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Home My WebLink About3550-zExamined July 12 19....6..~ Approved ........~T.1/~. ....... ~.Q .......... , 19~2... Permit No. ~..~.~..0.....Z. .............. Disapproved a/c. Needs County Approval - sec 239K J.~LI~ 20. ~.~.~ c.q .~$!_.ty..~groval - 2 K ,u, ,Ne DE'A 'mm' / / TO~N CLERK'S OFFICE 3~o Application No ............................. Date July 20 19 67 .. INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Build~i Inspector. b. PI.at .pi.an sho. win.g, location, of. lot and of buildings on premises, relationship to adjoining premises or public streets~ areas, a_na g~wng a ae~a,ed d~scr~pt~on of layout of praperty must be drawn on the diagram which is part of ~his applicati~l~'~ c. , ne work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the progress of the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pumuant to the ~Uiludi_r~' Zorn, O.r.dinanco.of ~. t ,o~n, .o,f. Southol. d/. Suffolk C. oun~, New York, and other applicable Laws, Ordinances or K.~e~_ m~,o. ns, .~or me c.ons~rucw?n o.r.~u~?ng~.,, aaa,tions or alterations, o.r ,for removal or demolition, as herein described , ne app,man_r agrees ro comply w,tn a, app,cable laws, ordinances, budding code and regulations. Lyndon Hallo, ......... - ............................................ (Signature of applicant, or name, if a corporation) Jamesport, N.Y. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ............................... Ag.q.~.t...o..f...o....wAe..~.s. .................................. Nome of owner of premises ~.~.~. _u~.~.,~_,~ ~. 0+_hC_,$ ~,~J I-- ~-- ~'t"'AJ I~'~.. If applicant is a corporate, signature of duly authorized officer. (Nome and title of corporate officer) 1. Location of land on which proposed work will be done. Map No.: ~ ........................ ....................................... Lot NO.: JOs.~ Street and Number ~,~,.e. ~ .~..~..~.~...N...e..c.k .R...o..a..d..~ ..M~....t. tituck, N.Y. Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy 9~1,...~.~..1...1.~ ...t..o...b..e.....r. emoved Nature of work (check which applicable): New'Building .................. Addition .................. Alteration .................. Repair .................. Removal .................. Demolition .................. Other Work (Describe) ........................................ 4. Estimated Cost ............................................................ Fee ]....0.?...0..0.: .............................................................................. (to be paid on filing this application) 5. If dwelling, number of dwelling units ....D...o..~..e.. ............... Number of dwelling units on each floor ............................ If garage, number of cars ................................................. ~ .................................... i ...................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ...~..~{~ .~....e..$.~. ....... 7. Dimensions of existing structures, if any: Front ............................ Rear ................................ Depth .................... Height ........................ Number of Stories ................................................................................................................. Dimensions of same structure with a.lterations or additions: Front ................... ; ................ Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front ........ .br.~....-. ................... Rear ...... .~...8....-.....~.. ....... Depth ~..3:..../.....2.~...-...~... Height;~ ................... Number of Stories .....o.b.e. ........................................................................................................... 9. Size of lot: I~ront ........ ,?,~.'L ............. Rear ...... ;7,63, ...................... Depth .....2.~ ........... i ........ 10. Date of Purchase ......................................................... Nome of Former Owner ....~..~...~1~,,9.~ ............................ 11. Zone or use district in which premises are situated ...IJ~'~......~;Ls.i; ............................................................................. 12. Does proposed construct on v olate any zoning law, ordinance or regulation.;) ....... 33Q. ............................................... ' ~ ...... C/0 WM. Wickham Mattituck 13. Name of Owner of premises ..~l,,...~.{~q, t3~.~'~l,..~..~.T~lF~;s ............................................ PhoneNo ..................... Name of Architect .....QQ~.~QD,..~D,~,.e.~,~ ................... Address ......... .'-T.~q,]~.~.~.9.~. ............. Phone No ..................... Name of Contractor .................................................... Address ............................................ Phone No ..................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all setLback dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. SEE FILED PLANS Permit subject to conditions set by Board of Appe~k~s STATE OF NEW ~'..OJ~,~,, ~. ~ ¢ c COUNTY OF .... ..~_ .~....~..u....~.. ........... ~.~. · ............................. ~ ................ :..... ....... ~ ............................ ~ ........ being duly sworn, d~oses and says t~ he. is the applicant (Name of individual signing application) . ~ above named. He is the ................. ~ ...................... ~ ............................ :.....~.'.;. ......................................................................... (Contractor, agent, co~orote officer, etc.) of said owner or owne~, and is duly authorized to perform or have performed the said work and to ~ke and file this application; that all statements contoin~ in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set fo~h in the application filed therewith. Sworn to before me this ' ~ .................. o, ....... , ................. Nota~ Public, ~~....~.... Cou,~ ~ture of applicant) - FOP,~I NO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 3550 Z Permission is hereby granted to: ........... ~...~.~ .~..,..~.. A ~9..'9...~.....n .va'.~,n,n,,w ........... ot premises I~oted at ...~.:.4~,.~...~.a.~..~..~.Q~x..tJ.a~K.~a41 ........................................................ ............................................ ~, .~ .t,. ;l, .t~. '~, .............................................................................................. pursuon~ to application doted ........................... ~ ......... ~ ........ , 19.~.., and opprov~ by the Building Inspector. ~1 ~ ~J~ ~ ~ ~~ ~ ~p~ ~ ............ Building Inspector TOWN OF SOUTHDLD DFFIDE OF BUILDINB INSPEBTDR TOWN CLERK'S OFFICE: Mr. Rudolph Kammerrer Commissioner of Public Works Suffolk County Yaphank Ave., Yaphank, N. Y. Dear Sir: In accordance with Section 239K of the General Municipal Law of the consolidated Lows of the State of New York, this is to notify the Commis- sinner of Public Works of the County of Suffolk that ...................................... has applied to the Town of Southold for a permit to construct a building o...N./E...Ce~ne~...~tad.le...R~d.,..(.O~27.)..~..Cox..N.eck.l~d~. Mattituck, os shown on the attached plot plan, submitted in triplicate, dated ................ ...... ,,T.l~$,C...],0~...2JQ6~ ...... and titled .P_~O~OS.~..S&~...p~fJD,..~.q;~....~.obt Be~D-~az'd We shall withhold further action on this application for ten days or as otherwise provided in the aforementioned Section 239K. App~e~ed to the, Tow~ of Se~ ~/17/67-Pursuant to See.239K of Gene~t~Vie~ truly yours, Muntoipal Law; as per revised plot bsfore access to C.R.27: a permit under See. 136 of the HiEhway Law will be required. SUFFOLK COUNTY ~ PUBLIC WORKS R. M. KANMERER ;SIONER Building Inspector Town of Southold, N. Y. BY:: '. Ch~c'f COUNTY OF- r~UFFOL~. OE'F&~.TMDNT Of: PUBLIC YAP~A~J~L · ~-Y- p~-r~MIT FJO. ~ ~ I~TCFI SHOWING APJ~C~JT C'OMST~U CTION! §[CTION THROUGH §ECTION ToP o,~ cd~8 7 ~ , ii , N.86 I~OW or formerly Conrad Bullock ALDEN ~ YOUNG, RtVERHEAD~ .SCALE MAY i?~ ~//' 7 __ ,J;49 ~ now or N.86o56'20"E. formerly Conrod Bullock 261.49' 'MATT I To~ o~ 8o~o~, N. V. MAY ~7~ JU~Y JO~ ~7 ALDEN ~ YOUNG, RE.~L.S