The URL can be used to link to this page

Home My WebLink About3670-zNO. 4 TOWN OF $OUTNOLD BUILDING DEPARTMENT~ TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No. ;~...~. ~,.~x~ ............... Date .......... ff.U],~......9., ........................... , 19.68... THIS CERTIFIES that the building located ct ..S./..S....~.~.~.~.l~?fl~.~...~.V.~...~..QQ.'.....e../..o... Street Cox Neck Road Map No. Block No. Lot No ....... ~ .... ............................................ ~{af~6~ ;"'I',T~"'Y'Cf~'~ ......................... conforma substantially to the Application for Building I~ermit heretofore filed in this office dated .................. ..O..c..t...o..b...e.~',....,],.~ ................... , 19..~9..7... pursuant to ~vhich Building Permit No...3...6..7...0.....Z. dated ..... .O.g.~.q~..._,12., ................. , 19...67.., was issued, ahd conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ........ ..... lq..r...~t,.~...~f~...~amillZ....dw.al lin.~ ......................................................................................... The certificate is issued to ~'.,...~,..M~.f~,...(~.qD/~a~..J~.l/1.l,Qgk..sIr ................................................ (owner, lessee or tenant) of the aforesa.id building. Health Dept. Approval, M. ay 3, 1968, Robert Villa Building Inspector I FOEiV/NO, ~ TOWN OF SOUTHOLD BUILDING DEPARTMEN~ TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 3670 Z Permission is hereby granted to: ................ .~-~2....~ ~d~e...CO~t~. J~d ...... ..................... ~,l.~m. ...... ]t~ .......... ! ................. ~I~L. z~e~ ..¢~e...£~:i,~Ly.. ~u~:L~L~..... ....................... : ............... : .......................................... to at premises located at .~.[~.....~.~.'~.~.'~'~.h~,.~J,/~..~$,~: ................ i ......................................................... pursuen$ to application dated ,, .......................... ~.~ ........... ~....,.~..,.,, 19.~-.., and approved by the Building Inspector. ,Fee $ .............. .......... S-9 SUFFOLK COUNTY DEFkRTMENT OF IHEALTN Date Bldg. permit No. 7670Z TO WHOM IT MAY CONCF~RN: The sewage disposal facilities for a str~cture located a~estob~ia,~oad $00' e,~9 Co~ Neck ~oad, Mattituck (Give deed location) have been inspected by this department and foUnd to be satisfactory. /, ,.; ..... t.-a~. Dis trio]~ El~j.'_nc ar District Engineer Owner - But]ock FORM ~0. I ·OWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ........~./..2......, 19.~..: Approved ................... [..~. ................. , 19..(.~... Permit No. ~t~ ~ Disapproved ~ .................................. , APPLICATION FOR BUILDING PERMIT Date ................... , .... 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 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 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. A/ T-~ /' (S'~ appl'i';;~:~me, if a c~rporation) P~r ~ F~ ~ (Addre~of~icant) State whether ~pplicant is owner, lessee, agent, architect, engin~r, general contractor, electrician, plu~er or builder. ................................ ........................................................................................................................... ......................................................... If ~pplicant 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. JV~ap No.: ........................................ Lot No.: ........................ 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 ................................................................................................................................... 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 ....-~-.-~....~-- ~ ...................................... 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 ....~..~..[...~....4,. ....... Depth ...~......~. ............. Height ..~.....~.. ......... Number of Stories ~ 9. Size of lot: Front .........J...O...~.../. ........ Rear ....... /..~..J~.. ................ Depth ......~......O....(..)... 10. Dote of Purchase ........................................................ Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated ..................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? ............................................................ 13. Name of Owner of prem.ses ..O...O.~/~.8..~...~.....~.~!.=!=¢..~.~.Address ..../~...~...'C...?../..T...U'....~..t....../~..~.... Phone No./~..;~.~.:..~..-¢..¢..~' Name of Architect ./~./~/.z...~.~...?.....J'J.¢..~. ~.~....../../~.:.~.. .......... Address ..~..~...Z:...~..~..W.¢....~...~.. ........... Phone Name of Contractor. ................................................... 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 i:nterJor or corner lot. STATE OF NEW YORK, cou T ................. .~.~...~c....:..'~(...~...tT~...T....~t..% .................................. being duly sworn deposes and says that he is the applicant (Name of individual signi~pplication) above named. He is the ............ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that ~ne work will be performed in the manner set forth in the application filed therewith. Swcr~ to I~f. er~me this/~, , ./ / .... · f...~..., d~,~,~,~/.. .......... r ........... ........................ Notary Public, ...,.~,eJ~County (Signature of g~cant) ~. . . t~ N. y. Co. Clk. & Reg.