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Home My WebLink About1914-zTOWN OF SOUTHOLD ~,UILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No. Z..l~6~. ............. Date ..................... %D .ll ....... 1%. .......... , 19 3 .... THIS CERTIFIES that the building located at ..... ]~t/.J~..g~lt~..j~JJ~,~O3,~..~:~.d. .............. Street Map No. ~..J.O..¥..e...Z.~....0..*.?~l~ No ....................... Lot No....'~a.~.Jz~ ............................................. conformB substantially to the Application for Building Permit heretofore filed in this office dated ...................... ~)0'~0~ ....... .t~. .............. , 19~2... pursuant to which Building'Permit No....~J,.~.~. dated ................... f~}O'~O~e~ ....... .}%......., 19..~., 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 ........ ............... ~z'i~r~t ~'"one" T ami'~y" 'dv~Ti~ .............................. .................................................. The certificate is issued to (o~q'~?r~essee or tenant) · .Mo~z'i.~"~u"'Yot~n~ ................. ~'~ ............................................... of the aforesa'id building. ~. D. ~,~pr oval Mar FORM NO. 2 TOWN OF SOUTHOLD 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) N? 1914, Z Date ................... O~I~F-.....~..~' ............ 19.62. Permission is hereby granted to: ............. P.&~ehog.u~ .............................................. to B~L].d ..ney...one.. ~n m~.ty .. ~v® ...~.~.n~ ..................................................................................... at premises located at N/~.....W®B.t..~.,.O-,.~/.,...~£~..~/S.....Gean~..~neo.~a...Nom] ..................... ................................................................. Hat.t'-t~ek .......................................................................... pursuant to application dated ............................... O~to~......~.-~ ...... 19.62.., and approved by the Building Inspector Fee $ "1 O..O~ ........... ' ' Building Inspector SUFFOLK CoUNT~ DEPARTMENT OF HE&LTH Riverhead~ New York Ap~plicatio_n~o_.val' to Co~struct~ Privet9 Sewage Disposal Syste~_s To the S,~ffolk County Department of Health Date~ Application for approval to construct p~ivate sewage disposal ~stem is hereby requested concerning which the follo~.~ing i~o~tion is submitted: (b) Ha~et or Village ~'~ ~, t: ~ (c)To~ 3. Cellar Slab Crawl Space 4. Water Supply - '7~,/ f ~ (a~ ~blic System: / ~/J~ ~ ~/~ ~ / ~ M~J;~//~ ~ Private Well ' ' -- Distance to nearest ~i~ Proposed System, 5. Ce sspool~,~ (a) Number of pools~ .......... (b) Blocks below inlet (1)__._____ (2)_ . (3)_ 6. Septic 'bank (a) Inside width~ ft$(b)Length.._ft. (c) Liquid dep'th_ , 7. Seepage field_____ (c) Block size-L in.$W, in. - ~ (a) Trench (d) Preease poo,~)NooSections (f) Square feet per section · (b)I~ft (c), Number of trenches_____ , (d) Depth £rcm bottom of Seepage pipe to ground'wate~ _____ I hereby certify that I am fa_miliar with the requirements of the latest bulletin of 'the "Standards for Private Se?~age Disposal Systems" and will construct this system in conformance with these standards~ or revisions thereof~ prevailing at the time of construction. / ......... FOR USE 0F TI~ H~L:t,TH DEPA~NT, 0N~ Based on informtion presented hereon it i:s the opinion of thisDrtmnt that an adequate and satisfactory sewage disposal system~e oonstru~eJ~n th~s plot. Date /~ - /S -~ S~a ,, S0HD-S-!~ (Revis.) Ground later Oapacity._.. Gals-~..._ ~ Capacity~ Level~ Test Hole Dat_____~a Feet 0 6 18 2O ludicate ST[~EET I PT.~q~ 'PT.A hT NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Appraved ........................................ , ~9..~....Permi~ ~a ........... .............. ................................ (Building Ins~ctor) Application No.: ./.:.(....~.. ......... APPLICATION FOR BUILDING PERMIT Date .................................................... , 19 . INSTRUCTIONS o. This opplicatlon 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 applica- tion. 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 o Building Permit to the applic<~.nt. 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 po rt for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS H.EREB¥ MAiDE 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, alterations, or for removal or demolition, as herein described. T~e~pp~i~nt~greest~m~ywith~pp~i~b~ebws~rdin~nces~ndregu~°ti°ns~/`~`~z/~c`/~ ' .............. (Address of applicant) State whether applicant is owner, les~e, agent, aj~qitect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises If ap~cant is a~o~por, a~, signatur~ of duly ~uthoriged officer. ........................................................... / (Name and title of corporate officer) 1. Location of land on which proposed work will be done· Map, No.~, ............... ~ ................. 4-..'. Lot No.~ ...................... Street and Number ..,:~/~..~.....d...~......~..'...d.:...~.?..:..?...~...~.:../...~.. ~.~.~../.~..~..p.~..~...~.~..~.~..~.`.x~..~..~..4.~..~.~~.~.~.~...c.~..~./~..~/ ,Municipality 2. State existing use and occupancy of premises and inten,~.ed use ~and occupancy of proposed construction. a. Existing use and occupancy ................................................... :.~. .................... ~ .................................................... b ntended use and occu anc ~/,J~ "~,,~,4,/~/' · p y .................. ..'7. ...................................................... ff.. ............................................. 3. Nature of work (check which applicable): New Building .................... Addition .................. Alteration .................. Repair .................. ~,emova! .......... .,.~... Demolition .., .............. Other Work (Describe) .................. ........................................................................................................................................~D O~ ".~. Fee 4. Estimated Cost ..... (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 ..................'~..~.*...'ff....."~.. ........................................................................................................... 6. If business, commercial or mixed occupa'ncy, specify nature .and extent of each type of use .................................... 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 eptire new construction: Front .............................. Rear .............................. Depth .............................. Height ....... ./....'iff../~ ............... Namber of Stories ............ ./.. .............. - ' ;""~ Rear ~ ,,., /o~- /zzZo 9. Size of lot: kront ......... g. .................................................... ueprn .............................. ha / ~o F, r e n 10. Date of Purc se ............. .~.. ......................................... Nj;me ofh,~ m ,r Ow er ........................................................ ...... " " /t"rz.r, 1 L Zone or use d~stnct m which premises are s~tuated ..... .~..T/. .......................................................................................... 12. Does proposed construction v olate any zoning law, ordinance or regulation;~__ .............. · .................. . / 13. ,name aT uwner al premises .................... ,, ........ a. ...... ~aaress ............. ~. ................................. mane r~o ................... Name of Architect ......... .../~..:..~....'~..: ........................ Address ......................... ~. ............... Phone No .............. Name of Contractor ~.~.~..~..~..~.~...d...~..~.~.~i .............. ~'.~..'~."~.' Address i~'.~.'...~.'i~.'~. ~'..~.~v~.. ..... Phone No ................ .~...~.,~'~ff~ PLOT DIAGRAM Locate clearly and distinctly a[i 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...,YORK,. ) ,, COUNTY OF .~...zZ.~ ........~ ........... ) · '/ ........... .a. ..... ./..: ..................... being duly sworn, deposes and says that he is the ~licant (Name of individual signing--99plication) above named. He s the .................../~.~.(?~.~"~`~t~...~...~.:~.~..~.~..~..~(~...77...~..~`?`.~:.~ ........................................ (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 sto.tements contained in this application ore true to the best of his knowledge a,nd belief; and that the ~ork will be performed in the manner set forth in the application filed therewith. Sworn to before me this ~ ~- ,~ __ ~ ~ ~ ....................... .............. ~otor7 Public ..~-~.:..~It~... ~duh-f~ ~'~ (Signature of opphc~nt) ~