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HomeMy WebLinkAbout1931-zFO~M NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATe OF OCCUPANCY No. ~"~'~6 ............. Date MaT'e~ 3:.'1, 19~... THIS CERTIFIES that the building located at Jf/~S""'J~,~,~"~O~.~ .................................... Street Map No. ":X~.T~ .......... Block No. 'X~b~ ........... Lot No. '"'X~ ......... ~a'l~i.t~ek.....J~i..~i ........... conforms substantially to the Application for Building Permit heretofore filed in this office dated .............................. 1~['6~'~,':~'".~.~' ........... , 1~. .... pursuant to which Building Permit No....,~.9.~ dated ...................... ]tO~'~l:)'~'""],'"'"' 19,.~., was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ........ The certificate is issued to ....... (]M~. .............. , ~ T4~p~'~ (owner, lessee or tenant) of the aforesaid building. H.D. approval ~an. 1~, 196~ by R. Villa ...... ~'"'(' ~t*-~"v'~ ............ "; .........................;I .......... Building Inspector 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.° 1931, Z Dote ................. ~'O-~.e]~.l~. · · .1. ................. 19.~.. Permission is hereby gronted to: Edwal4...Ab~ t~.....A/¢.. J~ha.. Mur.pl~. ................... · ..Mat.t~.tuek. ....................................................... to ...%,~..tm:~Td..~l~,W...one...f.amTl7..d~eT1,.ng ............................................................................ ot premises Iocoted ot t~lth"~oad¥ ..................................................................................................... ..................................................... ~ $,t .i.%uek. ..................................................................................... purs~o~t to opplicotio~ doted ........................... OC.~O~I~.....~. ........... lg..(y~.., ond opproved by the Building Inspector Fee $ *'10'.;O(~ .......... Building Inspector Subdivision Lot -"Ca~tain Kidd Estate" Lot 189 RUTH ROAD NOTE: ~l :MONUMENT SURVEY FOR JOHN MURPHY MATT ITUCK TOWN OF SOUTHOLD SUFF CO., NIL GUARANTEED TO: SCALE: I% 40' SOUTNOLD SAVINGS BANK INTER-COUNTY TITLE GUARAF~TY ,f~ OCT 25, 1962 MORTGAGE CO. LAND SURVEYO'R~ N.Y.S. LTC, NO. 12:845 RIVERHEAD~ N,Y. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. E×om,ned ........ ............. Approved ........................................ ~9 ........ Permit No ............................... Disopproved o/c .......... ~... (Building Inspector) . Applicotion No. /~ '~ ! APPLICATION FOR ~UILDING PERMIT Dote....~.x .......:. ................... ../...~ ................ lY ............ / INSTRUCTIONS o. This opplicotion must be completely filled in by typewriter or in ink and submitted in duplicete to the Building Inspector. b. Plot p[en showing location of lot and of buildings on premises, relotionship to odjoining premises or public streets or areos, ond giving o detoiled description of Ioyout of property must be drewn on the diogrom which is port of this Iocotion. c. The work covered by this opplicotion moy not be commenced before issuence of Building Permit. d. Upon approvol of this applicetion, the Building Inspector will issue o Building Permit to the opplicont. Such permit sholl be kept on the premises ovoiloble for inspection throughout the progress of the work. e. No building shall be occupied or used in whole or in pert for ony purpose whatever until o Certificote of Occuponcy shall hove been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Depertment for the issuonoe of o Building Permit pursuant to the Building Zone Ordinonce of the Town of SouChold, Suffolk County, New York, ond other oppliceble Laws, Ordinences or Regu]otions, for the construction of buildings, edditions or alteretions, or for removo[ or demolition, os herein described. The opplicant ogrees to comply with oil oppliceble lows, ordinonces gp(~ reguletions. (Address of State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ..~....~..A.:..~,7. · ...... ~...~.....~...../~../.~/..k...~... .................................................... If applicant is a corporate, signature of duly authorized officer. 1. Location of land on which proposed work wiJJ be done. Map No: .~Z... Lot No: .................... Street and Number ....... .~.~..~,~.....~.....~.... ................ '...~...~t.f~-,~~..?,:'~,..,~.,., ............................................... Municipality '2. State existing use and occupancy of pr, emises and intended use and occupancy of proposed construction: o. Existing use and occupancy ............................................................ ; ........................................................................ b. Intended use and occupancy ................... ~..~....~(r~...~.'...(.~..~..c.~. ........................................................................ 3. Nature of work (check which applicable): New Building......~...: .......... Addition .................... Alteration .................... Repair ....... i'. ........... Removal .................... Demolition .................... Other Work (Describe) .................... _.-- , 4. Estimated Cost ............. ,g...~?.j..~ ......................... Fee .......................................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling umts ................................ Number of dwelling units on each floor ............................ If garage, number of cars ..................... i.~?..%~.,.?....' ................................................................................................. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .............................. 7. Dimensions of existing structures, Jf any: Front ............................ Rear ............................ Depth ............................ Height ............................ Number of Stories ............................................................................................................. Dimensions of same structure with alterations or, additions: Front ................................ Rear ................................ Depth .............................. Height .............................. 8. Dimensions of entire new construction: Front ........ ..~....:..., .......... Rear ....... ............ Depth ............................ '2' Height ........ }. ................. Number of Stories ..... ~.: .......... ! 9. Size of lot: Front ........ /...~.~ ........ Rear ............................ Depth ............................. 10. Dote of Purchase ............~..~..../~....~, ......................... Name of Former Owner .....~..:.,,~_,~...~...~./.~..~..~...~.....t. ............. ,4. 11. Zone or use district in..,whic, h promises ore ................................ . situated ....................... "'""i ............................... 12. Does proposed construction violate any zoning law, ordinance or regulot?n~? .................................................... 13. Name of Owner of premises....~.~.~.~..~.~../.'~.~..~..~.~..C.~Address""" ~ *"-" --~ ...... ~./~;.~.~.~. .......... Phone NO....Z .............. Name of Architectt ..................................... ~ ~.~/~9 ./~.. '~': ................. ~ '/~/'~ l/~Address ........................................ ~~ Phone NO. "~:?/¥'~',.~i .... Nome of Contrac or......~.. .......................................... d(~'~ss .............. Phone 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~.,~z"~ ) S S -~'(~"~'~' ~'"~"'~'X:"'"": ................. being duly sworn, deposes ,and says that he is the applicant (Name of individual signing aj;~t~licatj~n) . above 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 file this application; that all 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 before me this ' ........................ ~ay of .................................... ~,, ]9.,,~ ........ ~tft~.~,~,~(~g~r~of applicent) ~y ~. mmssmn ex fires Mar. 30,19 ~