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Home My WebLink About1297-zl~OPd~ KO. 4 TOWH OF $OUTHOLD TOWN CI./ERIC'8 OFPIC£ $OUTHOLD, N, Y, CERTIFICATE OF OCCUPANCY No, ,.Z.Z.0~8 .......... Date ............................... gU~Uat;:.,...i ...... 19.6!. THIS CE]~TIFIES that the building located atN/S......l~or~h...Road ............ ............. Street Map No..XXX ............... Block No...~r_TL ............. Lot No..~Y~X .......... ~'.~.~i~Q~..~.~.:; ........................ conforms substantially to the Application for Building Permit heretofore fildd in this office dated ................. 'J'alaaaa~]r......~ ..... 19..6.1.. pursuant to which Building Permii:No ...... dated .................... ~]%!qltaz'y'"' .~.{~., 19..~.~., was i~sued, and conforms to all, of the require- merits of the applicable provisions of the law. The occupancy for which tl~i& certificate is issued is .--.-Pr.~.~r,~.,~-,~.~i-3.y, .d'~.7t:l. lTlg .......................... i ...................... .............................. This certificate is issued to .... P.~t.~..;LCk.....~l;lllrl:Lrlgtlaltl ......................... (.O,W~O~.) ............. (owner, lessee or t~n~nt,) of the aforesaid building. / '~"'"'"'"'"''"'' ~ Buiming respect FOI~M NO. 2 TOWN OF $OUTHOLD BUILDING DEPARTM[NT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDli~G PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 1297, Z Date .............. ~a~H~..l~y......].~ ................. 19-61.. Permission is hereby granted to: Joh~y Ha l~(~n4:e' "A/~ ' ' '?a'cr lek' ~ ~4'n~h '~m .............. ............. Sou¢'h~ld'~' ""-~1'~ ~ ............................... to '"Bui'] d...o~e.'~a~li-l~..<~we'~.t.~'n~ ............................................................................................. at premises located at '"N/S'""~fOrJ;h'"RO'ad ............................................................... ................................................... ~,r een.po~'~y...- N'~.~ ....................................................................... ..... ~pprova.l-..by.. ~oun%~..pubtie..wor~s...~r~ft~ e..received...J~.~...18¢h...~.6.1 .......... pursuant to application dated ......................... J~"tt~'2:'""t~.' ............ 19~]:..., and approved by the Building Inspector Fee $--10..00 .......... COUNTY OF SUFFOLK DEPARTMENT OF PUBLIC WORKS H.F.Bishop x~:~Ar~, COMMISSIONER YAPHANK, NEW YORK 1-17-61 ........ (date) TEL. YAPHANK 4-3451-~452 Building Inspector Howard M, Town of $outhold Southold, New York Terry Dear Sir: This is in reference to a request made to this office by: ~or permission fo qonstruct a ,d~elli~i Middle ~ C.R. on a County Road, ......... (6~me o~ road'_O~d · n/s road .172~+, W/o Alb~t~ v..~in the Town o~ Southold . ' Pursuant fo Section 239K o~ the General ~unicipal Law, the Suffolk County Department o~ Public Works has no objection ~o the i (~sme of ~oad) C.R. ~27. ,l' as shown on the enclosed p~ot plan. (C~oiss ~t one of theI ~lOlllIOw~ng~ iwhjcb ~es not A pe~mlt ~o~ the cofl~t~uct~on o~ an access dr~ve ~ is b~ing ~ssoed by the Suffolk County Department o~ Publ lc Works pursuant Section I~ ~ ~he H~ghway Law, H.F.Bishop Very truly yours~ · Comm i ss i Drier (~ VC/~leifa~n~;n~eea;Sunaye, Jr. q ~ FOR1M[ NO. 1 TOWN OF SOUTHOLD TOWN CcERK'S OmCE SOUTr OLD, N. ¥. Examined ....... _~, ..c::?~........I..~ ......... 19..~. ~.. Approved ........ ~....~..~...19.~.~...Permlt No. ~.~.~.~(..~ ...... D~s~pproved ~/c ..... ~,.',~..,,v ......... ~.=,~,,.~,~ ....... ~,~.~ ................................... .................... ................................. Application No. ! ~ ¢~ -j APPLICATION FOR BUILDING PERMIT Date ,T.8,D.~a,:e,y. .:~, .................. 19~'1 ....... 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 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 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 issuanoe of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Lows, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, os 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 is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ......... C o n ~.r..ft ?,..t..q~'.... a Name of owner of premises ....... .P,...~,.1,.g..l~,.,,..~.¥l];~t.g.b]D,~Iil ................................................................................................ 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: ..... ;:f~C,% ............................. Lot No: ~x,x ............. Street and Number ..~/.,~:.....~,p~..~O~Cl ............ .g:~.eo~o.~2z...~.,.~.....~.,.¥... ........................................................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .......... ~.ft~.~t~¢.....],~ ............................................................................................. b. Intended use and occupancy ........... .O.~,L.£.~J..?..:F...d.~.e3~._].;b~§ ....................................................................... 3. Nature of work (check which applicable): New Building.....~..X...~. ......... Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... (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 ...........~Tt.e .......................................................................................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .............................. 7. Dimensions of existinf~ 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 ........ ?~.8 ............... Rear ........ .~ ............... Depth ...2.~. .................... Height ............................ Number of Stories ..o...~,.e. .................... 9. Size of lot: Front ...7.,,ff. .................... Rear .......... 2.~. ............. Depth .......... 10. Date of Purchase ..............:k~.~..0 ................................. Name of Former OwnerRC~h~,,.RO,¢-ls£,e,]-~Ler .......... i .......... 11. Zone or use district in which premises are s~tuated .......... ,~......~i.~z'.J.~.t ........................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? ...... ~ ....................................... west}~ury roa~ 13 Name of Owner of premises..P.o.._~tzt~&n~.b, atI1 ...... Address ......24i.aectl~, .................... Phone NO ..................... Name of Architect ........................................................ Address ............................................ Phone NO ..................... Name of Contractar..~.°..h.~..~.a.~..°..:0..i..q ..................... Address ......... ~,O,!~,,t,~,O.].~ ................ 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. L,~, STATE OF NEW,~,.Y.~I~K,~ ) S S. COUNTY OF ....~..~;.[i.°...~..~.. ....... ) ................................... .Z.p.}?,.n,.....~];).~T~j,~ ............................... being duly sworn, deposes and says that he is the applicant (Name of individual signing.application) above named. He is the ...................... G.O~.t,,~.a.c~tb.o.~ ............................................................................................................... (Contractor, agent, cor~borate 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 ali 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 before me this / "-~, ,~,~ /~,1~,~--~ ................... ,],~ day of ............. ~a~tt~:~z~ ..........19'"~'1' .... ,j~,~!~_~,"'~0?E~(Srgnat'~,t'e of applicant) /¢ ., , / ~ ~./¢~' .¢ N'otary~hc, State of New York Notary Public, ..~4~..~A4..;.....~.rA'~.....County N0. 52..0344963. Suffolk County /z ~ ~ ./ Camm s~lon Expires March 30, 19 (~( __ ~