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Home My WebLink About5148-zNO. ~ TOWN OF SOUTttOLD BUILDING DEPARTMENT Town Clerk's O~ice Southold, N. Y. Certificate Of Occupancy No. Z .br~Dl~ .... Date .. THIS CERTIFIES that the building located at Map No.. ~; Block No.. . xx Lot No. Naugles Drive Street Mattituck ~ conforms substantially to the Application for Building Permit heretofore filed in this off~ce dated .. blat'~h 1+ , 19 71 pursuant to which Building Permit No. ~ll+SZ dated Kal' ~ . , 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 . P~iv.a.t.e..0me..f~l~iJLy. ¢¥~.e. llilag ................... The certificate is issued to Ems, Genevie.va .Robinson .. Owne~, (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval aug..2..1.97] · .by it.. Villa House . . k , e . . , .... .c : . . . : : q . ........ Building Inspecto~ TOWN OF SOUTHOLD BUILDING DEFARTMENT TOWN CLERK'S OFFIGE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 5148 Z Permission is hereby granted to: to .... ~5~1,~.. ~e~..~ .. f~L::t ~,...e!~eg;i~g ................................................................................ at premises located at ..........~J~ff,~..~-_,~t,~i~.~. .................... ~ .......................................................... ............................................................... '~'tt~ ....... ~i~ .......................................................... pursuan~ to application dotted ......................... ~:~.~; ......... ~. .......... , 19.....~ ond opp~ved by the Building Inspector. '~ Fee $...'~.~.~,.~. ......... TO ~./HGi~ ~? HAY CONC~F~N: The sewage disposal facilities for a structure '--'~'~~GtVa d&ed)~Cat have bee~ inspected by chis department and found to be ~at~.~factol]. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved ..................................... 19..!! .... Permmt No................'5'i rfp ............ ~,~ D~sapproved a/c ..................................................................._ (BuildJng Inspector) APPLICATION FOR BUILDING Date ......... .M.~.. ?'~.~.q. ...... ..~. INSTRUCTIONS a This apphcabon must be completely filled m by typewriter or ~n mk and submitted ~n duphcate to the Budding Inspector. b. Plot plan showing locabon of lot and of buddings on premises, relationship to adjoining premises or pubhc streets or areas, and giving a detaded description of layout of property must be drown on the d~agram which is part of this application c The work covered by this apphcat~on may not be commenced before ~ssuance of Building Permit d Upon approval of this application, the Building Inspector w~ll issue a Budding Permit to the apphcant Such permit shall be kept on the premises available for mspechon throughout the progress of the work e. No budding shall be occupied or used in whole or in part for any purpose whatever until a Cerhficate of Occupanc~ shall have been granted by the Budding Inspector APPLICATION IS HEREBY MADE to the Building Department for the ~ssuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances o~ Regulations, for the construction of buildings, additions or alterabons, or for removal or demohtion, as harem described The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulahons (Signature of applicant, or name, if a corporation) (Address of ap~i~f) ............. State whether applicant ~s owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or budder ................................ Nome of owner of premises ............ ...~. l~.~,~..k...~./~..1~.]~.1/.[ ~ I}~. ~'~"~(~J J~l I~1~ ID l~J . . I~~j~..is a corporat,~ si~;~ure of du~ author, zed o=fficer · ....... (Name and title of corporateeSfficer) Location of land on which proposed work will be done Map No · .. Lot No ....... Street and Number .............. ..N...I.,~..:...~.U State existing use and occupancy of premises and intended use and occupancy of proposed construction a, Existing use and occupancy ............ ,~/I~..P~.~LI~ ~ ...... L,O.'.~. .................................................... b. Intended use and occupancy ........ %1.)~).~,) J~. .... .~..AI~J k.~...R~..~.~.~I..~..~ ............... 3 Nature of work (check which opplicabJe). New Budding .. ~'~ ........ Addition ................ Alteration .... Repair .................. Removal .................. Demolition ................. Other Work (Describe) .......................... 4. Estimated Cost ....... ~.~..~.:....~.. ........................ Fee ............................................................................... (to be paid on fihng th~s apphcation) 5 If dwelhng, number of dwelling units ........................... Number of dwelhng umts on each floor .......................... If garage, number of c~rs ......... ~ .............................................................................................................................. 6 If business, commercial or mixed occupancy, specify nature and extent of each type of use - . ............ 7 X~imensions of existing structures, if any: Front ......................... Rear ................................Depth .................... ~l~ht ........................ Number of Stories ........................................................................................................... D,mc~ons of same structure with alterat,ons or add,t,ons: Front .................................... Rear ........................ Depth ..N ............................. Height .......................... Number of Stories ............................. 8 Dimensions of ent,re new construct,on: Front ...~'.~)t...-...~.~.i ............. Rear ...,~....~..~..'...~..~. ....... Depth ...~.O....~. ~ , Height .... .~.~ ........ Number of Stories ..~..~..~ ........................................ -','1."'~' 9. S~ze of lot. Front .... ~.~,.~.1. ............ Rear Depth ..'~..~..~ 1".~i~, i' 10 Date of Purchase ..................................................... Name of Former Owner ............... .~.t~lI~l~..l~ ................. 11 Zone or use &stnct in which premises are situated ......................................................................................... 12 Does proposed construction violate any zoning law, ordinance or regulation~ .... ~.~ ..................................... 13 Name of Owner of premises I~../i.l.~.~.~.0..~O~tI~J~..Address ...~I~I.I~..I.'~....~..IC ........... Phone No .~...~.~.7..~ Name of Architect .......... ~..~. ................................... Address ........................................ Phone No .................. Name of Contractor ~f~J.M~l.~l..~,~.~..t~.$l.~..~.~ddress .. ~...~.~'~.~.~¢.~ ....... Phone No ~..~.7...~I1.~ ( PLOT DIAGRAM Locate clearly and distinctly all buddings, whether existing or proposed, and red,cate all set-back d~mens~ons fron property hnes Give street and block number or description accor&ng to deed, and show street names and indicat~ whether interior or corner lot. STATE OF NE~V YORK, . ! S S~ COUNW OF .......... _ (Name of md~wdual sigmng application) above named. He ,s the .................................. ~.~.~)~...k~.~l~ ...................................................... (Contractor, agent, co~orate officer, otc ) of said owner or owners, and is duly authorized to perform or have performed the sa~d work and to make and this application; that oil statements canto;ned m th~s application ore true to the best of his knowledge and belief; ant that the work wmll be performed m the manner set forth in the application f~d therewith. .S.~.~om ~ b.~.f..~r..e~t~ .. ~~~.~ .......... ,19 ~/. ~~ ~~____,, ~ ~ ELIZABETH ANN NEVILLE BOT~,RY PUBtlC ~ate of New York No 52-8i25850, Suffolk Cou,~y,~ ?;,RRDLD R..REEVE AND SONS BUILDING CONSTRUCTION ~ATT4TUCK, .N E'~/ yORK ,J J AE.3t.D p. REEVE AND SOl',r3 BUILDING CONSTRUCi ICN I¥],:(I'I'ITUCK, NEW YORK