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Home My WebLink About678-zFORM NO.~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at....~./..~....~.~.P.~..9..~..e....~..~..~.Y~ .......................... Stree~t Map No...~ ............. Block No..~ .............. Lot No....~........R~..},~..~.~.~..~.~.....~..~.? ....................... conforms substantially to the Application for Building Permit heretofore filed in this office dated ............................ ..l~..~.......~ ............ ~ 19~....., pursuant to which Building Permit No....~..6.~.8. .................. dated ............................... ?.~!~.~.~'.........~. ....... , 19..~.~.., 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 .............. ..................... ..................................................................................... This certificate is issued to ...~i~.~..~.%O~.~. ....... .f~fi~,~.~. ................................................................. (owner, lessee or tenant) of the aforesaid building. Building Inspector FOI~M 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) N.° 678 Z Date II..y ]./s~ 19....~.... Permission is hereby granted to: ,~o,, A~.~...A/.?. ...... ~.'..'.?..*...~.~...~...?. .............................. Bu?d z~ew one family .1~/~ Deep ffele Drive at premises located ar .......................................................................................................... pursuant to application dated .............................. ..J~...~. ........ ~ ................ 1~......, and approved by the Building Inspector 10o00 Fee $ ........................ Building Inspector BUILDER OF FINE HOMES EDWARD G. ABITZ .~:~_ :.., BUILDER MATTITUCE NEW YORE ESTIMATES FURNISHED GENERAL CONTRACTING Building InspectOrs Office Town Of Southold Southold, N.Y. Please be informed that the work under permit # 6ySZ has been completed. Yours truly, . GORDON K. AH Cons~dting Engineer JAmesl~ort 2 ~ 3227 LERS, P. E. May lls 1959 Building Inspector To~n of 8outhold Building Department Tom Clerk's Office Southold, New York Digones Residence Deep Hole Drive Mattit~ck, N. Ye Dear Sir: ~tclosed please find check in the amount of ten ($10o00) dollars together with two filled out Fern, s ~1 for application for a building per~ mit for the above construction. Thank you. Very t~ly yours, · Gordon K. Ahlers TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved ........................... ~..~ ........... 19...~...~.Permit No....~..f?..../.. ......... Disapproved a/c ........................ '~_i .................... ~'~ ..................................... .............. .............. ................... (Building Inspector) Application No ........~..?..~ .~.. ........ 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. ~. 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 buildin~ 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 issuanoe 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 al~ applicable laws, ordinances and regulotlons. (Signa~ture of applicant, or name, if a corporation) · . (Address o~licant) ~ : ~' Slate whether applicant is owner, Iessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........................................................ ........................................................ . ', Name of owner of prem ses .......... ..................................... ~.'..~. ..................................................................................... If applicant is a corporate, signbture of duly authorized officeF. , (Name-and title of corporate officer) IJocation of lan~ on which proposed work will'l?e d~ne. M~p'No: ....; ....................................... Lot No: .................... S reet and : mb r Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. I=xisting use and occupancy ..............,~..~...?...~....1~:0..'['.. .................................................................................... b. Intended use and occupancy ............. ~,~:.c~i.~..~..~.~...~..~,~-~.. .................................................................................... 3. Nature of work (check which applicable): New Building ...... ~......Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost ...... .~.t.~c..~.Q.O ................................... Fee .......................................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ......~...~..,~, ............ Number of dwelling units on each floor.....~;~6d.~,~. ........... 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 ....... ..'~...~ ........ ~.". ..... Rear ...... ". ............ Z- ....... Depth ...... ' ............ .' ......... Height ....-m......~ .......... 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 ;~.~ I Height ............................ Number of Stories ....~../hi.~_,~ .......... 9. Size of lot: Front ......~...~....C~...! ......... Rear ........ I..(~0.~ ............ Depth .~:~..C). ...... 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? ............. ~..O .............................. 13. Name of O~wner of premises.,J~.~...~.,..~.l.~Q.~E-r.~ ....... Address ...'~.O....°/.../~.U...~...J~..J~A//~./k/.Phone NO~,T...2'.../..~./. Name o~?~ ...... ...~.. ,~....~/~1~/,~-~.~.~'~ .............. Address ~f~/.~J.~ .-1~....l,~/9..~.~Z?l~f~i~]Phone NO. '~..'Z.~.~...~..~.. Nome of Contractor..~...-m~..k~.~..~-~q..~;]~.t.~ ........... Address ~.d.~.~...~...~...~..h~.E~-~Phone NO.O/...-..~.././..~.... PLOT DIAGRAM Locate clearly and distinctly oil 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 NEW YORK S S. ~ , L~ ~.('~ ........ heir / sworn, deposes and says that he is the applicant (Name of individual signing apl z~ above named. He s the ................................. ~..~~ ................................................. // (Contractor, agent, corl~ate officer, etc.) of sa d owner or owners and is duly authorized ~o perform or ~ave 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 ~nd belief;. and that the work will be performed in the manner set forth in the appiicat~ filed ~herewith. J .... Z~.~. ~ OT ,,,.f.,Z~.,<~./ ...... ?] ...... ~es~n~'ln'~f~l~ County ~'~ .......... ~ ........ ~otaw Public~~,~~sa~~t~arch 30, 19 FORI~ NO. 1 TOWN OF SOUTHOLD BUlLDI.G DEPA.~'MENT TOWN CLERK'S OFFICE SOUT.OLD, N. ¥. E×o~ned.....~.?.:.!.:.::.:...~ ....... /./J.... 19 ~ / Permit Approved ........................... ..................... ' No....~.....~... ~....'"'.... ........... ~. ....... ...~. ........... ,,., ................ ., .......... :,. .............. ~ ........ Application No ........'.?...~..~. ......... APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be complefely 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 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 hove 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 a Iterations, or for removal or demolition, as herein described. The applicant agrees to comply with oil applicable laws, ordinances and regulations. ......... (Address of at~ant) ~,/ ~' State wheth.er applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ................................................................ .~.P~ ~...F..~..~ .~..~. ~. ~ L-... '~"~4..~ '~. £~.~' ........................................................ Name of owner of premises ........... .~.....A~.I~...,~. ...... .~..,....~...I..~..O..I~..~,..~ ....................................................................... 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. Ma~ No: ............................................ Lot No: .................... Street and Number .......... .~...~...~..~...)~.O..L'.. '.~...,,~...~...I.~.,~- ...... ~.~..~.~..`.~..~.~..~...~.~..~...~.~9~.~.~.~.~...~.~7~.~...~LK~. Municipality 2. State existing use and occupancy of p~emises and intended use and occupancy of proposed construction: a. Existing use and occupancy .................... ,l~....Ikl..~..'~...~. ...... .l~-~....O...~.. ......................................................................... b. Intended use and occupancy ..................... .---~...l~...~....)...~....~.-~..l~].C...:.~. ...................................................................... 3. Nature of work (check which applicable): New Building...../<~..-... ....... Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost....~..I,.~'.2..O....C?. ....................................... Fee .......................................................................................... (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 ................. ~:~.~)..F-~-. ............................................................................................................ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ........ .~......: .............. 7. Dimensions of existing structures, if any: Front.....~.....il ............... Rear .....'. ......... .'. ........... Depth ....T ....................... Height ....:.. ..................... Number of Stories ........ ..'TZT.. ................................................................................................ Dimensions of same structure with alterations or additions: Front ................................ Rear ....... '...~._...~. ............. Depth ......... ~ .......... Height ........ '..~......CT. ......... Number of Stories ....... '. .......... ...~'.. ......... 8. Dimensions of entire new construction: Front ...... .~..~..! ............. Rear ....... .~.-.~.~..! ........... Depth ...~-.~. ................. Height ............................ Number of Stories ..... C~..l~.~, ........... 9. Size of lot: Front .......I..~..~ .......... Rear .....J..O..O.~ ............ Depth ..~!O..~...'~..Z.~.~,O/ 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 Iow, ordinance or regulation? .......... t~.C) ................................. 13. Name of Owner of premises.~5..~....~..I..C~O.~..E.~. ...... Address .~.~.(2..9.....~..~..E..~l....~..~.~...Phone NO...~/~)...~...-./.~./ N I~gOF'~-~. ~* ~- //(' ~z/L-~.~.8 Address IY/~.~3~..l,,~.J~'~.r~i~.Phone NO.Z...-..~..~...~..~... Nome of Controctor....~..~.~...~.../~.~.l..-'~..~, .............. Address ~.~=~.V.~.il~J.~../'J.~.'i~./.T'~-'J~..Phone NO.~.m.~".!..(;~ .... 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 NEW YORK, > S S. OF ....... > # 3,0" y sworn, deposes and says that he is the applicant (Name of ind idual signing apI~"a~i~'n'i /0 /f (Contractor, og~{'t, corporate officer, etc.) of sa d owner or owners, and s duly a~thorized to. perform or ha'~ performed the said work and to make and file this application; that all statements contained in this appl cation ore true to the best of h s knowledge and belief; andswornthatto beth~orWe° ~e v~ihl I.'sbe performed in the mannerlFl~ANi;set; forthso,~u,ls~<lin the application/2 filed_ therewith.__ ~, .~.~ flay of ~ ~ ................. .esIa~-~i~..°.~oo' ,-~u~re .............. ........ .... so, Notary P u b I i cS"~K(d~k~/~/. ·