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Home My WebLink About748-zNO. 4 TOWN OF SOUTHOLD BUU. DING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, lq. Y. CERTIFICATE OF OCCUPANCY No ........ ~..,5~.2 ..... Date ................................... ~,~1...6..,,, I~D. .... THIS CERTIFIES that ther building located at .f~/.~l...~..O..t~.c~...~.~.~g.~.,....~.~..~...~.~.l,l..~..~.. Street Map No. ~*~ Block No. *** Lot No. *** conforms substantially to the Application for Building Permit heretofore filed in this office dated ....................... ~.~...~.....2. ................... , 19...5.~.., pursu.ant to which Building Permit No...~..?.~.~. ............ 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 ......... .~ ...... PRIVATE ONI~ FAMILY DWELLING This certificate is issued to ....~...~.~..~..e..~....&...~.@.g'..~h~...~..e..~.~9..~..e....o.~. ............................ ', ......... (owner, lessee or tenant) of the aforesaid, building. Building Inspector HOWARD M. T~RRY FO~ 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? 748' Z ~at~ ...................................... ~t;~'..,2 ..... 19...~9.. Permission is hereby granted to: .~,b.~o~...a~...~.t.h~..B~.ge. tq ................... 'l]o~t~ .. ~¥~-:~ue .................................................. "Na'~ 'l;':t t~a~:i' ' '~ew '. ~r_~'.~ ................................. to build addi~ion o~ existi.~.g, dwetl.i.p.j~ et premises located at /.~...~. L~,~..~V~T~,~...~&%~ti~.~e~,...N~..~Ork ................................... pursuant to application dated .................................... ~v~.~..~ ............. 19...~., and approved by the Building Inspector Fee Building Inspector .................... WILLIAM J. CLARK ATTORNEY AT LAW December 8, 1982. BuildinE Department Town of Southold Main Road Southold, New York 11971 Re: BERTHA BERGEN Sound Avenue Mattituck~ N. Gentlemen: In accordance with our tele- phone conversation, please send me a copy of the Certificate of Occupancy issue April 6, 1960 for the above captioned. Enclosed is my check in the sum of $I.00. Thank you for your cooperation herein. WJC:MC Encls. Very truly yours TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ............. /.~......c~... I pproved ....... :~'...~..c~, 9...~ermit No .... : .................... Disapproved a/c ...................................... z::.T:.: :~..~..~. ..................... .~. ........... (Bui Iding Ins'~'i~i ...... APPLICATION FOR BUILDING PERMIT INSTRUCTIONS o. This application must be completely filled in bv 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 drown on the diagram which is part of this location. c. The work coYered 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 the premises available for inspection throughout the progres~ of the work. e. No building shall be occupied or used in whole or in port for any purpose whatever until a Certificate of Occupancy shall have been granted I~y 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 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 all applicable laws, ordinances and regulations. (Signature of applicant, ;'r'~;~'e~, ~'~';;;~;;;ti;n) ............ (_ (Address of cpplico~) ~ State wheth.er applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of prom ses ............... ~ .... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Location of land on which g, roposed wo,~k will be done. Map No: .......................................... v Lot No: ..................... Street and Number ..~.~...~.'....~..~.~,..~~~,~-,~.._.,.~ .............. Municipality State existing use and occupancy of pr. cruises and intended use and occupancy of proposed construction: a. Existing use and occupancy ........... b. Intended 3. Nature of work (check which applicable): New Building .................... Addton ...................Iteration .................... Repair .................... Removal .................... Demolition .................... Oth~r~b'or k (Describe) .................... 4. Est.mated Cost ............~...~./....~..z....'~.. ............ Fee .....~..~.~....~.......'~...... ............................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ........... ,.~ ~ ~ ~-~-~ ~ ~ ,,Z'~i'''''/''' ........... N~T~ber of ~)ve[li~/~l units on each floor If garage, number of cars .......................... ~.~.....-Z...~¢.~.~ ............................................................. 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: Frbnt ................................ Rear ................................ Depth .............................. Height .............................. ,~--Number of Stories ................................ 8. Dimensions of entire new construction: Front ........... .~'.....(~.. ........ Rear ............. ~...,.~.. ...... Depth ............................ Height ............. .,~'.... ........ Number of Stories ..... ./. .................... 9. Size of lot: Front ........... ~ ...... Rear ............... .~........ Depth .......... ..~......~...~.... 12. Does proposed construction v,~ any z,°~9~J~,~t'~,~/law' ordinance ~.~la~_,~,~.~..¢~.... ............................. 13. Name of Owner of premises.~,~~c'/A~dress ...... ..~.~;~.~¢~:~.~¢~,~-~.~one__ NO ..................... Name of Architect ...................... .................. ....... O' . ',, ..,i.i..iAddi~s.~ .................................... ,,~...Phone NO ..................... ........ , ,Locc~t¢~ ~glRor, iy ,and, ldi.stl,n~lyi all butlc~ ngs, whether ex istlngor prqRose~, and.mdmcote ali. set,back. ,dlmeq~ons from pr~'~t~/3i~es Gif~ :siFee~'b'nd' blo6k' r~urnbers' or descri'ptio'n accord ng to deed, and' show street names'and indicate whether interior o~ co~er ~lbf..' ' ~-. ' ..~ ........ ' ~ ' ~"' ' ' '. ..... ' '" STATE OF COUNTY OF ~.~/~/,~/~,~,~, ._,...~..~._. ~' , . ........ ........................ ~..~..~uly sworn, deposes and says that he is the applicant above nome& Jll?~is the .................... ~.: ..................................................................................................... :.. ~ '~' ~.',', ~;:: ~ ." ,'~ ~ .... "' ' , (C~ntractor; ~gent, cor~o~ate officer, etc.) ' of said owner or owners, and is du~y authorized to perform or have performed the said work and to make and file this applica~ion;.th~¢'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.~e this ~ ~ ~. ~ . ',~' , ~.e, . ' ............ ~ °t "K~'"7"~19"~/' ,U,,," T, Bo~(S?~ature of apphcant) // ~.~ ~ [~_ ~/ . ~ ~ , ~otary Public, State of New ~orK Nota~ Public~,../.l*.*~'"~No. 52-0344963, Suffolk County FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. y.~ Aj~pra\;ecJ ......... ~.:.'~.~.....o~...19...~...~.Permit No ...... ...~....Z..~,, ..~... Disapproved a/c .................................................................................... ~..~--- ....................... ~"zz~' :: ........... ~.: .;..'.. .~ ....................... ~ ..... . .~z:...77. .................... Application Nc~ ........ APPLICATION FOR BUILDING PERMIT Date ........................... ~fi~ .~m ~?: i .. 1 c),.4~...~..' 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 dlagram 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 issuanoe of a Build~ng 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. (Signature of appl cant, or no~J a corporation) ............ ...,... ( (Address of applicanf) C~./ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, eJectrician, plumber or builder. of owner of //~ ~"~' ~'' "" ~ ' '~ ~'" ~' Name If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Location of land on which 17roposed woz[k will be done. Map No: ........................ u ................. ? Lot No: .............. Street N,mbe ................ State existing use and occupancy of premises and intended use and occupancy of proposed construction: b. Intended use and occupancy ........... ~,~.. .~Z~,~ Z 3. Netu~:e of work (check which applicable): New Building .................... Addition .............. AltefQtJ0r~ .................... .Repbir ....................R~oval .................... Demolition ....................Oth~¢/~o r k (Describe) ; -¢C2 -; .................... 4. Estimated Cost .............. ~ ................... /. ......... Fee ....... )'~' i~'; I~e ~'~id on filing this e~'~li'~;~i;~i .... ! 5. If dwelling, number of dwelling units ................. ~... ........... Nu/~nb_~.z)f d)vellirj¢ units on each floor ............................ f garage number of cars ............... ~l~.. '~..~,.~..~,~..~"'-~' '~-" .......................................... 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: Fro~t ...................... Rear .............~.~ ...... Depth ........................... ..............""~."' ........ Nu~er of Stories ...... ~. ...... Z ......... Height 9. Size of lot' Front '~ ...... Rear ................~:..~... Depth .......... ~. 10. Date of Purchase .................................. ; ..................... Name of ~rmer¢~ ~ ~Owe¢ ....................................................... ]2. Does proposed construction vig~ any zom~/¢~, law, ordinance ~r re~lati~., ......... ~ ........................................ o, of ....... ..................... Name of Architect ........... 0"* ......; .............................. ASdress ..... ,.....~ ....... ~.~ ........ /...Phone N~ ..................... Name of 'Contr~cfor...~.'-~ ..................... ~ ~' ~- ¢'''~'' ~7~daress ..~ .~ ,ocete clbe~ ced ¢,i~gncti.y,att:, bdi d ngs; whether ex st n9 er propese¢, and. lac cet~ al setdboc~(, ~i~eusions f~om property lines. Give street a~¢ block numbers or description accorc whether interior oPl~f~&e'~¢~l~'.''''~ h; .}~,,~:~.,,', ~ ; . ...... ! n,g to deed and sho~w, street names and i~dicate STATE OF NEW~,Y_z~J~,~f/~.)~.~S S COUNTY OF ,~.~ ~bove no~ a th~ ~ ..... :"e ............ '~ ........................................ ; ........ " ............... : ......... ~ .......... r ~ ~,~--*w..~,., , ~5'~"~;tr6etbr, a,ent, Corporate 'Offmce~,' etc.) of said owner or owners, and is duly authorized to perform or have performed the said wo~k and to make and file this"ap~licatldfi;"that"all'~tateme~ts contained in this application are true to the best"6f, bm' kdowledge and belief; and that the work w be performed in the manner set forth in the application filed therewith. .......... ....... ~0[[~SJgnatu re applicant) " ¢ · , '.,¢._' ~' '~ ~ ¢'~ ¢ .~...?°tary Public, State of New York NotaW Public,,,~,:;J~.~..:.M'X, ....... ~...,~...:.....~.~.~..~...C~unt~o~5~-o34~6~,~s~,~,,?~