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Home My WebLink About4263-z FOlh~t NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy THIS CERTIFIES that the building located at . .~ ~ .......... Street Map No.~%.~e .][I*~ Block No. U ....... Lot No.31 ........ ~',tti~le~.. ][~][e .... conforms substantially to the Application for Building Permit heretofore filed in this office dated ....... Apl'-~. · · ~8..., 19 69. pursuant to which Building Permit No..~3. ~. ' dated ........ AI~$1' · '~ .... , 19.69., waS issued, and conforms to all of the require- merits of the applicable provisions of the law. The occupancy for which this certificate is issued is .Prt.v.~tc. sine. £e~ly..dwelliug ....................................... The certificate is issued to .... ~d~&l'd. &bit, S ................ ~/l~eF ................ (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval Bemuse 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? 263 Z Permission is hereby granted to: ........................ I~tt~Jtaalr, ................................. at premises located at .............. ~Jlt~ ................ ..][~.t~t~ll~[.~j~.t4j,t~j~ .......................................... ......................................... ~ ..~,'7,,5...... ll:temmm ..Jeal, ............. kt.t,l.2m~.... II,,l,, ................ pursuan¢ to application dated .......................... &P~ ......... ~ ....... , 19...~J, and approved by the Building Inspector. .................... ,19 .... Permit No ...... Disapproved a/c ..~. i ............................................... Application No..~...~..~. J ..~... (Building Inspector) APPLICATIO~ FOR BUILDING P~RM1T Date ........... Apb. il...28 .......... 19.69 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 o n premises, relati~,ship to adjoining premises or public streets .or areas, and giving a detailed description of lay out of property must be drawn on the diagram which is part of this application. c. The work covered by this application may n~t be commenced before issuance of B~ilding Permit. d. Upon approval of this application, the Building In spector will issue a Building Permit to the aPplicant. Such permit shah be kept on the premises available for inspection throughout the progress of the work. e. No building shail be occupied or used in whole va in part for any purpose whatever until a Certificate of Occupancy shail have been granted by the Building Inspectoe. APPLICATION IS I-IEI~.~KY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Soathold, Suffolk Oounty, New York, and other applicable Laws, Ordinances or Regulations, for the construction of build ings, additions or alterations, or for removal or demo- lition, as herein described. The applicant agrees to corn ply with all applicable laws, ordinances, building code, housing code, and regulations. Edw. Abitz (Signature of applicant, o~ name if a corporation) MattiSp.c~ (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ................ .C.o.I~..t.r.a..c .t.o..r ...................................................................... Name of owner of premises .. Ed¥~rd..Ab:i. tz ............................................................ If applic~_nt is a corporate, signature of duly authorize d officer. (Name and title of corporate officer) 1. Location of land ~n which pr°P~ed work will be done. Map-No..H~..t..t..E.s..t. ..... Lot No.. 32. ........ Street and Number~. ~lassom. Bend. .... Mat. ti tuck ...................................... 7'~/~ / 75 Municipality 2. State existing use and occupancy of premises an d intended use and occupancy of proposed cormtruction. a. Existing use and occupancy .... ~t~callt. land .................................................. b. Intended use and occupancy ....... ~)~. ~.~ll]~y. ll,We~lllg ................................... 3. Nature of work (check which applicable): New Building . ..X~..... Addition ........ Alteration ........ Repair ......... Removal ........ Demolition ........ Other Work (Describe) ...................... 4. Estimated Cost ...2~tt00~ ..+. ...... · ........... Fee ..... ~0,00 ..................................... (to be paid on filing this application) 5. If ~lwelling, number of dwelling units ~te ...... 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, ff 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 ..... ~2 ......... Rear ..... ~2 ....... Depth . .3'~ ........ Height ............ Number of Stories . .. one ...................................................... 9. Size of k~: Front ................ Rear ............... Depth ............... 10. Date of Purchase ............................... Name of Former Owner ............................. 11. Zone or use district in which premises are situated...~.~.~...~.~..~.t. ....................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? ...... 1~O- .................. 13. Name of Owner,°f prem/s ~es..~.cl~/. Ab~ ....... .~ddress ..... ]/a.~ti~,uclr .... Phone No ............ Name of Architect ............................. .~ddress ...................... Phone No ............ Name of Contractor ...~9 .................... Address ...................... Phone No ............ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing 0~ Proposed, and indiCate all set-back dimensions from ~rty lines. Give street and block number or descriptio~ according to deed, and show street names and indicate whether nterior or corner lot. /60 STATE OF NEW YORK, )S.S. COUNTY OF ~f~o~Lk .... ) ............... ~cl~rc~ .Ab:Ltz .................... being duly swo~, de~s~ and ~ys ~at he is the applt- (Name of ~dividu~ signing application) cant a~ve n~ed. He is the .... .0~e~.~ ~b~. ~der ................................................... (~n~a~r, ag~ ~ate ~icer, etc.) of ~d own~ ~ owne~, and ~ duly aut~ized ~ p~orm or have pe~ ~e ~d ~k ~d ~ m~e ~d file ~ application; ~at ~1 stateme~s ~ntaln~ ~ ~is applicon ~ ~e te ~e best of his knowl~ge ~d belief; and ~at ~e ~k will ~ p~.in ~e manner set fo~ In the application filed ~e~with. Swom m befo~ me ~is . day of 19 ~ ~-'~ ~, ~ . . ...... N~ ~blic ..................... ~nty~~ ~,_.. (Si~tu~ of applic~t) / S-9 SCHD SUFFOLK COUNTY DEPARTMENT Date Bldg. OF HEALTH TO WHOM IT MAY CONCERN: The sewage disposal facilities for a structure located 'f {Give deed locat~ have been ins~'ect d by this department and found to be satisfactory. S~p 4 1969 District Engineer District Engineer