The URL can be used to link to this page

Home My WebLink About4521-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. 2~ ~0. Date THIS CERTIFIES that the building located at Map No. Matt ]{ts Block No .... Lot No. ..... April 2 , 19 70 Wiekham & Bayer Rd Street · 29&30 Mat tituck N ..Y~. conforms substantially to the Application for Building Permit heretofore filed in this office dated , 10.6~. pursuant to which Building Permit No. 1'~;21Z. dated Oct 21, , 19 ~9 , was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is . .Private. Garag~.. (acce ssor~r. Bld[~) ......................... The certificate is issued to Ca~o~l J ~ .ttar~ey . · ~:~ ..... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval I~.R,, .............. Building Inspector House ~ 2~00 wickham Ave FOF,~ ~0. 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 COMPLE-I'ION OF THE WORK AUTHORIZED) lq? ~t521 Z Permission is hereby granted to~ ...... ~-,~:L.~ ~_ e.~,~.ej/...&. ~ ;L~e ....................... .................. )/~g//~]~J,~4~ JJ. ~ .~ · ,,l~.~JJ~JJ~ ......................... .~, ~ ~ ...................... llatt~tm~, ...................... : ........... to ......... J~-~J..~. ~a~t~ ~L.t ~en..el~. ~r~t ~..l~&vl~te...IJalaaSe ................................. : ..... at premises located at ............... ~L~.J~¥~..~.~,~i/'~IL.~L ....................................................... ........................................................ lle,.L~.L~g.,~ ....... ~.,,,,,.,. ................................................................. pursuant to cpplication dated ................................ ~ ......... ~ ....., 19.4j~., and approved by the Building Inspector. Fee $..~e~J ............ Building Inspector TOWN OF SOUTHOLD //,-.,,~/? ~' ~ BUILDING DEPARTMENT ,~ TOWN CLERK'S OFFICE SOUTHOLD, N. Y. A~ ........................................ , 19 ........ Permit No ................ /. ........ ~i~ppr~ed Q/c ............................................................. APPLICATION FOR BUILDING PERMIT Dat- OCt 2~ 19..6.C~ ....... INSTRUCTIONS a. This application must be completely filial in by typewriter or in ink and submitted in duplicate to the Building Impector. b. Plot plan showing location of lot and of buildings on premises, relationsh p to adjoining prem ses or pub ic 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 been granted by the Building Inspector. State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Owner - builder 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 applicabi~e laws, ordinances, building code, housing code, end regulations. Carroll J. Harvey (Signature of applicant, or name, if a corporation) Mattituck N.Y. (Address of applicant) Name of owner of premises ........ .(~a~:r~l.l.J~[~x'.v.e~..&..WJ_l~e .............................. If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) ,~ Location of land on which pm~ed work will ~ done. Map No.: ...................... [~.~ ..... Lot No.: .......... [.~. Str~ and Number ........ .~..~.~ ......... ~=C~.., .................. ~1 ~ ~ 0 ~ Munici~li~ State exi~ing u~ end ~cu~n~ of premiss and intended use and ~cu~ncy of p~ construction: a. ~i~ing ~ and ~cupan~ pvt b. Inte~ u~ and ~cupan~ S~e with an addition 3. Nature of work (check which applicable): New Building .................. Addition ...~ ........ Alteration .................. Repair .................. Removal .................. Demolition .................. Other Work (Describe) ........................................ 4. Estimated Cost ......... ..~.~...0....._+ ................ : ...... :...; ....... Fee .....~..?...Og.. ............................................................................ (to be paid on filing this application) 5. If dwelling, number of dwelling units ....... ~LOJO,~ ........... Number of dwelling units on each floor ............................ If garage, number of cars ............. .t~ ........................................................................................................................ 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 ........ .1.2 ....................... Rear ......... .1.[ .............. Depth ...~,0 ................ Height .................... Number of Stories ...... eli. e-: ...................................................................................................... 9. Size of lot: Front ............................ Pear .................................... Depth ................................ 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 1 I. Zone or use district in which premises are situated ........ ~!!Cl~t ............................................................................ 12. Does proposed construction violate any zoning law, ordinance or regulation? ...la4:) .................................................... 13. Name of Owner of premises ...(~AJ;~,r.~.e~. ............. Address ..¥~.~.~.'I.~1Lg~ .................... Phone No ..................... Name of Architect ...................................................... Address ............................................ Phone No ..................... Name of Contractor ............ ~,.~,R1,~. .............................. Address ............................................ Phone No ..................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether iuterior or corner lot. STATE OF NL:W YORK, J c c '--"--' ~'4 ,~ COUNTY OF ...$.l.~f. allc ............ $""-~. ~ .... ~ .................................... g.~.~.~...~.:...~.~Z~. ................... being duly sworn, d~oses and says t~t he is the lic t (Name of individual signing application) above named. He is the ..................................... ~.~....C...~.~.~ ................................................................................ (Contractor, agar, co~orate officer, etc.) of said owner or owners, and is duly authorized to perform or have perfo~ed the said work and to ~ke and file this application; that all statements contained in this application am true to the best of his ~owledge and belief; and that the work will be performed in the manner set forth in the applicati~ filed therewith. Swam to before me ~is .................... ...... .............................. Nota~ Public,~~.~.. C~n~~ (Sign~ure of ap~li~nt) u ,, · No. 52-8i25850, Suffolk Co~ Term Expires March 30, 19