The URL can be used to link to this page

Home My WebLink About4527-z~0~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy issued is ,pr tvat. e. one The certificate is issued to of the aforesaid building. Suffolk County Department of Health Approval No. Z /Il60 .. Date February 24, , 19 71 THIS CERTIFIES that the building located at R,O,W. off S/S ~ Roa~treet Map No. au~x · Block No. ~ Lot No. Mattltuck, New York conforms substantially to the Application for Building Permit heretofore filed in this office dated . October 28, , 19 69 pursuant to which Building Permit No. 45277. dated October 28, , 19 6~ was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is family .~w e.l.1 lng ...................... WilLiam. & .Dorothy ~osc~la (owner, lessee or tenant) · January~26, '1971, Robert A~Villa FORM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT CT*HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 527 Z Permission is hereby granted to: ........ 3~,~e,.ae~.. ~.~._,, ..fa~,t~.....~l~ ......... .'. ............................................................. to at premises located at .................... .................. t,e..ll,,..;I, ma~ .. f'~,e~..~..,t, ea'e~ ................................. '.....: ................................... .................................................................. II~t~ta~ ......... lb, Z, ..................................................... pursuan¢ to application dated ................................ ~ ......... ~ ....., 19.4~, and approved by the ~3uilding Inspector. Fee $-..te. O0' ......... Building Inspector \ S-9 SCHD RECEIVED b?l J~N 2B ~,I~ 9:57 SUFFOLK COUNTY DEPARTMENT OF HEALTH COPY Date January 26, 1971 Bldg. Permit No. 4527Z TO WHOM IT MAY CONCERN: The sewage disposal facilities for a structure located at Rbw S~ West Mill Road ~ Phture Corner to No~h Lane from Shore Acres (Give deed location) MAttituck have been inspected by this department and found to be satisfactory. 1§71 Ghisf of General Engineering Services /OB, M NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT T~N CLERK'S OFFICE N. Y. Application No ........................... APPLICATION FOR BUILDING PERMIT Date October 28 69 INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building Inspector. b. Plo? .pi.an sho,w!n.g, I .oc.ation. of. lot ,a.nd of bu.ildings on premises, relationship to adjoining premises or public streets or areas, aha g~vmg a deta,ea aescnpt~on or ~ayout 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 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 sholl have been granted by the Building Inspector. APPLICATION IS H.EREBY MADE to the Building Department for the issuance of a Building Perm t pursuant to the ~Build!n.g. Zone. O.r.dinance of the Town of Southold, Suffolk County, New York, and other app cable Laws, Ord nonces or Kegu~arions, Tor rne construction of buildings, additions or alterations, or for removal or demol tion, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations. William Boscola (Signature of applicant, or name, if a corporation) Mill Road Mattituck (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ................................................. o~.e~:....-... ]~.t~I~.~.e.1~. . ........... Nome of owner of premises ]~,,~,~,~ ~}.~.~.Q~, .~..D..~).~.~..~.~...~...o..s.¢o'la ............................................ 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.: ...1,1~..~..~..e...~...~..t. ......... I-ot No.: ? · ..R.~.0..T..W.. ~ff S ~ W? Mill Road Mattituck ' Street and Number ......................... ./. .......................................................................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ........ .y.~,.q.~.~..~,~..d, ........ b. Intended use and occupancy .................. .~.~.~...~..~t~....~.I~.~,~K .................. 3. Nature of work (check which applicable): New Huilding ........ ; .......... Addition .................. Alteration Repair .................. Removal .................. Demolition..., ............. Other 'Work (Describe) ................... 4. Estimated Cost ..... ,~0.~.QOJ~...~. .............. :~ ....... ~ ...... ,..Fee .....~.Q,.Q0 ..................................................... ~'~'-:'~.~ .......... (to be paid on filing this application) 5. If dwelling, number of dwelling units .....°..~..e...'...~...:"~:....Numl~er of dwelling ~nits on each floor ............................ If garage, number of cars ............~...~..O.. .......................................................................................................................... 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 olteratJons or additions: Front .................................... Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front ...... ~)~.~.l.O .................. Rear ....~.~.-..~.0. ........... Depth ...~.br. ............... Height .................... Number of Stories .....t~.~t.9. .......................................................................................................... 9. Size of lot: Front ...... [~.Q ............... Rear .....1.20. ........................ Depth ....... ~,0.0...q' ............ 10. Date of Purchase ........................................................ Name Of Former Owner ........................................................ 11. Zone or use district in which premises are situated ........ .~.~..~..n....~..~..S..~.. ......................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? .......... ~ ............................................ 13. Name of Owner of premises ~..~.....~..o...~..°..9.~.8... ............... Address ......~..~..~.t/.~..~..O..~.. ................. Phone No ..................... Name of Architect .................................................. :...Address ............................................ Phone No ..................... Name of Contractor ...~.o.~.....~..9...]~...~.Z'..~.1}.. ................. Address .......... .~...~..]:.]....e..z'....?..~. ............ 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 interior or corner lot. STATE OF NE~' v...O~K. COUNTY Of .~.~..o....~... .............. $~.~. ........................... ~m......]~eG~e.~.G ......................................... being duly sworn, deposes and says that he is the applicant (Name of individual signing application) above named. He is the .............. 4>~'~ez'. .............................................................................................................................. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to rn~ke and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and thar the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this .................of .............. ..... ,. Notary Public, ~¢/~.~/.J~.~ ..... Count,~'~ii~'~;;i~/' ........................ Term Expires hlarch 301