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Home My WebLink About1434-zI~OB~ 1~o. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT ~'OW]~ CLERK'S OFFICE $OUTHOLD, N. Y. CERTIFICATI~ OF OCCUPANCY THIS CERTIFIES that the building located at Jcl./8.....I~.a~B.¢[I:I .~.0~,l~$..~.O...a.~.... Street -- -' -"'~-~oa.U.,.,.P.~.:.,,~..u.~ J~or~No ...... X= ........... ~ot ~,~'o..lo3...~.~h.o~ue ................................. conforms substantially to the Application for Building Permit heretofore filed in this office dated ................... ,I~ln~.....6 ............. 19..~],. pursu'ant to which Building Permit No...Z..1.!~!.%. ....... dated .................... ~.urle......6 ............ 19...~],, 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 ....}!lr.lr~z%~..Olte...£.aln;Lll~:..d:~e.lJutr~ .............................................................................. This certificate is issued to .... ~ort. t.ff. it%e3~ .Ctll~.t;e. ............. ..(~.~1' ............................................ (owner, lessee or tenant) of the aforesaid building. FO]~M NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN GLERK'S OFFIGE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N.° 1434 z Dote .............................. .,~_ .~l~ .~.......~. ............ 1 ~...~...~.. Permission is hereby granted to: ~T. · D~ er. ko~k.t.... ~C.....)(o~. t ~.~r... ~'hu te ...... ............. Ma-tt.t. tu~k ............................................. to .make.. al.ter~tlons., anct..&ddt21on..on..ark .ex1 s.~lug.. ~eZllng ........................... at premises Iocoted at .W/S.....N~oe~at~..P.t,..~ad ................. L~t..~l ................................................. ............................................................... C*~teh~t~u~.....l~,.~, ........................................................... pursuant to application dated ..................................... J~l~,e. ...... ~ ........ 19..~:1., and approved by the Building Inspector Fee $..~,.00 ............ Building Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined'"m"~?:Z~JZi'''''~ .................. 1 . . Approved ........................................ 19 ........ Permit No. L~..~ ~r'! Disapproved a/c ...... . ,l'v ' ( ,t,~,..- -,~ ' (Building InspectOr) Application No...../..!':/...-~..~. ......... APPLICATION FOR BUILDING PERMIT 6 6Z 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 e'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 Buildin~q Department for the issuonoe 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 ~ith all applicable laws, ordinances and regulations. Joseph Deerkoski (Signature of applicant, or name, if a corporation) Mattituck, N,T. (Address of applicant) State wheth.er applicant is own'er< lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. contraCtOr Name of owner of premises Chute If applicant is o corporate, signatuF~ of duly authorized officer. corpo~¥~ ~fficer) .............. (Name and title 1. Location of land on whifh l~r01~osed work will be done. Map No: ....................... ~asSal~l. ]Poitat... .................. Pro~ Lot No: ..L~.~ .......... Street and Number ' ~/~ '~'' Nassau Point road Cutohogue Municipality \ 2. State existing use and occupaloc~, of premises and intended use and occupancy of proposed construdtion: 11' one family dwelling a. Existing use and occupancy .............................. : ....................................................................................................... I '~' dwellin~ with an addition & Alteration, b. Intended use and ocq. upanc~, ........................................................................................................ : ....................... property lines. Give street and block numbers or description according to deed, whether interior or corner lot. 3. Nature of work (check which applicable): New Building .................... Addition ....... ~ ....... Alteration ......X~ .......... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost......~.0OP/JJ .......................................... Fee ....... ~,O0. ......................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ........O[I,~ ................. 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 ~tructures, 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....2.l..~. .................Rear ............................ Depth .....6..t.8.~.I. ............. Height., ............................ Number of Stories ...'...~,1'/O ............... 9. Size of lot: Front ............................ Rear ............................ Depth ....... : ..................... 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated .......... .I.I.A.~.~...~],II.~ .................................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation? ............ ~Q ................................... 13. Name of Owner of premises..M...CJl,ll.~ .................. Address ....Jt~l. ll,~ii.l~,..l~O~l~.~ ........... Phone NO ..................... Name of Architect ........................................................ Address ............................................ Phone NO ..................... Name of Contractor .................................................... Address ............................................ Phone NO ..................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from and show street names and indicate STATE OF NE'~ YORI~, ) S S. COUNTY OF .................... jyO,g, etj~,.'i~l~.lCO~. .......................... being duly sworn, deposes and says that he is the applicant (Name of individual signing app ication) above named. He is the ............ ~.~$~ ......................................................................................................................... ~ (Contractor, agent, corporate officer, etc.) of said owner or owners and s duly ~uthorized to perform or have performed the said work and to' make and file this applicaton; that a statements cbntained in this application are true to the best of his knowledge and belief; and that the work will be performed [n.3he manner set forth in the,application filed therewith. Sworn to before me this A. ' ~.,, . 6 day~f .... ,...~.~... 19..~,.:~ ~/ JUDIT, ~. g0K~ignature of applicant) ....................... , , j~//, ~ ~,~t8~ Rublid, State of New York Noto~ Pubhc.~'4~'e.'.~"'-__ -- ........... ............ ;-' c,,,..,,,m. Expires March 3o,