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Home My WebLink About10704-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificete Of Occupancy No. Z'l '172/4. Date June 9 198.? Addition THIS CERTIFIES that the braiding Location of Pro~ert· ~ 305 Bayview Ave. Mattituck House No. Street Hamlet County Tax Map No. 1000 Secnon ~ 06 .Block 6 ..... Lot q 6.2 Subdivision...S..h.o?e...Ag.r.e.s' .............. Filed Map No...~? .... Lot No.. 2q conforms substantially to the Application for Building Permit heretofore filed in this office dated ........ .H.a.y..30 ...... ,19.8.0. pursuant to which Building Permit No..'] 0.7.0%Z ............. dated ........ .~.m2..e...3 ............. 19.8.0., was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... ...... 4. ¢.~.qk...~4~..~.o.=...,.o. ?.~. p.x.%s..~5~.. 97.% .z.~.=.a. ........................... The certificate is issued to . Ge?.a.r.d.. ?....d. 9p.2.~.~..nKey' ................................. {owner, lessee or tenant) of the aforesaid building. N/A Suffolk County Department of Health Approval .......................................... UNDERWRITERS CERTIFICATE NO ........... .N/.A. .................................. Building Inspector Rev. 1/81 FO]~i~J[ NO. 2 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTH'OLD, N. ¥. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 1070~ Z Permission ~s hereby granted to.',~ ...... ........ L~.~..~ ....... Z~..~..~..~. z.~r~..... ~o ..... ~.~z~c~z ........ ~.~ ~ez.Z~.~.~....z.~...~..~z.ce.~z~:~ ....~...~.. ....... ~-:~.....Z~]~.~.... ~ Z//~ ........... ~ .................................................. at premises located at Z~u~ pursuant to application dated ...... ~.~..~........~..~-. .............., 19.~., and approved by the Building Inspector. ./ Budding Inspector FIELp INS,PECTION COMMENTS FOUNDATION FOUNDATION 2. ROUGH FRAME& PLUMBING (2nd) INSULATION PER N.Y. STATE ENERGY COpE FINAL ADDITIONAL COMMENT__S: SALES REPRESENTATIVE TOM 'FESS DATE JOB~ lot 22 Lot 19 AVENUE I01' NUMB~B$ B~F~R ~ M~4P OY " $HOR~ ACB~'$ " ~'IL~O IN ~'tt~ OFFICe' OP ~1~ CI.~RK OP SU~FOL. K COUNI'Y ON dAN $ · 191~t ,45 M,4P NO. ~1. SURVEY FOR G~F?AF?D T. GOEHRIIVGEF? ~ BAt?BAF?A $ GOEH~ AT M,~TTITUCI( TOWN OF SOUTHO£D SUFFOLK COUNTY, NEW YORK 9~UNAUTHORIZED ALTERATION 0~' ADDITION TO T DATE SCAL NO. G~ ~ ~ TE~-D T~ TH~ N~,~'T~ F~,~ ~ '"' "~ FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-180~ Examined d~'.'~a'~ ~' ............... , Approved ~.. X ..... , 19... Pe~it No..[~. ........ (Building Inspector) APPLICATION FOR BUILDING PERMIT Application No./~). 7~...~. ....... Date ..... ~g'~... fi..~., 19~ INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building Inspector, with 3 sets 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 or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector 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 part 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 Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, 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, d /'~-~~~ ............~2;plica '~' ~' '~'/' '~'~' .... ': oration) ......... ....... .... (Mailing addr6ss of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name .......................................... of of premises .~.~t7~4 ' .~. ,~. · ~/7~..~.'?.~.~. · /~'~J ' i'~' '~ ......... : ..................................... ......................... owner . - - . - .&.~/.-- · . · (as on ~ tax roll ;; iat;it' ~;;d') If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Electrician's License No ....................... Other Trade's License No ...................... I Location of land on which proposed work will be done .................................................. . . ..... House Number Street Hamlet County Tax Map No. lp00 Section ..../.~ .ff. .......... Block ... ~ ............. Lot../. ~'.-.. ~ ......... Subdivision...?../c~. a.~./.,~...~?..d./.~.~c.q . .............. Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ....... y~Z .~ '~'~[t,..~. ~~..: ............... b. Intended use and occupancy ~... . .~.~! ............................... 3. Nature of work (ch(ck which applicable): New Building ....... Addition.....~. ·.. · ·.. Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... 4. Estimated Cost . ' ..................... Fee .............................. (to be paid on filing this application) 5. Il' dwelling, number of dwelling units ............... Number of dwelling units on each floor ................ Ifgarage number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dimemions of existing structure~, if any: Front ............... Rear .............. Depth ............... Height' . .............. Numlber of Stories ........................................................ Dimensions of same structure wlth alterations or additions: Front ....c~...~..~ ........ Rear .................. Depth ..... .~ f ................ Height ...................... Number of Stories ............ .~.$ ....... 8. Dimensions or. entire new constrUction: Front ... ~.d-f ........ Rear ............... Depth .... ~ ......... Height......, ...... ... Number~ of Stories ........................................................ 9. Size of lot: Front ...................... Rear ...................... Depth ...................... 10. Date of Purchase ............................. Name of Former Owner ............................. 1 I. Zone or use &strict ~n which premises a e situated ............. 12. Does p'roposed construction violate any zoning law, ordinance or re ation: ................................ 13. Will lot be regraded ............................. Will excess fill be removed from premises: Yes No 14. Name of Owner of premises ...I ................. Address ................... PhoneNo ................ 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-back dimensions from property lines. Give street and blockinumber or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW.~OR~/./,~ r COUNTY OFf~'~'~. · S.S (Name of individual sigtdng contract) abow~ named. being duly sworn, deposes and says that he is the applicant 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 mander set forth in the application filed therewith. Sworn to before me this ............ ~:...~ .... day of .... .//,/~r~_~ ........ , 19. County Notary Publi , C~..C .~. · .'~.? .... ,., No~a~ Public, State of New York I Commis~ion Expires March 39, 19~ /