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Home My WebLink About826-zFOEI~ NO. 4 TOWN OF SOUTHOI.D BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY · No. Z~62 Date December 18 19...5.9 THIS CERTIFIES tha.t the. building located at .~.8....Sc~d.A~e..&.P. acifl~..~.t ............ Street Map No..~ ............. Block No......x.~ .......... Lot No..:~..,.......~;...t¢~.u.~k.~....~.:~.,. ........................ conforms substantially to the Application for Building Permit heretofore filed in this office dated .................... ~.e~.~RtJ~X'. ... ;I, ............ , 19.5.9..., pursu,o'nt to which Building Permit No ..... ~..1~;~6 ............ dated .................... ~..tc.~..~h~.~.....~5 ... 19..5~)..,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 ................ .................... ~ .e..t..~..e..~..e...~ ,t..z~t.n.~...-...~.z..t..o...~.e.. ,~....e.~..r..v..t..~..e....e.~ .t..o.~ .................................. ~ .... This certificate is issued ~,~ Lewis Griffi~ Owner (owner, lessee or tenant) of the aforesaid, building. FOI~M NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT N? Permission is hereby granted to: (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Dote .......................................................... 1c) ........ ............. ~.¢.tit~ck,....N..~ ...................................... at premises located at .~.~.....,~.~.tt~..~.~.~..~/.~...P.~.~..$.e.....~..t. .................................................. ........................................... ....................... pursuont to application dated ........................... ~p~be~....], .............19~9....., and approved by the Building Inspector ¢ 10,0p ~ -check Fee ........... ~ ..... Building Inspector \ FORM NO. 1 BUll.DING DEPARTMENT SOUT.OL., N. ¥. E×am ned ....... Approved ....................... '..'. .............. 19 ........ Permit No. (~ Disapproved a/c .............................................................................................. Application No ..... .~.....~.....~. ........... (Building Inspector) APPLICATION FOR BUILDING PERMIT 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 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 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 alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances and regulations. Lewis Griffin (Signature of applicant, or name, if a corporation) Bay Ave, Mattituck~ N.Y. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. owner ..................................... Name of owner of premises ....... ~.~w,t,~..~R,~.$~. ................................................................................................................... If applicant is a corporate, signature of duly authorized officer. 1. Location of land on which proposed work will be done. Map No: ........ ~ ........................... Lot No: ....~ .......... Street and Number ..$Z'..$...~9.t~c~.~,~.~.~..~.~.~..?.9..q~.q,.~,.t,.~ ....... ]~t4~,.t.~9.]~....~;.~.'. .................................................. Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: vacant land a. Existing use and occupancy public garage b, Intended use and occupancy 3. Nature of work (check which applicable): New Building ....... ~ ...... Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost......~...~..0.~....0~... ........................................ Fee ..~.~...0.t ................................................................................. (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 ............................................................................................................................................ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use..~.~.~.~..e..~...~. ........... 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 ........ ~ ................ Rear ......... ~ ............... Depth ....~.0.......~. ............. Height ............................ Number of Stories .....o.B.e. .................. 9. Size of lot: Front ......,1~8.o.8.c). ......... Rear ............ ~?.. .......... Depth ...~/...~c).c) ......... 10. Date of Purchase ....... ..~.~.$......~.c).~.~. ............................ Name of Former Owner ........ ~9..}~...(:...~..~l~,~g ................ ! 1. Zone or use district in which premises are situated ........... .~..~...~.....i~e~0.eee .......................................................... 12. Does proposed construction violate any zoning law, ' ordinance or regulation? .......... ~..o. ...................................... 13. Name of Owner of premises.......~...?.~.~...9~..~...:i:~ ........ Address .......~...t.~.q.~.. ................... Phone NO ..................... Name of Architect ........... ~.o...z~...o...~...$...b~...e.~...~. .................. Address ......~.e.~g.o.~.¢. .................... Phone NO ..................... Name of Contractor.......~.~.i.~..~.~.:4~ .................... Address ........ ~f~.C.~.~L¢.~:. ................. Phone NO ..................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property ~ines. Give street and block numbers or description according to deeclq, street names and indicate whether interior or corner lot. See filed plans 74c., ,r,c... salys that he is the applicant STATE OF NEW YORK, ) S S. COUNTY OF' ....~,~n~l¢ ..........) ........................... ~ ............ ~..,Dz'J~EzD~. ....................... being duly sworn, deposes end (Name of individual s,gn'ing dpplication) ' : above named. He is the ........................... .o...'~.~.-...gg~t,,=~..c;.ti,.92 ............................................................................................... (Contractor, agent, corhorate officer, etc.) of said owner or owners, and is duly authorized to perform or hove performed the said work and to make and file this a licotion; that all statements contained in this application are true to the best of his knowledge c~nd belief; and t~aPt the work will be performed in the manner set forth in the application~filed therewith. Sworn to before~rne this -- ' // ~ [1~/ 7/ . ................. /..... day~_of .... ~.. I~. ....... ~ ?, ~ature dt/appliC'cl'nt)// I~lntnr~ D..hlie ~.~~ . ~,~otary Public. State of New Yo~ ...... · ...... ~ ...... ~ .................. ' No. 52 034496? Suffolk. FORM TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Exom ned .......... Approved .................... L..~. ............. , 19.._:i..Permit No. Disapproved ~/c ........................................................................................... ................. .......... ......................... ........ ..................... ............................ 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 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 15 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 alterations, or for removal or demolition, as herein described The applicant agrees to comp y with a I 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. Nome of owner of premises ...... ..%~.~. ........................................................................................ f app cant s 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: ~ Lot No:.....~... ............ Street and Number~../...~..~..~..~..;.....~/../..~....~...~...~c..........~....: .......... ~.~~ ....................... Municip61ity 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .......... .~.....r~....~...~...~...~. ..................................................... b. Intended use and occupancy .......... .~..~..~...~=..........~....~m..~,. .......................................................................... 3. Nature of work (check which applicable): New Building..........2~/~'- ..........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 ............................................................................................................................................. 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 ......... ~....o. ........... Rear ........ ..~....o.. ............ Depth .....~...g. ................. Height ............................ Number of Stories........O~...~ .............. 9. Size of lot: Front .....~.F..(...~...'..?.. ...... Rear ....... ~...~.? ........... Depth ...J..~..~...~...~..?..~ ..... ,0. Date of Purchase .... ........................ Name of Former O. ner ............... 11. Zone or use district in which premises are ~it ,nt~H '~ ~ ' 12. proposed ' .... any or > ............ ~/~' Does construchon vmlate~ zomng law, ordinance regulahon ,~.~..... 13. Name of Owner of premises.....~....'.:~ .......... Address ......~.~ ............. Phone NO Name of Architect ....~..'....~.~. .................. Address ....~....:....~ ........... Phone NO ..................... Name of Contractor ~, ~ . c'~,~,~, ........................................ Address .......................................... Phone NO ..................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposeq~,,qnd indicate all set-back dimensions from property lines. Give street and block numbers or description according to cliP, and show street names and indicate whether interior or corner lot. STATE OF NEW~YOP~I~ (~ .~ ) S S COUNTY OF ...~.%~...) ' ' _ ............................(~//?..; ............... ~....~ ........ ~ .......................... ' be ng duly (Name of individual signing application) sworn, deposes and soys that he is the applicant above named. He is the ......................................................................................................................................................... (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 ........................ day of ........................................ 10 ............ Notary Public, . ......................................................... County (Signature of applicant) cO T L'LLr~ _ :I i'I '.) T: .6 .-.6 _OLd- ~ At'l ~_ot..~ SOUND .,.. ~ 7'7'~ 3i 'E ,NVEN UE. No~-r~ ~.. So0T~ -- iTK~, ~ ~©T JoB 5q-~ 5' GH ~, 2_ JULY F~ONT FLEV&TI ~/l, P./!,,,G E. FoR ['¢, A,-F'T i 'TUc. K',,~ L,T_.)