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Home My WebLink About4669-zFOR~ NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Town Clerk's Office $outhold, N. Y. Certificale Of Occupancy No..~br2.~. ..... Date ............. J~Jay .... L;~ ....., 19..7.1 THIS CERTIFIES that the building located at F~ee~an. Raa~! ............. Street Map No. Gar.den. Ht~ Block No ........... Lot No. )+3 .&~. ..... ~at~Ltuek ... N.,.~. conforms substantially to the Application for Building Permit heretofore filed in this office dated ............ April.. 3, 19~0.. pursuant to which Building Permit No..1~9~. dated ........... April ..... 3, 197.(~., was issued, ~nd conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is . PrAvate..erie..J;a~i3,y .dwelling ....................................... The certificate is issued to .Ke~..th. Harris ........ Owner ............................ (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval Aug.. Ag...%9?0...by. Ro .V~.la ..... ou.. ............ iJ'] ......... FORM ?~0, 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILD'lNG PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 4669 Z Permission is hereby granted to: ...~ ......... .~.s..~.. ~...~ ..................................... ................ ~.~.~.~.~ .......................................... at premises located at ............ ~d~t~L...~..~...Lf~..~z~L~..J;[el~,~,bil .............................................. ........................................................ I[/~...il'*A,e-,,m~. A.~e ......... Ma~t~b~ok .................................... pursua:n¢ to application dated ...................... ..~.~..~...~...~. .................... , 19..~.., and approved by the Building Inspector. ~l Fe:n~Lt Imb~ee~ t~ eea~lialtee wit~ ttm~ emle & Approved ........................................ ~ , ~9 ........ permit NO .................. Disapproved a/c .............. ' .......................................... ........................................................ (Bui ding Inspector)~ O .UT.OLD BUILDING DEPARTMENT TOW. CLERK'S APPLICATION FOR BUILDING PEI IT Bte .......................... .......... .......... , ,9..Z? .... 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 ureas, and giving a detailed description of layout of property must be drawn on the diagram which is port 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 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 ~grees 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. Name of owner of premises ...,~.t~..~,~.~ ................................................................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) ~ · a Garden Hts 1. Location of land on whichproposed work w,II be dane. ~A p No.: ........................................lot No.: ...... ~ ................. Street and Nu/m~o~r ...Q....~...~....-~.. ....... ~.r.~e~Jl..~e,d. ......... ~a,t,~:Lf,~c][. ........................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..... I/&ca, n.lg..~ ................................................................................................... b. Intended use and occupancy ...... D.~I~.. pp. rn~ ].~..cl~e~.~Ln~, ................................... ~ ....................... 3. Nature of work (check which applicable): New Building ~ Addition Alteration Repair .................. Removal .................. Demolition .................. .Other Work (Describe) ........................................ 4. Estimated Cost ..... ~tg00....-t-. .......................... ......... Fee ...~,~ ................................... (~o be paid on filing this application) 5. If dwelling, number of dwelling units ..... D~I~ ................ Number of dwelling units on each floor ............................ If garage, number of cars ............. z~'t~ ................................................................................. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ............................ 7. Dimensions of existing structures, if any: Front Rea'r ................................ 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 .................................... Rear ............................ Depth ........................ Height .................... Number of Stories 9. Size of lot: Front ....... J.0..0. ............. Rear ........ .1.Q0. .................... Depth .....1.2.0. .................... 10. Date of Purchase ....1.~i ........................................... Name of Former Owner ............. ~LZ,~I. ................................. 11. Zone or use district in which premises are situated ....... JL..~:L.~t; ........................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? .......... ~.0. ............................ Name of Architect ...................................................... Address ............................................ Phone No ..................... Name of Contractor ....D4Lc'l.g~..*qome,~ ..................... Address ....Sa.~.:L/3,e ..................... 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 occordinc~l to deedf a, ,d show street names and indicate whether interior or corner lot. STATE OF NEW yt3RIC. ~ COUNTY 0 F - .~.1~.~ ~,~, .............. ~'~' ...: ..................................... .]'.eaJm.~Tta.~,l::.:i~ ............................. being duly sworn, deposes and says that he is the applicant (Name of individual signing application) above named. He is the ...................(~Ft~.e~....B:.~.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 oil statements contained in this application are true to the best of his knowledge and belief; rind that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this 19 2.0 ~(~_~,./.. tlOTARY PUBLIC, Sta~e of New York No. 52-8125850, Suffoll~ CouP, Term Expires Mar~fl FORI~ ~O. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. TEMPbRARY Certificate Of Occupancy No. Z- 1',-033 ..... Date ............ 0ct 29 ......... , 19. '~0 THIS CERTIFIES that the building located at .... Freeman. Road .......... Street Map No. Gard.,. -Hts-' Block No ........... Lot No.. k-) .&. hl~ .... 14ertl. tuck..I~.¥,. · conforms substantially to the Application for B~lding Permit heretofore filed in this office dated ......... A~rll .... ~. , 19 .~0. p~suant to which Building Permit No. dated ......... ~ril' ' '~ .... , 19.70, 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 .~ri~ate. one. F~it5: <iwek. ling ....................................... The certificate is issued to ...Kei. th. ~Fi~ ........ ~er .......................... (owner, lessee or tenant) of the aforesaid b~lding. Suffolk County Department of Health Approv~ ~',' '~9 ~'-$970..by. ~, Vl~la .... liouse ~ 26~ / ~ Building Inspector ( $-9 SCHD SUFFOLK COUNTY DEPARTMENT Date Bldg, OF HEALTH Permit No. TO WHOM IT MAY CONCERN: at / T~e sewage disposal facilities (Give deed location) for a structure located have been inspected by this department and found to be satisfactory. District Engineer FROM CIL SINK AND WINDOW TO REF- [ RENCE PARTITION WHEN ERECTING- i. SUPPLEMENT OF THE STANDARD ..B~..VE~_._~_c~..O~_.. ........ PLAN AND PLANS AND AS ~'40%EO THEREON. 2. ALL iNTERIOR DIMENSIONS ALL FOF FULL THICKNESS ROCK, LATH & PLASTER PARTITIONS: ~4"+ 3~-k¢~''=NOMINAL 5% ~.19~O K~TGH~ PLkN THE DEALER OR CONTRACTOR SHALL VERIFY ALL DIMENSIONS BEFORE PROCEEDING WITH THE CONSTRUCTION WORK, AND SHALL NOTIFY THE RIDGE HOMES DESIGN OFFICE O1: ANY DISCREPANCIES BEFO,R,,~, WORK IS PREFORMED, HOMES lOlO Ridge P~ke Conshohocken, Pa, 19428 A RESIDENCE FOR MA~T1TUC~, NEWh o..,~ APPROVED D.J~. DATE 3/30/70 DWG. NO, EE '700