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Home My WebLink About1253-zI~OP~V~ ~0, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT 33OW~ CLERK'S OFFICE SOUTI{OLD, N. Y. CERTIFICA'TE OF OCCUPANCY No. Z .1~3.~ .......... Date ................... ~.]~.ll.....~.O. ................. 19:.~..! TH~.[S CERTIFIES ihai the building located atl~8...._peOOlrl.J,~ .~]~,y...B3[.vd ......... Street ~ap .~'o...x_~ ............ Bioc~ No ............ ~...~ot ~'Io...?.X.._i......~.a..t._t.~..t.!~?.~.t.._.~:.~... ........... conforms substantially to the Application £or Building. Permit heretofore filed in this office dated .................... .~...O-¥..O.~]2.fl~......]-..., 19..~.0. pursuant to which Building Permit No ....... .Z._.~.~...~.~ dated .................... }]O~.O.111betl?.....~., 19....~.Q, was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for Which this certificate is issued is ..1?~iva.~e...~n.e...f~m.~l.y...d~.elling ................................................................................ This certificate is issued to ....... ~.,.,~,~t.:~t ........................... Q.~/~.o;~, ........................................ (owner, lessee or tenant) of the aforesaid building. FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMEHT TOWN CLERK'S OFFIC£ SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 1253 Z Date ................ ~q .~. ?..~.~.~ r......9 ............... 19...6.0 Permission is hereby granted to: BdW..A..b..~ ?..~,....~, ./0... ~ :...A. :....~...Zt:~ .................................. .......... ~.t,.l~L~¢~,~.....~,.,t~. ................................... to .~.~.Z..d.. ~..e.w..o..~.e~ .~.~.~$.~...~w.e. lLing ............................................... at premises located at ..N/~..~e¢4~z~.~o..,~a.~...~,]:~(i ........................................................................... ....................................................... ?.~.¢. ~.$..¢. ~ .e.~¢.,.....~.,.~,., .................................................................... pursuant to application dated ................................. ]~?¢emb~..,...~.....19...~O, and approved by the Building Inspector Fee $,., ,..~...0.:..0., .0. ....... Building Inspector Memorandum from . . . . . BUILDING INSPECTORS OFFICE Tow~ o~ SOUT~tOLO TOWN H^L;~, SOUZ~O~D, N. Y. 11971 765-1802 dated 8/25/80 I'oz, $~.00. The fee for, copy o£ a Ccrtificate of Occupancy Please £o~.~a~d s~me to thc GEORGE H. FISHEE' Sr. Building i:aspecto~ encl. COMMONW LTH LAND TITLE INSUP NCE COMPANY P,O. BOX 419, 209 W. MAIN STREET, RIVERHEAD, NEW YORK 11901 WESTERN SUFFOLK 516.231 6666 EASTERN SUFFOLK 516-727-7760 August 25, 1980 TOWN OF SOUTHOLD BUILDING DEPARTMENT Re: Title No. Premises: Built Approx: Orig. Owner: Present Owner: R-945 786-S 10815 Peconic Bay Blvd., Mattituck ITGEN to ERGULEC 1974 HERBERT & FRANCES ITGEN same Gentlemen: We have enclosed a check in the amount of $ 5.00 for Certification as to whether a Certificate of Occupancy and/or Building Permit is available for the above captioned premises. If so, the date ~hereof and limitations of occupancy. Very truly yours, COMMONWEALTH LAND TITLE INSURANCE .COMPANY Title Officer KL:rl encls. District/O O ~ Section /~/~ Block ~,~ Lot O/~'~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OF~:ICE SOUTHOLD, N. Y. Examined ........... /~.......~. ........19.~...O.. Approved .................... f..~ ................. 19....~.!..Permit No. ] Disapproved a/c .............. ~~i'"'"--~ .................. ..................................... (Building Inspec'~or) Application No. / ~'~ ~' ~ APPLICATION FOR BUILDING PERMIT Date ............................... ./....7. ..................... 19 ............ / INSTRUCTIONS a. 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 a detailed description of layout of property must be drawn on the dlogrom which is port 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 o 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. ,, ......... .......................... (Signature of applicant, or name, ifa corporation) ....... ................... (Address of applicor~t) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ....................................... Name of owner of premises .......... ...~..:.../.~......./~....../.:.2.../...~../.. ...................................................................................................... If applicant is a corporate, signature of duly authorized officer. ............ (Name and title of corl~'~rate officer) ~,3 / ~ ~ %',~ c~$' ~ '~ ~ >' /rg-~'~- 1. Location of land on which proposed work will be done. Map No: ............................................ Lot No: .................... treet aha iNumDer ..... < ........ :.~;u.:..~ .......... ~.....~ ....... ~......,.' .............................................. ;': ............. "'"': .................... Municipality 2. State existing use and occupancy of pr,emises and intended use and occupancy of proposed construction: a. Existing use and occupancy ............................................................................. ; ....................................................... b. Intended use and occupancy ............................. / .................. = ........ .-~..' ............................................................... 3. Nature of work (check which applicable): New Building .................... Addition .................... Alteration .................... Repair .................... Remf;~vaI .................... 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 some structure with alterations or additions: Front ................................ Rear ................................ Depth .............................. Height .............................. Number of Stories ................................ 8. Dimensions of entire new construction: Front ........ ..o..~..?. ........... Rear ......... ..6.~ ............ Depth ...... ~..d.. ............... Height /df Number of Stories ~ / .......... Z..~...0...~ ....... Depth 9. Size of lot: Front ......../. .................. Rear ............................ 10. Date of Purchase .............. ~.:./~...¢-- ................. Name of Former Owner ..... ..'~..'..?..../(...:....,,~'.,v~.../~....~..J.~./..y'. ........... 11. Zone or use district in which premises are situated ............ ~ ................................................................................ 12. Does proposed construction violate any zoning law, ordinance or regulation? ..... ...'~..~ ....................................... 13. Name of Owner of premises..~.:.~..:...,C..~..~.._/.~! ............ Address ....'~.,.'f'..~..~/./.~£../.:?./.~'.,,/'./.:..~,.....Phone NO ..................... Name of Architect ........................................................ Address ............................................ Phone NO ..................... Name of Contractor....-/~...:..~..~.,.xCCf'..../¢.....(...~...~. ............. Address .:~~.~...~.~..~...Phone NO~,~...~..:.~.'./../..~ PLOT DIAGRAM Locate clearly end 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. STATF OF NEV6, YOItK, J ) S S · COUNTY .................... ~...~_~./.~.~.%~..~...~.~... ................. being duly sworn, deposes and says that he is the applicant (Nome of individual signing applica~tion) 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 m,ag~er ~l,~¢rth in the appli~ filed therewith., Sworn to before me this · ~to~,~li~,~st~i" eg/f~-~/ L~,,~/~.~,,~,/-'~.~' ~--rz,~' J. day of ,/.?'...~...~-.,.. ' l~).?z/'-3~,?_sulrok co,,,,r~ (S gnature of app cant) Notary Pub lc, ~,r~~z.,..~-'Sunty