< A.. s~i7,~',.1,~,.~r2J.Gj1.~......4'L. ,LA to ...~x:iL~.r~...~;ta...~.r9.c3~..tinst...t~...e:~»t.t~>~~,rc~...zixre~7~~.„f.,x~ at premises located at ...~iy/.u.....Iwext,}."a~;m.y ..~C3,.'.a....,,..~~!..~3'f•...T•~c~ix•"~.•E?t••)~Sn~:~'`•C' it:9i:~~.A:h.Lk 5::~: Ad.r.~ pursuant to application doted ....................3~;~~.~?;z1..~~.....~?0.............19.. y'~., and approved by the Building Inspector. Fee ~.17U.....~>,?.1C1_ Building Inspector 1~ ' FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERIC'S OFFICE ~ ~ SOUTFIOLD, N. Y. Examined......~'.:::3.`!:.:....`.~:::~.....19..~~..~ Applicatian No.....a.l.? r~ / Approved ........................................19..::....Permit No...-..--~.~..~..'..1~..-'~...... Disapproved o/c . _ e.~:.G~.....>~:....~ (Building Inspector) APPLICATION FOR BUILDING PERMIT ~ _ Date ~>.C3~.fi, £±a~"7.L".T'..... c ..........19,~i.`~....... INSTRUCTIONS a. This application must be completely filled in by typewriter or in inl< and submitted in duplicate to the Building Inspector. 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 location. 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 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 Yorf<, 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. ~ r, ~ ' ~ ~ ~ i i <i, ' ~qy . , U-, ~ ~ , (S~(/'nature of applicant, or name, if a corporation) _t V (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrican, plumber or builder. ..........................................~L~~ a.~`t~s:..................................................................................................................................... Name of owner of premises.....~''3".c^,X11.C.....5~?]7>1L?).i If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land an which proposed work will be done. Map No.........~~:~}:~.:+. Block . r,.; Street and Number ....3+.~.u.....x,ttt.'.-ifs'o...1~:~d...~~tkE,i<<3S".....~'}~,k~~,J~~z••17x'~.v~~^•s...~,"`.r`a.3ia:~t,.12~1i.n.....~:>r,~,t......... 2. State existing use and occupancy of premieres and intended use and occupancy of proposed construction: a. Existin use and occu anc 'Jtyk7~.7..~2'tFZ 9 P Y b. Intended use and occu anc ~tr~~.~~~~`~. P y ..7F . , 3. Nature of work (check which a licable): New Buildin pP 9 ....................Addition ........y.'..........Alte ration..... X............ Repair ....................Removal ....................Demolition ....................Other Worlc (Describe).................... r 4. Estimated Cost ~...o~....~"..~ 5.00 ...........................................Fee (to be paid on filing this application) FEES: 5. If dwelling, number of dwelling units...... ~ne ..............Number of dwelling units on each floor............................ If garage, number of cars 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 ............................Number of Stories ....OYI.c;................................................................................................... Dimensions of same structure with alterations or additions: Front Rear Depth Height ..............................Number of Stories 8. Dimensions of entire new construction: Front.....6.~ Rear ......6.~.................. Depth ....8'.................... Height Number of Stories ......One,,,,,,,,,,,,,,, 9. Size of lot: Front Rear Depth 10. Zone or use district in which premises are situoted....A,,,,resicl,enti~tl 11. Does proposed construction violate any zoning law, ordinance or regulation?.....no „ 12. Name of Owner of premises.~rank,,,, Hus~,k,,,,,,,,,,Address ............................................Phone NO..................... Name of Architect ......................................................Address ............................................Phone NO..................... Nome of Contractor...A. I~neski ,,,,,,,,,,,,Address ..T:fat.~~..#~1;.Ck ....................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 block numbers or description according to deed, and show street names and indicate whetfter interior or corner lot. ~-~rST/N~ ~~f57/NG N ~ a ~PRoposEp Gx~r AovN l` .J STATE OF NEW YORK, ) COUNTY OF ..~u~:fo•7, fS S. ~xiS'r/1'~(,~ a ~ n~.., . x~ fs ' ....................................being duly sworn, deposes and says that he is the applicant (Nam of indi idual signing application) above named. He is the ...................~.4.i"):~.Y.'~:5:~.4.X'..,.........................................,...,.............................................................. (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 belief; and that the work will be performed in the manner set forth in the applrcotyon filed therewith. Sworn t~~o~~//~before me this .,';Jt.Cj...`.'~........ day of 19..s~ ($ingature of applicant) ~ _ Notary Public ~~..Q.G4C..e„Q.n.. ..'ZtiQ. ~J ..............County ~ r ~pISE BOWDEN J 1 s~; ~ Nogry Public, State of New York li'J! ~ 111 Resldin8 in Suffolk County No. 52-6367800 ~ , My I:ommiss:on E::pires idareh 30~ 19 5 ' - FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined...........~?~...~'~,,.19...~r...~ Application No.....~.~..'J Approved ......................:.)...............19.... `:..Permit No..... z~~..Ja.......... Disapproved a/c .,~:r..:::................. f.............. .................~e~.. (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ..................'.`'.eptemben... i 957....... 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 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 location. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upgn approval of this application, the Building Inspector will issue a Building Permit to the opplicant. Such permit shall be kept on the premises available for inspection throughout the progress of the wort<. . 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 1S 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. ~ JJ' ~ i l~`~~~ ~ ' ~ ~ ' ~L (S'ignature of applicant, or name, if a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrican, plumber or builder. Builder Name of owner of premises....Fra,nk I:usalc . 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 XX`Y`~ Block .XhXX,.......,. Street and Number ...E,~S....~Ll~b,er~s...klaad..S.auto.f......Na~a~.le•..Driu~e!•.Mattituck,,,•,,, N.Y. , . 2. State existing use and occupancy of premieses and intended use and occupancy of proposed construction: a. Existin use and occu anc Dwelling 9 P Y b. Intended use and occu anc dwelling P Y 3. Nature of work (check which applicable): New Building .:..................Addition ~...........Alterotion.... Y......... Repair ....................Removal ....................Demolition ....................Other Worlc (Describe).................... A. Estimated Cost ~ ~ 25^ ............................................................Fee f ~(?.Q............................................................................ (to be paid on filing this application) FEES: 5. If dwelling, number of dwelling units.......QT1.C ..............Number of dwelling units on each floor............................ If garage, number of cars 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 ............................Number of Stories ...Ori~................................................................................................... Dimensions of same structure with alterations or additions: Front Rear Depth Height ..............................Number of Stories S. Dimensions of entire new construction: Front.... Rear ......fj.!.................. Depth ...>~F.................... Height Number of Stories ......AS1B.,............. 9. Size of lot: Front Rear Depth 10. Zone or use district in which premises are situated,...Ei....rct11C1.Cri~AA.1 11. Does proposed construction violate any zoning law, ordinance or regulation?......T1A 12. Name of Owner of premises.L'a^•siT..l1i•.••.f3LZ;St?1•••.....,.Address ............................................Phone NO..................... Name of Architect ......................................................Address ............................................Phone NO..................... Name of Contractor....A....`iinr>~';7 ............................Address ..drilltt.1'tL.CIc..•••.••••••..••••.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 block numbers or description according to deed, and show street names and indicate whether interior or corner lot. G---- l~ l~) v t~ VV~ Y ~75'(! ~ ~ ~x rs n n, c, ( Q Iv J ~ n PRuPoSep ~'X8' AoAN ~ STATE OF NEW YORK, ) 5 S.' COUNTY yg;~~,~~,..~......) '.~?!l:..(., :2:1~.4~-.1 ..............................being duly sworn, deposes and says that he i the applicant 'Name of indivi ual signing application) above named. He is the ...................iiOSl'~S`pgtpl!........................................,.................................,......,...,...,..................... (Contractor, agent, corporate officer, etc.) of sold 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 belief; and that the work will be performed in the manner set forth in the application filed therewith, Sworn to before me this ,~QQn ' ...~V.~..~....~'.'........ day of ......~1~ 19.~..~... ~r ~ (Singature of applicant} Notary Public ~..~,R:4.,z..L~}..?~rfr~lx~P..-r.J..........County r x" ~~J~~ ~ ~ ~ f ' ~ ~ / J~'t-~/J. .i If01SE DDWDEN ~ ' ~Y 91AIb, State of New Yplr U/I IAuR1Nrg In Suffolk County No. 520357800 MV Cnmm'r r. `arch 'Q. 19 S 7