The URL can be used to link to this page

Home My WebLink About1164-zI~OR~ ~0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CL'ERI('S OFFICE $OUTHOLD, N. 'Y. C~-RTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located atW/~S..L~.i~.~...:E...]~.~ ....M..a.t...~.~t...u.g...k Street .,Capt. K~dd ~4~t~ *** Lot 113 Map .~o ........................ 5lock No .........................No ...................................................................... conforms substantially to the Application for Building Permit heretofore filed in this office dated Au.g.t~St 4 , 19~.. ...... pursuant to which Building Permit No. Z 1164 dated ............ .A...t}..~.~....4. ................. 19.6...0...., was issued, and conforms to all of the require- merits of lhe applicable provisions of the law. The occupancy for which this certificate is ,ssued is ............................. ~R~VAT~...0~.. ~A~T~Y...D.W~./~.T~.~.N.q ..................................................... This cert';ficate is issued to .T'~g;T/P~.~ N.~..~D.~ .~....w~....e..~.. ...................................... (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 (THIS PERMIT MUST BE KEPT ON THE PREMISES uNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 116 t, Z Date ........................ ~.!,~8.~ .... ~t, ............ 19..60. Permission is hereby granted to: P&F ~uil~ e~. ~,... · ~/-~ .--~-ho~a~ -. ~ot~ ............................... ...Mat-citu.ek.~......N;. T~. ...................................... to ...~ui.td...a~..a~d.i.~ion...ot~..~,r.~i.s ~T~g.. ~w~3:i.i~ ...................................................... at premises located at ...]~o.t..~.].3.....(~.p.l;..Kj..~.~,..~,~,t;.~:~. .............. : ......................................... ..................................................... W,/D"D~t~er's --Ro~d ..................................................................... ............................................................................................ M~'~1~'d~ ............................................... pursuant to application dated ........................ ~%1~$t ....... ~ ................ 1~..60., and approved by the Building Inspector Fee $. ~Iz,.OO ............. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ....... ..~.~.:.....~...... k ......... 19 ........ ^ roe - pp v d.~- ...................................... 19 ........ Permit No ............................... Disapproved a/c .................. 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 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 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 a Iterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances and regulations. (Signature~f applicant, or name, if a corporation) Bungalow Lane, Mattituck, New York (Address of applicant) State wheth.er applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Contractor Thomas Nolan Name of owner of premises ..................................................................................................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and tide of corporate officer) 1. Location of land on which proposed work will be done. Map No: Capt. ~t,-,-]cl ~.st-.. Lot Nol.'l.,.3.......*..*.?.. .... Street and Number w/s Luther Road, Mattituck, ~ew York , Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy......O.~?.....~.~..~-Jr..~....~.e...~..~..~'. ................................................................................. One family dwelling w/ screened porch b. Intended use and occupancy ................................................................................................................................ property lines. Give street and whether interior or corner lot. 3. Nature of work (check which applicable): New Building .................... Addition ......~.- ........... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... $850. O0 -~ ~ ~5.00 4. Estimated Cost .............................................................. Pee .......................................................................................... (to be paid on filing this application) f 1 5. If dwelling, number of dwelling units ........... .1. ................... Number of dwelling units on each Ioor ............................ If garage, number of cars....°..~...e....~...~...~.~...~.....a:.~.~.~..c..~.,e..~ .......................................... : ................................................. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .............................. 7. Dimensions of existing structures, if any: Front ........ ~¢i ................ Rear ....... .2..6. ................. Depth .....2..4..L$.6. ............ Height ............................ Number of Stories i ................ Dimensions of some structure with alterations or additions: Front ......... 2..6· ................... Rear ..... ..2..6. ...................... Depth .......3..~. ................... Height .............................. Number of Stories .............1. .................. 8. Dimensions of entire new construction: Front ....... .31...6. ......... ; ...... Rear ...... .3....6. ................. Depth ......~..2. ................. Height ............................ Number of Stories ............................ 9. Size of lot: Front 81.69 Rear 80.0 Depth 145.09/128.58 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ .... "A" Residential and Agricultural 11. Zone or use district in which premises are Slruarea .............................................................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation? ....~...o. ............................................ 13. Name of Owner of premises.~,O~%lt..~i¢,l,a~ .......... Address %l.t'lr~er...~.a.,.,...~&ti~ii.l~e NO ..................... Name of Architect ........................................................ Address ............................................ Phone NO ..................... Name of Contract~....~...~..~'.*..,i'~.1'~.~.e~.~ii...&~...~.~.~;r~z~..~a.t~`t~ck.~&...8~.~J~r'~D ..................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate ell set-back dimensions from street names and indicate block numbers or description according to deed, and sho~ /& STATE OF NE~Z Y~OzRK.,, ) S S. COUNTY OF ..~.~...z.~.o....J~.,. .......... ) :, ................... ~'~03~1~1.~ ~.,l~.~;k~' ..................... ~. ........... being dRly sworn, deposes and says that he is the applicant (Name of individual signing application) above named. He is the C9~.~ ................................................................................................. ...... (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 aFe true to the best of his knowledge and belief; and that the work will be performed in the manner set ~jth in the application filed therewith.