The URL can be used to link to this page

Home My WebLink About2370-zNO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIF|CATE OF OCCUPANCY THIS CERTIFIES that the building located at ..~/~......~.~.~la~...]~-~ .......................... Street ap ,~o ....................... Block No ....................... Lot No...~.j.....~tt;:LtU, C,,~t...~., ..................... conforms substantially to the Application for Building Permit heretofore filed in this office dated ....................................... A~)~:~ ....... 2~,.., 196.~... pursuant to which Building Permit No....~..0~. dated .............................. A,~.;J,J,.....2~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 ........ ...... P~'.fv~;~..~n~...£~m&.l~r...d.~e.l. lt.ng ........................................................................................... The certificate is issued to ..~....~X.~.~3?...~Z* ....................................... .0WZle~'. .............................. ... (owner, lessee or tenant) of the aforesaid building. H.D. Approval ~ru~e ~, ~96t* by R, Villa ................ ...... Building Inspector { FOI~M 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? 2370 Z Date ....................... &Jl~.~.~. .......... ~], .......... , 19~,.., Permission is hereby granted to: · d. Ab~ts A/C l~.;Baxter'"~r'"&'Oth~B .............................. ................ Hat-t i.tuek .......................................... to ...bu~.t~..~.~..ene..~.a~t ly'"d~r~l~'~:t~ ......................................................................... ~' ......... at premises located at .........~O~..~l~ ....................... ~"I~.~*'-./V~I~' ................................................. .................................. 9i/~"'ft']:~.~:g~'"~,~[~ ........ ta. al;t I'f,U~ ............................................................. pursuont to opplicotlon doted ............................ ,~"~ '4_~ ....... ~ ..........19.~**, ond opproved by the Building Inspector Fee $..'l~),eOQ, .......... Building Inspector s-9 SUFFOLK COUNTY DEPARTME4T OF HEALTH Date June 23~ 1..964 Building Permit No. 2370~ TO WHOM IT MAY CONCERN: The sewage disposal facilities for a structure located at w/s Village Lane 400' n/o Main Rd, Mattitnck -- ' (Gi'~e ~de~d' lo~tion) have been inspected by this Department and found to be satisfactory~ Engineer TOWN' OF' SOUTHOLD , BUILD'lNG DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ~ ~'~/ Approved ........................................ APPLICATION FOR BUILDING PERMIT Application No. ,~...~.....?...,0.. ........... Date ......................... AJ:T..:L],.... 2.1. ............. 19.6.1+. ...... 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, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code and regulations. ..Ed~.ar~..Ab£~z ................................................................. (Signature of appJJcant, or name, if a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. C Ont,3~ Se t O3ff Nome of owner of premises ...... W~,..~axt~r...Jr...&..o.th~.$ ........................................................................... : ............. 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. Mop No: ........... .~.~,l,],~.~...J'~l'~D~'. Lot No: ....J. .............. Street and Number ........ ~/.J~.....~l'l'lage..~e~.....~l,t:l;;,:Lt~,c]~ ........................................................................ Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .....3~&fJS. a.t...'lO, t ...................................................................................................... b. Intended use and occupancy .......... cne..~ala:J. TL3t...c].~e~,l;J~'~ ......................................................................... 3. Nature of work (check which applicable): New Building ..;~,.X,~G~... Addition .................. Alteration ............. Repair .................. ..,~emoval .................... Demolition .................... Other Work (Describe) ................................. 4. (to be paid on filing this application) 5. If dwelling, number of dwelling units ...... .Q~e ............... Number of dwelling units on each floor ....................... If garage, number of cars ................... .Q:I1,~. ........................................................................................................... 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 ........................... Depth .............................. Height ............................... Number of Stories ........................................ 8. Dimensions of entire new construction: Front ...... .~,~t."..~i ............ Rear ........ ~3.'.~ .......... Depth .2.1~.../...~_~..-..~., Height ............................ Number of Stories ............................ 10. Date of Purchase ................... ~ .~..~ ............................ Name of Former Owner ....... ~.~;.fLW.~,~'.(;. ............................ 11. Zone or use district in which premises are sit,~ated .............. ~.~.~...,,d.,X.S..t: ............................................................ 12. Does proposed cons,truction violate any zoning law, ordinance or regulation? ............ ~1 ................................. 13. Name of Owner of premises ..~a..]8.~r~t~e:~. ...............Address ....... ~xt~e, Xu~;~e ............... Phone No ................ Name of Architect ......... ]~l..~.J, bl:l;~. .................... Address ......... ,~,~,:l;;L~;~,~k, ............ Phone No ................. Name of Contractor .....~...~'..-....~.~.~. ......................... Address " Phone No ................. PLOT DIAGRAM I_ocote clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions fr, property lines. Give street and block numbers or descrip~tion according to deed, at J-show street names and ind o whether interior or corner lot. /'~3~ '~' ~ STATE OP NEW YORK, ~ COUNTY 'OF ..~U~.~'~]~ ............. f S.S. ....................... ~.~j//~..~l..~,~t~.t,~ ...................... being duly sworn, deposes ~nd says that he is the opplio '" (Name of individual slgnin; application) above ~med. He is the ................ ~.~[~O~ ....................................................................................................... (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 · 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 appli?tion filed therewith. Sworn to before me this r" ..... ~-/ ~ /'/" ......................... . ' ......... ................. Nota~ Public, ..~~..?.~~, ~ (Sign6tur~ of applicant) /~ I Notary Public, 8tote of New York '~ ~ ' No 52.0344963, Suffolk County ~ '~ TOWN OF $OUTHOLD PROPERTY RE¢:ORD CARD DWNER STREET -~-' VILLAGE DIST, SUB. LOT / FORMER OWNER' N E ACR. ~'- / S W TYPE OF BUILDING ES.~0~ S~S. VL. FARM COMM. CB. MISC. Mkt. Value AGE BUILDING CONDITION N~ NORMAL BELOW ABOVE FAR~ Acre Value Per Value Acre ~oodlqnd wampl~nd ~ FRONTAGE ON WATER ,rushland FRONTAGE ON ROAD louse PIo~ DEPTH ~'~ ~ ~ ~ ~ BULKH~D 'o~1 DOCK COLOR TRIM M. Bldg. Extension Extension Foundation Basement Ext. Walls Extension Fire Place Type Roof Porch Recreation Room Porch Breezeway Garage Patio Total Dormer Driveway Bath Floors Interior Finish Heat Rooms Ist Floor Rooms 2nd Floor Dinette ILR. DR. ~BR. j FIN. B.