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Home My WebLink About628-zFORM NO. 4 TOWN OF $OUTHOLD BUILDING DEPART/~ENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No ..... Z...3E~ ......... Date ........................... A~t{~%... ~ ...........19..~¢).. THIS CERTIFIES that the building located at.....~//~.~'~..~zLe~'..D3'$v$ ........................ Stree,t Map No......~...{~.9.~ ........... Block No..;~ ................. Lot No..~ ....... ~.t,.~zLt~c~....}.~,Z, ..................... conforms substantially to thc Application for Building Permit heretofore filed in this office dated ........................... ~p~.fl.....E, .......... , 19..~.., pursuant to which Building Permit No ...... ,~'.(~2~ ............ dated ...................... ~,~3~,~,],....~, ............... , 19..5~.., was issued, and conforms to ail of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is .............. ................. ?.~.$~..~ue~..f.~ily...~elll~ ............ ~ ............................................................................ This certificate is issued to ..... ~.*..~.~'g~3~.~ .................... ~e~). ....................................................... (owner, lessee or tenant) of the aforesaid building. Building Inspector 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.o 628 z Permission is hereby granted to: A, Reitly & Sons~ Ina. ~f/'~'"A';'"C;,'" Rovol~ ~ ....................................... ................................. to build a private one-family dwelling at premises located at Westview Drive~ I~tso 2~ & f~ Mattituek~ New ~ork ............................... ?..?..~...~,.A..,,,~. ................ ]9...~...?.., and approved by the pursuant to application dated Building Inspector Fee $ 10.00 -~.>J ,.:,_, . ¢'~ ..,' :.. ,. , Building Inspector Howard Mo ~err¥ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLDI, N. Y. Approved ........................................ 19 ........ Permit No. 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 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 pu?pose 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 Sou'thold, 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 applicable laws, ordinances and regulations. · :,:,.:. (Signature of app~c'ant, or nam , ' a co po a 'on) .................. .................... (Address of applicant)~' State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises· ..,.~......,¥.i.:.,.K.~~. v .................................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which proposed, work w, II be done. Map No: ............................................ Lot No: .~.'...~......~ Street and Number ..//-'~~.~..../~,,~ ....... ~~/~g/..~.. .......................................................... Municipality 2. State existing use and occupancy of p~emises and intended use and occupancy of proposed construction: a. Existing use and occupancy ........... ~...~-~--~... ' . .~~.4~/~ ............ ;~. ......................... ; ................ ~ .............. b. Intended use and occupancy ......... .~../.~.'.~......~.~_~..~E~z.~~//'~ '~ .......... 3. Nature of work (check which applicable): New Building .................. Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .......... ~,......Other Work (Describe) .................... 4. Estimated Cost ...... "~..~..~x~.~...~,......~.. ........................ Fee.....'~'../...~.,.....c~... ....................................................................... (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. Dimens,ons of ent,re new construct,on: Front ...... ~...-./~...." Rear ........ .¢......~.... Depth .~..." ........... Height ....... ,~,~... ............. Number of Stories ................. Size of lot: Front ........ . :./....~... .......... I~,ear ..... .~...~ ..........Depth ...../...~.....~...~..'~. ..... 9. z.~m..-~.... Date of Purchase ...... ......... ....................... Name of Former~Owner 10. Zone or use d,str,cti( ir, n wh,ch prem,ses are s,tuated ..................... ....... ,~,c~¢w~..,.z..~'.~ .......................... 11. Does re osed'constrUction violate any zoning la , ordinance or regulation ..... ............. ............................... 13. Name of Owner of pr d ress...~./'.~/.~l~O ...... ..-ZT.... ......... Name of Architect.....~~...~..~....~....L. Address ............................................ Phone NO ..................... Name of Controctor..~..:~..~..~~ddress ....... ~~one 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 and indicate whether interior or corner lot. STATE OF NEW,~.P,~.~,m/~). S S · ....................................... ~ .................................... being duly sworn, deposes and says that he is the applicant above named. He is the ........................ ..c.~:?~..~~. ..................................................................... ~..~ ............................. (Contractor, agent, corporate officer, etc.) of said owner or owners and is duly authorized to perform or have performed the said work and to .mal~e and file this application; that all statements contained in this opplicatbn are true to the best of h~s knowledge and belief; and that the work will be performed Jn the manner sjl~,f;,o~rth in the application filed ther~th. Sworn to bef~e me this ~ ~b~;~.~O~ ~ ~ ~ln ~ate of ' - - . ~ ~ . ............ ~.. d~ o~ ............... ~~,~ ~ TOWN OF SOUTHOi. D BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ExamJned.....t.~..[?..:;:.:: ....... ~.~"~' ....... 1 19.....~..Permit Approved ........................ .............. No..~..~..~: ..~' ....... Disapproved a/c .............................................................................................. ........................................ ~:~.~L ~ ......... ~T( ........... ~.~ .............. ;~;T~ZT;~ ....... ...................... ~'6'i'l~'i¥'i~;¢;~f;~)'[ .............................. / Application No .......~¢ .................... APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be campier, ely 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 port for any purpose whatever until a Certificate of Occupancy shall hove been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Deportment for the issuanoe of o Building Permit pursuant to the Building Zone Ordinance of the Town of Sou'thold, Suffolk County, New York, and other applicable Lows, Ordinances or P~egulotions, for the construction of buildings, additions or o Iterations, or for removal or demolition, as herein described. The applicant agrees to comply with ail applicable lows, ordinances and regulations. .......... (Signature of appl~4'ant, or name, if a corporation) .................. ..................... (Address of applicantY' State wheth,er applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ......................... .......................................................... Name of owner of ~'~ /~ ~/~ ~ premises ......... ,.....:... ,~........ ,. ~..,~....~~ ........................................................................................ 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. Map No: ............................................ Lot No: Street and Number .. Municipality 2. State existing use and occupancy of pr,emises' and intended use end occupancy of proposed construction: a. Existing useandoccupancy...........V..~/~.~.~c..~..~C~:.~.~r~¢,:{~~., A,~ z .............. , ............................ .. ............ ~ .............. b. Intended use and occupancy .......... ~'~...:....~~.~/.~'.~.~-~7--//' "~'/~ ........... 3. Nature of work (check which applicable): New Building .................... Addition .................... Alteration .................... Repair .................... ~,,emoval .................... Demolition ......... ,,~. ...... Other Work (Describe) .................... 4. ~srima~ed Cost ........ ~.:..:,x. ............................................ ~ee .......................................................................................... (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 same structure with alterations or additions: Front ................................ Rear ................................ Depth .............................. Height .............................. Number of Stories ............................... 8. Dimensions of entire new construction: Front ...... .~...¢~.~. f.,.~.. ;.' .... Reef ........ 2~..5......~.. ..... Depth ....... Height ....... ../...~..-.... .......... Number of Stories ........ ~.. 9. Size of lot: Front ......... ~.~../~'~9-~J~eor ..... ../.....~...?.. .......... Depth .....L ..~...~....'~.....;. , ./~ _ 10. o ~ of Former O er Date of Purchas ............... . ......................................... Name , wn~2 ~_ ,/"'"'"'~'""~'""':~"~'"'"~'~'"< 11. Zone or use district in which premises are situated ................... ~....!....,/~.G~.-'T.~.-~.'~ ........................... 12. Does proposed construction violatez~, ,-'~ ~,~/'J('~-"any zoning I~w,, ordinance or regulation?,'~ ~'~,'~;~-:~' ........................... I3. Name of Owner of premi%gs...K~....>...~-'.~.~.....~'..~.'.CAddress ..~..~-:~4-.,~'...¢r~..:.'./.../...%P~°ne ~,10....;;:: ............. Name of Architect....~.'~....~r~;..~:~, .,~..z.c.~:...~'~...~.......'~..Address ............................................ Phone NO ..................... Name of Contractor.~...'../..~...~....Y~..~:~.~.'.~.~'.~Address ...... ~.~..~~__~hone NO ..................... 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/~.OP.~K~ .../) ) S S COUNTY/--OF ~.~. '~./~." .~..~./.6-.~ ' ~~.~-/ bena du sworn de oses.and sa s that he sthea cant ...................................................... ~ ...................................... _ Y , P Y PP (Name of individual sig~n~pp~c~on) 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 app cation; 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 ~nne[~ fgrth in the application filed therewith., Sworn to ~e~re me this ~e, ~OWa~ ~2/' ~r ~.) ~ f L~ o.. ' (~ nature of a ~ant) .......... ~. ........ ~y o ,. ............~'~~oo ~ g ' PP Nota~ Publi~~...~~....~Y , ~9 ~