The URL can be used to link to this page

Home My WebLink About3318-zFOR~ ~0, ~ TOWN OF SOUTI{OLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUT~OLD, N. ¥. No. :Z. -~2626 .... Date ........... .Dee-w · · .3.3 ........., 19-66 THIS CERTIFIES that the building loc.at ed at .. '~:~'gsb~'Raad .............. Street Map No.)L'%%t.,,. P~,~'k ]~No ............. Lot No. 2~. & .26.. Mat;t~%~;u~k~..I~,~,~... conforms substantially to the Applicati.on for Building Permit heretof~ore filed in this office dated ........... NgYembeI~']18 lC~o6-' pursuant to which Building Permit No. dated ............... l~ .......~., 1966., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The .occupancy ~or which this certificate is issued is . 'P~v~te' ~ne' 'fam~l~ '4we1 ~'~t/g ....................................... The certificate is issued to . t~a~'~in.-~.o)me .&.-~o-(-----'owner, Ol~e~ .................... lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . --N~--Rw ......................... Building Inspector FOI~! 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? 3318 Z Ome November 18 19....6..6.. Permission is hereby granted to: ...... ....................... Ma~.ti.t.uck ................................... to ~:~ .k.g...~..1.$.e...r. ~.~ .l...o..n..~...~ ...B...n..e. ~..q.s...u..r..o.... p...n...~..x..l...s.~.f...n, p~ ..~e $.~ ~ ..................................... at premises located at ...~t..~.' .............. 14at~,ituei..Rark..t~.r~p ................................................. ..................................... 8~sh~..~oad.~ ........ ~.~it~ck ................................................................. pursuan¢ to application dated ................................ Nt~V.....~ ........... , 19.1~6.., and approved by the Building Inspector. Fee $..~...~..0..0. ............. FOENI NO. 1 TOWN OF SOGT~OLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ....... .... Approved ........................................ , 19 ........ Permit No ........ ~............~ D~sapproved a/c ............... ~~.....~ ( ufldin~ spector) ~ APPLICATION FOR BUILDING PERMIT Date November 18 19..6..6. ...... 1 NSTRUCTIONS a. Th~s application must be completely filled m by typewriter or ~n ink and submitted in duplicate to the Buildin~ Inspector. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets c areas, and g~wng a detailed descnption of layout of propertymust be drawn on the d~agram which is part of th~s applicatior c The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this applicat[on, the Building Inspector will issue a Building Permit to the applicant Suc permit shall be kept on the premises available for inspection throughout the progress of the work. e. No building shall be occupied or used ,n whole or m part ~:or any purpose whatever until a Certificate of Occupanc shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Bu,ld,ng Department for the ~ssuance of a Budding Permit pursuant to th Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances , Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as harem describe, The apphcant agrees to comply with oil applicable laws, ordinances, building code and regular,ans. Irwn Tuthill (S~gnoture of opphcant, or name, if a corporation) ................ N~t.ti¢~c~ ......................................................... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or bu~lde Contractor Name of owner of premises .... ]~ar.t-~n..,.T...C.o~z~e ........................................................................................................... If applicant ~s a corporate, signature of duly authorized officer. (Name and t~tle of corporate officer} 1. Location of land on which proposed work will be done. Map No' .~..~,~.~...~,~...?.~.q).~l .......... Lot No: ................. Street and Number ......... SJ.l~..~.b~r...fi.o~.c~ ......... H~.tJu~tzo, k ................................................................................ Mumc~pality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a Existing use and occupancy ........ ~..-yf.e...Z..]...~..~.~ .................................................................................................... b Intended use and occupancy ............... .s.~.~..e....~.J:.~..~....~..~..e.?...8:.t...~..o..:p.. ............................................................. 3 Nature of work (check which applicable)' New Building ................. Addition .................. Alteration ..~ ..... Repmr .................... Removal .................... Demolmon .................... Other Work (Describe) .................................... 4. Estimated Cost ....... .~.0~D...~?~. ................................... Fee ........ .~ ............................................................................. (to be prod on filing this apphcation) 5 If dwelling, number of dwelhng units ........ 0.~. ............. Number of dwelling umts on each floor .......................... If garage, number of cars ......................................................................................................................................... 6 If business, commercial or mixed occupancy, specify nature and extent of each ~pe of use .............................. 7. D~mensions of ex~sting structures, if any: Front .......................... Rear .......................... Depth .......................... Height ............................ Number of Stories ............................................................................................................. D~mens~ons of same structure w~th alterations or addmons' Front ................................ Rear .............................. Depth .............................. Height .............................. Number of Stories ........................................ 8. Dimensions of entire new construction: Front .......... ~.~ ............. Rear .......... ~ ............. Depth .....~ ................ Height ............................ Number of Stories ...P~ .................. 9. S~ze of lot. Front ............................ Rear ........................... Depth ................................ 10 Date of Purchase ........................................................ Name of Former ~ner ...................................................... 11. Zone or use district m which premises are s~tuated ............... ]~L..~s~ ............................................................ 12 Does proposed construction violate any zomng law, ordinance or regublion? ...... ~ ......................................... 13 Name of ~ner of prem~ses~...~ ......... ~ ........... Address ...... ~.~ ................ Phone No ................... Name of Architect ...................................................... Address ............................................ ~one No ................... Name of Contractor ..~..~.~ ................... Address ...... ~.:.~.$~.~ ................Phone No .................. PLOT DIAG~M Locate clearly and d~stinctly all buildings, whether ex~stmg or proposed, and indicate all set-back dimensions fro, property hnes. Give street and block numbers or description according to deed, and show street names and red,ca~ whether mterior or con er lot STATE OF NEW~ORK, COUN~ OF ...... ~Z~ ............ f S.S. ....................................... ~..~.~.~.~ ........................... being duly sworn, deposes and says that he ~s the appllc~ (Name of indwidual signing apphcatian} above named. He is the ....... .~o~¢~.~g~. ..................................................................................................................... (Contractor, agent, corporate officer, etc.) of sa~d owner or owners, and ~s duly authorized to perform or have performed the said work and to make and th~s apphcation; that all statements contained ~n this a~plicat~on ~e true to the best of his knowledge and beli and that the work wdl be performed in the manner set torth m thflapphcation filed therewith. Sworn to before me th,, ................. ~.. day of ............ Nota~ Pubhc,(.~'~...~..~.Z~( .... County , ~ , (Signature of applicant)