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Home My WebLink About4610-zFORM NO 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No.Z .~.9~2 .. Date . Dao 20.. , 19 THIS CERTIFIES that the building located at 0lO. F, atn. Road Street Map No. X~ Block No.. 3;X Lot No. XX. ~a~el conforms substantially to the Application for Building Permit heretofore filed in this office dated ,~all 29 , 19~'0. pursuant to which Building Permit No. 1+610 dated . .. ~rA . 29 , 1~0 , 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 ag~lc~l~l~.al, aece~$.o.r~r..(2) I~ilding~ ..................... The certificate is issued to k~a.n~ ,~hy .... 0,,me~ ......... (o~vner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval UNDERWRITERS CERTIFICATE No ttOUSE NUMBER 8~OD Street l'l~:Lt~ Road. Braiding Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT CT'HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) H? 610 Z Permission is hereby granted to: pursuor~t to application dated ..........., ............. ~'Jrit~ ...... ~L .............. , '19..~!O, and approved by the Building Inspector. ' - Fe~ $..~.~. ........... ~ Building lr~pector I" ' TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved 19 ........ Permit No ....................... Disapproved a/c .~~ 'Buildin, 'n' ~. ~ uilcli~g Inspector~ Noqgro Appfic~tion ............................. k APPLICATION FOR BUILDING PERMIT .Taa 29 19 70 D~te ............................................................ , ............ 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 pram sas or pub c streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is p~rt 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 promises available for inspection throughout the progress of the work. e. No building sh~ll 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 l.~ws, Ordimances 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, housing code, and regulations. (Signature of applicant, or name, if a corporation) Mattituck (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. f · Frank Murphy Nome of owner o premises ...................................................................................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of lend on which proposed work will be done. N~ap No.: ..... ~ .............................. Lot No.: XX tuber~?~0~- Ma~n Road & 01d Main May~tituck 2. State existing use and occupancy of premises and intended use end occulmmncy of proposed construction: Florist & other agricultural business a. Existing use and occupancy .............................................................. ,.. b. Intended use and occupancy same with additional storage (accessory) buildings 3. Nature of work (check which applicable): New Building .................. Addition .................. Alteration .................. Repair .................. Removal .................. Demolition .................. Other Work (Describe~..~gg. et,.~.SD,~'...J~'lO, J~... 4. Estimated Cost ............................................................ Fee ...... ~..~.0..0. .......................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ....~...o..~...e. ............... 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 ....b..~...s.~.~...e..s...s. ...... 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 ........ .1.0 ............ /-...1,~. Rear ............................ Depth ...... ~.~..../...~0.. Height .................... Number of Stories ........... .9.~.~....~.~.¢R3~...Dng~, ........................................................................ 9. Size of lot: Front ............................ Rear .................................... Depth ................................ 10. Date of Purchase ........................................................ Nome of Former Owner ........................................................ ] 1. Zone or use district in which premises are situated .......... .I.~.~.~.~...~.~.S..!~, ....................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation.;) ............... nO. ....................................... 13. Name of Owner of premises ..~.~..,t/~.~ph~ ................ Address ......... ..~..a...~.~..~..~..~....(::..~. ............. Phone No ..................... Name of Architect ...................................................... Address ............................................ Phone No ..................... Name of Contractor .......... .s.~.e. ................................. 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 interior or corner lot. STATE OF NEV~..Y~K . ~ e e COUNTY Of ..~..~..Z;.b.'.~. ............. ~.~. Frank 1,iurphy ................................................................................................. ~emg dub/ sworn, deposes and says t~$ he is the applicant (Name of individual signing application) above named. He is the .............. .o..1~:..e...~. ............................................................................................................................... (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 the work will be performed in the manner set forth in the application~Ei~e~l therewith.' Sworn to before me this ~ /) ~ ........ :......~.~). ..... day of ................ .~.eJl;I, .............. , 19...~0. ~"~,,,'"~ ELIZABETH ^NN NEVILLE / / ~ /' NOTARY PUBLI~ S[ , ate of New York ~ No. 52-8125850, Suffolk Cou~y~ Term Expires March 30,