The URL can be used to link to this page

Home My WebLink About2244-z1· I FOi~M NO. 4 I' ~I'OWN OF SOUTHOLD ~. BUILDING DEPARTMENT '~ TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at ........ ..~../..~.......R..~..~..~....~..O...~..C]. ............................ Street x×z~ xx XX Mattituek~ N.Y. Map No ....................... Block No ....................... Lot No ..................................................................... conforms substantially to the Application for Building Permit heretofore filed in this office dated .................................... .~..O..?..e..~..~.?.......]:..2.., 19...~.~... pursuant to which Building Permit No.................22¥+Z dated ............................ .~[Q.~..q~f~......~.~ 19...1~]., 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 ..~..~...~..~..].:.e.~.....~...]:~..d:~.e...~..¥..~.......0...~..~...e..~. .......................................................... (owner, lessee or tenaint) of the aforesaid building. H.D.Approval May 11, 196~ FOEM NO. 2 TOWN OF SOUTHOLD ~UILDING DEPARTMENT TOWN CLERK'S OFFICE !SOUTHOLD, N. Y. ' BUILDING PERMIT (THIS PERMIT MUST BE Kl~P¥ ON TH~ PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N9 2214 Z Date...~ ......... Z~Ve~e~, ....... te .............. , ~9...63 Permission is hereby grgntecJ ts Edw....~kt.~ ....~%J'~....$.tanl~..~I~ ~es~. ..... ............. t~ttit'~. , . to ...... ~B U..~..'t~.. ~W. ~.- .~'a~.~ '].'[ff-* ~We~ ~[. '~'~' ................................................................................ at premises located at ...... ~;/~....1~-~!~;~..~0~...;. ................................................................................. ....................................................... ',~t*~i.t~tel~. ................................... -~ ................................................. pursuant to application dated ..................... ~Gvellt1~eZ* ....... ~,~ ......... 19,...(~4~ and approved by the Building Inspector Fee $ ...... .I.D. ............ Building Inspector S-9 SCHD SUFFOLK country D~P.~!~T:ENT OF HEALTH Date_ Maw 27. 1964 Building Permit No. 2244Z TO ~OMIT ~Y CONCERN: The sewage disposal facilities for a structure located at 190' e/'oLuther Road n~ Ruth Rpad, Mattituck .. ' (Give deed location) have been inspected by this Department and found to be satisfactory. District Engineer TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examina6 .................................... v ........ Approved '' 19....:...Permit No. ~ ~ q ~ ~ Disopproved ~/c ,~~~~~ (~ui~ Inspector) Appti'cation No. ~ ~-~ CI c( INSTRUCTIONS o, This opplicotion must be completely filled in by typewriter or in ink ond submitted in duplicote 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 proper~y must bedrawn on. thediagram 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 po 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 R~gulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describedl 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. ........................................ ~..o..~ .t,.~..~..~.~ .~ ............................................................................. Name of owner of premises ....~...~.~.]...~....~.J.e.~ ......................................................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Looation of land on which proposed work will be done'. Map No: ........ ~*~ .......................... Lot No: ...~...-~. .......... Street and Number ...N/B.....R.Uth..Road ......... Ma.ttituck ................................................................................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ......... .~.8~t~t.~..~J~d ................................................ b. Intended use and occupancy ............... .o..~...e.....~..~...~.$..~.~....d..~,..e..1.~$.~..~ .................... 3. Nature of work (check which applicable): New Building ..Y,X~.~.... Addition .................. Alteration Repair .................... Removal .................... Demolition .................... ~ Other Work (Describe) ........................ 4. Estimated Cost ................ 'III,/.Cl0.O..P/.M ................... Fee .......... 10. (to be paid on filing this application) 5. If dwelling, number of dwelling units ......... O'~e .............. Number of dwelling units on each floor If garage, number of cars ............................. .0..19..~... 6. If b'usiness, commercial or mixed occupancy, specify natureand 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 entire new construction: Front .............. ~6 .............. Rear ......... '~6 .............. Depth ........ ~,.,~. ..... Height ............................ Number of Stories .................................. 9. Sizeiof lot: Front ....10~ .................... Rear ....~1~0 ................. Depth .......... ].~,~'. ...................... ]0. Date of Purchase ........................................................ Name of Former Owner 11. Zone or use district in which premises are situated ............... 12. Does proposed construction violate a:ny zoning law, ordinance or regulation? ..... ~.0. 13. Narh'e~ of Owner of premises .S.~..l~le, d~.eskJl ..........Address .....Ma.tt,:i.l~tt~k ................. Phone No. NaMe of Architect ...................................................... Address ............................................ Phone No. Nar~e of Contractor .F,-~W.,......AB.:~. ........................ Address .......... Ma.t,'l;~l[ ............Phone No. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions property lines. 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 ~h~'t,,~c~,~, ........... ) S,S. .................................... Ec~.I~..A1D~tZ ....................................... being duly sworn, deposes and says that he is the (N.ame of individual signing application) 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 f this a.pplication; that oil statements contained in this application are true.,~o the best of his knowledge and beli~ and that the work will be performed in the manner set forth in the~ap~li~,a'~,o~.~,,,n filed therewith,sworr, to before me this ................. '.1~. day of ................ ~O.V. ell~,~el'. .......... , 196.3... Notary Public, . ........................................................... County (Signature of applicant)