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Home My WebLink About5578-zNO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. Z.62~2 ..... Date ..... D,.e . .~.!+. ......., 19. THIS CERTIFIES that the building located at Id, bitll Road ........... Street Map No. :1~ ...... Block No. ;1~ ..... Lot No.. ~ . l~'c.~.~;~l.ck..~.,~... ...... conforms substantially to the Application for Building Permit heretofore filed in this office dated ...... f2~t;. 20. , 19.71. pursuant to which Building Permit No. ~Tt~g... dated 00~; 2D.. .. , 19 ~'.2., 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 .~la~tl~t~.la~. b.~.~.cl.t.~g..{.b.o~.t..$.~.o.r.a, ge..&. ~.~.a..t?.s.). ................. The certificate is issued to Ma%t;~.~;,ll.Ck. I.n.~.o.~...M.a.~.irt~t..I.n.q..0~..e.r. ............... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval UNDERWRITERS CERTIFICATE No..P~IxdJztg ................................. HOUSE NUMBER .~770 .... Street .. ~/.~.~l;..M.J~i. ~q~ql ...................... Building Inspector -N°. l~Ol~ 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 ^UTHORIZED) 5578 Z ~ Dote ............................ ~ ...... .j~ ........ , 19..~t!. Permission is hereby granted to: ~ ~ ~e ,~ ..... ~,u~..;r~.~fm,....(~dm..0, ~ ,~ at premises located at ....... JIJ~..~/IL~..JJ~JL~;tI~..~ll~t, ........................................................ pursuan¢ to application dated .......................... ~NF~....~ ................ , 19...~I~, and approved by the Building Inspector. F~ $.~tC1,.,O0. .......... IFOBM MO. I Examined .................................................. Application No....~.....~....7.....,~.. .......... ........................................ .o ............................... /,/,. % Disapproved a/c .~ ........................................... c ' ~ ' ~uilding In~p~to~ APPLI~TION F~ BUILDING PERMIT e.t. .......................... ............. ..... I NSTRU~IONS a. This application must be completely filled in by ~ewriter or in ink and s~mitted in duplicate to the Building Inspector. b. Plot plan shying I~ation of lot and of buildings on premiss, relationship to adjoining premises or Public struts or areas, and giving a detailed de~ription of I~out of pr~e~y must be drawn on the diagram which is ~ of this I~ati9n. c. ~e work co~red by this a~lication may not ~ commenc~ before iss~nce of Building Permit. d. Upon approval of this application, the Building In~eCtor will issue a Building Permit to the applicant. S~h permit shall be kept on the premises available for inspection throughout the prate, of the work.. ' · e. No building shall ~ ~cupied or used in whole or in pa~ for any pu~ose whatever until a Ce~ificate of ~cupancy shall have been granted by the Building In~ector. 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 Sou, thold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or a Iterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances and regulations. (Signature of applicant, or name, if a corl~ration) (Address of ~l~ic~nt)-- -- ~ -- ~ ~l~V State whether applicant is owner, lessee, agent, architect, engineer~.general contractor, electrician, plumber or builder. Name of owner of premises .............. ' ................................. If applicanf' 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: ............................................ Lot No: .................... Street and Number .............?~.~.~.,....~~ ........................................ Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: 3. Nature of work (check which applicable): New Building .................... Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ................ ; ............... Number of dwelling units on each floor ............................ If garage: number of cars ............................................................................................................................................ 6. Lf~ess, commercial or mixed occupancy, spec if,/nature and extent of each type of use .............................. 7. D!men~ions of existing structures, if any: Front ............................ Rear ............................ Depth ............................ Hetght ............................ Number of Stories ............................................................................................................. Dimensions of Same structure with alterations or additions: Front ................................ Rear ................................ De~th ..;;~ .................. J. ..... Height .............................. Number of Stories ................................ SiZe of lot: Front ............................ Rear ............................ Depth ............................ Date of Purchase ........................................................ Name of Former Owner ........................................................ Zone or use district in which premises are situated ................................................................................................ Does proposed construction violate any zoning law, ordinance or regulation.;> .................................................... Name of Owner of premises ........................................ Address ............................................ Phone NO ..................... 10. 11. 12. 13. 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 numbers or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF, NEW YORK, ) S S. COUNTY OF ............................ ) ....... ~~~ ....................... being duly sworn, deposes and says that he is the applicant (Name of individual si~ing application) above named. He is the .................................................................................................................................. ' . ~/ (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 filed therewith. Sworn to before me this ~ ............ ...... o_f Nota Deeem~er 10, 19'21 I~attltuck Inlet Shipyard & Mari~ West Mill Road ~attituek~ N.Y. Attnl William Boacola Dear Sir~ In answer to your inquiry l~t removing excess sa~d and fill which hae washed up against your new building~ Please be advise41 Under Section_I¥t subsection (b) of the revised sand and gravel & excavation ordinance A can issue a per, it to re~ove the minim~u~ amc~nt of this material necessary to releive the pressure ~ this h~ilding - as permit ~ ~?~Z is still outstanding on this Imilding. 2his letter will act as a per, it to remove about 3tO00 yards ~f ~terial fre~ the side of the building to releive th& pressure and make a ~afe driveway around the Building. Further excavation and or filling of low land Will have to be done By permit from the Town Board under other provisions of the sand and gravel & excavation ordinance. Yours truly Building Inspector C.C. Leander Glover ~r ~'~-[P, MIT INC'L.UDEs APP~OYAL ,.-TO REMOVE EXC£SS~ FILL F.RONA ABOYE FREMISE. S BY p.E~ R^DING LOT D~tVEW^¥ c~N~] CESSPOOL C~?~/~UC~I~ -- C:~LLAK c~NST~g~ OTHER ~c'o~ r