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Home My WebLink About2927-zTOWN OF SOUTHOLD EUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. ¥. OI~I~TIFIOATIr OF' O00UPANOY THIS CERTIFIES that the building located at . .A~ea.Roa/I ............... Street ~ M~tituck Estatmm~ ap l'~o ............. x~locK No .... XX ...... Lot No...l~l,l~ .... ~.~l;i.~ttelt;~ · N,Y, ...... conforms substantially %o the Applicati~on for Building Permit heretof~ore filed in this office dated .......... 1.g.}lo'~embe~'., 19.6~ pu.rsuant to which Building Permit No. '292?..Z dated ............ I]OV,...;[.~.., 19.6~., was issued, and conforms to alt of the require- ments ,of the applicable provisions of the law. The occupancy fnr which this certificate is issued is .... l~i.~at~ .one. ~am~t'ly' ~t~tling ........................................ The certificate is issued t.o ... ~Tose~ph. 8:ilhan. (owner, e~sse~e or tenant) of the afore.said building. .Suffolk County Department of Health Approval .. ~..~0~...~...l~y..R,..~ti.~.la. ..... FORi~ 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? 2927 Z Date ..................... JJe~'e~iJ~z,......'l.~ .......... , 196~... Permission is hereby granted to: Ed~....&~.~.t~.....~.0 ...................... ~l~au ............... ............. ~at.tJ~.~ck ............................................ to ...lt~ ??l..l)~-w...one..£.aatiL~...dw~liLlr~ ................................................................................... at premises located at ..... ,1,O.~..lJf..9 .......... llJi:;.tl:lm~lr..Es~af.~s ..................................................... .................................. ~taal~s.....Itoad .............. ~..tt i.tuok .............................................................. pursuant to application dated ......................... JJOl[ ......... ~L.~. .............. 19.~.~.., and approved by the Building Inspector Fee $.~-.g. *.Q .(}. .......... SUFFOLK COUNT~ DEPARTMENT OF HEALTH TO WHOM IT MAY CONCERN: The sewage disposal facilities for a structure located at ,, ~, ~%ile, ,east Mattituck Highschool,? south side Main Road ' ' (Give deed location) ~" .... ..... Mattit~ck .......... . have been inspected by this Department and found to be satisfactory. District Engineer District Engineer FO~ NO. I TOWN OF SOUTHO/D BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ........ ~ ............................... , 19.. Application No. :~...~..~':..~. ............ D~sapproved a/c ................................... .j ................ . ....... ,:..ga ....... ..,:~' .................. X;5 ................................. ............ /? ' ......... APPLICATION FOR BUILDING Dote ................................ N.o~.m~e:e...1.%., 19..6,~ ...... INSTRUCTIONS a. This application must be completely filled in by ~ypewriter 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 application, the Building Inspector will issue a Building Permit 1o 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 5outhold, 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 egrees to comply with all applicable laws, ordinances, building code and regulations. ... ]~td ~,z...A.~i£z ...2n¢ ............................................................. (Signature of applicant, or nome, if o corporation) Mattituck (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Contractor Name of owner of premises .............................. ~ilbD. n .................................................................................................. 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.: ...?.L.~...~..~..3:..~.b.t?.:~../.?~.~f~_~St No.: Z~ Street and Number ..... ~Z~&..~ ................. 'M~¢.~&'%~e~ .............................................. ~ .................................... Municipality 2. State existi.ng use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..~.%~J~ .............................................................. b. Intended use and occupancy ............ P.~...~z~...~r.~.~.~ ....................................................................... 3. Nature of work (check which applicable): New Buildi'ng ....~tC,%:~.. Addition .................. Alteration Rep?ir .................. Removal .................. Demolition .................. Other Work (Describe) 4. Estimated Cost .... ~.~.~.0f).0...~,/.~[ ............................... Fee .......... ~.0 ] (to be paid on filing this application) 5. If d~velling, number of dwelling units ......... ..o..~.~. ........... Number of dwelling units on each floor If gdrage, number of cars ....... .Qt~ 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 Dim'ensions of same structure with alterations or additions: Front .................................... Rear Depkh ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front ......... ~..~ ...................... Rear ............... ~.~ ......... Depth i.......~2. ........ Height .................... Number of Stories ...~ 9. Size of lot: Front ......... ~.~.0. ........... Rear ............ .~.~.~. ................ Depth ...... 2.0.O..~...~'~L .... 10. Date of Purchase ............... .~:~P.~......~g.~'. ................... Name of Former Owner ....... J.v~.%.%~.%l;t.¢.t¢,..¥.~..~.fl.~.~ .... 11. Zonle or use district in which premises are situated 12~ Doei proposed construction violate any zoning law, ordinance or regulation? ........... Z~a ................... 13. Name of Owner of premises ........................................ Address ............................................ Phone No. Name of Architect ...................................................... Address ............................................ Phone No. Name of Contractor ...F.,d~...~l~±.%~....C~g.~%r.~e.toz:A~ss .......... ~¢a...t±.tu~k ............ Phone No. PLOT DIAGRAM kocat~ cledrly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions fi property li'nes. Give street and block description according to deed, and show street names and indic whether interior or corner lot. STATE 0~, NEW YORK~ ~ S S Edw. hbitz ................................................................................................. being duly sworn, deposes and says that he is the applic (Name of individual signing application) above· named. He is the ....C.o~t~.~.e.~.a~ ........................ (Contractor, agent, corporate officer, etc.) of said ortner 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 belief; that the wlork will be performed in the manner set forth in the application filed therewith. Sworn to ~Jefore me this Notary Public' '"~~/ ......... Countym ·., (Signature of applicant) Term Expires M, arch 30,