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Home My WebLink About7473-z~ NO. 4 TOWN OF SOUTHOLD BU'T[.I~ING DEPAR~ Town Clerk's Office Southold, N. Y. Certificate Of Occupancy ~o .... .~.~.. .... ~,o...~ ..... ~,,o. >....~z~.-~......~..,~ confo~ su~t~ti~y ~ ~e App~caflon for B~g P~t h~f~ ~ ~ iht, ~ ~ · · 'aat~ C~.. J. ~ ..... , 19...~ p~u~t W wM~ B~dms P~t Ho. ~. ~ dat~ ...... ~... ...... , 19.~ [., was ~u~, ~d ~o~ ~ ~ of ~e ~ men~ of ~e app~cable p~io~ ~ ~e hw. ~e ~ for wM~ ~!s ~ h [o~er, m~ ~ ~t) of ~e ~or~d b~ding. S~o~ Co~ty Dep~tment of He~ Approv~ . ~.~ ~., ~W~T~S C~ZCA~ So.(~..~: ~ ................................... .......... ...... ..... :.~~ Building !n_~pector/ IN)BM NO. 9 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N~ Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PT~EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 7473 Z Permission is hereby granted to: . ~'.~ .~.~L~.~.~ ...~g.~..o. ~.~r~ ................................. .................. ~t~m~ ........................................ to. ~.~.~,.d....~.~;~...~ .C.~ ,~.~ ~,tLY...~ .t,.~ ~& g~...~ g .............................................................................. at premises located at ...~.~...~'~J~..~,O.&l[ ..................................................... ..................................................... ~tt;Ltu~ ........... 1~..~:.. ............................................................... pursuant to application dated Al~g 1LF 19..~...~..., 'and approved by the Building Inspector. Fee $...1.,~..,,....(~.. .......... ......... ........... , A4~ icatian No .......... ,../.~ .......... ......... ........ , ............ ~Dulral~ I~) AP~I~ F~ IUIL~NG ~IT ~e ........................ ~'~....~.~, 19....~..~ IN~U~I~S - ~ ....., w~ ~ ~ ~ ~, ~u~o~ ~ ~ ~ ~le. rN ~om~ ~ ~ule ~.~ ~ ~n;, ~i~.o~.lot %~ of ~ui~di~ ~ pre~i~;.ml~i~ip to ~joini~ p~ ~ ~1~ str~ o,~' u ~, ~gzw~ a ~,~ ~npt~ o~ ~ ~ mu~ ~ amwn ~ the d~r~ ~ is ~ ~ ~ ~licati~. c. The wor~ covered .by thi~ ~pplication rna/not be commenced before i~nce of~uilding Permit. ~-~ ~ rove I of'this aPPh~atio~, the Building Ir~pector will issue a Bud ng Perm t to the applicant. Such permit on the premises available for impect on throughout the work. shall] shalle' have beenN° buildinggrantedshall bybe occupiedthe Building°r usedlnspector.n whole or in part for any purpese whatever until a Certificate of Occupancy Bui~dPi~l' zCAJ~OoNoJiSnoHncHEeP'EoI~Ythe~ATDowEnE t%fthe,~,~l,ngsuffDePoolkrt.?_n,.for,the .i.ssu. ance .of..a Bui .1~..P., .ri'nit pu_mu~_ nt to the · . , ~.oumy, Hew TOrK, aha omer apl~l~ ~ O~linances or R~egulatt..ons, for the construction of buildings, additions or alterations, or for re I' m ~ ,~ ~..~...m-~ ~ ne appncant agrees to comply with al applicable laws, ordinances, bul ding code, hous ng code, and regulatiom, and to admit authorized inspectors on premises and in buildings for necessary inspections. C~--~ ;~( t~"7) . Mattituck Auto Parts (Signature af applicQnt, or nome, if O corporatic~) ..... I~;LG..ltoKT,.. I%.%~g~.1~. ~...L..... (^ddre. of oppii;~;,:';~-i .......................... State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Owner Name of owner of premises .~.~..0..~......~..~...~...~..~.Z ..... If applicant is a corporate, signature of duly' authorized officer. (Name and title of corporate officer) Builder's Licm~se No ..................................................... Plumber's License No ................................................. Electrician's License No .......................... Other Trnde'$ License No ................. 1. Location of Iond on which prol~ work will be done. Map No .~ ........................ Lot NO ...... ~ ........... Street and Number ...~./~..~I,1~..~1,~.~.....~1~.~.~,~.~..~.~.....~..:.~..% .................................................... A~nlc~lm/ 2. State existing use and occupancy of premises and intended use and occupancy of pragosed ¢an~tn~tion: a. Exisiting use and occupancy ...]~.g~.;l~e!~.~..]tg~;k~....[...(~..u.~.o...Parts b. Intended use and occupancy s~me with accessory storage bldg ,% ~ 3. ature of work (check which applicable): New Building...~ ........... Addition .................. Alteration ................. Repair .................. Removal Demolition .................... Other Work &¢cessoz~r ~ 000 ~ (Description) 4. Estimated Cost ............... ...~) ....................................... Fee ...J.~...t..O..0. ........................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ......... ..~...o...~..e. ......... Number of dwel'ling 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 .....~..~..~.~.e..~ ..... 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 ~f Stories ................................ 8. Dimensions of entire new construction: Front. ................................... Rear ............................ Depth ........................ Height .................... Number of Stories ...................................................................................................................... Size of lot: Front ........................................................ Rear .......................................... Depth ................................ Date iof Purchase ........................................................ Nome of Former Owner ............................. Zone or use district in which premises are situated ..."..~..-.J.~...~,~.~.~. .......................................................................... Does proposed construction violate any zoning law, ordir~nce or regulation: ........ D.(~ ........................................... Will lot be regraded ....... ~ ............... Will excess fill be removed from premises: ( ) Yes ( ) No Name of Owner of premises ................ Address ......... , Phone .No ................. :. .... Name of Architect .............................................................. Address ................................ .Phone No. ...................... Name of ContraCtor ...... ~I~.~.t~..~,'~.1;.~....]~..~q. ................. Address .......~..~,.~..~.~.~.g.~.~.... Phone No. ........ ~ .............. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from proper'n/ lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. 10~ 11. 12. 13~ 14. ATE OF NEW_YO.~,.. I c c COUNTY OF ....~:.~.~..~.z[.o....J~.. ............ ~'~-~ ............................... ~ ....................... being duly swor~n, dep. o, ses and says that he is the applicanl (Name of individual signing contmcf) ' ~. " ~ - ~- u', : above named. He is the ................................................................................................................................................................................. (Contractor, agent corporote officer, etc.) ' ~L,"iL...r.rh ' [£CL. , . of said owner or owners, and is duly author zed to pertorm or have perrormea the said work and to make and file this application; that all statqmertts contqined, i~ ~[l~i%..opl~icptjon~,ar~true to t.he bes. t..of his knowledge and belief; 'and that the work will be performed in ~1~ manager ~1' forfh in the appl~catmn filed therewlm. Swam to before_r~e tJ~lis ,~, /~-, ~'~ .. /'1 ................... · N a. .......... ........... : ................. JUDITH T. IIOKEN ~ta~/ Public, State of New York Ne, ~2o0344963 Suffolk Count~ C~rnmb*len Expim~ Ma~¢h 30, LLO~) ~,V. ,,,, \ \