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Home My WebLink About578-z TOWN OF gOUTHOLD ·OWN CL2RK'S OFFIC~ $OUTHOLD, (:ER"iI,'IFICAT~-- OF OCCUPANCY THIS CERTIFIES that the building located at g~.~;...Y~.~.~..l~...~.~.~..i.~;~...~..... Street Map No ........ e~ ......... Block No....e~. ............ Lot No. ,~..,.......~ ................................................... conforms substantially to the Application for Building Permit heretofore filed in this office dated .............. ~'~..~.~.~.~.....9._: ....... 19~...9.... pursuant to which Building Permit No ....... ~..~. dated ............ ~..13 ........ , 19~.,., was issued, and conforms to all of the re~u:i~'e- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is ............................... .P.R.~A...T...E...O~..~...F.~.~..~,..~....~.N. ~ ..................................................... This certi[icate is issued to ...~..~...~.~.~....~......P.O..~.~i...~,~. .................................................. (owner, lessee or tenant) of the aforesaid building. Building Inspector FORI~I 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? 578 Z Permission is hereby granted to: Irwin A. Tuthill, a/o James I. Porter Mattituok, New York to Build an addition on existing dwelling. at premises located at Salt Lake Lane~ Mattituck~ N,Y, pursuant to application dated Februa.r~ 9 19~..~.. , ..................................................................... and approved by the Building Inspector Building Inspecto;- ........................ '! TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OmCE SOUTHOLD, N. Y. Examined ......... ~. .............................. lC)......:. Approved ........................................ 19 ........ Permit No. 2 5' 7~~' Disapproved a/c ......... (Building Inspector) Application No. 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 .adioining premises or.e~blic rstreets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part ot t.bJ~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 shah 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 Orflinance of the Town of Southold, Suffolk County, New York, and other applicable Lows, 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, ordinaneef and regulations. (Signature of applicant, or name, if a corporation) (Address of applicant) State wheth,er applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premise ~ .............................................................................. ~ ...................................... f o~p leant is a corporate signature of duly authorized officer. ............. ................ (Name and title ot corporate oTt~cer] ' ~ · ' ~' t ~ 1. Location of land on wbch proposed work w~ be done Map No: ........................................ Lo N~. ~ ............... Mun~apahty ~,, 2. State existing use and occupancy of p~e~s and intended use and occupancy o~ proposed construction: ...... ........................................................................................ b. Intended use and occupa,cy ................................. ~...~...~ ................................................................ 3. Nature of work (check which applicable): New Bu.ld.~g .................... Add't,on ........ ;...........Altera,~on ........... Repair .................... Removal .................... Demolition., .................. Other Work (Describe) .................... 4. Estimated Cost.......J....c~...~...~..~.....'~.. ........................ ..Fee ....':~...~..~....~ ....................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling umts ................................ 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 some structure with alterations or additions: Front ................... Rear ........ ../'...~.~......~ .......... Depth ......... ~i ........ Height ....... ~. ......... Nu. Lm~er of Stories ..... ,..~ ................. ' 12' /'-// 8. Dimensions of,~n~tire new construction: Front ............. '......' ......... Rear ............................ Depth ............................ Height ......... 6//'! .................. Number of Stories 9. Size of lot: Front ........... ./....6 .... Rear ............. ,7....~..'~ ....... Depth ....... ../'.~....~.. ......... 10. Date of Purchase ........................................................ Name ofv,4 ~ ~z,' ,~,~,F°rmer O~ner .............. ., ......................................... 11. Zone or use district in which premises are situated ............. ..~......".....~..:.~...~.:..~...'~. .......................................... 12. Does proposed construction violate any zoning law, ordinance or r&,g~ulatioj~ ...~....~.~ ............................. 13. Name of Architect ....................................................... Address ...................... : ..................... Phone NO ............. : ....... Name of Contractor...~'~..': .,~..'Z~..~.. ......... 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. S S COUNTY-~-~ // .-~-' ... OF.~ ,~..~.......~......~...)~x.~.~r~c~ · ............... ~Z.~....~;....Z.~.~. ........................... being duly sworn, deposes and says that he is the applicant (Name of individual~gninQ application) above named. He is the ....... ~ C~: ................................................................................ (Contractor, agemt, ~orporate officer, etc.) of said owner or owners, and is duly authorized to perform or have pe},formed the sa d work and to make and file this application; that all statements contained in this application are tru'$ to the best of his knowledge and belief; and that the work will be performed in the manner se~ forth in the application filed therewith. ELOIS~ ~ ~, Sworn to b~fom me this , / .... ' .~ ,~.. ~ .......... L. day of ...... ~:'. .... ~... ~""~'~,,~',u,' ~ / (Sgqature~pp ~) ~Z ~Z Nota~ Public, ~,.~~,...'D;~oo~,,,.r~, ao~~ * ' ' : TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUT,O, , N. Examined ....... ............ Approved ........................................ 19 ........ Permit No ............................... Disapproved a/c ............................................................................................... (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 ~ublic 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 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 ~he 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 hereir{,described. The applicant agrees to comply with all applioable laws, ordinan~ and regulations. ~ (Signature of applicant, or name, if a q~rporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises..~,~c...~<.......~...~/7' .............................................................................................. If 9~plicant is a corporate,//'' '-signature of duly authorized officer. ........ ....... (Name and title of corporate officer) 1. Location of land on wk~ich ~)roposed work will b~ done. Map No: .............. ;,......;~ ............. Lot No: ~ ............... Street and Number~' J' 'P~ ' /) ~ "~" //-- -, -- .~.~L'~./'~.(-~.~....~......~"~"?',~.~..~ .~.././~~-~ ............. i.' ............................ .................... Municipality 2. State existing use and occupancy z~~,~i~,~ntended,, use and occupancy of proposed construction: a. Existing use and occupancy ....... ~.~r.:.~. ............ ,..~: ....................................................................... b. Intended use and occupancy ................................................................................................................................ Repair .................... Removal .......~.. ........ Demolition .................... Other Work (Describe) .................... 4. Estimated Cost........~....~..~..~ ................................ Fee .....~...~.~.....'~. ....................................................................... (to be paid on filing this application) · ~ 5. If dwelling, number oF dwelling umts....~.....: .............. 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, Jf 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 .......... ~.7.. .............. Depth .....~..::~-...._ ............ ! Height ........ .~... ............... Number of Stories ....~__ ........... 9. Size of mot: Front .......... ,~....~ ..... Rear ....... 7~ ....... Depth .......~..~ .......... 10. Date of Purchase ........................................................ Name of Former OvLner ........................................................ 11. Zone or use district in which premises are situated ............. ~ ......... ~.~.....~.:~, ~,,,-,, ....................................... 12. Does proposed construction/'/vi°late any zoning law, ordinance~~/_,~.,or,,~?',~,,,,f,,~s~/,z,,,'x.~r~ulati°~:)~ .............................. 13. Name of Owner of premis~.~.~Address .~--,~.~..~,Phone NO ...... ~.. ............ Name of Architect............~.._........--.~--...--~. ~' -':"'./~z~""r,~'~,~ ........ Address ............................................ ~ -/-,~-~..~ ~ Phone NO~. ~' /--~,..¢~ ..................... 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 end indicate whether interior or corner lot. STATE OF NEV/ YgP~K,~ ) S S COUNTY..~ .~ ~// ¢-t~ _,,,,OF~~ ', ............... ,~'...~Z./.~Z......~..:..../.~-...~..~'.~/... .......................... being duly sworn, deposes and says that he is the applicant (Name of individual~ ~/L~si~ing p~plicotion) , above named. He is the ........... ~/.r~.~ ..................................................................................................................... (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 mann~ set forth in the application flied therewith. 013E ~o Sworn to befo~ me this .......... of '/