HomeMy WebLinkAbout654-z~O~M NO. 4
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
CERTIFICATE OF OCCUPANCY
Date .......................................................... , 19..~'.C)..
THIS CERTIFIES that the building located at....~lt~OIC~...~atpi~.~...J~.~,:k.~alOk. Street
Mc~l:b~,.~.O. OJ~ll~...P.f~l~lock No ......................... Lot No .....................................................................
conforms substantially to the Application for Building Permit heretofore filed in this office dated
........................ .~.~.1......~..~. ............ , 19.~9...., pursuant to which Building Fermit No....~...(~t¢ .............
dated ................................. A.~..~.~..., 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 ..............
........................................... ~.I~I.I/P, XI~..0Z111,. 1~'.A1~ J,,~..1:)1,~ ~:b I:~ ....................................................
to ..~ar~J......~...'~ ~b,~,Z.1, ~ ...O.~ll~ll. ......................................................
This certificate is issued ~
(owner, lessee or tenant)
of the aforesaid building.
Building Inspector
FOI~M NO. 2
TOWN OF $OUTHOLD
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.o 654 z
Date April 27 19.5..9. ....
Permission is hereby granted to:
Ma.~.t~.~,k, ..N..~.. ~..o.r.,k. ............................
to enclose porch on existing dwelling.
at premises located at M~_rratooka Park,
~attttuck~ Ne,~v York
pursuant to application dated ......................... .A. p.r..i. .]. .. .2..? ....................... t9..~.?..., and approved by the
Building Inspector
Fee $.~ ...............
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
SOUTHOLD, N. Y.
Examined ....... ,~ ~ '.,~..~...... 19.~..~.
Approved ........... ...~.~.~....~-r....~.....~.. 19... ~e r m it No ...... ~ ..~.~.
Disapproved a/c ....................... ...~.......~~...........................
(Building inspector/
Application No ..... ¢~...'...../..... ......
APPLICATION FOR BUILDING PERMIT
April 27
Date ............................................................ 1 9..5..9. .......
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 o 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 o Building Permit to the applicant. Such
permit shall be kept on ther 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 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 all applioable laws, ordinances and regulations.
(Signature of applicant, or name, if a corporation)
Mattitucl% L.I.~ N.Y.
(Address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder,
General Contractor
Name of owner of premises......~.~.'...~...~.~?.:...~r~..~.?.°-n.~..~.:..?..~.~h.~.~ ......................................................................................
If applicant is a corporate, signature bf duly authorized officer.
Hrro~Ld R. R~eve~ P~rtner
(Name and title of corporate officer)
1. Location of land on which proposed work will be done. Map No: .~.~.?:?.!.~]~..?.~.k. .............. Lot No: ....................
Mattituc~, L.I., N.Y.
Street and Number .......................................................................................................................................................
MunicJpaNty
2. State existing use and Occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ........... .[.~..o.~.e. .................................................................................................................
Closzn zn ~orch ..
b. Intended use and occupancy ................ ~...~...' ...................................................................................................
10.
11.
12.
13.
Nature of work (check which appl cable): New Building .................... Addition .................... Alteration ....................
Repair .................... Removal ................... Demolition .................... Other Work (Describe) ....................
-asr ~280o.o0 ~5.00
Estimated c, .............................................................. Fee ..........................................................................................
(to be paid on filing this application)
If dwelling, number of dwelling unil ................................ Number of dwelling units on each floor ............................
If garage, number of cars ..........................................................................................................................................
6. If business, commercial or mixe~
7. Dimensions of existing structures
Height ............................ Number
Dimensions of same structure wit
Depth .............................. Height
8. Dimensions of entire new constru(
Height ............................ N~mber
Size of lot: Front .........................
I occupancy, specify nature and extent of each type of}use ..............................
if any: Front ............................ Rear .............. : ............. Depth ............................
~f Stories .............................................................................................................
alterations or additions: Front ................................ Rear ................................
............................. Number of Stories ................................
tion: Front ............................ Rear ............................ Depth ............................
of Stories ............................
.. Rear ............................ Depth ............................
Date of Purchase ........................................................ Name of Former Owner ........................................................
Zone or use district in which pre-nises are situated ................................................................................................
Does proposed construction violat, any zoning law, ordinance or regulation? ....... ~.o. ........................................
Name of Owner of premises..~:.~:, uthzll ,~ M~.ttztuck, N.Y. ~
............................ ~aaress ............................................ mane NO.
Name of Architect ......................................................... Address ............................................ Phone NO .....................
Name of Contractor..~P.~9.~..~...~eeve & Sons A~4 Mattituck, N.Y. ~- MA.9-8284
· . ................................ tess ...... ~ ..................................... mane NO .....................
PLOT DIAGRAM
Locate clearly and distinctly ali buJ dings, whether existing or proposed, and indicate all set-back dimensions from
property lines. Give street and block nu~bers or descriptJon according to deed, and show street names and indicate
whether interior or corner lot.
Closing in the present po:'ch with jalousies and sh~gling uprights.
Finishing the interior of the porch.
Placing a window box on b~ackets on the front of the do~er also a set of blinds.
STATE
OF
NEW~O~K,, ~) S S
COUNTY O,F--.-,~,~J4~:.~..~4'.~3., '
............ ~,a~l..f.~::.~%~_~..~.~,f.~.z'.~*~. ~..,f~r.z.~.~:~. ....... being duly sworn, deposes and says that he Js the applicant
(Name of individua~i~njn~ a~ ~licafion) '
above named. He is the ............. ~;.n~..~ ..... ~.,~,c:,.~L.,,.:;.~-..~ ...................................................................................................
N (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
this application; that all statements contained i~o~hi~p).~cation are true to the best of his knowledge and belief;
and that the work will be performed in the m.anne~z~p the application filed therewith.
FOR]~ NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD~ N. Y.
..........
^ppro ed .......... No .....
Disapproved o/c ........ -Z'"..~ ....................... ;"" '-~"~ ............ "~ ........................
............................... .......... -.;;::.::;:..2 ........ ........
..................... ...........
APPLICATION FOR BUILDING PERMIT
D. April ' 9
27
59
INSTRUCTIONS
o. This application must be completely filled in by typewriter or in ink and s,ubmitted 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 o detailed description of layout of property must be drown on the diagram which is port of this location.
c. The work coyered by this application may not bo commenced before issuance of Building Permit.
d. Upon approval of this oppllcation, 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 port for any purpose whatever until o Certificate of O~cupancy
shall hove been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuonoe 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 alterations, or for removal or demolition, as herein described.
The applicant agrees to comply with oil applicable lows, ordinances and regulations.
(Signature of applicant, or name, if a corporation)
M~.t%itucks L.I., N.Y,
(Address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
General Contractor
Mr. & Mrs. Raymond E. Tu%hill
Name of owner of premises .....................................................................................................................................................
If applicant is a corporate, signature of duly authorized officer.
H~rold ~. ~eve, Pe, rtuer
(Name and title of corporate officer)
1. Location of land on which proposed work will be done. Map No: Marretooka Park Lot No:
Street and Number Me. ttituok~ L~I.~ N.Y.
Municipality
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
Ho~e
a. Existing use and occupancy ......................................................... ~ ...........................................................................
Closing in porch . .
b. Intended use and occupancy ..............................................................................................................................
3. Nature of work (check which appl
Repair .................... Removal ........
4. Estimated Cost......J.~.~..:..O~... ..........
cable): New Building .................... Addition .................... Alteration ....................
........... Demolition .................... Other Work (Describe) ....................
............................. Fee ......... ~.'..0.9 .......................................................................
(to be paid on filing this application)
If dwelling, number of dwelling unils ................................ Number of dwelling units on each floor ............................
If garage, number of cars ...........................................................................................................................................
6. If business, commercial or mixe
7. Dimensions of existing structures
Height ............................ Number
Dimensions of some structure wit
Depth .............................. Height
8. Dimensions of entire new construe
Height ............................ Number
9. Size of lot: Front ........................
i0. Date of Purchase .........................
11. Zone or use district in which pn
12. Does proposed construction violat~
13. Name of Owner of premises...R...'.~.~
Name of Architect ..........................
Name of Contractor..tl..~..~..~..~:...
Locate clearly and distinctly all bui
property lines. Give street and block nur
whether interior or corner lot.
C~osing in the present pox
Fi~imhing the interior of
Placing a window box o~ bz
occupancy, specify nature and exten~t of each type of use ..............................
if any: Front ............................ Rear ............................ Depth ............................
)f Stories
alterations or additions: Front ................................ Rear ................................
............................. Number of Stories ................................
tion: Front ............................ Rear ............................ Depth ............................
of Stories ............................
.. Rear ............................ Depth ............................
............................. Name of Former Owner ........................................................
~ises are situated ................................................................................................
any zoning law, ordinance or regulation? ....... ~.9. ........................................
uthill -" ...~.~.~..~..~....~:...!..~.:~". ............ Phone NO. ~&,.9..-..8../~.~..
............................ ^aaress
............................. Address ............................................ Phone NO .....................
!.~.~.~...&....8..o.~ ...... Address ..~}~..t~..~.~..~...~.:~.? ............ Phone NO..1~..:.?..-..8..2...1~....
PLOT DIAGRAM
dings, whether existing or proposed, and indicate all set-back dimensions from
~bers or description according to deed, and show street names and indicate
oH with jalousies ~nd shingling uprights.
the poreh,
acEets on the front of the dormer alse ~, set of blinds.
STATE! OF NEVi; YORK, ) S S
COUNTY OF -..~..,.~.~.:.lL,~:'.,....) '
-1
.........
" (Name of individual signing ap
is the ......... ~..,.~...X,..L,~
above named. He
_<Lz r ,/ · deposes and says that he is the applicant
............... ~ ............ being duly sworn,
~lication)
..........................................................................................................
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is duly odhorized to perform or have performed the said work and to make and file
this app cot on; that all statements conl,~ined 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 befol'e me this J [TH£L M~~_~.~/~t~T
...~.~..~.....:;:..L day of ,. .d.,t.,6~,'.,.~,.4..l~l ........... 19.,:~../. .... ~/5~.960~5oo , (5~gnature ot appL~canb
....... ....