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Home My WebLink About3832-zFORM 1~0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT 'I"OWE' CLERK'S OFFICE SOUTHOLD. N. Y, BERTIFIP-ATE OF ~3E:E:U~ANP. Y No. Z 3363 Date December 179 , 1968 THIS CERTIFIES that the building located at Cot. net..o;~ .0].d.M~lr~. Road. Street & S~.gsbee Road Map No..M~..t..t.i.t..u?.k. Block No ............. Lot No. 1.0..2.... Mat:tltuck,..N~w. ~ork.. Park Property conforms substantially ~o the Applicati~on for Building Permit heretofore filed in this office dated ....... April 4, 19.6.8.. pursuant to which Building Permit No. 383;~ ~. dated ....... .A.~.r.i. 1....8.~ ....... 19..6.8., 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 business ,b. uildi~ The certificate is issued t.o Gunter Morchel (owner, lessee or tenant) of the afore.said building. .Suffolk County Department of Health Approval . .D..e.c.e...m~...~..2.:..1..9.6.8.,...R.O..b.e.r..t..V..i.1.1..a FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTNOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 3832 Z Permission is hereby granted to: ....... at premises located at ..0~J...J~;J.I~..J~#I~..~...~J. sR.b~...~J. ......................................................... .......................................... J~.t t,,t t~,.~.... ~i,~,, ............................................................................... pursuan/' to application dated ......................... ~lJ't~ .......~ ............ , 19...f, tJJ., and approved by the Building Inspector. Fee $....J.(;j.J~lJJ ......... Building Insptctor SUFFOLK COUNTY DEPARTMENT OF HEALTH Riverhead, New York Building Permit Ns. T~PE OR PRINT LEqIBLY IN INK Health Department Plan No. %~.plicati_on for Approva~ 9f Commercial Sewa~e..p~sposal S~stem. TO: The Suffolk County Department of Health Date Application for approval of comz~ercial sewage disposal system is hereby requested. (Name and side of street, add name and distance" t6 nearest intersecting street) Village I hereby certify that this commercial sewage disposal system has been con- structed in accordance with plans approved by the Suffolk County Department of Health on (date) and with all the requirements of the latest bulletins on sewage disposal 'of the Suffolk County Department of Health. Title -~ (Builder - ~ner) Ready for inspection_ ~ :':~ FOR USE OF HEALTH DEPARTMENT ONLY Inspected by . /)~,~- ~ ,Date .... / ,~/'~-/~ Insta~tion satisfactory Yes ~No_ ...... Based on the .information stated hereon by the applicant and other information made available, it is the opinion of this Department that this system with proper maintenance can be expected to function satisfactorily and is not likely to cause a nuisance, provided designed sewage flow is not exceeded. Structural features are not included. .. SCHD - S-13 6/58 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ....~.....~... ............ 19.,...~... Approved .................. ~ ................... , 19....~-..Permit No. *.~(:~'3 2-- 7. Disapproved a~ ................................. ............................. ..................... ii ........ Application 1'4o ............................. APPLICATION FOR BUILDING PERMIT 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 propertymust be drawn on the diagram which is part 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 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 removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code and regulatJons.~ ,~ ............. ....... .... i:Y' ................. State whether applicant is owner, le~, agent, orchlt%~enerol contractor, electrician, plumber or builder. If applicant is o corporate, signature of duly authorized officer· · : (N~me and title of corporate officer) · · ~IL '~"/'- 'l'"' ~' le" ~// ~"' '~' '~' ' { · 1. L~ation of I~"d ~ which pr~os.d work w. ll be done. Map No: ,.,,.,,,.,~,,..~,...,.,,~m~Lo, No ..................... Stre~ and Number ....~.~ ............... .~....~,~..~.~...~...~....~......L:..:~~...: ............... Municipali~ 2. State existing use and ~cupancy of premises and intended use and ~cupancy of pr~os~ construction: Existing use and occupancy ...................................... /~ .......................................................................................... b. Intended use and occupancy ....................................... .¢ 3. Nature of work (check which applicable): New Building / Addition Alteration Repair .................... Removal .................... Demolition .................... Other Work (Describe) ...................................... 4. Estimated Cost ................ ~..~'....c~....:~.O.. .......................... 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 ........................................................................................................................................... 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 ......... .~....~. ............. Depth ......~...Z... ................. Height /~ Number of Stories t 9. Size of lot: Front .......~./'.:.~..~. ........ Rear ....... ..~..~.:..&..Z ........ Depth ......./.~.~..:.~.'~.. ............ 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 11. Zone or use district Jn which premises are situated ........................................... ~ ..................................................... 12. Does proposed construction, v~.~ ate~, .. ~ ,_anY zoning law, ordinance., /--- ,., ~,.°r reg, ulation?; ........ ..~........~..q.q.~......~...?..y.~...~.e...c~.....~ 13. Name of Owner of premises ...~.~!;~J~'.../~9...~..~../ ........ Address../~..?.(.'t.~.'o?.~..~.....~....~r.~.... Phone No ..................... Name of Architect .....~...o....~...0...~....~...../~....~..~..?.~.~.. ............ Address .....~...~..~...c.~.s..P...°.~.7. ................ Phone No ..................... Name of Contractor ..~...~..~.£~..e.....~..~-- '' ..~.f..~ ................. Address ~'a~,~n · .~ ........ ,q. ............................ 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 numbers or description according to deed and show street names and indicate whether interior or corner lot. ..~ ~.~...., ....................... ¥.....~...be!n_q duly sworn, deposes and, says that he is the applicant ..... (Name~f individual signing applicatien)~~ above ~med. He is the ...................................... ~~,. ~x ................................... ~ .................................................... (Contractor, agent, co~orate officer, etc.) of said owner or ownem, and is duly authorized to perform or have performed the said work and to make and file this application; that all state~nts contained in this application are true to the best of his knowledge and belief; and that the work will be perform~ in the manner ~t.~,in the application filed therewith. ' before me this Swom,oof ................ · ........ . ................ .................................... Noto~ Public, i..[[~...~.:....[~ ......... County (~nature o{ opplic*nt) ~ MARION A. REGal ~TARY PUBLIC, State o~ew No. 52-3233120 Suflolk Court)y, T~ ~ir~ ~r~ ~, 19~ L~,v' II ill 4-- ~ ~:2~' t~,LZ2(r.,IF-. \V&LL kY/ G'TI,,}C¢.42 Ii ?BALI, F~mI. Fr ¢ ¢~&~ U~ D~TION ~LA.N I I LoT 0 -.4 NOTE: LOT NUMBERS REFER TO MAP OF MATTITUCK PARK PROPERTIES, INC., FILED JULY 2,1925 AS FILE NO. 795. m · MONUMENT, SURVEY FOR GUNTER MORCHEL MATTITUCK TOWN OF $OUTHOLD SUFFOLK COUNTY, N.Y. SCALE: I"' FEB. 14, 1966 LAND SURVEYOR ~ LIC. NO. BB?SS. BIVERNEAD, N.Y.