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Home My WebLink About2819-zFOFoM N'O. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at ..1~/./.~...~//~.~]~t~..~..~..~. ................................ Street Map No ..... ~ ............. Block No .............. :Jrt.... Lot No..,~f, ...... ...~..~.~..~.~..~.O..~..t~.....~..~..~..*. .................. conforms substantially to the Application for Building Permit heretofore filed in this office dated ............................................... ~'t..,J~...e....~....., 19.6.~.... pursuant to which Building Permit No. dated ............................. ~lJ~......~?,, ........ 19..~.~.., ~as 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~..~c...(}f~.Q.i.~.~f~D, ................. ~'~.~.~ ....................... (owner, lessee or tenant) of the aforesaid building. // Building InspectOr / FORM 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? 2819 z Date ............................. ~ ....... ~ ......... , 19.6.~.' Permission is hereby granted to: ¥~tm.. ~e~...& .(~o~e ..W~i~m~l~ ................ .............. .WicI~....J~ .................................... ................. ~tt£tuek~.....~oZo ........................ to ~v~ ..a~.. ~.~.~ ~$n~ ..d~ t..~n~ ..t~..~ · .toe a.t. en .......................................................... at premises located at .....~./.~......~..~..~.~llitJJl,....~'~ ................................................................................ ................................................ ~ti.tu~kv ........ N~.X. ......................................................................... pursuont to opplication dated ................................. ~lil~.....~ ........... 196.~..., and opproved by the Building Inspector Fee lg,O0 .............. TOWN OF SDUTHDLD OFFICE OF BUILDING INSPEOTOR TOWN CLERK'S OFFICE SOUTH[~LP, [4. Y. Ome JUNE 2, 196~ Mr. H.F.Bishop Commissioner of ~ub~ic Works Suffolk County Yaphank Ave., Yaphank, N. Y. Dear Sir: In accordance with Section 239K of the General Municipal Law of the consolidated Laws of the State of New York, this is to notify the Commis- sioner of Public Works of the County of Suffolk that ...................................... .... .V.~,nm .;~.~;~.~..~ .......... .~.J. cMz~., iv..e..~......M. ~.t..t..i..t,..u..q ~.,... ~ ... Z ... .......... has applied to the Town of Southold for a permit to construct o building on ..... .~/S',..Wi ~kh~¢.. ~.v.e.......(.Q,2.,2Z). ~..... ~ .a..t..t..i..C...u..q..k. ~.....N..,..y..,. ..... os shown on the attached plot plan, submitted in triplicate, dated ....Oo.t...oJ ~ 196q- by Otto V2rA.t.g~.;l,...~....S[o.~ ............... and titled ..m~p...of...1.e~l..;~.q~...~.~.~,~..[.o. wak at Mattituck We shall withhold further action on this application for ten days or os otherwise provided in the aforementioned Section 239K. 6/3/65 Approved to the Tow~ of Southold pursuant to Sec. 239K of the Gen'l Municipal Ve~ truly yours, Law; no access to County Road C.R. 27A re~ed. SUFFOLK COUNTY DEPT PUBLIC WORKS By. William . MAtslmaye,Jr. ~x~ Town of Southold, N. Y. Chief Engineer ~ ~ TDWN DF SOUTH[]LD OFFICE DF BUILDING INSPECTOR TOWN CLERK'S DFFIICE 5~E]UTHOLD~ N. Y. Mr. H.F.Bishop Commissioner of Public Works Suffolk County Yaphank Ave., Yaphank, N. Y. Date ...... ~T~I~ ~...2..-. ~9. 6.~. .................... Dear Sir: In accordance with Section 2391( of the General Municipal Law of the consolidated Laws of the State of New York, this is to notify the Commis- sioner of Public Works of the County of Suffolk that ...................................... ..... .V. ina.. Baker.,......Wi.ckham..A~.e. ~.....~a.t.~±.t.uck ~...N,.~ ............... has applied to the Town of Southold for o permit to construct o building on ................... as shown on the attached plot plan, submitted in triplicate, doted ...Q~.t~..~).~ ~Lgfiobr by Ott. Q...V.~J2.~.~.~...~...~.Of2 ....... ~nd tit~ed....}.~.~..~....Q~..~`~.~.~.Q~.....]~L~..~..~.....'.~'.~8~ at Mattituck We shall withhold further action on this application for ten days or as otherwise provided in the aforementioned Section 239K. Very truly yours, Building Inspector ~ Town of Southold, N. Y. FORM NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE ~ SOUTHOLD, N. y. Examined .~ .................. , 19 ........ Approved .'~.,~. ................................ , 19 ........ Pe[mit No ............................. . ...... ........................ Application No ............................. APPLICATION FOR BUILDING PERMIT Date ............................... ....... .......... , ...... INSTRUCTIONS o. 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 premi.~es or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is port 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 oll applicable laws, ordinances, building code and regulations. (Signature of applicant, or name, if a corporation) W.~ ckham Ave~ ~lattituck (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ....... .V.i.g.a..]~a~ez'. .................................................................................................................... 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..Map No.' ............... ~ ............ [ Lot No.: ....~ .......... Street and Number ...W~S....M.~ckh~..A~at ....... ~Ia.tt&.t~ak.~...~L.Y. ............................................................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: o. Existing use and occupancy ~aeant la~d b. Intended use and occupancy ....... o~...E~i.l~...~e~liDg ............................................................................ 3. NatUre of work (check which applicable): New Building .................. Addition .................. Alteration ] Repair .................. Removal ..................Demolition .................. Other Work (Describe) _~p~.e.....J,D....~ ......... 4. Estilmated Cost ......?. .................................................... Fee ....$.....:L0, ..................... (to be paid on filing this application) 5. If &welling, number of dwelling units ...... Q~,e, ............... Number of dwelling units on each floor If g~rage, number of cars 6. If k~usiness, commercial or mixed occupancy, specify nature and extent of each type of use 7. Dimensions of existing structures, if any: Front .........~.~. ............... Rear ....... 3.~ .................... Depth ...,~ ........... Hei~lht ........................ Number of Stories ....... '1~. Dimensions of same structure with a,lterations or additions: Fron~ .................................... Rear Dep}h ................................ Height ............................ Number of Stories ................................ 8. Din~ensions of entire new construction: Front .................................... Rear ............................ Depth Height .................... Number of Stories 9. SizeI of lot: Front ...~,0.0. ................. Rear ......... ],.Q0 .................... Depth ..~,0.0...~./~ ............ 10. Datb of Purchase ........................................................ Name of Former Owner 1 1. Zon~e or use district in which premises are situated ........ !!~L?...~i.~tz'.J,c.t ......... 12. Doe~ proposed construction violate any zoning law, ordinance or regulation? ................. ,~O .............. 13. Nar~e of Owner of premises ...~.J,~a..Bftker .............. Address ....... :[v~.t.~J,~AC~}f, ............... Phone No. Nar~e of Architect ...................................................... Address ............................................ Phone No. / Na e of Contractor ...~.^...~$~f~,),~i .......................... Address .............. ~.~.t~.~.l~; ........ Phone No. PLOT DIAGRAM I.ocotb clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions fn property lines. Give street and bloc~number or description according to deed, and show street names and indic~ whether interior or corner lot. ,~ STATE OE NEW YORK, ~ c c ................. ] ............. ~.~.~..~fl~.~ ........................................... being duly sworn, deposes ohd e applic ](N~me of individual signing application) above na~ed.~e is the ....Q~ ................................ (Contractor, agent, corporate officer, etc.) of said o~ner or owners, ~nd is duly authorized to perform or have performed the said work and to make and this application; that all statements contained in this application are true fo the best of his knowledge and belie~; that the w~rk will be performed in the manner set forth in the application filed therewith. Sworn to ~efore me this (Si~noture applicant) ~ ~: ~OTARY pUBLC State o[ New ~ ~o 52-3233120 S~flo~k CouQt~ ~erm ~ires ~rch 30, 19~ C Z [VIAP OF LAND 5L~$'~YED