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Home My WebLink About3377-zTOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at ...K...l~,o...~.[.w...O..O..~...~..~p..~. .................................. Street Map No ....................... Block No ....................... Lot No..~[t.~Lt, tl~,,,~,...lff~,~..?ZO~¢ ....................... conforms substantially to the Apphcahon for Budding Permit heretofore filed in this office dated .......................... .~...~..~..~.~.~.~.~.. ....... .2./. ........ , 19..~.~... pursuant to which Building Permit No..~..~.~.~....Z.. dated ............... ..~.,~.~.~.tl. ~..~,..~. ....... .2...~ ....... , 19...6.?.,, was issued, and conforms to all of the requirements of the applicable provistons of the law The occupancy for which this cerhficate is issued is ........ ....... p.~..v..a...t..e.....o..n...e....~..~,y...~.~,;1,.~g. ....................................................................................... The certificate is issued to ..~.O..h..~..~..~....~.O.~.e.~...~...~.~...i.~.,.~... ..... f..o~,...n..~.~.) ................................. (owner, lessee or tenant) of the oforesoid build,ng. ]]eD,Approval J,,~e 10t 1968 by i~. Villa 1000 ~!.. , ( // ........ '~'"; .......................... Building Inspector;';; .................................. FOP~I NO. 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 COMPLETION OF THE WORK AUTHORIZED) N? 3377 Z Permission is hereby granted to: ........... J..o~..~....~.~.~......~l,~..~ ............ ................ 36..... tia;Ltt~r~.. ~,~a ...................... ..................... ~a~ape. clx~,.... ~ ,,X,, .................... to ..tl~d..~e~..o~u~..£~'~ l~'...d~e:;J~;L~g. ................................................................................. at premises located at .~/.,.,~....,~.~04}~...J,~,~.....~r~.'t,,~;i,~'~ ..................................................... pursuant to application dated ....................... W~J~ ...... .2 .................... , 19~..., and approved by the Building Inspector. JJO~J Jl~JJJ~O~'li~. ~ ~ Ap~O~..~ll Fee $ ,~'O.e.~ ............ S-9 SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH Date June ll, 1968 Bldg. Permit No. S0-'206 TO WHOM IT MAY CONCERN: The sewage disposal facilities for a structure located (Give deed location) Mattituck, Southold have been inspected by this department and found to be satisfactory. Owner- John B. Griffin B~lder--Same ~imtriot ~nginee~" District Enginee~'~'~ FORM. NO. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved ........................................ , Disapproved a/c ....~..~...,~::~,~,:.,,/~,,~.....~i..G'.. .................... ....... ................................... .................. ~'ii~li~"i~'l~i ................................. Application No.....~...~.....~ .~....~ · APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Buildind 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 propertymust 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 pa rt 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 oil applicable lows, ordinances, building co~Je'~J~egulations. (Si~ure of applicant,~J~r nome, if a corporation) ..... ........................ (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Nome of owner of premises ...~p..ll~..D...~...~b-e,r~.s~,.....~z'~L~'~:Lt~ ..................................................................................... 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: ...... ~ ............................... Lot No: ~ Street and Number ..,~%ol]Llgp.od...La.rle ....... ,.~.i.t.g,~k ..................................................................................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: o. Existing use and occupancy ................................................................................................................................... b. Intended use and occupancy ............ .o...zz...e....?..~..~..J;..~....~...~..e..~...~..~...~.g ....................................................................... 3. Nature o'} work (check applicable): New Building . ddi ..................A]teration .................. Repair .................... Removal .................... Demolition .................... Other Work (Describe) ...................................... 4. Estimated Cost ...2D.~D.QO...P./.~ ................................. Fee ...... ~.0. ............................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ........ .O~f~ ............. Number of dwelling units on each floor ............................ If garage, number of cars ......... .t...w..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 alterations or additions: Front ................................ Rear ................................ Depth .............................. Height .............................. Number of Stories ........................................ 8. Dimensions of entire new construction: Front ....86.-.1 .............. Rear ....~6~.1 ............... Depth ......3~..-.~. ............. Height ............................ Number of Stories ....QJ~fl ................. 9. Size of lot: Front .....1..1...0. ................. Rear ....... .6..8. ................ Depth ..... .2..0...1../.....1...6.~ ........ 11. Zone or use district in which premises are s~tuated ........... ~......da, s.t, .................................................................... es 12. Does proposed construction violate any zoning law, ordinance or regulation? ..... ~'.; .............................................. 13. Name of Owner of premises ...J. ahn...(i~i/~.£in..~:..~ddress ..... }~a,~p.e. flt;,o, ................. Phone No ..................... Name of Architect ...................................................... Address ............................................ Phone Nol .................... Name of Contractor ~same .................................................... 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 numbers or description according to deed, and show street names and indicate whether interior or corner lot. , STATE OF NEW YORK, 1 S.S. COUNTY OF ....~qlkff. qlk ........... ............ ~..0.~..~..~...~..~..~...~. ............................... being duly sworn, deposes and says that he is the applicant ................ i~l'~'~'~ of individual signing application) above named. He is the owner (Contractor, agent, corporate officer, etc.) of said owner nr owners, and is duly authorized to perform or have performed the~:~d work and to make and file this application; that all statements contained in this application are true to the/besf~of his knowledge and belief; and that the work will be performed in the manner set forth in the apF~ation filed therewith. Sworn to before me this Nora ry Pub,~..~. ~]...~.:..../...~o.u.~ (Signature of applicant) V NOTARY PUBLIC, Sta~a No. 52-3233120 Su~fol',( County Term Expires ~arch ~O, I T ~BASqFM, Eq~T; P k A N . ~,EALB,J+= -o IBetter limes & t, ar~s BETTER HOMES & GARDENS ~ FIVE STAR PLAN NO. 3212 i Ha ;~i~ oF Ihe Federal Hausing Adminimation s.biec~ ~. ~[[T Ng. 1 ,tr L 1 '1 T F IEONT- E LEV'ATI ON ~[:ATE T ~etlm' limes & ~ BETTER HOMES & GARDENS _ .- FIVE STAR PLAN NO. 3212 ~ ~ .~th. Fideral Houilng AdmlnlI~afla. iubiICt to $~EET NO, 3 *Complete sp~ifmmieAs DE$$NED BY: Royal Barry Wills Associates, Inc. S I D ~ E Bi,Ir IIiiil~& ~'jl~BETTER HOMES & GARDENS FIVE STAR PLAN NO. 3212 * ~ ~s ~ ffi: ~oy~l ~r~ Wills A~, I~. -T L_q BED~RO0~ WIF,IO C@P-.N1C~ AAAIN COP~KIICE - FROKIT - IJACI< POR),CH COP. NICE BETTER HOMES & GARDENS FIVE STAR PLAN NO. 3212 r4 I BETTER HOMES & GARDENS FIVE STAR PLAN NO. 3212 T~,~F~ 0 ~ p E.~-~F-FA]L ~'¢'. ~ L IV il',l G.. J'Z OO./',A .' D_E]-A l;L5 -- INT£1710R ELEVATIONS /,' // ~ NTE_ LiDtTA]iL -:- ~:%- S ECTLOf, J ~4 ~ENIbL~UI.A UVII"IG-"i~LTC:H£I'L- SIDE 1 e 0 TOP V,/AEL ' Bettm' Ikmms & r, adm~BETTER HOMES & GARDENS ' e FiVE STAR PLAN NO. 3212 ~ ~ d the F~de.al Housing Administration subject lo ~EET NO. 7 J E CT1 © 1',,[ ON ~F U LB -91ZE-DETAILZ~ BETTER HOMES & GARDENS FIVE STAR PLAN NO. 3212 ~r~t~[I I~: Royal krry Wills A~seciales, Inc. Jo~ Normile, A.I A. AssocMte F__ L E M ,~ T I ~ kl ~Lff-F__IZ~]ATF~ ~ FIITFP LACE DETAILS _~_~ \/I N G-- 14.1TCH F_ kl F.S, $ CT, A BETTER HOMES FOR ALL AMERICA_ , PLAN NO. ~212 (FIREPLACE) Better Homes & Gardens DESIGNED BY