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Home My WebLink About1165-zNO. 4 TOW~ OF SOUT~tOLD BIJILD~NG D~PARTMENT TOWN CLERIC'S OFFIC~ SOUTHOLD, N. CEB. T~.FIC~"~E OF' OCCUPANCY No. Z9.~2 ............. Date ................... ............. 1 61... THIS CERTIFIES that the building located at ..E/S-,..G~ove..d.r-i. ve ............................ Street Reydon Shores Map No ....................... Block No ...... ~ ............ Lot No .....9/11 ........ SottthOld.~......N....~.o ............... conforms substantially to the Application for Building Permit heretofore filed in this office dated ............... Angus.t....-g ....... , 19.60. pursuant to which Building Permit No...Z1.t(~.~. ....... ~ ~lated .................... AriS.USg..-.8 ..... 19..60, w.as issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ........... .P.~.i,~.a...%e....one...f. am~l~..d'~elling ............................................................................................ This eertifmale is issued to _.A~_~hur_.G_.T~.u~kenb~o, ld~;. ................. ,..0.~ne~. .......................... (owner, lessee or tenant) of the aforesaid building. FOI~M NO. 2 TOWN OF $OUTHOLD BUILDING DEPARTM~:NT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDIHG PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 1165, Z Date .......................... ~.~.~.~....~ .......... 19.60_ Permission is hereby granted to: Fred L. }~o~.e.....~'~..-~-'0h~-.~,....~ue~.en4~re.~.~.. ........ ~at ~i~k. ~.....t~.,Y-, .................................. to Buil&..e~.. a,:ic~i~£o~..oa..~...e~ ~.~lz~.. ~.e Z&t:~ ......................................................... at premises located at ...LO.~;...~-.~.~.....b.~o¢.~...}[.....~.e~r~.~..~o~..~ .......................................... .............................................. S~ct ~.ho'~d ~' '" "N ~':~ ............................................................................... pursuant to application dated ........................... ~.%~.~S.~.....~. ............... 19..(~0., and approved by the Buildin~ Inspector Fee FORM~ NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved.: .................................... ~.. 19 ........ Permit No .............................. APPLICATION FOR BUILDING PERMIT Application No. t [ ~ ~ August 5 Oate ............................................................ °. ..... INSTRUCTIONS a. This application must be co,mpletely 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 Jn part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building InFpector. 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 ali applicable laws, ordinances aD, b/regulations. ,,~ (Signature of applicant, or name, if o corporation) Mattituck~ New York (Address of applicant) State whether appficant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Contractor Arthur G. Truckenbrodt Name of owner of premises ..................................................................................................................................................... If applicant is a corporate, signature of duly authorized officer. Section H. 1. Location of land on which proposed work will be done. Map No: ..~...e.~...d..°..~...i.~-~.°..r..e..~. ............ Lot No: 9..~..]r..~....Jz..~...q.1' Grove Drive, Southold, New York Street and Number ............................................................................................................................................ Municipality 2.State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...... .Q~..e....~.J:~....,!q~..J:..~...~..~...e.....~..~..e...~..~...$.~l'. ............................................................ b. Intended use and ~ccupancy....~.~e....~.a...~..i..~.~.~.~..&.z.~..~.e....~"e"~:.~..J~..~...g.....~../...a.~..c1:~P.~ ............................... 3, Nature of work (check which applicable): New Building .................... Addition ...,XX ........... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost....'~..]:..~..*..0...0..0..:..0...0. .................................. Fee ....... .$..5.......0..0. ....................................................................... (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......Z!..°...13.,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 ........ 3...2..~. .............. Rear ......... .3..2.~ ............ Depth ...... .2...0..a. ............... Height ............................ Number of Stories ......... .1. .................................................................................................. Dimensions of same structure with alterations or additions: Front ............. .5...2..a, ............ Rear ....... .'~.~ .................. Depth ...... .3...2..~, ................. Height .............................. Number of Stories ..... .-1:..ti ...................... 8. Dimensions of entire new construction: Front ....... .2.0..~. ............... Rear ...... ~.'. ........ .2..0..~. Depth .....3..2..! .................. Height ............................ Number of Stories .... ..1..~. ................... 9. Size of lot: Front ......... ~. ............ Rear ........... ?...5..5..~, ........ Depth ....~..5..'/..%0..a.../..2..~.5.~'5' 10. Date of Purchase ..~..~..Jr..°..r.....~.9...~..9..5.~ ....................... Name of Former Owner ..~..m...i..t:..h.. ......................................... 11. Zone or use district in which premises are situated ~.~'..A..~.~...~.e.~.~..~:..d..e..n...~..~.~....-..~"A.cJ.~.:~r..~.?:.~...~.~..~..a.~ ................... 12. Does proposed construction violate any zoning law, ordinance or regulation? ....~...o.... .......................................... 13. Name of Owner of premises..A..z.~...u~..~.?..~....?...~..~..?..k..e..r~[pe~t...~..R...e.¥.~..~..n....~.~..r..~.t..~.~ ..................... Name of Architect ........................................................ Address ............................................ Phone NO ..................... Name of Contractor...P...~..e...c}...~:.....~..°...°..r...e. .................. Address ...M..a.~.~..i...t:..u...c..k..4....gJ'...e..~.....¥..°.~tone NO ..................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street aud block numbers or description according to de~d, and show street names and indicate whether interior or corner ~t. /fi_Dr'/ STATE OF ~EW _YOJ~[~, ,, S S. COUNTY O~ ..... ~.u..~.z..o..~.n.. ...... ................. ., be ng duty s,~,orn, deposes and says that he is the applicant (Name of individual signing application) Contractor 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 tMs 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 /UDITH I. BOKEN 5th ~ ~ august ]~?t~OPubhc, State of New York (,~'i~natur~ of 9f~licant) uay o. - ........................ -..~ .... ,...,~ ....... /~.~)~,~./] :'~'.'T2~3~4963, Suffolk County ~"-f" //~ . ,,J,-/.~ ~.~--~.~-?~;L~,W'./~J]~t~'~o~n Expires March 30, 19~;/..~'/7 /? //~/ Notary Public, ~:&...~... r..~./.~.~...*ounry