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Home My WebLink About2115-zFORM~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No..Z.[8.~?. ............ oot~ ......................... L%~.....5 ................ , ~9.&~... THIS CERTIFIES that the building located at .-.~...~9,~.~O.~e~...~O~ ....................... Street Map No..~L~DZl ......... Block No .....~ .......... Lot No...5~,~ ....... ~a.t~;.[tZ1.~JR+..]~[,~, ............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ................................... ~tt~/'..~ ................ , 19.~.. pursuant to which Building Permit No ..... -g~L:L~ dated ............................ ~.L1~.....~J ........... , 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 ........ .............. ~.t~r~e..~ne...~e~m~.l,y.,,d.~e~L~,~g ........ ........................................................................... The certificate is issued to ....~'.~}~...0.~.S~ ................................................ .0~'4e~. ........................ (owner, lessee or tenant) of the aforesaid building. H. D. Approval April 23 196~ by R. Villa Building FOl~f 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? 2115, z D~ote .............................. ~.~,t,~. ....... .~. ......... ~9...63. Permission is hereby granted to: ~ed L,...Mcor. e.....~/C.. _~m. tb-~,.,0]L~en .................. ................ ~t.ti.~uek .......................................... to .~t~,l~,..~..n~.w,..one,..,~.e~ct, l~,..Cwe.1;L~g ................................................................................ at premises located at ......]~/t,~.....W~S.~t~L~W...]D2.$.~.e ......................................................................... ............................................................. F~ti.tuek~...~Y.~ ............................................................... pursuant to application dated ................................ ~.Ul~. ......... .8 .......... 19...6.~, and approved by thee Building Inspector Fee $..]1,,0.,00 .......... Building Inspector/ SUFFOLK COUntY Dff, P,~J~TUENT OF HEALTH Date April 23- 1964 _ Building Permit No. TO .~0M IT MAY CONCERN: The sewage disposal facilities for a structure located at e/s l~estvi~w Drive 575' n~o Brower, Mattituck (Olsen) . "(Give deed location) have been inspected by this Department and found to be satisfactory. --~-- District Engineer FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Disapproved a/c ................. ................................................. .i.Ziiiiii.. j ZZi ........................ (BuiMing l~spector) Application No. t~ J ! APPLICATION FOR BUILDING PERMIT INSTRUCTIONS o. This application rnust 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 adioining premises or public streets or areas, and giving o 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 o 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 hove been granted by the Building Inspector. APPLICATION IS HEREBY 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 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. .~h'ed L. Moore (Sign.ature of applicant, or name, if o corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ................................................ g. gZ).~,/.'.~t t;;b. C~,~ ........................................................................................................................... Name of owner of premises ......~..r..~.~.~L..Q.],~.eJ.1 ............................................................................... 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: ....... ;~%~'~ ......................... Lot No: ...,~Y.~.~.'~ ....... Street and Number .,..~]/.~'.....~(~.~L~...~.~..e.w...~.:~g.~.~.~......~.~.z..t:~.~J~]&g..~. ........................................................................ Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...~.~-~.aa~'~...].a.~d .............................................................................. b. Intended use and occupancy ............ q.~..~...~.~!.~..~.~,~....cl.~w~.]~.]:.~.!'~g ........................................ 3. Nature of work (check which applicable): New Building ._.~;;;f,~..... Addition .................. Alteration ............. Repair .................... Removal .................... Demolition .................... Other Work (Describe) ........................ 4. Estimated Cost ........... .]..~_o..,o..o.....~.Z~. ........................ Fee ....... ~.0...i ....................................................................... (to be paid on filing this application) 5~ If dwelling, number of dwelling units ......... .O..174(~ .............. Number of dwelling units on each floor ........................ If ggrage, 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 same structure with alterations or additions: Front ................................ Rear ............................ Dap, th ............................ Height ................................ Number of Stories ........................................ 8. Dimensions of entire new construction: Front ...........!!;9..-.8. ........... Rear ........... !.t'.c)..~.~ ....... Depth .......2:.0...-...8. ........ Height ............................ Number of Stories ......r~.i't¢ ..................... 9. Size of lot: Front ....... ~..~. .................... Rear ......... 'Z~ .............. Depth ............ .-].~3~.'. .................... 10. Date of Purchase ..........3 963. .................................... Name of Former Owner ....... ..K..%..S.......?,..O..~!]¢!.¢. .................... 11. Zone or use district in which premises are situated ........ !!.A..!~....d..~..~......~;,.~:$.~.~..~g.~...~...~..~.~).~.?:?!...~...~.c.]../~..A.!.~; 12. Does proposed construction violate any zoning law, ordinance or regulation? ............. .9...0. ................................ 13. Name of Owner of premises ....A.~'.%tl~:~TP,,...0¢!,.-S.¢..]3 ....... Address ............................................ Phone No ................. Name of Architect ...................................................... Address ............................................ Phone No ................. Name of Contractor ..ti~=.*sC]...~¢).QT:..e. .......................... Address ........... 1.'¢fl.Ji;b..!;~.c.~. ........... Phone No ................. PLOT DIAGRA,M Locate clearly and distinctly oil buildings, whether existing or proposed, and indicate all set-back dimensions fn property lines. Give street and block numbers or description according to deed, and show street names and indic~ whether interior or comer lot. STATE OF NEW YORK, ) COUNTY ,OF ...~a~1~:£.~1!4: ....... ) S.S. ,. ............... ;.l?:c.e,,c]...~.,....J'/[c)r).l*.e ............................................... being duly sworn, deposes and says that he is the applicc (Name of individual signing application) above named. He is the ......... C.oZ'.~L4~.a.o:LO~ .................................................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to ~erform or have performed the said work and to make and 1 this application; that all statements contained in,~'~is application are true to the best of his knowledge and bell and that the work will be performed in the rl~tti~l~t~)_f, ol~,~l~n the application filed therewith. Sworn to IJefore me this Commission Expire~,,Uarch 30 1 ................ , ............ , o, da of ........................ '"22 ...... , .... .......................... ................................................ NO. 1 ,/ TOWN OF SOUTHOLD " BUILDING DEPARTMENT ~ TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ............ };'.. .... ?..C:¢.. Application No. Examined ............................ Approved ' , 19..'..(...Permit No.'~ ~ J l ~ Disapproved a/c ..,.: .............. ~ ...... ....... ................................. , '~ -- (Building In/pbctor) APPLICATION FOR BUILDIN~ P[RMIT / INSTRUCTIONS a. This app![cation must be completely filled in by typewriter or in ink and submitted in duplicate to the Building Inspector. b. Plot pl6n showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and gl~/ing a detailed description of layout of property must be drawn on the diagram which is part of thi,s applica- tion. 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 applica.nt 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 MA,DE 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, alterations,~ or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances~and regulations. .~..e.~" L. Moore (Sigr3Qture of applicant, or name, if ~ corporation) [Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, ge, neral contractor, electrician, plumber or builder. ............................................... cen.t~, aa%er ........................................................................................................................ Name of owner of premises ..... ¢BA~.t~h~..OI~TI. .......................... ....................................................................................... 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.: ....... ~ ..................... Lot No.: ...... ~ ...... Street and Number ..... ~/~.....W~s.t,..V~.ew..R~a~....~%.~tt~ ........................................... ' I Municipality ': " 2. State existing use and occupancy of premises and intended use and occupancy of propose~ construction. a. Existing use and occupancy ....... V~(~;]d~;'"'].t~r'.d' ............................................................................................... b. Intended use and occupancy ............ ol~,e...f, amt,l.y..6wel.li, n~ ................................. i ................................... 3. Nature of work (check which applicable): New Building ....~ ...... Addition .................. Alteration Repair .................. Removal .................. Demolition .................. Other Work (Describe) .................. 4. Estimated Cost i (to be paid on filing this application) 5. If dwelling, number of dwelling units ..........(~YL~ ............... Number of dwelling units on each floor If g~rage, number of cars ............................................ 6. If b~siness, commercial or mixed occupa,ncy, 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 same structure with alterations or additions: Front ................................ Rear Depj:h ................................ Height ................................ Number of Stories ................................ 8. DimlensJons of entire new construction: Front .............................. Rear .............................. Depth Height .............................. Number of Stories ...... .):i..c)~,,~ .............. 9. Size of lot: Front .............................. Rear ......... (~lrl(~ ................. Depth .............................. 10. Date of Purchase ...... ~ ....................................... ~'~.... Na.m~ of Former awry3~ 11. Zonb or use district in wl~c~ol~emises are situated .................................................... 12. Doe.~ proposed cqnstruction violate any zoning law, ordinanfi~,i~r 13, Nar~e of Owner,,of'premises ...................................... Address ........................................... ~J0 Phone No. Name of Architect .................................................... Address ................................................ Phone No. Name of Con, t'ractor ,~;11.U1" 01 sel'l Address ................................................ Phone No. ?' PLOT DIAGRAM , , , /, l ed Monra ttJ, tuck hoc.ate c~eany and distinctly 611 J~uiFdings, whether existing or proposed and indicate all set-back dimens ons f~om property ['Jnes./Give street and block numbers or description a:ccording tO deed, and show street names and Jndidate whether ir~terj'0r or corner lot. STATE OFi NEW yORK, ) COUNTY OF ............................ ) S.S. [ uffolk ................................................................................................ being duly sworn, deposes and says that he is the epplica (NL~do~d ~sig n lng application) above named. He is the ...................................................................................................................................................... · ., C~,O~i~&O~O~' (Contractor, agent, corporate officer, etc.) or sa~a owqer Or owners, aha is au~y ab'~Horized to perform or have performed the said work and to mbke and file t[ application~ that all statements contained, in this application are true to the best of his knowledge and belief; ar that the work will be performed in the manner set forth in the application filed therewith. Sworn to b~fore me this ........................~ day of ............................................ d llA~r ~ ............................................................................ Notary Pubic ..... ,¢~ .............. /. .................... ~.....,~.. ...... £ounT3y (Signature of applicant)