The URL can be used to link to this page

Home My WebLink About3629-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE nF OCCUPANCY No.~ ~8 ...... Date ........... l)ee.embel~ .11..., 19.6~ THiS CERTIFIES that the building located at I~/[~. [te&de~. I, ar~e ......... Street ,14att truck Estates Map l~o ........ r~loc~: l~o ............. Lot No. t+~ ..... Eatf;:Ituck~ .lloX, ..... conforms substantially to the Application for Building Permit heretofore filed in this office dated ...... ~ept .... 1~) .... , 19 6.7. pursuant to which Building Permit No. ~2~Z.. dated ......... l~ept ....20 .... , 19 [~7., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is . .Pr~.F,a. te. ~.n.~. ~.~.~:~.y..c]¥~jL~:~g ...................................... The certificate is issued to , P~s~. l~lle~'a]. ..................... I~rllel'. ............ (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval ...Dec.. 8.r .196~...l~r..R,. ~/.~,lla.. Building Inspector FOX~,~0. ~' TOWN OF SOUTHOLD BUILDING .DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUI£DING PERMIT N~3§29r Z (THIS PERMIT MUST E~E 'KEPT ON :THE PREMISES UNTIL FULL COMp[ETlON OF THE WORK ~AUIHORIZED) · ~":'te ......................... ~.~ .......... ~ ...... , · Permission is :hereby granted to: ' .... ......... ~.....(~n~t,~-tze~e~..~.,~ ~s~ ~ .... 0~... ' ~ ,o ~,;~r,.~...~...,~.~ ...... ~...I ..................................................................... ,~... at premises located at ....... ~)'~L..l~.~....../~ii~tJ~OJl..]])~!l~l~ .................................................... ............................... ~.~t....~e~..~ ...... ~..~tt~ ........................................................... pursuon,t to opplicotion dated .......................... ~....J~t))L~ ....... ~9. ...... , 19...J~.~., and approved by the Building Inspector. S-9 SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH Date Bldg. Permit No. TO WHOM IT MAY CONCERN: The sewage disposal facilities for (Give deed location) a structure located have been inspected by this department and found to be satisfactory. District Engineer Lot Lot 47 S.89° 30' 30"W. SURVEY FOR ROSS S. MANAREL LOT NO. 47 "MATTUCK ESTATES, INC." MATTITUCK TOWN OF SOUTHOLD BUFF. CO., N.Y. SCALE ~ I" = 40' JAN, 13, 1966 OCT. 13, 1967 NOV, 22, 1967 Lot 46 216.: z 04 o tO 01.: O0 O0 N W SUPPoLK 4 VEN Ug .~.UARA NTE E D TO: HE TITLE GUARANTEE CO. SUFFOLK COUNTY FEDERAL SAVINGS 8~ LOAN ASSN. FES S I 0 N'~NG IN E,,EJ~r AND LAND SURVEYORs N,Y.$.t~c. N0,12846 RIVERHEAD, N,Y . NOTE~ · =MONUMENT MAP OF SUBDIVISION FILED IN THE OFFICE OF THE CLERK OF BUFF. CO. ON SEPT, 8, 1965 AS MAP NO. 4453. I Lot 47 S,89° 30' 30"W. Lot 46 SURVEY FOR ROSS S. MANAREL LOT NO. 47 "MATTUCK ESTATES, INC." MATTITUCK TOWN OF SOUTHOLD SUFF. CO., N.Y. SCALE: 1"=40' JAN, I;5, 1966 Lot 48 N~W RIVERHEAD~ N,Y. 216.39' Z SUFFOLK,, f-- Z m A V-CN U E NOTE = · = MONUMENT MAP OF SUBDIVISION FILED IN THE OFFICE OF THE CLERK OF SUFF. CO, ON SEPT. 8~ 1965 AS MAP NO. 4453 . TOWN O~ SGUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved ........................................ , 19 ........ Permit r~o ............................. ~uilding Inspect~i APPLICATIO~ FOR BUILDING P,~ERMIT Application No ............................. 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 issuence 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, building code and regulations. (S ~atu e o apphcant, or name, ~f a'C~6rporat~on) State whether applicant is owner, lessee, agent, architect, engin~r, general contractor, electrician~ p,lu~er or builder. Name of owner of premises ....~],~...{~..": ........................ ./. ........................ : ........ :....2 ........................................ :::.:~.': ...... 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/t~t.; /,/i/~:c/~¢[.~i/t;~/¢% . ,. z~ / Street and Number t :~ /'~ ~:~('~'~ '~ .... ~ ~ : 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 ......... ~...(~...~....~.....~.a.~....p~...:: ........... .~.~.~ ............................................................. 3. Nature of work (check which applicable): New Building .~ ...... Addition .................. Alteration Repj=ir .................. Removal .................. Demolition .................. Other Work (Describe) ! 4. Esti~noted Cost .......... ./.'.~.'....~ ........................ Fee I (to be paid on filing this application) 5. If cjwelling, number of dwelHng units ...... j ................... Number of dwelling units on each floor If g:.arage, number of cars ......... ~,....~ ................ 6. If )uSiness, commercial or mixed occupancy, specify nature and extent of each type of use 7. Dir ~ensions of existing structures, if any: Front ........ ~....r?. .......... Rear ....... ~ ...................... Depth ..,~Z,.~,...:... Hei ~ht ........ 1..?~.../. ....... Number of Stories Din,ensions of same s;tructure with alterations or additions: Front .................................... Rear De th ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front ......... ((:..~¢. ................... Rear ....... (~...,.d ............ Depth Heibht ...../..~.7(:.! ....... Number of Stories / Siz~ of lot: Front ......... ./.C~..:?. ........ Rear ........... z..~....¢,< ............. Depth ........ ~...:2.....~. ........ Da~ of Purchase ...../.~...,~..,~ ............................... Name of Former Owner .,..~,q Zor or use district in which premises are situated Do~ proposed construction violate any zoning law, ordinance or regulation? Na~ ne of Owner of r- Na(ne of Architect ...../'L~ ,~ /'~ ~ ~, ~..~ ,,, ~v~,,.~/.~.~/'~ ............................................... Address ................ ] ........................... Phone No. No,ne of C~ntract~r6~/~.~.~..!.~:~.C~2`e~.~¢/~`~.~;/.../~qAddress~¢~c)..~¢..~('~..L]~.~ No. 10. 11. 12. 13. Locat property I whether in PLOT DIAGRAM clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions nes, Give street and block number or description according to deed, and show street names and :erior or corner lot. ................................................................................................ being duly sworn, deposes and says that he is the applk j(Nome of individual signing,~lication)/) above na~ed. He is the '. .................. (Contractor, agent, corporate officer, etc.) of said o~,ner or owners, and is duly authorized to perform or have performed the said work and to make and this appli,:ation; that all statements contained in this application ere true to the best of his knowledge and belief; that the ~ ork wJJl be performed in the manner set forth in the application filed therewith. Sworn to t efore me this ............. day o* ...... .............. , " ' Notary Pqb,ic, County ....... of applicant) i -- ~ ARION A, No. 52-3233120 Suffolk Coup;fy Term Exp,res March 30, 19~/ yL~, ,/ 'ii · I1' LEFT. 1 6'-q- ~ 0;0" I1' 0"