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Home My WebLink About2315-zFO~ NO. 4 TOWN OFSOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N.Y. C~RTIFiCATE: OF' OCCUPANCY THIS CERTIFIES that the building located at~.a~$..l~lg~..~.y. ................................... Street Map ~oe.~.~..Y'.....~.~..~.?.,~.~ Block No .......... ~ ........ Lot No, ...~, ....... L~O~tl%oZ~,~...I~.,X, .................... conforms substantially to the Application for Building Permit heretofore filed in this office dated ........................................ IYla.Tt~lX....19...., 19.6..b¢... pursuant to which Building Permit No..~i~..~... dated ................................... ~a~.~....~l,t~ 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...v..a..t...e.....o..n..~....t.~..t. ~ .y... ~.~..! !..t..n.g. ................................................................................................. The certificate is issued to A~.~o~)t...~a~bl~.~t,~O .............................OW't~ .................... ............ (owner, lessee or tenant) of the aforesaid building. H.D. Approval ~une 8, 196~ by R.Villa BuiJding Inspector FOEM NO. 2 Town OF SOUTHOLD BUILDING DEPARTMENT TOWN C~ERK'$ OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT oN THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) bi? 2315 z Permission is hereby granted to: A, ltet l~...&..go~,. ~'~.,...~'~'..,.~'~l~.~r...~ ~o ................. ~t£~uek ....................................... ~. at premises located at ..... ~3~..~..t......~O~'~..~/~e.~t$ .............................. .......... ::.-... .......................... ............................... ~8~l~.Jlla,ge~.~edge..:~lr ......... :....l$~:at~hol~ .................................................. pursuant t~)application dated, .............~ ........ ~ ........ ~.,..~9.~.. ..... 19...~, or~d apprbved by the Building Inspector Fee $...~(l~. .............. / ~ ' Building Inspectof SUFFOLK OOI~TY DEPkltTMENT OF ItEALTH Date Jone 8~ 196~ Building Permit No..231~Z TO ~fflOM IT Mt~Y CONCERN: The sewage disposal facilities for a structure located at __Bayyiew Rd~ Terry Waters, Southold ' (Give dee'd loc~tion) "' have been inspected by this Department and found to be satisfactory, District Engineer FOEllf NO. 1 / TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Exam,ned ..... Approved ........................................ , 19 ........ Permit No ................................. (Bu~ldi~ I~p~t~r) APPLICATION FOR BUILDING PERMIT 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 propertymust 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 part 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, os herein described. The applicant agrees to comply with all applicable laws, ordinances, building code and regulations. A. Reill¥ & Son Inc (Signature of applicant, or name, if a corporation) Mattituck (Address of applicant) State whether applicant is owneh lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .................................................. C. ont~c.t, er .................................................................................... .................................... Name of owner of premises ....... ~,-~tl.$~O~,,.]l~^,,,~,SJ~-~.~l~.~J~tO ........................................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title af corporate officer) 1. Location of land on which proposed work will be done. Map No: ...... T~.~'~...t//~,.t;.~. ......... Lot No: ..... ~. ............. Street and Number ....... ....................................................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...... .~.JJ.~.~..~1,840.~ .................................................................................................. b. Intended use and occupancy ......... D.~.~...,,f'.I~U~.~...~I~,~,~;J,~ .......................................... ............................... property lines. Give street and block whether interior or corner lot. 3. Notu?e of work (check which applicable): New Building ..... ~ ..... Addition .................. Alteration Repalr .................... Removal .................... Demolition .................... Other Work (Describe) ................................... 4. Estimated Cost ...... ,~,~.O0.O..P./.~ ............................. Fee ....... ],~ ........................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units .....~,~.~. ................ Number of dwelling units on each floor ......................... If ga?age, number of cars ...~,...~..8,~.,,~"1,~1..e,~.~ ...................................................................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ............................. D~me, ns OhS of existing structures, Jf any: Front Rear Depth Haig,hr ............................ Number of Stories ............................................................................................................ Dimensions of some structure with alterations or aad't'ons Front ................................ Rear ............................. Deptl? .............................. Height ............................... Number of Stories ........................................ 8. Dimensions of entire new construction: Front ..... ~2 .................. Rear ....... ~- ................ Depth .26[.2.~-. ............ Height ............................ Number of Stories ..QI'~ .................. 9. Size ~f lot: Front .,..'10.Cl ................ Rear .......... 'lOJ~ .......... Depth ......~.(~..~ .............. 10. Date! of Purchase .................... ~l,~.:.~ ........................... Name of Former Owner .......... ~..O..P...9.,9'...~..~,..~..~,.~....~..~.~..,O.,q.., 11. Zone or use district in which premises are s~tuated .......... A....,d~.t, .................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? ..... ,1~O ......................................... 13, Namb of Owner of premises .,~'!,.t, ho,l~r...~l~lb.t~'.11~ress ............................................ Phone No ................... Nam.ie of Architect ...,A..:...~@ .t..]...]..~...~¢..~.~ .............. Address ........ ...l~..~,.~.$~.1~.~ .............. Phone No .................. Nam!e of Contractor .................................................... Address ............................................ Phone No ................... ~ PLOT DIAGRAM Locate, clearly and distincHy all buildings, whether existing or proposed, and indicate all set-back dimensions frc ~umbers or descriptipn according to deed, and show street names and indicc STATE! OF NEW YO ~t ' COUNTY (~F ...~I. ~ ...........S.S. ............. [ .... ~..O.[.l~9,~ ~.~,~. be ng duly sworn, deposes and ggys that he is the applicc (~ame of individual signing application) above named. He is the .......... ~.~.~...~.~..~.~,~9~ ................................................................................... (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 al~ statements contained in this application are true to the best of his knowledge and be[J~ and that the work will be performed in the manner set forth in the application filed th~ewith. Sworn to b~fore me this ~ '~ ~ ~ j ~ Notary ptm~Pc, Sta e of Now YOrK ' ~ No 52-0344963, Su~tolk Cou~Ny Goml~lSGtO]l Expires March 30~ 1~(0~