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HomeMy WebLinkAbout1460-zFOI%M NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No. Z ~.48[ Date Oct:obe= 23 19...6..2... THIS CERTIFIES that the building located at Ma~t~ AOad, l~la~:~::l,t, tt(3,1~ Street Map No ..... ~.~ ........... Block No ........... *~.* ..... Lot No .................. *.** .................................. conform~ substantially to the Application for Building Permit heretofore filed in this office dated ~e 28 19 6~ pursuant to which Building Permit No. Z ~460 dated ........ ~.~...~. ............................ , 19...~.~, was issued, and conforms to all of the requ'irements of the applicable provisions of the law. The occupancy for which this certificate is issued is ........ ~UBL~C L~B~RY · ~e ce~(~=o~e ~s ~s~e~ ~o ........ ~9~.~9~.~...%A~..~.~.~.$.~9.~.,....~a~. ..................... (owner, ]essee or te~nt) o( the aforesaid building. FORM 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? 1460 Z Dote ......................... J'tl~e ........ 29 ............ 19..~,].. Permission is hereby granted to: It, R, Re.e.v.e..&..S.or~, .. ~e.....A/C..... }.,~.¢t Ltue~.. L±br a~y Assn, .................. l~J[~.tti~uc.kw.... ~ ,..~., ........................ to .,.~i~.0,..ne~L.llbr.arY...b.uJ,],d.~-ng .......................................................................................... ot premises located ot ...~..,..~,~.~,-q..~,O~.~ ........................................................................................ ....................................................... ~a.t ~:~u~% ..... ~'~T.~ .L~., ..................................................................... pursuant to application dated .................................... ~.~e .......2,~ ...... 19..~.., and approved by the Building Inspector Fee $.~one ............. Building Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ...... : ...................... ~...19..~. ~' 19 ~' Perm,t' No An,~ 4. ,~.~,rove~ ........................................ ........ ............................... Disapproved a/c ......................................................].._.~ (Building Instpector) APPLICATION FOR BUILDING PERMIT f Application No...L...~...~.C? ........... 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 appricable 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 oil applicable laws, ordinances and regulations. (Signature of applicant, or name, if o corporation) Mattituck~ N. Y. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ................................................... · Ge~e~.a.1...Oon.t~c.t.e~ ................................................................................................... Name of owner of premises ..................~...~.~..J:.~.~.°...~.....~.$..b..~..~.?.~...A~.8..°..°..~.~..~.°.,~. ............................................................. If applicant is a corporate, signature of duly authorized officer. .................. ..~lph...~.....~Lthill,... P~e.s ........................ (Name and title of corporate officer) 1. Location of land on which proposed work will be done. Map No: ............................................Lot No: .................... Street and Number ....... .~...a..i..n.....R...o.~.d.. ................... ..~..a..t..~...1~.t...~..q~:.~....~.,....~..., ........................................ i ..................... Municipality 2. State existing u~e and occupancy of pr, emis~s and intended use and occupancy of proposed construction: a. Existing use and occupancy .................0. p..e..~.....~..o..~. .................................................................................................. b. Intended use and occupancy ........................~.~b3,&.¢...T,~.]~.~r. ...................................................................... 3. Nature of work (check which applicable): New Building ........ ~ ......... Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost ....... ..4:.~'.~.0.0.0.o ...................................... Fee ..~'IQ,..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 ............................................................................................................................................ 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 alterations or additions: Front ................................ Rear ................................ Depth .............................. Height .............................. Number of Stories ................................ 8. Dimensions of entire new construction: Front ........ ..6..Om.Q .......... Rear ..... 3.9..-..~ ............. Depth ....6..4-...-..O.. ............... Height ......~..-...0. ............ Number of Stories ........ .], ................. 9. Size of lot: Front ..... ].,;~'.! .............. Rear ..... ~.~.! .............. Depth ........ ~0~..I. ........... 10. Date of Purchase ........................................................ Name of Former Owner ..~.t~..~,~..~.~.0.y/.~.;~...~..$.Z~.Q...~..~ 11. Zone or use district in which premises are situated ........ ]~.'[:;.'(;;.:J.~.U.~ ......... ~.U,G.J.~.S.¢~ ..................................... 12. Does proposed construction violate any zoning lawA~o~j~(?,nce or regulation? ......... .~P ...................................... 13. Name of Owner of premises......~.~..~..~.*...~.~...~.~.~.....Address ........... ]~,.$.~k~..1),.g.~.~...~.*..P~.ne NO. M..~?).-..8..~'..8...~.. Name of Architect....~..~....E.,....~.~.~,.~.~.%...3'..~.* ......... Address ....~..°..U-.~.b,~,.~.~.$..O.~l......~..,.~.Phone NO..A..~.....~...'..]:9..~.~' Name of Contractor....T':r,..~.,...~ee.~.e..~c..~O~...~r,~tJi'ess ....]~a.~.'~i.t;.ttc~ .................. Phone NO. ~&9..-.~..~.. PLOT DIAGRAM Locate cleorly and distinctly ali buildings, whether existing or proposed~and indicate all set-back dimensions from property lines. Give street and block numbers or description according to d~ed, and show &treet names and indicate whether Interior or corner lot. /,~,~/.,/t4,~', STATE OF NE~6~ Y4E)4RK,.,, ) S S. COUNTY OF ,..~..~..z.~'.9..~..~.. ......... ) .................... HazLo. l&.2,...,.Ree.v.e.~...J~.. ............................ being sworn, deposes and says that he is the applicant (Name of individual signing 6pplicdtion) e V.i. ce Pr.~egt ~f ~a~ald R. i{ee.~a & S~ Inc. above named. He is th ......................................... : .... . t ..................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have perform~ the said work and to make and file this app cation; that a I statements contained in this application are ~.~he best of his knowledge and belief; and that the work will be performed in the manner set forth in the ~tc~t~ filed the/ewith. ~ ~ Sworn to before me this ~ Nota~ Nublic,~.~.~~.~....~..~Coun Y TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved ........................................ 19 ........ Permit No ............................... Application No. J 'ZT~ ~ (9 APPLICATION FOR BUILDING PERMIT Date ...... .~..1,JK~ 3.8. ......................... 19 6~ 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, relatlonship to adjoining premises or public streets or areos, and giving a detailed description of layout of property must be draw~n 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 o Building Permit to the opplicant. 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 th~ 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, os herein described. The applicant agrees to comply with all applicable laws, ordinances and regulations. (Signature of applicant, or nome, if a corporation) (Address of applicant) State whether applicant ~s owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ............................................. ; ...... .................................................................................................. · Mat~ituck ~ib~_~y Assoela~ioh Name of owner of premises ..................................................................................................................................................... If applicant is a corporate, signature of duly authorized officer. .................. ,~.. ~ * .. ~g~$ ~.Z ~ .. ~ ~- ............ [.'. ........ (Name and title of corporate officer) 1. Location of land on which proposed work, wi be done. Map No: ............................................ Lot No: .................... Street and Number ....... ~.~..~.~ ......... ] .......... ~.~.$~.~...~.~..,~..., ............................................................. Municipality 2. State existing u~e and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ................ g~..~ .................................................................................................. b. Intended x~ ~use and occupagcy ........................ ~...~.~ ...................................................................... 3. Nature of work (check which applicable): New Building ........ 3; ......... Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost ....... .~.~.)000, ...................................... Fee .~..O~l:~[I .......................................................................... (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 same structure with alterations or additions: Front ................................ Rear ................................ Depth .............................. Height .............................. Number of Stories ................................ 8. Dimensions of entire new construction: Front ........ ~ .......... Rear ..... 39.~.~. ............. Depth ...~......' .......... Height ......~,~..*'&~.. ............ Number of Stories ........ .~ ................. 9. Size of lot: Front ..... ~],~.~ ............. Rear ..... ~L~.?. ............. Depth ....... .~0~..? ........... 10. Date of Purchase ........................................................ Name of Former Owner .~t~t~..~','~.Q~.~..,~l~,~.~.~..~..~ 11. Zone or use district in which premises are situated ....... ~'~.~.~,.'l;~'~k ......... ~l~.~.n~ ..................................... 12. Does proposed construction violate any zoning lawji.~nce or regulation? ......... .~.O. ...................................... 13. Name of Owner of premlses....~..tc..~.*...~..~.~..]~..~'.~.'.....Address ........... ~.~,~.~.~.~...t~.~'..l~,ne NO. ~.~.?.~..~...~... Name of Architect....~.~....~.,....~,.~'.~.~.~.~.~...~.,* ......... Address ....~.l~.~l~,~]~.~..O.~.....~.,~°hone NO..~..~...~.?.~,~.~.~ Name of Contractor....~',..~,..,~J,~.~.~..~c..~OllEl...~![~ess ....~'~.~J~t~t~ .................. Phone NO. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposedland indlcale all set-back dimensions from property lines Give street and block numbers or descriptio t,ac, ggrj~g,,to d[eed,,.~jn~c~,z.~treet names and indicate whether rater.or or corner lot. ~ ,v ~ / STAI'E OF NE~ YZ)~R~. ) S S. COUNTY OF .~..I~....~...O..~..~.. ......... ) ................... ~..~...,~e.~.,.~.~ ........................... being ~ul~ sworn, deposes and says that he is the applicant (Name of individual signing 6pplication)' above named. He is the ...... ~..~.~.~...~...~.Q~ .~..~..~..5~..~q, ................................... .... (Contractor, agent, cor~orate officer, etc.) of said owner or owners and s du y authorized to perform or have performed the said work and to make and file this application; that a statements contained in th~application are true to the best of his knowledge and belief; and that the work will be performed in the manner ~J~o[th in the application find therewith.~ Sworn to before me this