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Home My WebLink About1306-zTOWN OF ~OUTHOLD I~UILDING DEPARTMENT TOWI~ CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY TH]IS CERTIFIES that the building located at .W~...~.~.h .~a.,.~.. ~{~.~...~/.~reet Map No ....... .*..~.W .......... Block No ........... .~,*...*.......Lot No ......... .~..*. .................................................... conforms gubstantially to the Application for Building Permit heretofore filed in this office dated .............. ~..~.~.~..a.~y.....2...7. ....... , 19...~...1.. pursuant to which Building Permit No....~..~..0.~. dated ............ ~.e...~.~.u.a.~¢y....;~.~. ......... 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 ........................ ~J~:i,t~d,...O~. ~:~i;~J~]f...D~F~{~ ........................................................ This certi![icate is issued to .~l.~..~](~.d~.~g~O.,....O~tl~.~ ........................................... (owner, lessee or tenant) of the afm'esaid building. FO~]V~ NO. 2 TOWH OF 5OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFF~CE SOUTHOLD, N. ¥. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N9 1306' Z Date ...................... .F..e...b..r. ~ .a..~y.....2. ? .......... 19...6..1... Permission is hereby granted to: ................................. Al~ric~ Lane Mattituck, New York to bu£1d aadition to one family dmelling at premises located at ~.~.w.../..S..~..A..]:.~.~.~.~.`h...~..~.~.~.....M..a~.~t..t~.~.~..~.U:`..C~.~.~..~.~x9~ .............................. pursuant to application dated ............................. .F..e...b..r.~r.Y.....2.7. ......... 19..,6..!.., and approved by the Building Inspector f ~I" "~ ~ J~utlding inspector j FORI~ NO. 1 TOWN OF SOUTHOLD g, Utt. DING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ........ Disapproved a/c .............................................................................................. (Building Inspector) APPLICATION FOR BUll. DING PERMIT Date .................... 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 alterations, 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 o corporation) (Address of fpplicont) ~tate whether applicant is owner, les~,~ agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ............... · .......................................................... If applicant is o corporate, signature of duly authorized officer. (Name and title of corporate officer) t. Location of land on which proposed work will be done. Map,~o: ........................... ., ................ Lot No: ...'i ................ Street and Number ...~../.'~.. .......... ....~...~......~'¢~¥~-....~'~. '~'~ ............................ Municipality k 2. State existing US~nand ~c~ncy of~mises and intended use and °ccupancy °f pr°p°sed c°nstructi°n: 3. Nature of work (check which applicable): New Building .................... Addition.......l'/,...AIteratlon .................... Repair ................ :~.Removal ..,~ ........ Demolit on ............. Other Work (Describe) .... 4. Estimated Cost ..... --~'"~'C~'~"L'~"(~-7' . Fee ....................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units .......... ./. .................... Number of dwelling units on each floor ............................ garage, number of cars ..........X...~'.Z~.~..~/~...~.../~....~..'.../....~/~-- ~ ........................................ ~ ....................... If 6. if business, commercial or mixed occupancy, speci~ nature and extent of each ty'pe of use .............................. 7. Dimensions of existing structures, if any: Front....~....~.. ............. Rear ....... ~.....~. .......... Depth ..~....~.... .............. Height ............ . ............... Number of Stories ...... / ............................................ ; ...................................................... Dimensions of ~ame structure with alterations or additions; Front ....... ~.....~'.... ........... Rear ...... ..,'~....~.. .............. Depth ......... .~..~.... .......... Height .............................. Number'of Stories ........ ../... .................. 8. Dimensions of entire new construction: Front ............................Rear ............................ Depth ............................ Height ............................ Number of Stories ............................ 9. Size of lot: Front .../~..<~.rC~..~.z~4'~ .......................... Depth ............................ 10. Date of Purchase ........./~..,~.. ......................... Name of~For~er O/~wner ~ .....................: .............................. 11. Zone or use district in which premises are situated ............ ~......../.~.~. ........ ~....~,~Z...: ........................... 13.12'DOeSNamePrOposed construction~a~~dinance Name of Architect ............................... ._~Z,~..~...~ .=~ ~,_/_~ ........ .~....cK.../~..rAddress ...... ~~~..Phone NO ..................... Name of Contract~~../~~Ll~'.~Address ~~.~. ........ Phone NO ..................... Locate clearly and distinctly all buildings, whether existing or pX~posed, and indicate oil set-back dimensions from property lines. Give street and block numbers or description according to deed, and show str names and indicate whether interior or corner lot. /,f' STA'¥E OF NE.Vv'~O~,I~,. ~./~ ) S S COUNTY'~.)~/~,~,/- ~' .................. .~________________~/.~_~ ............. being duly sworn, deposes and says that he is the applicant (Name of individubl(signing ~ation) abow~ 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 fi e this ~pp ication that all statements contained Jn this application are true to the best of his knowledge and belief; and that the work will be performed n the manner set forth in the app icat on f led therew th. ' UDIT}I f BOKEN Swor ~ to befor~ me th~s ~ , '. -- ~ ~ day of ~9~.~t~;,744963. Suffolk County ,' (Signature of applmcanz) ....... ........ ~ . Notaw Pubhc, ~!,~County