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Home My WebLink About2179-zFOiJ~2 NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at ..... S/~..~O~.:J;C~,.J[tle. ............................... Street Map No...~'r~ ............ Block No..:~¢-,~ .............. Lot No...:{Or~ ....... ~fl,~.~.~.~O.~.t....}]:...~.t ................... conforms substantially to the Application for Building Permit heretofore filed in this office dated ..................................... ~.e..~t.,...6 ............ , 19,6~... pursuant to which Building Permit No....~]L~.~...~ dated ................................ ~J,.~..~t,..~ ....... , 19..~3.., was issued, and conforms to oil of the requirements of the applicable provisions of the Iow. The occupancy for which this certificate is issued is ........ ........ Y.~. YkV. ~t,~...o~e~..~'.~m;L ,~....(tv~,e.~L 3J,~ ........................................................................................ The certificate is issued to ....dlmnn..&..Car. o.].l..Br, ad].e~. ...................~,zt.s. ......................... (owner, lessee or tenant) of the aforesaid building. ..... y'~'r ............ ' ........ :'": ....... ' ...................................... Budding Inspector FOi~i~ NO. 2 TOWN O1: $OI.ITHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PER/v~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL cOMPLETION OF THE WORK AUTHORIZED) 2179' Z Permission is hereby granted to: pursuant to application dated ......................... ~e~l~e~'-"'6' ......... 1~....., and approved by the Building Inspector Fee $...~.ClO ............ Building Inspector NO. I 03 Examined ............................ : ........... , 19 ........ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N, Y. Approved ........................................ , 19 ........ Permit No ................................. Disapproved a/c .~~~.?' - ....................................... ........................... ? 7 ................................ .................................. ................................. App,icot,on ........... APPLICATION FOR BUiLDiNG PEt~MIT Date ............. Se~ ~"-'6.; ........................ , 19..~3 .......... 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 adioining premises or public streets or areas, and giving a detailed description of layout of property must be drown 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 occupied or used in whole or in pa rt for any purpose whatever until a Certificate of Occupancy shall have been gtanted 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 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. (Signature of applicant, or namd, 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 ............... .I~Kt~ ....... .g...1..e..~. ~...~.~...~.~..~.~..ey....~...Q~:~g.~...~.,...~.r.~..ql.~..e.y. ............................. 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. tv~ap No: ............................................ Lot No: .................... Street and Number ..... S.~..u.~.t..h.~...S..~..d..e..~..~.~.f..~.r...t.~...n.~..A..v..e...n..u~.e..~..~.~~. ..................................................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy oF proposed construction: 1 ~a .y. e lin~ .............................................. b. Intended use and occupancy ................................................................................................................................. 3. Nature of work (check which applicable): New Building .................. Addition xX Alteration Repair .................... Removal .................... Demolition .................... Other Work (Describe) ........................ 4. Estir~ated Cost ,....'~....~...~...~...~. ....................................... Fee ....... $.S~O0 ..................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ......... o1~e .............. Number of dwelling units on each floor ......................... If garage, number of cars ....J...~. ................................................................................................................................ 6. If business, commercial or mixed occupancy, specify nature,and extent of each type of use ............................. 7. Dimensions of existing structures, if any: Front' ........ ''~.Z. .......... Rear ...... __-.,,/,/.~,. ............. Depth ....... ..~:....~. ........... Height ............................ Number of Stories ..... g)~,.~ff-,- ................................. 7 ....................................................... Dimensi~s~ ~cf s,a~n~%structure with alterations or additions: Front ....... ?..~. .................... Rear ....~..~..../. ................ Depth .RRm~.z..Z~ .......... Height ./~..~J.~.~ ....... .'~ ......... Number of Stories ..... O..CL.C,, ........................ /?oo 3~-' / ., .3~..../. .................. Depth .~a.~.~..~...:.N..~ 8. Dimensions of entire new construction: Front ................................ Rear Height ............................ Number of Stories .................................. 9. Size of lot: Front ..... Z(..~.~. ................... Rear ..... Z.~.~.. .............. Depth ..... ./..,~...~.. ......................... 10. Date, of Purchase ........................................................ Name of Former Owner ............................ ~;~.,.~..__~.,.~Z'/~...~. .~6..~. ~1 11. Zone or use district in which premises are situated ............. ,~..~t;J,~ln?,,;i,~.,1, ................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation? ................................................... 13. Name of Owner of premises G3,e~.n...R.o...Br. ad.le.¥.Address ...~.~i.~..uek. .................... Phone No. Name of Architect ...................................................... Address ............................................ Phone No .................. Na~e of Contractor ..~,,he~...or.~o.~ki ........... Address ..~t:~hc~Juo ....................Phone No ................... PLOT DIAGRA,M Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions fro~ property lir~es. Give street and block numbers or description according to deed, and show street names end indica~ whether int~erior~ or u,,L uo,~.i,c°rner lot. I ?~'~ ~'~ S~ ~*~ .[ STATE OF NEW_YOI~K~. ) COUNTY OF ...~...u.~.~.°.i~.K. ......... ) S.S. Glenn ~. ~radley ................................................................................................. bei~ du¥ s~orn, deposes and says tbat he is the applice (Name of individual signing application) above named. He is the .......... O.~.g~' ............................................................................................................................... (Contractor, agent, corporate officer, etc.) of said owaer or owners, and is duly authorized to perform or have performed the said work and to make and f this a,pplic&tion; that all statements contained in this application are true to the best of his knowledge and beli~ and that the work will be performed in the manner set forth in the application filed therewith. Sworn,tmhefore me this ~n September, ~,~ ..... day of ....................................... ~"'", ............... i'" Notary Public, L, oun¥~r~ ~ ,~ .a ure of applicant) FC~EM NO. 1 TOWN al: SOUTHOLD BUILDING DI:PARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. App,cotion No. &.L]...? ............ APPLICATION FOR BUILDING PERMIT Date ............. ~.p..k.,....6 ........................... , 19.,6...3. .......... 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 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 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 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 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. (Signature of applicant, or name, if d corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect engineer, general contractor, electrician, plumber or builder. If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) I. Location of land on which proposed work will be done. Map No: ............................................ Lot No: .................... Street and Number South Side of Horton Avenue, Mattituck Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ............... :L..~fi~i,1-.y...]~w,~.Z,l-.iDg ........................................................................... b~ Intended use and occupancy Same with addition XX 3. Nature of work (check which applicable): New Building .................. Addition .................. Alteration ............... Repair .................... Removal .................... Demolition .................... Other Work (Describe} ........................ 4. Estimated Cost ...... ..'~.~.~..~ ........................................ Fee .......$..5..,.Q.0. ..................................................................... (to be paid on filing this application) · one er ......................... 5. If dwelling, number of dwelling untts .............................. Numb of dwelling units on each floor If garage, number of cars ........ i..~ ............................................................................................................................ 6. If business, com~rcial or mixed occupancy, specify nature and extent of each type of use ............................. / ~Z7/ ~ / 7. D~me~s~ons o~ ex~st~n~ str~ct~es, ~ a~: ~ro~t ....... ~.~ .............~ear .........................Dept~ ........................... Height ............................ N~mbe~ o~ Stories ....... Q.~ ........................................................................................ D~men~on~ o~ so~e s~r~ct~re wffh ol~e~at~ons o~ addff~o~s: ~ront ........ Z~ ..................Rear ....... ~..~ ............. Depth ~......~3.... Height ................................ Number of Stories ........ ~f/.~ ...................... /~ / 8. D mensions of entire new construct on' Front ~¢ Rear ~q Depth mZ&8~- ~' Height ............................Number of Stories......~.¢..¢ .................. 9. Size of lot: Front .......... ~ ................. Rear ........ /.~.~ ............Depth ...... ~ ......................... ~. ~ ~ ~ ........................................................ ~ ~ ~ ~ ......................... ~,~,~ ...... ~ ~ ~ ...................................................... ~ ............................................ ~ ~, PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions property IJges. Give street and block numbers or description according to deed, and show street names and whether interior or corner lot. STATE OF NEW _YORK ) COUNTY OF .... ~.u..~.~.~..~.~.. ....... ) S.S, Glenn R. Bradley ................................................................................................. being duly sworn, deposes and says that he is the opplicc (Name of individual signing application) above named. He is the ........... .Qw~er ............................... (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 f this application; that all statements contained in this application are true to the best of his knowledge and bell and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this £LOISF. BOWl) ........... .6..~...~. , day of ~e~tet~:~er., ................. .~.:1~'~ ~'~"u~°~ ¥or' ~ ........................ Notary Pubhc,' . ........................................................... ~t~pire~ I~]rch 30, ~t~0S;-' ~Jgnature of applicant)