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Home My WebLink About1813-zTOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the bu,lding located at .~.~...]]~,i~¥..~e~..~O&~ .................. Street Map No..:~f, ............. Block No...~;~;:~ ............ Lot No. ~ ....... ~fi~,~.$.~.~.l~....~.,..~t. ................... conforms substantially to the Application for Building Permit heretofore filed in this office dated ............................... ~.I~L~ ....... .1~ ............. , 19..t~. pursuant to which Building Permit No Zi~[..~ .... doted .............................. ~.1~......]~...., 19~.., was issued, and conforms to all of the requirements of the applicable provisions of the law The occupancy for which this cerhficate is issued is ........ ........... ~'~.l~a.~e..~e ..~'~ I.~.. d.~e~ ~t~. ................................................................................... The certificate is issued to ..,~e.~,..T~.¢~3.e ...... ~e~ ................................................................... (owner, lessee or tenant) of the aforesaid building. H.D. ap~ovat Dec.6, 1962 by P. Ma~ko~ski .............. .......... - Building Inspector TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. ¥. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 1813, Z Date ........................ -,]'~g~lt... ·. ~0 ......... 191~... Permission is hereby granted to: ~lae~..&..~er.... A/~. Jack...L~ttl~ ...... ................ Iled£or~t...L..I. ................................ to .... '~o..: ~u~ld...n~v.. on~..,~'~... ~e&If~r~ ......................................................................... at premises located at ,~'4~.,-]~B,~l,~.,]~l~h-..~;~O~ .............................................................. .......................................... ~l~at.~-tuek ~ ..... t~,.~, ............................................................................ pursuant t9 apphcahon dated ............................... ~11~ .... '1'(~ ........ ]9~.., and approved by the Budding Iqspector Fee $],0~00 ............ Building Inspector / NOTE · III = MONUMENT REEVE SURVEY FOR JACK ~ LOUISE D. LITTLE MATTITUCK TOWN OF SOUTHOLD ~JARANTEED TO' SUFE. CO., N.Y. SOUTHOLD SAVlNeS BANK SCALE* I"= 50' HOME TITLE eOARANTY CO. APR. 7, 1962 MAY 25,1967_ LAND SURVEYOR, N.Y.S. LIC. NO. 12845 RIVERHEAD, N.Y. ~0~ NO. ! TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ........... .~....LO....., ........................................u ,, :Z_I Approved ~ , 19 ........ Permit No ................................. Disapproved a/c ...... ~ ...... ...._. ................................ ................................. Application No. ,.l..~,,.,~..,,~*, .......... APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building Inspector. b. Plat 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 application. 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 occupie~l or used in whole or in pa rt for any purpose whatever until a Certificate of Occupancy shall have been grc~nted 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 La~ Ordinances or Regulations, for the construction of buildings, additions or alterations, or for ri~moval 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) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........................ ...... ............................................. Name of owner of premises ......... Z~...x~....C::../..~. .......... ..~:...~....Z~...~...~..~.. ........................................................ If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy ............ ~/~)..~....~...-~.....~..(...~...~: ........................................................................ 3. Nature of work (check which applicable): New Building ..~'. ........... Addition .................. Alteration .................. Repair .................... Removal .................... Demolition .................... Other Work (Describe) ........................ 4. Estimated Cost ...........~,..~../..4~... ............................. Fee ............ ...~..~..~..x...~.. .......................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ............/ ................ Number af dwelling units on each floor ............................ If garage, number of cars ................... ~ ....................................................................................................................... 6. If business, commercial or mixed occupancy,, specify natureond 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 enti~re new construction: Front .........~...~. ................ Rear .......-~...~......~. ........... Depth .~'~. ........ ..~..~. ...... Height ...... ./...(~.. ............. Number of Stories .......... /.. ..................... 9. Size of lot: Front ....... .~.~..~.. .............. Rear ..... ~.....~.. .............. Depth ~ O --~ -4 ~.~ ~ / r ....................................... / . 10. Dote of Purchase ~ ................................ Name of Former Owner ~,...~.~.)(...~......~...,~...~./.~._7~...t~.. ........... l l. Zone or use district in which premises ore s tuated ..... /..~.. .......................................... 12. Does proposed construction violate any zoning law, ordinance or regu otion? ......... ..~_....O,. .............................. 13. Name of Owner of premises ~'..,~..?-,~....~../.~...7'~.../k'7~. ........ Address/..~.~'..~..~./~...~..J'~./..~. .......... ne No..,~.x/.-~..-.~.d..~..~ Nome of Architect...~../..~..~..L~x~.......~....~...~...'. ........... Address~..a'~. ................................... .~.~.. ~...~....~....W-_~.. Phone No. Z:.. .~'.'..~.Z,(..7..~..5- Name of Contractor .~.....L~....~.....J-.../(~..~..~ ........... Address ....................... ..~..q~....~..~....~....~.~/ ..x~.....~q.. ....... Phone No. .................... ~t '' 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. l/ Z / STATE OF NEW ~R~ ~ ) S ~ COUN~ OF.~..~ ~' ) '~' ~ ' ~' ............. ~"~':'~"~i ...................... .~..being duly sworn, deposes ond soys that He is the ~pplicont (N~me of indiv'~uol sign'ng eppl'cation) obove n~med. He is the ..~ ....................................................................................................................... (C~tr~ctor, ~gent, corporote officer, etc.) of soid owner or owners, ond is duly outhorized to perform or hQve performed the soid work ond fo moke ~nd file this ~plic~tion; tHet oll stotements contoined in this opplication ~re true to the best of his knowledge ~nd belief; ond t~at the work will be performed in the monner ~.,~rtH in the opplicotion filed therewitH. Sworn to befor me tH s JUDAH T' ~ ~ public, S~t~ ot,~i f~ j ~e~ ~or ~ ........... ................. ,,,.. - .