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Home My WebLink About1531-zTOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at W/~.....(}~aI~L.$.1¢,~ .................................... Street Map No. ~I, SDXL ......... Block No....~,X,XX .........Lot No....~L,XXX ........... ~a.~,~;fl ~;10,e,l¢, ...................... conforms substantially to the Application for Building Permit heretofore filed in this office dated ................................... Al~gl,~'~ ....... 28....., 19.6],.. pursuant to which Building Permit No....Z~.~,. dated ............................. JLla~t~;.....2,8., 19..6:L., was 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~.l.v.a.~.e...~r[e... ~ly... &~ell ~ ................................................................................... The certificate is issued to ..~,...~f~J, llY...~C..~.Q~a..IP..0. ................... 0M~.~I~. ................................ (owner, lessee or tenant) of the aforesctid building. H.D.approval by R.Villa~ July 18th, 196~ ....................... '"" .............. ! , , FOI~i~I NO. 2 ToWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S O~:F]CE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 1531. z Dote ................... A~us~ ...... .?,8 ............ 19.BL. Permission is hereby granted to: &,..~.£Tt.l,~r.. &.. ~,oz~Z~C .................................. ............ · Ha't'~Tt uck' ............................................ to ........ Buifbd,. ~e~.. cc're...f: am~.,1,,V. · dw~ Ll,ir4~ ............................................................................... ot premises located ot ..~,~/~.....~,:~'!t~....~.ve ......................................................................................... ............... ~ .......................................... ~.~;~tc~: ................................................................................ pursuant to opplicotion dated .......................... ,A~,~,~.t ....... ;2~ ........... lc;~-~-...., and approved by the Building Inspector Fee $....]-0,.00 ........ Building Insp~cto FORM NO. 1 TOWN OF SOUTHOLD ~BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ....... ~K~.... ~19...~..!.. Approved ..................... ~ ............... 19....~.:..Permit No....~....Z...~-.:~...:~ ....... Disapproved a/c ........... ../. ....... ~ ..........~ ..............~, .............................. ...................................... ...... ..... ................ .............................. App cot,on No....Z.:?..3.Z ......... APPLICATION FOR BUILDING PERMIT Date ............................. ~.~.~...~ ......... 19.~ ...... 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 issuanc.e 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 of applicant, or name, if a corporation) Mattituck (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Contractor- owner Name of owner of premises....~:.....~...e..J:..1..~....&.....S..°...~.~ .......................................................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and tit]e of corporate officer) 1. Location of land on which proposed work will be done. Map No: .......... .~...e.~..~..~..~.e.?.. .............. Lot Nop.a..r...~.~..1..2..&..~3 Street and Number w/s N Grand Avenue, Mattituck Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: vacant lot o. Existing use and occupancy ..................................................................................................................................... one family dwelling b. Intended use and occupancy ................................................................................................................................ property lines. Give street and block numbers or whether interior or corner lot. ,~scription according to deed, and 3. Nature of work (check which applicable): New Building....~ ......... Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... ,~ . $13,500 Fee $10. O0 4. Estimated uos~ .............................................................. · .......................................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ............. 1 ................. 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 a[teralions or additions: Front ................................ Rear ................................ Depth .............................. Height .............................. Number of Slories ................................ 8. Dimensions of entire new construction: Front ....... .56 ............. Rear ........ ,5.6 ............... Depth ........ 2.4 ............... Height ............................ Number of Stories 1 9. Size of lot: Front ....1...0.,0. .................. Rear ......1..Q..0. .............. Depth ....1...5. Q .................. August 1961 Mason lO. Dote of Purchase ........................................................ Nome of Former Owner ........................................................ "A" Residential - Agricultural 1 l. Zone or use district Jn which premises are situaled ................................................................................................ 12. Does proposed construction violate any zoning law, ordinance or regulationr-~.°.. ................................................. 13. Name of Owner of premises.%,....B.~.il3~Z..&_S.Ons. Address ...... ~[a,t~it.u.¢]c ............... Phone NO ..................... Name of Architect ........................................................ Address ............................................ Phone NO ..................... A. Reilly & Sons ......... .M..9:~...t..i..t...u..c...k' ............. Phone NO. Nome of Contractor .................................................... Address .................... PLOT DIAGRAM Locate clearly and distinctly oil buildings, whether existing or proposed, and indicate all set-back dimensions from how street names and indicate STATE OF NEW YORK, ) S S. · COUNTY OF ...~.U.~;~p~l.]¢ ........) ............... ~'.i't.O.],EI.~R~i,!,ii~' ............ .................... ......being duly sworn, deposes and says that he is the applicant (Nome of individual signing application) above named. He is the .......... OW'ne,r...~...Cob..tz'a.(: .~.4)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 manner set forth in the application filed t~with. fore me th~s ~ JUDITH T BOKEN Sworn to be ' ~o ~rv ~u ' 28th ~ -~ ~q~ ,~ ~'~9'2'~ u~6~, S~mk County (Signature o~ a~nca,,u ........................ Nota~ Public, .~..~.t~.....~Y