The URL can be used to link to this page

Home My WebLink About3385-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF BP. CUPANCY No. Z 27.9.5.. Date ...... ~gUll~; 8 .... , 19.67. THIS CERTIFIES that the building located at . S&~r~y l~e~t .... Street Map No.~a.ttituc~ t~laocr~' I~o.Op' ...Lot No. l~ttituC~k,, ll~.¥o~k.. conforms substantialiy to the Application for Building Permit heretofore filed in this office dated ~ 1 ..... 196~ pursuant to which Building Permit No. 3385/; dated ~ah i , 1967 , was issued, and conforms to all of the require- ments of the apphcable pro. visions of the la~v. The occupancy for which this certificate is issued isaddit.i~n tO. tree. ~.~.~ily .d~eilinq .................................... The certificate is issued to . ~C~o ~tnnm. J~l~ ................................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval ~ ................. FO~ 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? 3385 Z Permission is hereby granted to: .............. .,..~?..~..~?.....~.?.....~..~,'~ to build an add~t~e~ c~ ~ e3dL8t,~g dve~g ot premises located at ........................................................................................................................... ............... ~.i.~.e.~. ~x . ~~k ~- Building Inspector. ~ee *..:~.~. ........... L FOR~ NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. .... , ........ Approved ....................................... , 19 ........ Permit No. 3..~ 0C=y ~ D,sapproved a/c ....~T..~...7~~]..~ ............. APPLICATION FOR BUILDING PERMIT March I 19 67 . Da. te ............................................................ , ......... INSTRUCTIONS a. Th~s application must be completely filled m by typewnter or ,n ink and submitted in duplicate to the Buildin. Inspector. b. Plot plan showing location of lot and of buildings on premises, relationship to adjo~mng premises or public streets c areas, and g~ving a detailed description of layout of propertymust be drawn on the d~agram which is part of thru applicatior c. The work covered by this application may not be commenced before issuance of Budding Permit. d. Upon approval of this apphcat~on, the Building Inspector will issue a Budding Permit to the applicant. Suc permit shall be kept on the premises available for ~nspection 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 Occupanc shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Budding Department for the ~ssuance of Q Building Perm,t pursuant to th Budding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances c Regulations, for the construction of buddings, additions or alterations, or for removal or demolition, as herein describe, The apphcant agrees to comply with oil applicable laws, ordinances, building code and regulations. (Signature of apphcant, or name, if a corporation) Matt ituck (Address of applicant) State whether apphcant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builde Contractor Name of owner of premises ..... ~§.:...~..e.....~.~.s..o.~ ....................................................................................................... If applicant zs 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 .... ~..~.~....?.~..~.~...~?...o.~ ....... Lot No: .................. umber E/S Sigsb~ Road ~ttituck Street and N ................................................................................................................................................. Mumc~pahty 2. State ex~sting use and occupancy of premises and ~ntended use and occupancy of proposed construction: a. Existing use and occupancy b Intended use and occupancy ..... ~.~...~$~..~.D...~.~.O~ ..................................................................... 3 Nature of work (check which applicable). New Building .................. Addition ..~... Alteration ................. Repair .................... Removal .................... Demohtion .................... Other Work (Describe) ..................................... (to be paid on flhng th~s apphcation) 5. If dwelling, number of dwelling units ....... .o..n...e. .............. Number of dwelling umts on each floor ............................ If garage, number of cars ........................................................................................................................................... 6 If busmess, commercial or mixed occupancy, specify nature and extent of each type of use ............................... 7. DImens~ons of existing structures, if any. Front .......................... Rear .......................... Depth ........................... Height ............................Number of Stories .............................................................................................................. D~mens~ons of same structure w~th alterahons or addmons: Front ................................ Rear ............................... Depth .............................. Ne,ght .............................Number of Stories ........................................ 8 D,mens,ons of entire new construct,on' Front ...]:..2. ..................... Rear ......... .~...2. .............. Depth ..~ ..................... Height ............................ Number of Stories ....... .O.~. .............. 9. S~ze of lot: Front ............................ Rear ...........................Depth ................................ 10. Date of Purchase ........................................................Name of Former Owner ....................................................... 11 Zone or use d~sfrJct m which premises ore s~tuated ................ ..~.......d...1.~.~ .............................................................. 12. Does proposed construction violate any zoning law, ordmance or regulation? .......... .~...O. ...................................... Name of Architect ...................................................... Address ............................................ Phone No .................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether ex~shng or proposed, and indicate all set-back dimensions fron property lines. Gwe street and block numbers or description accordmg to deed, and show street names and indicat. whether mterior or corner lot. ~ --- ~ STATE OF NEW~X~g~.,,. '~ S.S. COUN~ OF ..~.~.~.~ ............ ~ Staale~ ~k~ be ng duly sworn, deposes and says that he is the appJJcor (Name of ind~wdual signing application) above named. He is the ............................ .~.~.Q~. .................................................................................................. (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 fi this apphcatton; that all statements contained in this application are true to the best of his knowledge and belie and that the work will be performed in the manner set forth in the application filed there,~ith. Sworn to before me this ~ ................... z .. d yof .................... ........... , ~*~ ~ ~. . . i~ ............ ~?........'~,~:zy...~ ............................. Not~ P,bl,~, I..] .~....~: ...... (~~'Co~,~:~ ~ :-:,~r ~,,, (S~g~t,~e of/~ppl~,t)