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Home My WebLink About1524-zF~F~M NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No....Z...%~i ........... Dote ................... Dc~o~.er...22. ............ , 19...~.~. THIS CERTIFIES that the building located at ..E/~.~..~.~.~..~.G~....~.~.~..~.~..o.g~.e.. ......... Street Map No ...... e~ ..........Block No .............. e~,.. Lot No .........~.~w ...................................................... conforms substantially to the Application for Building Permit heretofore filed in this office dated .................... · ~tlg~S't?'~l ........................ , 19...6[ pursuant to which Building Permit No ........... ~-..~52~ da.ted .......... A~gtle~..~3 ....................... , l C)....~t was issued, and conforms to oil of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ........ The certificate is issued to ...... .......................... Sa~e~l....Hea~:?.eh,,4,~e/~.¥..~e~ ...................... [owner, lessee or t~nant) of the aforesa.id buildings, Health Depa~tmen~ App~:oval - 1/9/62 - R. A. Villa, Dis~. Bngineer ........ ......... ...... Building Inspector / TOWN OF SOU~HOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 1524' Z Date ........................ AUg.us.t.....2~ .......... 196~, .... Permission is hereby granted to: Sacred Heart Church Main Road ....c. ~z.~. e.~.o..~.u..~ ................ Build an addition on an existing convent pursuant to application dated .......................... .A...~.g-'~.-.~..~.....,;~3 .............. 1~ ..... and approved by the Building Inspector Fee $ ........................ Building Inspector SUFFOLK GOUNTY DEPARTMENT OF HF~LTH Riverhead~ New York Building Permit No. Type 9~ Pr%ut L~gibly in Ink Health Department Plan No. ~ Application for Approval of Commercia% Sewage Disposal ~ystem TO: The Suffolk County Department of Health Date J~P~, /~-~/~/ Application for approval of commercial sewage disposal system is hereby requested. (Name and side of street, and nam~ apd d~stance to nearest intersecting street) Hamlet . Village I hereby certify that this commercial sewage disposal system has been con- structed in accordance with plans approved by the Suffolk County Department of Health on (date) ~/~/~g~/ and ~lth all the requirements of the latest bulletins on sewage dispgsal of the Suffolk County Department of Health. Applicant's Signature Title · ~Duild~r - Address Tel.No. Ready for inspection , FOR USE OF H~LTH DEPART~[ENT ONLY InstallatiOn satisfactory Yesy~ ; No Based on the information stated hereon by the applicant and other information mad~ 'available, it is the opinion of this department that this system with proper maintenance can be exnected to function satisfactorily and is not likely to cause a nuisance, provided designed sewage flow is not exceeded. Structural features are not included. Date SCHD - S-13 ' bistr'l'ct Engine~'r FORM NO. 1 TOWN CLERK'S OFFICE Examined ...... ....... Approved ...................... ~,. .............. 19...~....Permit NO..~.../...:.~.....?.,.?.. Disepproved ale ........................................... ~..~.~ _~-~ .... .................. (Building Inspe~or) Application No....(...?....~.....~.. ...... APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and su;omitted in duplicate to the Building Inspector. b. Plot plan showing location of lot end of buildings on premises, relationship to odjoinin9 premises or public streets or areas, end giving a detailed description of layout of property must be drawn on the diagram which is part of this location. 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 progress of the work. e. No building shell be occupied or used in whole or in part for any purpose wherever until a Certificate of Occupancy shall hove 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 and regulations. (Signature of applicant, or name, if a corporation) · ..¢../.... ...................... (Address of applicant) State whether applicant i,s owner, lessee age?~ar,c, hitect, engineer, general contractor, electrician, plumber or builder. ................................. ....... , ........................................................................................................... Nome of owner of premises ........ ~...(~/.j...~'. .'~J.% /~.J?. ........................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which proposed work will be done. Map No: ...~..~. ............................ Lot No:~ .~... .......... Street and Number ....~.Z.~........~.~....~.~.~ ......... G...~.....~....~...~ ........................................ Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .......... .~.'.f;2~.~.¢¢.¢~...~.. .................................................................................................. b. Intended use and occupancy ....... .~..f~.~),.~...¢,.1~..!..... ............................................................................................. property Hnes. Give street and block numbers or description according to deed, whether interior or corner lot. 3. Nature of work (check which applicable): New Building .................... Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost ........ .~.,~.'~_.1~..0...0..~.~ ........................... Fee .......................................................................................... (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 and extent of each type of use .............................. 7. Dimensions of existlnfl structures, if any: Front ...... ~.~..'. ............. Rear .,~..~ .................... Depth .....~..~ ................. Height ..... ~..~. ................ Number of Stories . ...~.. ........ ' ............................ Dimensions of same structure with alterations or additions: Front ........ .d~.~ .................. 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 ........ ~/.~..1~. ............ Depth .....(..~,~. ................ 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated ................................................................................................ 12. Does proposed construction violate any zoning law, ordinance or regulation? .................................................... 13. Name of Owner of premises.,~.~.C,.~...~.~..~.~.at~..~'..~,~/~ls ..C~.~.~'..I~. ............... Phone Name of Contractor. Pa~.u.L,..~.~./~,~. .................. Address ~,1~.¢, .~.~.~.~..~.',./~.....,Phone NO../'~./~..:'.2:.~£ .~.~ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from and show street names and indicate STATE OF NEW,,YOR,K, - ' ~,- ! O ~ be ng duly sworn, deposes and soys that he is the applicant (Name of individual signing application) above named. 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 thatto~forethe work will be performed in the manner set forth in the application fileTdth~re~it~hll]~ Sworn me this ...?.'.~..~..~.'~.~. ....... da of. ~~ 19..~..~ .... (Signature'' of t) FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. E×om ned ...... ....... ...... 19...C./ Approved .......................~.. ............. 19.....~.Permit No......~.:../...~.~...~...i./. Disapproved a/c ................... ............................................ ~,..,<...... '.',~, .~...' .......................................................... ......... :/ ................................... ' '(Building Inspe/c~or) Application No. / ~>'~' APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building Inspector. b. Plot plan showing location of lot and of buildings on premises, relationship to adioining premises or public streets or areas, and giving a detailed description of layout of property must be drown on the diagram which is part of this location. 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 progress of 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 issuanae 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 buHding~,..additions or a tterations, or for removat or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances and regulations. ........... ................................................... (Signature of applicant, or name, if a corporation) ...... (Address of appdcant) S to te wheth.er applicant is owner, lessee, a~lent, ,a rchitect, e nginee r, gene ral cant facto r, electrician, plumber or builder. ................................. ............................................................................................................. Name of owner of premises ........... .~..(.~.J.~..¢; ............... : ............. (~.t: ........................................................................ If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which proposed work will be done. Map No: ....~'.......~... .................. i ........... lot No:..~.~.. ........... Street and Number .......... ?..-. ................................................ Municipality 2. State existing use and occupancy of pr, emises and intended use and occupancy of proposed construction: a. Existing use and occupancy .......... .(~..~.:~'1. M,/Z¢.~..'.,.~,.: ............................................................................................ b. Intended use and occupancy .o./(/.~.~,49. .... 3. Nature of work (check which applicoble): New Building .................... Addition ...... ~...AIteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost ............ .~.,,~..~..~.0..12.~.0.0. ......................... i. Fee .......................................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ......... Z ................... Number of dwelling units on each floor .......... ~.,. ............. If ga.rt~ge, number of cars ............................................................................................................................................ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .............................. 7. Dimensions of existing structures, if any: Front.....~,,.! .............. Rear ..... ~'~..~. ............. Depth ....,~.~.~. ................. Height ......~.,~...i. ............. Number of Stories ........... ~ ............................................................................................. Dimensions of same structure with alterations or additions: Front ....... ,~..~. ............... Rear ..~,.I. .................... Depth .....~..r. ................ Height .....r~.~..,t. ............... Number of Stories ...... ..,~.. ..................... 8. Dimensions of entire new construction: Front ............................Rear ......~..~...f .............. Depth .....~..~,. ................. Height ....~,~..! ................ Number of Stories ...... ~ .................. 9. Size of lot: Front ....../.~.1~. ............ Rear ...... /..;~..D. ............. Depth ....../..~.~} .............. 10. Date of Purchase ........................................................ Narne of Former Owner ........................................................ 11. Zone or use district in which premises are situated ............................................................................................... 12. Does proposed construction violote any zoning law, ordinance or regulation?/l/~.~T...,~../~..,,~A'~../~/~..'~..... 13, Name of Owner of premises.,~'lg,~/~..~,O(..~..£.~..~..~.~..~ress ..(~z~..~'.C~.O~P.L-...~.~..~.....Phone NO~..~'..-..~..~./~.~.~,.~ Name of Architect..~,,/'Ja, tr'./.~$...~.:~/~'/ ..................... Address .,~/~,/~..~....~/.,~.~. ........... Phone NO. ~..:.~,~.,l~.~'/ Name of Controctor../~.P..~..,, .~.PJ/~$ ...................... Address .,~r~//~.~..~.~.~0(.t,~, ~., ....... 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 block numbers or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW~YOR~,L ~, ) S S COUNTY OF -~..~...~....) ' ................ ~/t~ ~~ being dulysworn, deposes and says that he is the app'icant (Nome of individuol signing application) obove named. He isthe .............. .~,..~~ ...~.. ................................................................................................ (Contractor, agent, coq~orate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work ond to make and file this application; that a statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to i~re me this ~.~..~....-~. ..... day of ............... ..~..:~ .... 19 ............ (S~gnature of applicont) ~'~';ary Public, ...~....~_~:...County _~'~ '1 b HA /~A [ .:..:.~ , T Oh '7'- 7 d/PY vX, eY [5~ ,! 4:/¢ ~ p~zc~l / _J · . I'~'E ~7 'EL, 5. 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