The URL can be used to link to this page

Home My WebLink About1318-zFOP~ ~0. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT '~;OWN CLEEK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY NO. Z10~7 ............ Date ~ ............................ *I:~l~......~,.~. .......... , 19..6...~. THIS CERTIFIES that the building located at ~....0ak-.~; ............................ Street Map No..M~.SOI% ......... Block No ...... :.~4; ........ Lot No. IDr. X ........ C.t/.~f3hOg!lO ............................... conforms subsfantially to the Application for Building Permit heretofore filed in this office dated .............................. t~s.peh......~I19..6][., pursuant to which Building Permit No....~..131~. dated .................. t4areh ....... .t.1-......, 19...6.i, was issued, and conforms to all of the require- merits of lhe applicabIe provisions of the law. The occupancy for which this certificate is issued is ...-0no...fami. ly..-dwel.ti'ng .................. : ........................................................................... This certificate is issued to ...... .R~l~a~'do... t~&12~e.%o..&-.%/.~.fe ............... owr~el, s ............ (owner, lessee or tenant) of 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.° 1318 Z Dote .......................... ..~.~,Ch .....,I.~ .......... 19.~.~. Permission is'hereby granted to: ........ Ijat.t~tue~t .....I~T. ................................. to ...B~i.l~.. ne~..ol~e..l'~'~.ty'..d,~®.l.t~ .................................................................................. at premises located at ..~//J~.....OllJj..J)j~.~,O ........................................................................................ ..................................................... F~aot..Ou~eh~gu~t......l~.,.~.~ ......................................................... pursuant to application dated ........................ ~l~t~h:""'~ ................. 19..6~.., and approved by the Building Inspector Fee $ .'].0.~00 .......... FORM NO. 1 TOWN OP $OUTHOLD BUIlDiNG DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ........ ...... Approved .......................... ~ ............. ~ 9 ........ Permit No ............................... . .~ ~ Application No. ) ~ I ~ APPLICATION FOR BUILDING PERMiIT Dote ........................ ~=n.. 10 ................19..6.1. ..... IN'STRUCTIONS a. This application must be completely filled in by typewriter or in ink and s. ubmitted 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 coYered 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 shah 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 port 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 o Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Lows, 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 aH applicable laws, ordinances and regulations. ........ ...................................... (Signature of appllcant, or name, if a corporation) Westvie~, Drive. i Mattituck,, N., Y. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .................................................... ...................................................................................................................... Nome of owner of premises...ll,,:l,C~l,~G..&..~,~.~he..~.tO ...................................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which proposed work will be done. Map No: ..~...~..~...O.~.S....~..??...G.~..O.~.tLot No: .................... Street and Number .......... ~ ./.~t...~]L~r,~,~'~,...~t..C~t~,~gl,~,-..~'.~o~ .............................................. Municipality State existing use and occupancy of pr.emises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...... .V..~.~t,_.,~,~t ...................................................................................................... b. intended use and occupancy...~r~t.~..~..~al'~l.l~...c?~'ell.~.g ............................................................... X 3. Nature of work (check which applicable): New Building .................... Addition .................... Alteration .................... Repair .................... Removal .................... Demolition ................. '...Other Work (Describe) .................... ~ $1'~,000.00 _ ~10.00 4. Estimated ~.ost .............................................................. Pee .......................................................................................... (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 some structure with alterations or additions: Front ................................ Rear ................................ Depth .............................. Height .............................. Number of Stories ..... ,. ......................... - 36' 36' 33' 8. Dimensions of entire new eonstr, uetion: I-rant ............................ Rear ............................ Depth ............................ h{eight ............................ Number of Stories ............................ '/1.90' 75.05 168.02/164. O' 9. Size of lot: Front ............................ Rear ............................ Depth ............................ Februax*~,, 1961 ]0. Dote of Purchase ........................................................ Nome of Former Owner ........................................................ · "Il" Reeltdent;:l.&l-Ag~'lcu1~uw, al 11. Zone or use district in which premises are situated ................................................................................................ 12. Does proposed constr6ction violate any zoning law, orc~.ance ,_or_ regulation? .................................................... Rlcardo & Blanche, . .Barre~o Phone 13. Name of Owner of premises ........................................ Address ............................................ i~4%d Name of Architect ........................................................ Address ............................................ Phone NO ..................... _ . . Noel R. Albrecht ,,, 14a~tltuck Name of '..onrracror .................................................... ^aaress ............................................ ~'none NO ..................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block numbers or description according to deed, and show street names and indicate whether interior or corner lot. /¢ STATE OF NEW~Ji~], S $. COUNTY OF . . . .'. .', ..'. 2. .% .'. : ." ......... ................................................................................................. being duly sworn, deposes and says that he is the applicant (Nome of individua. J signing gpplfcotion) i~on'l~'llc'zo~ above named. He is the ............................................................................................................................................................. (Contractor, agent, coqborate officer, etc.) of said owner or owners, and i~ duly authorized to perform er have performed the said work and to make and file this application; that oil 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 '";~3r.~e me this ~ ~lm,~ r sO~ . MitrCh ,~ ~o~ary p h " ........................ '. Nofow PubJic, ..~i ............... . ................................