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Home My WebLink About550-zFOR~ NO. 4 TOWN OF SOUTHOLD RUILDING DEPARTMENT TOWN CLERK'S OFFICE $OTOTHOLD, N, Y. OF' OCCUPANCY No .......... .~....~.~"~.. Date ................................ ~;~Y..2~-. ........ , 19.~.~.. THIS CERTIFIES that the building located at ~/eB.(t /~C~...~'~e,.,...gtlt~hO~t~... Street Map No. ]~'~e~;~ ...... Block No .......~, ....... Lot No ...... ,.~ ................................................................. conforms substsnt~ally to the Application for Building Permit heretofore filed in this office dated ............. .D.~..e..~....~.~ .....19~... pursuant to which Building Permit No ...... ..Z....~.,~..0.. ..... ~lated ............. ,l~.e...c._~,.e.~..~.0. ....... 19.~..~...., w.as issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ................................................................. pl~ .~VAT~ · · ONE. ·. F~.:~v..y...St~f~R.. D~ ..................... This certificate is issued to ............ )~?.~u~..~o....l~m~:e...~M .................................................... (owner, lessee or tenant) of the aforesaid building. Building Inspector FO~M NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N.° 550 Z Permission is hereby granted to: ..~...~.....~.....~'.:...~.~.. .......................................... ............ · L~.3,.e...l~. .............................................. ...................... . .~. ~ .t.. ~.~.,..~.,.......,.: ~... .................... to ....... mike., ea.. a~.t, eratd,o~., oa..att..exJ, lt;~&..d~ellin~, ................... . .......................... at premises located at ..~/8.....~1~$.t,..0~.11~It~.~.~ ............................................................................. ................................................ FJ, ee.1;s.:~ge.~k~, ......... ~.~.~ho.~m.e. ~.....~,.~. ................................. pursuant to application dated ....... D~l~tl~elZ'.....3.(} ............................ 19~..8....., and e~proved by the Building Inspector V~.~1~,:l. eaee gl'auted 1~y 2d of A~pea.lI~ Dram. 29, 1958 Fee ..... [ ......... .'-m~....m. :.~,... - .~-~ .~.4 .~ ..... Building Inspect?. / NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN'CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL .~~....~ ................ ~.~~ .......................... ..~'";;': ........ ;.....;; ......... ;~... ..r-,~r~e//~_,',a, ,~,:,',:,',; an,._.;m~d, disa~provexd on, ,he~follo~wing grounds ...~~....~ ........ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLDI, N. Y. Application No. Approved ................ 19. ermit No ............................... (Building Inspector~ APPLICATION FOR BUILDING PERMIT D~.~ December ~ ,,~ 58. 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. Upon approval of this app[icotion, 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 pui'pose 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 Southotd, 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 regulatior~. ~ / ............. ........... (Signature of applicant, or name, if a co~orotion) ~£ddle ad ( PO Box 27) Mattit~ck NY (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises....~,t/..~B~l~...~.,...,~...~.~ ........................................................................................................... If applicant is a corporate, signature of duly authorized officer· ............. (Name a'%~'¥i~rj;';f"~'~'r'%'~'~¥~";~¥[~;;;'i ................ ~ap 0£ Properby o£ ]~l'i~.abetJ3. ,, Yengel at Fleets N~c.k. 1. Location of land on which proposed work will be done· Map ¢~o: ............................................ Lot I'~O: .................... Street and Number ......... .W...e..8..~....q..~.?..e..,k...,,A,¥..e..~..?-.?. ......... .(.,...~,,o.....~..?:,m.,,b.e, .z'....). ............ ~ ................. .............................. Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: o. Existing use and occupancy ....... .8....1~..~..8,~_..~,.?..~..~..d.,.8...~.,0.?. ....................................................................................... b. Intended use and occupancy.,.~:g,.~.~.~.~...~.,e.,8.,~.~.8..,~.g,e. ....................................................................................... 2 b~d~ooma aad bath~oom I~y aaclosing same ;3, Nature of work (check which oppHcob]e): New BuHd~n9 .................... Addition ....................Alterat;on ,,,:~. ................ Repair ,,.,X. ............... Removal .................... Demo[ition ....................Other Work (Describe) .................... 4. Estimated ................................................................ · .......................................................................................... (to be paid on filing this application) .5. If dwelling, number of dwelling units .......... .0.~.@ ................ Number of dwelling units on each floor ............................ H: garage, number of cars ............................................................................................................................................ 6. If business, commercial or mixed occupancy, spec ify nature and extent of each type of use .............................. 7. Dimensions of existing structures, if any: Front.....~. ..................... Rear .......~..G..! ............... Depth ...~...0..~. ................... , ~ ........................................................ Height .....~.G. ................... Number of Stories ..................................................... Dimensions of same structure with alterations or additions: Front ...~.8...~.~....(~.G..~..)..... Rear .~.~?..~....(..}.G..~...) ....... ........................... same 16' r sam~ (1~) Depth ,$.a~e ~20'). Height .............. .( ........ ).....Numbe of Stories ................................ 8. Dimensions of entire new construction: Front ............................ Rear ............................Depth ............................ Height ............................ Number of Stories ............................ ' 8~' 9. Size of lot: Front ......~.~. ................... Reor ............................Depth ............................ 10. Date of Purchase ....~...O..~..:....~..~.~....]r..C)...~...8..: ................... Name of Former Owner ~..~.....~. .................................... 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? NO · A~hu~ N penny Middle £d ~at~i~..~one NO Ma 9-8~5 13. Nome of Owner of premises ........................................ Address ................................................................. Name of Architect ........................................................ Address ............................................ Phone NO ..................... ~ . . F Spence~ Bubte~worbfz_ Ceda~ ~d Mabb~bUC~one NO Ma 9-8~J~ Name of ,~onrrac~or .................................................... Address ................................................................. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block numbers or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF N£~2~.¥O~9~,,Kf ~:~_~ ) S S COUN~ OF ~~ ....... ) ' ............................ ~.~..~,...~.$.~.~ ................................ being duly sworn, deposes and says that he is the applicant (Name of individual signing a~ication) / p ..... 4 above named. He is the ....................... ~~.~~':T. ............................................................................ (C~ '~ontractor, 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 t~ ~i~iO~rt~a~l~l~eSt~ ~nf~i~e~a~is~[~cz?~h~r~eic~nthf~I best Oe~_t~fe3~' knowledge~nd belief; -, TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved ........ ~;~.~ ..... ~,¥~.... lC)...~ ~e rmit ~o. ....... '~' (Building Inspector)~ ApplJcatlon No. ~..?....~.. ............... APPLICATION FOR BUILDING PERMIT Date ........ .~..~...~...~..~...~.§ .~.. ...... ~ ................ 19. ~..~..*. .... 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 cov, ered 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 I~ept on the premises available for inspection throughout the progress of the work. e. No building shall be occupied or used in whole or in p a~t for any purpos~e whatever un~-il .a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuanoe of a Building Permit pursuant to the Building Zone Ordinance of the Town of Sou'thold, 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 all applicable laws, ordinances and regulations. ~ , .~.~.'.~.,.~...~...C..~.0..~...~.?.)..~.~.t~.t~.~,~..~ ......... (Address of applicant) State wheth,er applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Jf applicant is a corpor!le, signature Of duly authorized officer. ' ~ ' i e done Ma No~e~el a~ ~Ze~8 ~e~} No 1. Location of land. ~n whrch proposed work w II b · p ...............................~-.... : .................... Street a~d Number ....... ~.~.~...¢.~.~...~ ......... C..~g...~...)......~~ ...................... Municipality ~ 2. State existing' use 'and occupancy of p~emises and intended use and occupancy of proposed construction: b. Intended use and occupancy.8~...~&~O~ ..................................................................... · .................. P bec~.~oome ,~Jb~. ba~;J~oom I~ eI~.Q.'I. OGJ;~, 3, Nature of war]<. (check which applicable): New Building .................... Addition .................... Alteratian ,~ ................ Repair ..;~ ............... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost....~.,,,~OQ ........................................... Fee 5' ~ .......... (to be paid on filing_this application) 5. If dwelling, number of dwelling units ......... .GI~ ............... Number of dwelling units on each floor ............................ If garage, number of cars ......................................................................................... ~ .................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.: ............................ 7. Dimensions of existing structures, if any: Front......~6~ .................Rear.......~!..i ............ Depth ..~O!. ................... Height ....,l~,.t ................. Number of Stories ._,~,~ .................................................................................................... Dimensions of same structure with alterations or additions: Front ...~t~...(..~,~,... Rear .~,~,4~1~..(.~:~.~..) ....... Depth ...1~,..(.~(~?..).. Height .&a~l...(.~,G.!.,).... Number of Stories ..... B~I~...([.~ ..... 8. Dimensions of entire new construction: Front ......................... ~.. Rear ....................... ;.':.~ Depth ............................ Height ....... ..................... Number of Stories ............................ 9. Size of lot: Front ....~9~ ................. Rear ....... ~.*. .............. Depth ............................ 10. Date of Purchase ..,~I~,,...~.~.,...],.C~ .................... Name of Former Owner ~e~t~.~,.~. .................................... 11. Zone or use district in which premises are situated....l~ifl,:l.~,~l~,.L ................................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation? .l~.O ........................................... 13. Name of Owner of premises....AJe~J~,~,t.l:...,'N..~.~.D-r~.~.Address ..M~fl.~l~...~fl,..l"l~.~.l;,Lh~ne NO.~.~...¢)..'~.~I',~.~ Name of Architect ...... . ........ ~ ........... ~/P,~ ................... Address ............................................ Phone NO ..................... Name of Contractor...~.,.~'~.~,~i.~'~,~.t~.£.~D.,~.t~l~dress ..~.~l,~.£..."e'~..~La..l~.~C;l~oneNO ....... 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 tot. STATE OF NEW ~ORI~/~_~) COUN OF ..... $' ~/~// ..................................................................... being duly sworn, deposes <md says that he is the applicant (Name ~l:~i~'~tJ~l' si~r~tl~p licat ion ) above named. He is the ............................ ~~ ........ ....'m..~....... ................................................................ (C~ntractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work an~--tom,~ and file this application; that all Statements contained in this application are true to the best of his kn6,~vledge~g~d belief; and that the work will be performed in the mannejr_ set ~%[th in the application filed ,,ff'~erewith. \ Sworn to b,efore me this /q ~, ~°~t~.~,e,~,t~O!~~ ~,~l~-'~//y Noto Pub,,c, ;;, 3¢ V