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Home My WebLink About2397-zFOR~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No...Z..191,9 ........... Date ...................... .Sap~eml~e~. ....... ~.., 19.6.~.... THIS CERTIFIES that the building located at ..~.~.la~e...L~rle ........................................ Street Ma~:Jh~...~.?.....~....8~...O.~. Block No ....................... Lot No....2]~, ....... J~,t~%:~tg~.k ............................. conforms substantially to the Application for BuiJding Permit heretofore filed in this office dated ......................................... ~......1~ ........ , 19..6.lf.. pursuant to which Building Permit No..23.~.~.,..~ dated .................................. JJa.~.....l(~....., 19...6~, was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for Which this certificate is issued is ........ ..... P~.i.v.a.t.e..~u~..famil¥...d.w.e~lin~ ............................................................................................ The certificate is issued to ...~..~$;X~:~Xt..JX~..~..O.t,h~.S ............................................................... (owner, lessee or tenat~t) of the aforesaid building. H.D.ApprovalSept. 2, 196~ byR.Vill~/~.~ ¢-,.~, :~,~ ~?"~/.~ ................~ : ......... i~:;ii:ii;:;' 'i;:;';';;~;; ......... '''''''''~ ............. FOR~I NO. ~ 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 AUTHORIZE[:)) 2397 z Date ...................... ~ ............ 3,6 ............. , 19-(~. Permission is hereby granted to: Geor~e....Ah~e~.....A/g.....iim..~a~ter.. Jr ......... t o .....Bl.tilD1.. ~ie~.. o~ e..t'mni-ty., d,ee t.~Ing .................................................................................. at premises located at ..l(~t.....;~3.. ......... ¥t.~.te~e...Hasto=, .................................................................. ........................................... ~A.lla~e..Z~u3e, ............. ~tt,~.t~ek. ..................................................... pursuant to application dated ............................ ~ ..........:~6 ........... 19..6b/., and approved by the Building Inspector Fee ~0~.00 ............ :,~....~ : ........ ~ ..... ............... Building Inspector ( NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. 19 ........ Permit No. Approved ....................... .t., .............. , · . .,.~....=:......,....,.....,,,~--.=, Application No. ,,~...~....~..Z ......... APPLICATION FOR BUILDING PERMIT Date ~/,/~' 19,.~ ~ 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. .......... i~i~;;';~';p~ii;';'nt, o; ::::::::::::::::::::::: ......... State whether appli~lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ........... ...~..~ ....... ~.......~. ................................................................................ If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which propo~s/~d work will be done. Mop No: ........ .V...~..~ L/gl N/~: ......~/ ........... ........ _.-- ......... ................... ....................... Street and Number State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ............................. ~ ................................................................................ b. Intended use and occupancy ............................................ ~ ............................................................................... 3. Nature of work (check which applicable): New Building. ................. J Addition .................. Alteration .................. Repair .................... Removal .................... Demolition .................... Other Work (Describe) ........................ (to be paid on filing this application) 5. If dwelling, number of dwelling units .............. ~ .......... Number of dwelling units on each floor ............................ If garage, number of cars 6. If business, commercial or mixed occupancy, specify natureond 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 ............. .~..~:~'....~. ....... Rear ..... ~_...~'......~. ......... Depth ........ ..~..~.. ............ Height ........... .~. .............. Number of Star es ............... ./. ................. 9. Size of lot: Front ................................ Rear ............................ Depth ........................................ 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 1 1. Zone or use district in which premises are s tuated 12. Does proposed constructior~ violate any zoning law, ordinance or regu at on? ........ ...~'~.. ....................................... Name of Architect ...................................................... Address ............................................ Phone No ..................... .............. ~t ......................... Phone No. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-bock dimensions from property lines. Give street and block numbers or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEWY~DRI/~'J n ) c ,cou ...................... ~ ....... .-~ being duly sworn deposes and says that he s the a~ cant ,Nome of ....... 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 file this ~plication; that all statements contained in t~is application are true to the best of his know edge and belief; and that the work will be performed in the mann~se~.i~ application filed therewith. Sworn to ~e~r~e this ............ ~,..~.... aay at ............ ~Z~.L~.....~....., 19~.~ TITLE NO. 07'46697 REFERENCE: MAP OF VILLAGE MANOR FILED OCT, 24~ 1962~ FILE NO. 3669 NOTE: ELEVATIONS ARE SHO~VN THUS~ 2o.i SURVEY FOR dOSEPH A. ~ BEVERLY A, Mc CAFFERY AT MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, N.~ SCALE: I'= 40' ~IANUARY 22, 1969 GUARANTEED TO: GUARANTEED TITLE DIVISION 'A,~,~ERICAN TITLE INSURANCE CO FEDERAL HO',./SI~,'~ ADMINISTRATION VETERANS ADMINISTRATION REGENCY EQUITIES CORP. dOSEPH A. .o,, BEVERLY A. MC CAFFERY LAND SURVEYOR N.'~S. LIC. NO 287'25 RIVER~E~tD~ SUFFOLK COUNTY DER&t~'~i~T OF HEALTH mte. ,, Building Permit No.u...2397Z TO t~I61~ IT MkY CONCERN: The sewage disposal facilities for a str~cture located Village Lane~ Mattituck (Bsxter) ' (Givs'deed-to~ktYon) ..... have been inspected by this Department and found to be satisfactory. District