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Home My WebLink About1859-zF~P~I~f NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY The certificate is issued to .....CJ.?.~..t~..~.?-.~g..e. .......... of the aforesaid building. H.D,e.~prov~l April 19, 1963 by P. Peconio Ba Blvd '[MIS C~RTI~IHS that the b~i~din§ ~ocated ct .......................... ~.. ......................................... Street Map No. ~ Block No. ~ - - ,. ~ !r~,!.trel- N.Y. ............................................ LOT F~O ............................. ?, ................... ~ .................... conforms substantially to the AppJication for Building P~rmit heretofore flied in this office dated Al~tt~t 221962 pursuant to which Building Permit No. daCed ............................ A..~..~..~?...~......~., 19..?.~.., was issued, and conforms to oil of the requirements of the applicable provisions of the law. The occupancy for which this certificate is 'issued is ........ (owner, lessee or tenant) 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.° 1859 z Dote ........................ A~i~i~S,~. ....... ~ .......1~.~ .... Permission is hereby granted to: A. 1~$. $ .1.. ~F....&.....8.~.~...];r~c.... ilZ..¢...~. ~.. [~__~pe ..... ................. ]~a$,t~.tuek ......................................... to ....b...u$....1..d.....n..~.~....c~l~e... ~.a~ 1~... d~e~t Ltn~ ................................................................................... at premises located atF~F,.Pee~n~..~a]y...l~wl ............................................................................. ............................................. .L..~l~'.e],~ .. ~, ~r ,. ...................................................................................... pursuant to application dated ......................... All~us.t....22 .............. 1~....., and approved by the Building Inspector t ' '~' Building Inspectbr / FO~M NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ^pproYed ........................................ , 19 ........ Permit Na ....... Application No ..... L..~.....~...~ ........ Disapproved a/c ....... ........................ ......................... APPLICATION FOR B~UILDING PER/vt~T 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 applica- tion. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon opprovo~ of this application, the Building ~nspector 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 pa rt for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS H.EREBY MADE to the Building Deportment 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 Laws, Ordinances or Regulations for the construction o~ buildings, additions, 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 a corporation) Mattituck (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .................................... .c. orz~.ac.tc~r ................................................................................................................................... Name of owner of premises ....... .C..,.~..-...L..a. mP..e. ........................................................................................................................ [f applicant is a corporate, signature of duly authorized officer. (Name and tit~e of corporate officer) 1. Location of land on which proposed work will be done. Map No.: ...... ]~ ........................ Lot No.: ...~.X. ............ Street and Number ....S/..~..P. eaor~ie...Ba~..~lv, cl~ .....~l ............................................................................. Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction. a. Existing use and occupancy ....~.~.¢.~. 10¢ b. Intended use and occupancy ~ne f~±ly..~w.e..1..li.~ 3. Nature of work (check which applicable): New BUitcfing ..... ~ ........ Addition .................. Alteration .................. Repair .................. Removal .................. Demolition .................. Other Work (Describe) .................. 4. Estimated Cost ~.6...~.7...0..0.. .................... ' Fee ....... ~..0. ............................................................................ (to be paid on filing this application) 5. If dwelling, number of dwelling units ...... O,~3~ ................... Number of dwelling units on each floor ............................ If garage, number of cars ............................. 2...~,~. ................................................... ................................................ 6. If buSineSs, commercial or mixed occupancy, specify nature and extent of e~ch type of use .................................... 7. Dim 'e~ions of existing structures, if any: Front ............i ............... 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 .......... ~0 ............... Rear ........ '~.0. ................ Depth ....... 9~, .................. Height .............................. Number Of Stories ..Q~ ..................... 9. Size of lot: Front ....,,.~.QQ ................. Rear ........... ~,~A~. ............ Depth ..~,~...~O~. ........ 10. Date of Purchase .......................................................... Nome of Former Owner ........................................................ 11. Zone or use district in which premises are situated ........... A.....~e~.~ ..................... 12. Does proposed construction violate any zoning law, ordinance or regu aton? .............. ~.~. ......................... 13. Name of Owner of premises ..... Q.o.~',,l'.~mp~, ........... Address ................................................ Phone No ................... Name of Architect .....G,.A.~].e~$ ............................ Address ....... ,~.~es.po~'.~, ................... ~one No ................... Name of Contractor .......... ~.~.~.~...~...~g~.~.... Address ..... ~.~.~.~. ..................... Phone No .................. PLOT DIAG~ Loca~e clearly and distinctly all buildings, whether existing or proposed, and indicate all set-~ck dimensions from pr~erty lines. Give street and bilk numbe~ or description ~ding to deed, and sh~ street nam~ and indicate whether interior or corner lot. STATE OF NEW YORK, ) c ' f COUN~ OF ...~.~O~ ........ ) ~'- I ~ ' .............. ~.~D~.~. .................................................. being ~ly sworn, deposes and says that he is the applicant (Name of individual signing application) above named. He is the ....... ~.0~ ................................................................................ ~ ............................................ (Contractor, agent, co~orate officer, etc.) of said owner or owne~, and is duly authorized to perform or hove performed the said work and to make and file this application; t~t oll st~ements contained in this application are true to the best of his knowl~ge o,nd belief; and that the work will be performed in the manner set fo~h in the application filed therewith. Sworn to before me this .............. ..... of ....... ....... , Nota~ Public .~.~~,.~.~ ~' ~ pu~li~Cbu~':--- ...... ~Z~..~.~(Signatu~ of ...................................... applicant) ~," /7-';' lC. 2 J ~_~/t,~, ,p L. y ~p ~ i?/i ,, , ,= £ L. .z. tV,)< .I