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Home My WebLink About6962-zFORJ~I NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. Z6319 .... Date ...... ; F,b 3 ... , 19.~.~.. THIS CERTIFIES that the building located at . Sourtd Vie.~ Ave ... Street Map No. ~ Block No. ~ ... Lot No. ~ }~a];tit~¢~ .N.o.Y,. ...... conforms substantially to the Application for Building Permit heretofore filed in this office dated .. Oct 20 , 19.72. pursuant to which Building Permit No.696.2Z. dated . 0. ct...30 . , 19.?jl, 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 Private..accessory (sro. rage) b~lildl~g ............... The certificate is issued to MariQn B...Kue~le.. ~wa~ ............. (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval UNDERWRITERS CERTIFICATE No..1~. :R.. HOUSE NUMBER 2900. ... Street . Sound..View. Ave ....................... Building Inspector l~OF2/[ NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN GLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE P]~EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°. 6962 Z Date L ...................... fle.f,o~.....~l ...... , 19.~.~.. Permission is hereby granted to: .... ~..r..& c,.~....~ ,..-~K~,~ g.le .................................... ......... · tT.~....~..at ....................................... .............. ~.~.o.,.o..~ .......... .s..?.~... ............................ to .... .~...~.t,v....(..~.~..,.?.~)....~..o.?.L~...,.~..o.~.~,e....~.~s .......................................... at premises located at ...... ~.0...~-.~'~....~'..~..¥...~.~. ................................................................................... ................................................. .~,~..~.~. ........ ~.,.~.,. ...................................................................... pursuant to application dated ..................... .~.~. ....... ~ ............... , 19~.~..., and approved by the Building Inspector. Fee $.1.£~..,D ............ Building inspe~tor I~ORM NO. 6 TOWN OF $OUTHOLD , Building Department Town Clerks Office Southold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled ,n typewriter OR ink, and submitted in DUPLICATE to the Building Inspector with the following; for new buddings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposal--(S-9 form or equal). 3. Approval of electrical mstallahon from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installations, a certificate of Code comphance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent in- formation required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelhng or land use $5.00 3. Copy of certificate of occupancy $1.00 D te ..... ................. New BLlilding .....-~.. ......... Addition ................ Old or Pre-existing Building ................ Vacant Land .............. Location Of Property ~onn~..~:Lew...A.~.e ......... .t~;.~;~ck ................................................................... Owner Or Owners Of Property .~B.;]Z.;i,.9.~...~.:...~.~f~E,~.~. ............................................................................... Subdivision ......... ..:~...~ ............................................... Lot No..,7.~ .....Block No .....X~... House No ............ Permit No. 6..~...~.~.7~ ......... Date Of Perm,t ..1.(~/.~g./.~..,RApplicant .~'J. ar~o~..Kue.g,~L.~. ................................. Health Dept. Approval ........ ~,. .......................... Labor Dept. Approval ..... N.,~.. ................................ Underwriters Approval ........ .~...'..~ ............................... Planning Board Approval .... ~.~.~. .......................... Request For Temporary Certificate ........................................ FinaJ Certificate ......~r.~ ............................ Fee Submitted $ .~.~.0.~. ......................... Construction above on described building/g~d permit meets all applicable codes and regulations. S~orn to before me ~. ......... o, ... ......... Notary Public ..... ~.~.~ .... County Insp. 10/31/73 (stamp or seal) C/O #~ I Receipt# ?~q- ~ONU~ENT Survey for JOSEPH KUEGLE MATTITUCK Town of Southold Suff. Co.,N.Y Scd le: I"= 30' Apr. 12,1954 JULY 21,1954 VIEW AVE. 0.~)' &./tI GUARANTEED TO: SUFFOLM COUNTY FEDERAL SAVINGS 8~ LOAN ASSOCIATION INTER-COUNTY TITLE GUARANTY E~ MORTGAGE CO. PROFE$STON'A~~ Eh~-I-~EER AND ~.*NO SU~IVEYOR, N.Y.S, LIC. No. Examined ~ ~ 19..~.....~. Approved " L~ 19.2~.. Permit No. 6q~'~ Z.~ Disepproved a/c .... ~ -~-,-,~/~t APPLICATION FOR BUILDING PERMIT Apphcatlon' ' No.......~..~....~..~ .......... ... INSTRUCTIONS a. This application must be completely filled in by t~oewHter o~, in ink and submitted in triplicate to the Building Inspector, with 3 set~ of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets o, areas, and giving a detailed description of layout ofpraperty must be drawn on the diagram which is prat 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 Ir'-,c~ector will issue a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in pa rt 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 Z°ne Ordinance of the Town of Southold, Suffolk County, New York, and other applicable La~, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolitlan, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .................... ........................................................................................................................................................ Name of owner of premises ..~..~...~..Z.~..~ ...... ..t~.~.....~...c'='....~.....~....(..~., .............................................................................. If applicant is a corporate, signature of duly authorized officer· (Name and title of corporate officer) . Builder's License No ..................................................... Plumber's License No .............. .~..'....~.....~. ..................... Electrician's License No ........ ..~..~. .............................. Other Trade's License No ............................................... Location of land on which proposed work will be done. Map No.: ............... ......................... Lot No ......................... Street and Number .... ~...;~.~..~'.d..~,~.~.. ...... ..~...ff.¢~.~ ...... 4Y,~.&..~./..~...~..~'..y../~...,.(-/..__ ............................. · / Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ....... .~'..~..~..~...~..2:~.c~.,/ ......................................................................................... t d. " b. Intended use and occupancy .................. ~. ....~ ........;~.~ ......... '.,; ............................................ 3. N 'cure of work (check which applicable): New :Building ......... Addition .................. Alteration .............. Repair .................. Removal .................. Demolition ................... ~ Other Work - (Description) 4. Estimated Cost ..... ~....~'~.~.D.....-~... .............................. Fee ......... ~....../...6.......-~... ........................................................ (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. If business, commercial or mixed occupancy, specify nature an~l extent of each type of use ............................ 7. Dimensions of existing structures, if any: Front ......~=. ................... Rear ....~ ...................Depth ..~ ........... Height ....: ................... Number of Stories ....... ~/...2, .................................................................................................. Dimensions of same structure with alterations or additions: Front .................................... Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ / 8. Dimensions of entire new construction: Front ...~.~../.; ..................... Rear .....7....~.~./. .......... Depth ..... .~ ................ Height ....~...~ ........... Number of Stories ..................................................................................................................... 9. Size of lot: Front .............. ~,.~..G ..............................Rear .......... ~...,/. ................... Depth ...~..-~....~.../......g...h~ 10. Date of Purchase /. ~..~.. Name of Former Owner .-~...~....I...'~n.~..~..~....~...~ ....... 11. Zone or use district in which premises are situated ......................................................................... ~ ........................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ..~7,~ ................................................ 13. Will lot be regraded ....... ~ ............... Will excess fill be removed from premises: ( ) Yes ( ) No 14. Name of Owner of premlses~.~..~...~!.~..~...~,...L.~....~.....~./.~,.. Address-T.~...~..~.~..9.~.../i~'.~..~/.:~ Phone No..~...?..~..;..~.~..~ Name of Architect .............................................................. Address ................................ PhOne NO. ...................... Name of Contractor ............................................................ Address ................................ Phone No .................. : .... PLOT DIAGRAM ' '. Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set,beck dimenSions'from property lines. Give street and block number or description according to deed, and show street names, ar~ jndicate,~ whether interior or comer lot. STATE OF NEW...YORK. . ! S S COUNTY OF .~L~..~C.-~.~J..../5:.. ...... )' ' ........ ~.~.~.l..e.~....' ....~.~..~.~.~.~].~. ......................... being duly sworn, d~es and soys t~t he is the applicant (Na~ of individ~l signing contra~ ~ove name. He is the ................................................................................................................................................................................. (Contractor, agent, co~orate officer, e~.) of said ~ner or owners, and is duly authorized to ~Horm or have performed the said work and to ~ke and file this application; that all statemen~s.~i~ in this application am tree to the best of his knowledge a~ belief; and tha~ t~ Work will ~ performed in ~e m=nner ~t fo~h in the application filed therewith. Swom~ ~m ~ this ......... o, Nota~ Public, .................. ~u ..... C~n~ ..~~...~...-,:.~~ ........... . O~p~ JC~ My Commission [xpires Jan. l, 1976