The URL can be used to link to this page

Home My WebLink About7358-zFORM NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Town Clerk's Office $outhold, N. Y. Certificate Of Occupancy Z62~9 Dee 27 71+ No ............. Date ............................ , 19 E/8 Maratooka Road THIS ,CERTIFIES that the building located at ............................ Street B XX / xX Mattituak Map No.. ~ ........ lock No ..... .', ...... Lot No conforms substantially to"the Application for Building Permit heretofore filed in this office dated" Feb 1 $, 19. ~.~. pursuant to which Building Permit No. 7358Z dated ... .................... , 19...., was issued, and conforms to al} of the require- men{s of 'the applicable provisions' ~bf the law. The occupancy for which this certificate is Private (accessory,/garage The certificate is issued to ....... ~ .................................................. (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .................................... UNDERWRITERS CERTIFICATE No ............................................. 625 Maratooka La HOUSE NUMBER .............. Street .......................................... Building Inspector FORI~ NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PEP, MiT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 7358 Z Permission is hereby granted to: ..~?..~..~zz..~. ................................................... ........... ~--a~t ~..t;uek ............................................... Fo....~....t..]:.~.....~.e.~..~.~.~.~.t.~..~.~ .............................................................................................. at premises located at ........~.J~..~,~'l~o/~k&..]?~ ............................................................................. ~attituck pursuant to application dated .........................~.J~J~.....~.~ ............. , lq~....., and approved by the Building Inspector. Fee $?,.O.,t...O~... ............ · . Th~ qpplication mu.t be c~,~,et~v filled ~ by ~wri~r ~ in :~ --~ .............. * -- - ~ --~' ~n*~.~F~of~i~i~pr~, m' 'ldt''i~S~ :to--'----~' a~, ~ P J~ ~ or -. '~ mis: '~'*B'I ' . . . ..... ~.,,..,.i.. . ~ ~y~la le~ _ . ~n~. ...... ~.~..~< ....... ~~ ............................ (~ ~ ~ Sta~ ~er ~licant is ~, ~, ~, a~J~, engineer, general c~tmctor, el~trician, pl~ or buJl~r. ................................................. ~.....~ ............................................................................................... ..... · . N~ of ~r ~ ~i~ ---~l...~e~ .................................................................................................................... If a~lic~t is a ~e, ~re ~ ~ly o~z~ ~icer. and title of COtl~e6~= officer) Bullet's li~ ~ ............................ Plumber's License No. rd~'triclan's License No. ell~ez, Other Trode's' License No. . .......... 1. Location of Iond on which propoe~ work will be da~e. Map No.: ,..~.... · .......... Lot ~o. Zi Street and Number '~'~'1[1'"~'~'9..~"~ J~ ...~I;~,~M~ .................... i 2. State exist'~ use and occupancy of premises and intended use and oc~ of proposed cortstruction: a. Exlstflng use and occul~ncy . I~1~]~-__.:~!~. b. ~nt~ u~ ~ ocm~-v .......... .~...~tlL.i~I'I~,L~,~ ................ property I nes G ve street a~ whether interior or corner lot. 3. Nature of work (check which applicable): New Building ....~. ......... Addition .................. Alteration .................. Repair .................. Removal .................. Demolition .................... Other Work ..................................................... (Description) 4. Estimated Cost ............................................................ Fee ..J.9.'...°..°. ............................................................................ (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 6nd extent of each type of use ~.q.¢.~.~l¢)~.~ ...... 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 of Stories ................................ 8. Dimensions of entire new construction: Front .................................... Rear ............................ Depth ........................ Height .................... Number of Stories ...................................................................................................................... 9. Size of lot: Front ........................................................ Rear .......................................... Depth ................................ 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ ! 1. Zone or use district in which premises are situated !!Jl..t?...C~'l S.~ ................................................................................. 12. Does proposed construction violate any zoning Iow, ordinance or regulation: ; .......... ~. ........................................ ]3. Will lot be regraded . ........................... Will excess fill be removed from premises: ( ) Yes ( ) No 14. Name of Owner of premises ~Tg, I~.e,~ ~.~l~ ............... Address ....~q.~;.t,J.C;.u¢~; ...... Phone No. Name of Architect .............................................................. Address ....................... ~ ........ Phone~XNo ....................... Name of Contractor ......... Sa~® .......................................... Address ................................ Phone No ....................... PLOT DIAGRAM Locate clearJy and distinctly all buildings, whether existing or proposed, and indicate all set-ba'ck dimensions from ,d block number or description according to deed, and show street names and indicate ,? COUNTY OF .... ~9~.....L..... f .... ..................................... .~$...~e.~ ................................. being duly ~worn, deposes and soys that he is the applicant (Name of individual signing contract) a'bove named. He is the ....................................... .~9~...~...~e~ ..................................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have perfo~d the said work and to make and file this application; that all statements contained in this application are true~o/the best of his kn~ge and belief; and tha~ the work will be performed in the manner set fo~¢h in the application f~le~ therewith. Sworn t~f~e this ...... ......... ., / t, lo. 52 -034,t763