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Home My WebLink About3973-zl~l~M NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No ...... ~..~2~ ....... Date ............... B~pP,,ent~: .. ~. ~ ............ , 19~B... THIS CERTIFIES that the building located at ..~,ucj,l,ee,..l~l/~ .................................... Street Map No ....................... Block No ....................... Lot No.....l~a~;,~tt~C.k,..~'~'~...¥O~.k .................... conforms substantially to the Application for Building Permit heretofore filed in this office dated .................... ,.~t~,¥...2~r .......................... , 19.~8.. pursuant to which Building Permit No.3~?..3...Z... dated .......... ,~i[.~...~,g, ......................... , 19..~8., was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ........ ~Zv&te..oae...£a~nLl.¥...d~,~l,ttag..M~r.h.. &c~e~mo~..~i,d~u~ .................................... The certificate is issued to ..... ~[,t.L].~m ,~..41t~&..~.t,~l~ ..................................................... (owner, lessee or tenant) of the aforesaid building. Building Inspector 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? 3973 Z Permission is hereby grented to: Willia~ Bettendorf P~ttituek to Build a~ aeees.s, ory (tooX shed) Building ..... at premises located at S~/~ I~augles Drive Mattituck ~.Y- pursuan¢ to application dated ................................ ~13~'~.Z ....... .~.~. ...... , 19....6~...., and approved by the Building Inspector. Fee $...~..?...0~... ............ Building Inspector Disapproved a/c ....................................... APPLICATION FOR BUILDING PERMIT~t ~ . Octe.: ...... i ....... ............ , INSTRUCTIONS a. This application must be completely filled in by typewriter or in in~, 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 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 b~en 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 State whether applicant is owner, lessee, agent, architect, engineer, general cbntroctor, electrician, plumber or builder. 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 ..~~....~.r...~.~.~i~..,..JJ~,~./~i~i..p~¥,~.'~'-'~'~' "-- ..- ...... i ............................... 2. State existing use and occupancy of premises and intend~ use and occupancy of proposed construction: a. Existing use and occupancy ................................. ~.9~.--..-.-.~..,,~ ........................................................................... b. Intended Use and occupancy ..'..:.~.~,......~...,....~ ......................: ....................................... :; ........................... 3. Nature of work (check which applicable): New Buildihg .................. Addition .................. Alteration .................. Repair .................. Removal .................. Demolition ........ .......... Other Work (Describe) ........................................ 4. Estimated Cost .............. ; .............. Fee .......................................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ........ .[. .................. Number of dwelling units on each floor ............................ If garage, number of cars ....................... ..l~..fZ~,X~ ........................................................................................................ 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 ..................................... : ........................................................................... Dimensions of same structure with alterations or additions: Front .................................... Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front ......... .[.~ ..................... Rear .......... .I...~m.. ............ Depth ...... ..~... .............. Height ...... 8 ............ Number of Stories ..."( ................................................................................................................ 9. Size of lot: Front ....... ~.8..0. .............. Rear ......... J..D.D. .................... Depth ..... .~...~. .................... 10. Date of Purchase ...~...~........~..{.~.l:. ................................. Name of Former Owner ........................................................ 1 I. Zone or use district in which premises are situated ..................................................................................................... 12. Does proposed construction vig, late. any zoning law.~_.ordinance or regulation?_. - n ."~"~' ................................................. 13. Name of Owner of premises-..~.~...~ddress ~....'].~..~...'.L~.....~..,..~. Phone No~.:...F(.~...~.... Name of Architect .................. ..~..~ ....................... ' ~Address ............................................ Phone No ..................... Name of Contractor ..................~...t~ ...................... Address ............................................ Phone No ..................... PLOT DIAGRAM Locate clearly and distinctly oil buildings, whether existing or proposed, and indicate oil set-b43ck dimensions from property lines. Give street and block number'~Y--~scription according to deed, and show streef;,i~ames and indicate whether interior or comer lot. . ~ ~ ~ r,~-~ ~ ~ / I STATE OF NEWk"~O. RJI~ COUNTY Of ....~:5~.~..~.......~ · _ above named He s the ...~...;.....~.~ .............. .... ..................... ~. (Contractor, agent, co~orate officer, etc.) of said owner or ~ners, and is duly authorized~p~?fo~ oF h~ve performed the said work and to ~e and file this application; that all statements contained in this a~licatip~re t~e to the best of his knowledge and belief; and that the work will be performed i~he manner ~t fo~h Jn]the~a~l~ fi ~ ier~i~. Swam to ~fore me this ...................... ............ .............. , . ._ ~o. 52-0618100 Suffolk Cou~y ~mmlssion