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Home My WebLink About3013-zTOWN OF SOUTHOLD ~UILDING DEPARTMENT TOWN CI~ERK'S OFFICE SOUTHOLD. N. ¥. I~£1~TllrlI~AT£ I-IF rlI~I~UPANI~Y No...~.~..~.~'~.0... Date ........... .~..ep..~.~l.b..~?... ~6..., 19.~.~.. THIS CERTIFIES that the building located at .]~/~q. I'I-oX~O~. ~alqa .......... Street Map No, ~XX ....... Block No ..... ~X,., Lot No. ,Xk~ ...... ~J~.l~b~ol~l~. ~., ....... conforms substantially ~o the Application for Building Permit heretofore filed in this office dated ............ ~J~.eh...~0.., 19[~. pt~rsuant to which Building Permit No. ,~,~. dated .......... ~4~%'(;~.~.. ~0 .... 19.~.~., was issued, and conforms to all of the require- merits ,of the .applicable provisions of the law. The ,occupancy f, or which this certificate is issued is . ~'l.v. aqs~ .~. faral.~y, dwa[L.~king .......................................... The certificate is issued to .~T~,~,,I~. ~av~e, gli~..~.~['.e ..... [~)~lq,~°B ........... (owner, lessee or tenant) of the aforesaid building. ,Suffolk County Department of Health Approval .... Sep.~ember .... ~6...1966.- B~'~..R~ Villa %,~. ,.... ':2- Building Inspector FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERICS OFFICE SOUTHOLD, N. Y. BUILDIHG PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 3013 Z Date tv[al'Oh 10 ] 9....~..~ Permission is hereby graflted to: ct premises located at ..... ~./~.~.....~.~.~.r..~..~.~..[~...~.~...~..~.~./.(f..~.....8a~t~:~.d..~(ia~.~"~ ............... ............................................... ,..~.o.~.o..Z..~....~f.,.L ............................................................................... pursuant to application dated .................................. .~.~.. ....... .1..~. ....... 19..6...6..., and approved by the Building Inspector Fee $ 2,0.00 . ........ i..~t., i~.~'~ :: ~:;.~:..:':.' ....... .~.~?,/.: ;,(. :-::~:'~ .................. Building Ihspector [ S-9 SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH Date Bldg. Permit No. TO WHOM IT MAY CONCERN: The sewage disposal facilities for a structure located (Gi~e deed locati~n~ ' - - have been inspected by this department and found to be satisfactory. District Engineer FOl~1 NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE ........ Approved ~'~ 19..~.... Permit No. ~ 0 / 5 ~ App,icat o. .............. (Building Inspector(/ APPLICATION FOR BUILDING PERMIT Date ...................... ~z:~JZ ....... ID ............. , 19..66. ..... 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 issua.nce 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 sh.oll 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 o 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 opplicable laws, ordinances, building code and regulations. (Signature of applicant, or name, if a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engirneer, general contractor, electrician, plumber or builder. Name of owner of premises ..... ~q~..~m. az'.~ZJ~t..~c..~J.~ ............................................................................................ 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.: .~X ............... Street and Number ..~../.~`.......~.q.~..~...T~f~fk....~L~L.bc.!...~/.~..~'/...~'.at~c~...~..~.ee.....$.~g&~ ................ Municipality 2. State existing use and occupancy of premises and intended use ~nd occupancy of proposed construction: a. Existing use and occupancy .....~.~.~..~.~..,~,..~.~.c]. ..................................................................................................... b. Intended use and occupancy ....... .o..~.~....~,f~T0.:~]~....Ct.¥/.e..1..~.:].~, ............................................................................ 3. Nat, Rep~ 4. Es, ir If d~ If gc 6. If b, 7. Dim~ Heig Dime Dept 8. Dim~ Heig 9. Size 10. Date 11. Zone 12. Does 13. Narr Narr Nam ire of work (check which applicable): New Building .... ~x~.X.... Addition .................. Alteration ... J .... iir .................. Removal .................. Demolltian .................. Other Work (Describe) ....................................... ated Cost ....~.~ ..................................................... Fee 10 ooo P/ ......................................................................................... (to be paid on filing this application) ,elling, number of dwelling units ...... Q.~.e. ................ Number of dwelling units on each floor ............... , ............. rage, number of cars ............. .q~¢. ............................................................................................................ I ............. lsiness, commercial or mixed occupancy, specify nature and extent of each type of use ............... . ............. .nsions of existing structures, if any: Front ............................ Rear ................................ Depth .................... it ........................ Number of Stories .................................................................................................................. nsions of same structure with alterations or additions: Front .................................... Rear ........................... , ................................ Height ............................ Number of Stories ................................ .nsions of entire new construction: Front ....... .~.6 .................... i... Rear ........ .1+~ ............... Depth ..22/...2.0 ....... ~t .................... Number of Stories ...9.~g.e .............................................................................................. : ............. 2f lot: Front ....... 10.0. ............. Rear ............... 10.0 ............. Depth ....~L~.0/...~.¢2 ......... of Purchase , Nov 1~.,6.~ Name of Former Owner gve~,t~n , J or use district in which premises ore situated ....~.....d~.~ .................................................................. i ............ ~roposed construction violate any zoning law, ordinance or regulation? .............. ZlO ............................ ............ of Owner of premises John T&rtaglla .&;A~dress Ba side of Architect ...................................................... Address ............................................ Phone No .................... of Contractor ..~oIlleg~...~.$~..~l,V] ~.~e27.8 ....... Address ........... ~T~so.oF~e.+o~ .........Phone No ..................... Locatelclearly and distinctly all buildings, whether existing or I property lin~s. Give street and block number or description acco~ whether interior or corner lot. STATE OF Ix COUNTY al obove nomeE of said owne this applicat ihat the worl Sworn to befl Notary Public I J.LI PLOT DIAGRAM ,roposed, and indicate all set-back dimensic ding to deed, and show street names and ns from indicate ~¢...~ .................. ~ ......... ,......being duly sworn, deposes and soys that he is the opphcant ame of individual signing application) J (Contractor, agent, corporate officer, etc.) r or owners, and is duly authorized to perform or have performed the said work and to make d file on; that all statements contained in this application ore true to the best of his know edge and be ie; and will be performed in the manner set forth in the application filed therewith. re me this .~.~..~.,...~ou~t~ / ' (Signature of applicant) ~/"~ JUDITH T2 BOREN ~~ I