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Home My WebLink About2108-zTOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at ....L~Lt./~],e...~o~ti/~..R.oa/t .................... Street Nassau Point Mep No ....................... Block No ........ ~ .......... Lot No .............. Cutohogu~.....N.,,~, ................. conforms substantially to the Application for Building Permit heretofore filed in this office doted .................................. 3'~.e ....... ~ .......... , 19..6.~. pursuant to which Building Permit No ....... dated ............................... ~.lZd~..~l, .......... , 19...(~,~, was issued, and conforms to all of the requirements of the epplicable provisions of the law. The occupancy for which this certificate is issued is ........ ............... pri. v~te...o~e..~.amll, y..~wetl, tn~ .................................................................................. The certificate is issued to ........~ho~P,~8......IJb,1. ............... O1~,5'1e11 ....................................................... (owner, lessee or tenaht) of the aforesaid building. H.D,approval oct. 25 1963 by R, Villa 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? 3108, Z Date ......................... ~T'~&~.....;L ~... 1963.. 19 ........ Permission is hereby granted to: Geo~.~e...A~.~.~...A/C...~.h~..~ ................... ...... ~tCehe§t~e .................................................... to ...... ~t.]:~-..~e~..e~e..~e~f.~.~r...ct~e~Z..~.~ ................................................................................ at premises located at ..... ~/...~.j~j....~...~ ................................................................. .................................. .L~ .tt ;~...~ e~on.l o.- .~ ~..-Na~ ~ a-'~...Po ..~. ~"~ e~o~tte ...................... pursuant to application dated ......................... ~T~e ....... .~. ................. 19~..., and approved by the Building Inspector Fee $.-~0.00 .......... Building Inspector I SUFFOLK COUNTY DEPARTMENT OF HEALTH Date 10I~8/63 Building Permit No. TO WHOM IT MAY CONCERN: The sewage disposal facilities for a structure located at Litt2e Peconic Rd. ~assa~ Pt. C~tchog~ (Gi~e ~eed lo~ati~n) have been inspected by this Department and found to be satisfactory. , , ~is%ric%,tn~lneol,, District Engineer TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Disopproved o/c ........ 72.~ ................. ....................................... (Building Inspe~or) 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 p remises, relationship to adjoining premises or public streets or areas, and giving o detailed description of layout of property must be drawn on the diagram which is part of this application. c. The work covered by this application may nat be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the ~ppHcant, Such permit shall be kept on the premises available for inspection throughout the progress of the work. e. No building shall be occupied or ~sed in whole or in pa rt for any purpose whatever until a Certificate of Occupancy shall have been gr~n~ed by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department ~or the issuance of a Building Permit pursuant to the Building Zone Ordinance of ~he Town of Southold, Suffolk County, New York, and ofher applicable Laws, Ordinances or RegulaHons, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees ~o comply with atl applicable laws, ordinances and regulations. (Signature of ap~icant, or name, i~b) g (Address of applicant) .......... ~ ............. If applicant is a corporate, signature of duly authorized officer, (Name and title of corporate officer) 1. Location of land on which propos.e~t work will be done. Mo~ Ma: ../?.~&~(.z ......... Lot No: .................... Street and Number ........ ~.).~.. Municip(~lity ' i~/ ......................... 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ................................................................................................................................. -..-..-.};27;-., use and occupancy , ,/~.,.--r. '~:, ................. ntended 3. Nature of work (check which applicable): New Building .................. Addition .................. Alteration Repa,ir .................... Re~oval~/~ .................... Demolition .................... Other Work (Describe) ........................ 4. Estim. ated Cost .............. //. t, ~..C4'...~.. ............................ Fee (to be paid on filing this application) 5. If dwelling, number of dwelling units .............~. ............. Number of dwelling units on each floor ...... Jf garage, 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 ............................ Number of Stories Dimensions of same structure with alterations or additions: Front ................................ Rear Depl:h ............................ Height ................................ Number of Stories ........................................ 8. Dimensions of entire/new construction: Front ..............~..Q .............. Rear ........... ~.7.~ .......... Depth .....~- Height ............ /..~. ........... Number of Stones .................................. 10. Date of Purchase ........................................................ Nome of Former Owner 11. Zon9 or use district in which premises are situated ................. 12. Doe§ proposed construction violate any zoning Iow, ordinance or regulation? .......... '../~..e. Name of Architect ...................................................... Address ............................................ Phone No. PLOT DIAGRAM L.ocote clearly and distinctly oil buildings, whether existing or proposed, and indicate oll set-book dimens ohs property li(~es. Give street and block numbers or description according to deed, and show street names and indict whether inferior or corner lot. STATE OF NEW ~YORI~, ~ ) ~'~ ~ ~ '"'~-~'----'- ............... ,~.~,~.....~/~~//~ ~'~.~ ..................................... being duly sworn, deposes and says that he is the opplic, (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 · this application; that oil statements contained in t¼is application are true to the best of his knowledge and bel