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Home My WebLink About4425-z FORM NO. 4 TOWN OF SOUTHOLD~ BUILDING DEPARTMEN~r Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. Z..376,9. .... Date ...... ~. April..a ......... , 1~. THIS CERTIFIES that the building located at .... P~ule. Bay. Bled ..... Street Map No. .:~ ...... Block No .... lr~ .... Lot No.. lt~ ·.. Lallre]... N~X, ........... conforms substantially to the Application for Building Permit heretofore filed in this office dated ........ &Ug .. ~9. ..... , 19.69. pursuant to whiqh Building Permit No. ~t~2~. ~ dated ....~Y~g .,~9. ............ , t9.69., 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 ... p~iv.a.t.~..On.~. ,fglnlly. d.~.e!llng ......... : ............................. The certificate is issued to .... William .Fi.%~gera~t..; ...... i~rr~er ............ i... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval ...I~o~,. ............................. ..... t .......... Building Inspector ~ou~e # 18~ FO~ 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? 4425 Z Permission is hereby granted to: ....*...,...~.e. !~ ~...~...s...o.,..s...~.~.......y.~.. ~Lt.~.c.e.~. a~ .................... ~ ~.t.i.%.u~k ..................... ................. at premises located at ................ .~.OJ;,.2.1.....X~X'.~t...P.~f,.... ......................................................... ......................................................... ]{ ].~ p. ee~u~j:..~;i,...J~l'~ ....... ~_~r~.el ............................ pursuant to application dated ............................. .~..,~.~'.....~.~. ......... ~...., 10..~.~...,, and approved by the Building Inspector. 'Building I~t~'r' ......... ~ Approved ................ ........................ , '! Disapproved o/c ..., ....................................................................................... ,. (Building Inq:)ector) t AFfl. ICATIOH FOR BUILDIHG PERMn' ..................... ...... i., ...... INSTRUCTI~S o. This application' must be completely filled in by ~writer or in ink and submitted in duPiica~e ~ the Building Inspector. ',' ': : :.: . ,: ? . 'relationship to adjoining pmmiees or public streets or the diagram which is port of thle application. b. Plot plan showing location of lot and of buildings on premises, re areas, and giving a detailed description of layout of pro~b~d' I~lhbwn on 41 U~r~ll~r~ d,t~ls,.411~)lilatto~, +,h B _q~di~:tmi~ wflltiss, ue a,~ltng Permit~o thea~nt~.Such permit shall be kept on the premises available for impectlon throughout the pragress of the worl~ e. No building shall be occupied or used tn whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Bullding Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pureuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Law~, 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, housing code, and regulations. A. Reilly & Sons In¢ (Signature of applicant, or name, if a corporation) Matt~ tuck (Addrms of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. contractor Name of owner of premises ....... ..~..~.....~..~...~..~..~..e.~...8:.~...c]: ............................................................................................................. If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of and on which ,~.,-,~,,,I ~ ,,all ~, ~ u,~ ~do· Laurel Park , ~'~ ............ ~ ...................... ~t";( ................ ~.:~.~L.~.~.~ ~ St~ a~ Nu~r .............. ~..~.~Ro...~...~...~Z..~.~ ....... ~.~.~.~. ....................................... ,.....: .......... 2. Stye exi~lng u~ a~ ~cu~ of p~l~ ~ ~ ~ . .......... L,... ,- v ~. ~.~ ~. ~c~, ,,., .g~,~ .......... g. ................................................................................................ .: b. '~ ~ a~ ~ ....... , ....... ~ ...... ~....;~L~.,~..a~:,.~.~ ................ , ................... , ......... 3. Nature of work (check which ~oplicable): New Buildipg ;: ................. ,a~Jdition .................. Alterotion .................. Repair .................. Removal .................. Demol'ition .......... ;;;..iL Other Work (Describe) ........................................ 4. Estimoted Cost ......... .~.,~,00..+,~ ................. :'.,,.'?.:.'"'Eee i-i~..~-?.,0,..0- ........................................................................... (to be paid on filing this application) §. If dwelling, number of. dvfelling units ....... D~fi ........ :.....Number of dwelling units on each floor ............................ If gornge, number of cors ............................................................ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ............................ of existing structures, if ony: Front 7. Dimensions Height ........................ Number of Stories ........................... ~ .......................................................... i ................ Dimensions of same structure with olteretions or additions: Front .................................... Rear ........................... Depth ................................ Height .........~ ....Number of Stories ......~ ......................... 8. Dimensions of entire new construction: Front ....... .~..br. ........... ; ............ Rear ............. .1..LI.. .......... De~th ............ .6.. ......... Height .................... Number of Stories ...... .o..~...e. ......................................................................................................... 9. Size of lot: Front ............................ · Rear ........... k ....................... Depth ................................ 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 11. - Ztme or use district in which premises are situated ....... .~,~...c~Ls~. .......................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? ....... ~ ................................................ 13. Name of Owner of premises ...~..~.....~...~..t..~..§.e...~..a...]:~ ....... Address ........ ..~..a...~.~.e...]: ..................... Phone No ..................... Name of Architect ...................................................... Address ............................................ Pharm No ..................... Name of Contractor .'A'~...:R.e'I'I l~'...&..~o,~.S..-I=C.-Address "~'[ ...... ~[~,.~.t;LJE~LC~ ........... Phone No ..................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whet.her e.x!s, ting or p..mp.~o~?~, ,ar~, incii.ca~_al! .set .-~:k dime__ns~i ,o~_~..f__r~._ property lines~ Give street and block number or aescr,pT,on accoramg TO aeea, aha snow ~sTrem nmnes cma ,na,cam whether Interior or corner lot. STATE OF i NEW ~'O~K... ( S S ~z ~ o.~l~.., .... ~ · ·. ...... COUNTY OF .................. v,,,~ .... Normau Reil~E ........ ~i duly ~om, ~ a~ ~ ~ ~ is ~ ~licant ~Na~ of individu~ sig~ ~li~) ~ r "~ · ~ ~ "~ ~ ~ .~ .. ,< ,h. Contrac~gp. .........Z~.¢/~.~.~-~.-.~ ....... : ............ ................................ : ................. . ........ (~t~T~ ~T, co~ 0 ~, .l of said ~r or ~e., a~ is duly a~,~ t~..~r~ or. h~ ~t~ ~h~~ ~ ~ file this a~l~i~; thaf all ~em~n~ cont~ m th~s ~pp, c~.am t~..~ ~ ~.o n s ~ ~ and ~lief; a~ that the ~ ~ill ~ ~rfor~d in ~e ~n~r ~t fo~h m the ~,c~l~ n~ ~m. S~m to ~f~ ~ this ................... ~ .' ..... ~ ........ ~ ....... :?'. ........~ ~ I ~ ~, ~.~ ........ ~ l~ / I 'l I 'IL "~'"~'"~: ............ :L ............ ~"L' ....... ;:'""':i ........ r ............ N~ ~ NOSEY PUBLIC, S~te of New York No. 5Z-8Z25850, Suffolk Co~ Term Expir~ March ~.~]97~