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Home My WebLink About401-zF0:I~I NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. C~-RTIFICATE OF' OCCUPANCY No ........... ~._7_8~.. Date ............................... J.~Z~.. 23. ........... , 19.~.0' THIS CER'r]FIES that the building located a~ .~-l~-D.~IV~-,,.,~W--F~%%.~ ............. Street W. & Ho ~SOn .Map No ....................... Block No ..................... Lot No ........ 4~ ................................................................. conforms substantially to the Application for Building Permit heretofore filed in this office AU~(~us~: 9 1958 Z 401 dated .................... ~. .......................... · ....... pursuant to which Building Permit No ......................... Alllgllett 9 19....~ was issued, and conforms to all of the requirements 4areal ................................................ , of the applicable provisions of the law, The occupancy for which this certificate is issued is .................... P~ZVA~JJ~...01¢1~.. ~A~.;~L.Y...D~ 0 ....................................... This certihcaie is issued to .............l~o~i~..~...&..~r~l~.~n.e.-.~.i...-l, llthll.;.]..owl~=s ............... of the aforesaid building. Building Inspector FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is hereby granted to: ....~o~s-..~:..~?ne~s~e...~t~.}~cz ....................... ........... Z~6~ ........... ;~2~.~ ................................. ..................... ~.aa.....~ ~.....~..Z. .................. to ...... ~.'~¢].. ~e?~-' ~eCv ~ ~';~ L~ ........................................................................................................... at premises located at .Ot~..D~;;;ge.t .........(.--3~..)~5~..],f~...~...[l,,.L~:o~z) ..................................... ......................................... Z~t~.t;e ~og.~,e-~....,-}';',:B ~' ................................................................................ pursuant to application dated ................................ ~i~.~,¢..--.~. .......... 1~i..., and approved by the Building Inspector Building Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUT,OLD, N. ¥. Exam inod........~.... ~:..c~....'~.....['. [ ...... 19..l'f.(... ppro ed ........................................ 19 ........ Permit No ............................... Disapproved a/c .................... (~7'"~ .... Application No. / ~ / (Building inspector) APPLICATION FOR BUILDING PERMIT Date ......................... . .~.a..~.q~.. ~..0. ............... 19....6..~ .... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and ~ubmitted 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 Permlt. 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 Deportment 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 a Iterations, or for removal or demolition, as herein described. The applicant agrees to comply with oil applicable Paws, ordinances end regulations. ......... ..................................... (Signature of applicant, or name, if a corporation) Westview Drive., Mattituck, N.Y. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Contractor Nome of owner of premises Ricardo & Blanche B..~.reto 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: ..M..?.~.°...~.~....D..?..~..e..~.°...~-.z~...~.gLot No: .................... o Street and Number ...........~./...~.~.~...~...~.~.~.~.~.~y~.e.~.~.~.~.~.9..t.~.C..~.~.t.gh.~.g~g.9~9~q~ ...................................... Municipality 2. State existing use and occupancy of premises and intended use end occupancy of proposed construction: o. Existing use and occupancy ....... ..~,.~..c..~.~.,~...1...o..t.. ..................................................................................................... b. Intended use and occuponcy.....P..r...J-.¥..a.,.t..e.....°.,.~....~.~...m..i...~.~....~.~...e.~..1..i..~..g[ .............................................................. 3. Nature of work (check which applicable): New Building...:..x. ............. Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost $12,000o00 Fee $10o00 (to be paid on filing this application) 5. If dwelling, number of dwelling units ........... '1 ................... Number of dwelling units on each floor ............................ If garage, number of cars ............ ~...o.D..e. ................................................................................................ If business, commercial or mixed occupancy, specify nature and extent of each type of use .............................. Dimensions of existing structures, if any: Front ............................ Rear ............................ Depth ............................ Height ............................ Number of Stories ............................................................................................................. Dimensions of same structure with alterations or additions: Front ................................ Rear ................................ Depth .............................. Height .............................. Number of Stories ................................ 8. Dimensions of entire new construction: Front..._.3..6..! ................. Rear 36~' Depth Height ............................ Number of Stories ....... ,]r. ................... 9. Size of lot Front ...... ..7.~.*..9.0..~ ........ Rear ......... ~.5..,...0..5. ........ Depth ..~.6..8..;..0..2../.~,6.~:.0' 10. Date of Purchase ....... ~.ft~.~t~r~.,....~9.6.], ............... Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated ..'.~.~'.'....~..e...~.~.e.~..~.$~.-...Ag..~..i...c.~..1..~..u...~..a..~ .......................... ]2. Does proposed construction violate any zoning law, ordinance or regulation? .................................................... 13. Name of Owner of premises.~..:l:.~.a..~..d:..O.....&...~.a...~..c.~,dd~s~sZ:..~..e..~..~ .................................. Phone NO ..................... Name of Architect ........................................................ Address ............................................ Phone NO ..................... Nome of Contractor.~l'~.~;],...R.o...~;~;:~h.~ ............ Address ..iv1~4.~.$.¢.1.~ ................... Phone NO ..................... PLOT DIAGRAM Locate dearly 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, end show street names and indicate whether interior or corner lot. / STATE OF NEW YORK, ) S S. COUNTY OF ...~.u~o.l~ ........ ......................... .~..o.e..~....~.......~.b..~..~....~.?.. ................................. be ng duly sworn, deposes ~nd says that he is the applicant (Name of individual signing eppl,ication) · .~ Contractor above named. He ~s *ne ............................................................................................................................................................. (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 application filed therewith· Sworn to before me this JUDITH T. BOKEN 10th March N~ Public, State of New York . . ........................ day of ....................... .,.,.>.~,...../~. ]9,.N~,%~.~$44,~,~6.% Suffolk Co~u~ty _(S~gnature of apphcant) TOWN OF SOUTHOLD BUILDING DEPARTMENT Approved ........................................ 19...~...Perm~t No ............................... Application No ...... ..~...~.!. ............. APPLICATION FOR BUILDING PERMIT Date ......... .,¢~'... g..O.......~.. .............................. 19...~....~..... INSTRUCTIONS o. 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 drown on the diagram which is part of this Iocotlon. c. The work covered by this application mo,/ 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 {:or 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 o Iterations, or for removal or demolition, os herein described. The applicant agrees to comply with oll applicable lows, ordinances and regulations. ..... ...................................... (Signature of applicant, or name, if a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Nome of owner of prem~ses....~.. ..................................................................................................................................... H: applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of [and on which proposed work will be done. Map No: ...~T~...:..~'..../?~..'../.?.~..?..?.../~/. ...... Lot No: .....~....7. ......... Street and Number ................... ..°....~..~r'....~....~.!...~....~. ....................................................................................................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: occupancy.....I/.....~ ............ ,4. ............................................................................................................ a. Existing use and ~,~ -- ,4.,O~-',~ b. Intended use and occupancy ....... ../~....~'....~...~.?.....~-'7..~....~...~. ....................................................................................... 3. Nature of work (check which appllca'ble): New BuildMg......v..... ......... Addition .................... Alteration .................... Repair ............. ~v..,.Removol .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost.......~...~..9.~..~e ................................ Fee .......................................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units......~....H....~'.. ................ Number of dwelling units on each floor......~...~...~'.. ............ If garage, number of cars.....~....~..~.../2~.~..T.....-......°..~...~....c....~....~.. .................................................................................. 6. If business, commercial 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 ............................................................................................................. Dimensions of same structure with alterations or additions: Front ................................ Rear ................................ Depth .............................. Height .............................. Number of Stories ................................ 8. Dimensions of entire new construction: Front.....~,..,~..~.'...~...7'.. Rear '.....~..~....~..~ ......... Depth .?..~....~.?..:....~..~...~..7' Height ............................ Number of Stories .....o...~...~. .............. 9. Size of lot: Front ..?...'~.:...~...~...~ ........ Rear ...~.....~..:..~....~.,..~. ...... Depth ..../.~?...i. ............. 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated ................................................................................................ 12. Does proposed construction violate any zoning law, ordinance or regulation? ~..~.~ ............................................ · ,Z, ~ ~ ~v' ,~,,(.,,-~r :,---,-,~,? p ..~.;.(...~....~..?.. 13. Name of Owner of premises......~.' ...... :.~.:.,~.,.....~., ......... Address ............................................ hone NO. Name of Architect ...................... ~ .............................. Address ............. ..'~.. ........................... Phone NO....'::.. ............... Name of Contractor....~..:....~..f..z:...~..~..~....'~...~....~.. .......... Address ....~....~...?,...c.?...~-.~.~.~.~. ....... Phone NO ..................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate oil 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, STATE! OF NEW_~YOJ~K,, ~. ) S S /~-t,,,, ................ be ng duly sworn, deposes and says that he is the applicant (Name of individual signing application) above named. He is the .................................... L~..'...-~...~..~..~...-~..~ ...................................................................................... (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 m,er)~,,e,r s~r,,f~rth in the application filed therewith. Sworn to before me tMs .:,' '~l,~ .. ~ ~ day of .... ~ ~. g-,~]~ ~'=~1, 6,~~' ~ (~gnature of ~pphcant) . FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Exam med....\ .~.:.~...'.'.~......./.. ............. 19../.. J~ Approved ........................................ 19 ........ Permit No ............................... D~sapproved o/c ...~ ................................................................... .............................. ~.~;~,~. ............ ....... .... (Building inspector) / Application No ............................. APPLICATION FOR BUILDING PERMIT Date....~ .~...~.:.......'~.. .................................... 19.4.~... INSTRUCTIONS a. This applicotion must be completely filled in by typewriter or in ink ond submitted in duplicote to the Building inspector. b. Plot plon showing location of lot and of buildings on premises, relationship to odioining premises or public streets or oreos, and giving o detoiled description of Ioyout of property must be drawn on the diegrom which is port of this locotion. c. The work covered by this applicotion may not be commenced before issuonce of Building Permit. d. Upon opproval of this application, the Building Inspector will issue a Building Permit to the opplicont. Such permit shaft be kept on the premises ovoiloble for inspection throughout the progress of the work. e. No building sholl be occupied or used in whole or in port for any purpose whatever until o Certificate of Occupancy sholl hove been gronted 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 Lows, Ordinances or Regulations, for the construction of buildings, additions or a Iterations, 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) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of r- .............................................................................................................................................................. If applicant is a corporate, signature of duly authorized officer. (Nome and title of corporate officer) I. Location of land on which proposed work will be done. Map No: .L~..~.~..~...~..~...~..~.....~..~....'r~o'~t No: . .~..').. ............ Street and Number ......................... ~..~./~C'......'/.)..t~Z~.'~. ................................................................................................. Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ........... ..~..,f?..~..~../~...~....~.~....~...D.. ............................................... b. Intended use and occupancy .................. ~...~..~../. ~..~..~....C.~ .............................................................................. 3. Nature of work (check which applicable): New E~uilding........J~,.. ........ Addition ....................Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost..,~.~..~.~...~.~.~'~ ..................................... Fee .......................................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units .........~..,"~...~. ............. Number of dwelling units on each floor..,..~...,,~.,..~, .............. If garage, number of cars ............C~.../~'..~..¢.~..Z'.....-'.....~_/~,.~.......~.cf~./~ ............................................................................... 6. If business, commercial 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 ............................................................................................................. Dimensions of same structure with alterations or additions: Front ................................ Rear ................................ Depth .............................. Height .............................. Number of Stories ................................ 8. Dimensions of entire new construction: Front.....~C.... ,~.... ............Rear ...~...~..~/~... ........... Depth .~.~.~.....-..~..~.~.. Height ............................ Number of Stories ..~.../k'....~. ............... 9. Size of lot: Front ...7..'~'.'..~.~ ........... Rear ....7..~--.'..~.~.~ ......... Depth ./....'~...~..~ ................ 10. Date of Purchase ......... 1.~..~...~.. ................... ~ .............. Name of Former Owner .1~..~.~.....~..../~..~.~..~...~...../~...~...~.~..'~.... 11. Zone or use district in which premises are s~tuated,....,~J. ...... ~.~..JJ..~...~..t;t...~..x.~...(. ............................................... 12. Does proposed construction violate any zoning law, ordinance or regulation~ .............................. 13. Name of Owner of premises..,/-.:~..~...~.~,/~.~,~'.t~. ............ Address II.i~:.,~......I':..~...Y..¢~.. ............. Phone NO....~.-.(.~..~..~... Name of Architect ........................................................ Address ............................................ Phone NO ..................... Name of Contractor.~..:....~..'.~...u...~...~...C?...~....~'.. ............ Address /c~,~-,N~ 6. ~ ~. ,,- ............................................ mane 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. STATE! OF NEV~L~'OP~,~, t/z. ) S S COUNTY OF .,..~L.~..,.~......) ' ........................................................... be ng duly sworn~ deposes and says that he is the applicant (Name of individual signing application) above named. He is the ................................................. ~~ ................................................................................. (Contractor, agent, corporate officer, etc.) of sakJ owner or owners, and is duly authorized to perform or have performed the said work and to make and file th s app cation; 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 thermg,~r~r~et~]~,ozth in the application filed therewith. Sworn to before methis ~ ~,` ~:,i~.~..,,:~.~,~r~/:~:,~/~' ~' '~,~ '~ ~=..~..~;(/.L.. day of .......... ~ ~',~,0~9~;,~'~' ' ': (Signatur.e of applicant) , Pub,c, - o 0 0