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Home My WebLink About2861-zB~O~I ~0. 4 TOWN OF SOUTHOLD BUILDII~G DEPARTMEI~T TOWN CLERK'S OFFIC~- SOUTHOLD, N. Y. OEI~TIFIOATE OF OI]I]I_II~ANr. Y THIS CERTIFIES that the building located at . g, ap.~, $~dd, .D~:~¥e ......... Street Cap~. g~.dd Map No .... ~.t;aJke~ Block No... ;~ ..... Lot No ...... 190 ..... l~lat~,ltu~.'k,. ~,~, .. conforms substantially ~o the Applieatl,on for Building Permit heretofo~'e filed in this office dated ....... 8. f~.%.e.l.~..e.~...~.3..., 19.6'5. pursuant to which Building Permit No. ~8~,t, .~. dated ...... .b.' .elo.~..llt(b.~..~ .... 19~.., was issued, and conforms to all of the require- ments ,of the .applicable provisions of the law. The .occupancy f, or which this certificate is issued is addition t.o one, family dwelling and an a~essory, building The certificate is issued %o .... ~ m .J.~.. ?~.~p.n ........................................ (owner, lessee or tenant) of the aforesaid building. .Suffolk County Department of Health Approval ......................................... Building Insp~tor ...... FOKM 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 AUTHORIZED) N°. 2861 Z Date .............................. GeJ~t,....3¢~ .......... , 19...6.~ Permission is hereby granted to: .. Irwim..~at ~kill....A/C.....~.J.~ialaoa ....... ...................... ~.t .tJ. tz~k .................................... to. ~uJ.:l,~l. ~m~a~e.. J~ma~.&~,-~....ho~GG..mtcl,l.~i~n .................................................................. at premises located at ...... J,O~,,..~..~O ......... ~&lJJ~,..K-~.~eL..]~t.~t~e~ .................................................... ........................................ Ca~p.~.. ~r t,dct.. ~')~, ............................................................................................. ..................................................................... ,q~.t,t,~tae~ .... ~, ~. ......................................................... pursuant to application dated .............................. ~])~,......~._~ ............ 19....6.~ and approved by the Building Inspector Building InspectO~ 7 NO. ! TOWN OF SOUTHOLD BUlL, DING DEPARTMENT ~\ TOWN CLERK'S OFFICE SOUTHOLD, N. Y.. amined ...... ................... , Approved ........................................ , 19...~.[.. Permit No ...................... Disapproved a/c ..........................~ ..' ......... ................ .......................... Application No ............................. APPLICATION FOR BUILDING PERMIT Date .......................... ,q~,p.~mber..... ~,~ .., 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 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 appl.ication, 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 occul~ied ~r used ir~ 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 r&moval or demolition, as herein described. The applicant (~grees to comply with all applicable laws, ordinances, building code and regulations. Irwin Tuthill · (Signature of applicant, or name, if a corporation) W~-~ ~ ~e~. Ma$..~tuck ' (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........................................................... C, or~t~c.to~. ......................................... '. .................................................................. Name of owner of premises ...~,~.~za~, .............................................................................................................. 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.: ...C.aT).$...~$~.(;1,..E~..$.'..i.. Eot-No.: .....l...c).~ ............. Street and Number ....C..~.p...t...~.~.d..d....~.~.,,.......J~,.t...t~.....t..u.g..~ ....................... .................... ~ ........................................... Municipality 2. State existing use and occupancy of premises and intended asa c~nd occupancy of proposed construction: a. Existing use and occupancy ......... d~ell.~l§ ....................................................................................................... b. Intended use and occupancy ..... aame.....wl~h..ad~i.tion ................. 3. Nature of work (check which applicable): New Building .................. Addition .....~r~... Alteration .................. Repair .................. Removal .................. Demolition .................. Other Work (Describe) ........................................ 4. Estimated Cost ...]-..~.~.0.Q...~./,~ ......................... ~.....;....Fee ...~'.e.Q..O. ......................................... ~ ....... ~ .......................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ..Q~'ze. .................. Number of dwelling units on each floor ............................ If garage, number of c~rs ............................................................................................................................................. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ............................ 7. Dimensions of existing structures, if any: Front ............ 57~ ........... 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 .............. ].C). ................ Rear ..... ,3,~. ................. Del~h .~./..~.. ................ Height .................... Number of Stories .; ...... one ....................................................................................................... 9. Size of lot: Front ............................ Rear .................................... Depth ................................ 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated ..... ?J[.~.~...C'l.l~.~, ............................................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation.;> ................... Z~) .................................... 13. Name of Owner of premises ....~h~6'~ ........................ Address ............................................ Phone No ..................... Name of Architect ...................................................... Address ............................................ Phone No ..................... Name of Contractor ..]~:~.~;;[~...~.?.t~h:;[~L:]. ................... Address ............................................ 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 nt nber or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW' YORK, '~ ¢ e COUNTY OF~ ...... ~.u,.t't'O~.;; ....... ~ *'"' ..................................... ,T~/:tT~..~u/chd,[~, ....................... :....being duly sworn, dePoses'and says the~ he is the applicant (Name of individual signing application) above named. He is the ........................... ~. o~t~t'~e.t~..[~ ...................................................................................................... (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 application; that all statements conta:ined in this adp icati~.r~r~ true t.o the best of his knowledge and be ef; and that the work will be performed in the manner set forth' in the' a~il~l~ot~pn'~fl[~d therewith. Sworn to before me this ................. of .................... .............. , . ........ ......... ....... Notary Public/14~...~. ,..3~'~/d'~_...~JP.~..A~.~:. ~u~ (S gnature of applicant) [ t~OTARY PUBUC, SLa.e V !~o. 52-3233t20 Suffolk Co~n~_ J:erm [.~pires