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Home My WebLink About2119-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No. Z 1786 Date December 10 19 63 THIS CERTIFIES that the building located at .~.O1ZI'I~..JJQ~d..~JL..~...~..~..~...O..~. ?...~. ...... Street Map No....~ ......... Block No ........ ~ ..... Lot No..~ ............ .G...F..e...e..~.~..o..l'...t. .......................... conforms substantially to the Application for Building Permit heretofore filed in this office dated ...................................... · ~'11~.....~- .......... , 19..6,~. pursuant to which Building Permit No...Z.....~...~..~..~ dated .................................. .~.....1~:..~'........~.~'...., 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 ........ .............. P~J. Yat e...one.. ~amll~...dwe lltng ............... The certificate is issued to ...~TJl~l~J...~l.~.t~. ......................................... .0~ ............................... (owner, lessee or tenant) of the aforesaid building. H.D.Approval Oct. ~2, 1963 by R.Villa Building Inspector FOI~I~I NO. ~ 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) No. 2119 Z Dote ............................ Permission is hereby gronted to: Ne~ En~lan~ H~m~.....A~.C..Ja~e~..But.le~. ........................ .......... 2.t.- J~s ................................................... to .. ~ui 1 d... new.. ~n~.. £.a~i .~.~ .. ~%w~l ;Ling. ................................................................................... at premises located at ....~O~l~ld...~¥:.e..~..,,~l/.t;.+,,Ol'l...~'.'t. .............................................................. . ....... ......................................................... Gree~a~ ................................................................................. pursuant to application dated ............................... J~]:~. ...... .~ .............. 1~....., and approved by the Building Inspector Fee $ ."1-0.:.00 ........... Building Inspector Z 0 dAMES $-9 SUFFOLK COUNTY DEPARTMENT OF HEALTH TO WHOM IT MAY CONCERN: Date 10/2~/6~ .... Building Permit No. , ~,211~ , The sewage disposal facilities for a structure located at s/W Corner Sou~, Ave,, & Sutton Place, Oreenport ~ '(Give deed location) have been inspected by this Department and found to be satisfactory. District Emgineer 'DistrictEngineer FOR]RI NO. ! TOWN OF SOUTNOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined .......(~0,, /. j...:.. _T..~1., ...,!, ...~.~.., Approved ........................................ (/ ~( ,19 ........ Permit No ......~.~...[...t ......... Disapproved a/c ...... Inspector) APPLICATION FOR BUILDING PERMIT ~ Oote...i ................. ....... , ...... INSTRUCTIONS a. _This application must b.e completely filled in by typewrit,er oq 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 port of this application. 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 sha~l 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 pa rt for any purpose whatever until o 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 and regulations. NEW ENGI~ND HOEES,INCo (Signature of applicant, or name, if a corporation) ............ JERICHO.. ~?I~.,..,.cLT..J.~J~S.,~ .................................. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ~z~z~ Builder Name of owner of premises ....J.8.~te.8..~e...~ut]ckr ............................................................... If applicant is a corporate, signature of duly authorized officer. C~ ...... ....... ...... ...... (Name and title of corporate officer) 1. Location of land on which proposed work will be done. Map No: ............................................Lot No: .................... Street and Number ....................................................................................................................................................... Municipality # State existing pse end occupancy of premises and intended use and oceupancy of proposed construction' a. Existing use and occupancy ............ ../~..0..~.../f.~ ................................ . ............... b. Intended use and occupancy ...... ~...~/.~../.¥.~...//.'/.f~ ............................................................................................. 3. Nature of work (check which applicable): New Building ..,.~. ............ Addition .................. Alteration .............. Repair .................... Removal .................... Demolition .................... Other Work (Describe) ........................ 4. EstimatedCost......~..,..iJ:.6.~.'. .......................................... Fee ...................................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units .....o~,e .................... Number oF dwelling units on each floor ........................ If ggrage, number of cars one 6. If business, commercial or mixed occupancy, specify nature .and extent of each type of use ............................ 7. Dirrjensions of existing structures, if any: Fr6nt .......................... 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 ......... ~...8..I ............. Depth ...5.2.! ................ Hei~lht ...... 3~.~ ................. Number of Stories....°~? ......................... 9. Size of lot: Front lO0~ . Rear 100~ Depth 100~ 10. Date of Purchase ....~..~.o..h...?..~.....1.?.6..0., ........................... Name of Former Owner ..~.~.~.~.~..~..]:...B.:.....~._b.~.~.~. ............. 11. Zone or use district in which premises are situated ............................................................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation? .................................................. 13. Na~e of Owner of premises ...J....~..e. 9..r~.....B~..~'.~.e.~ ....... Address .,0.~9.b...~..~...B.~.t~....O.r~e..~,t..}~Phone No..9.~.'.~'.'.~.8. Name of Architect ..................................................... iAddress ............................................ Phone No ................. Narhe of Contractor ..N¢~L.~r~g]~Ad...iJ...O~e.$.,.Z..qQ,,....Address .~..~Z';~PA~..~]~Jf.~,..¢.~.,~.&.~,.e. SPhone No. PLOT DIAGRAM [_ocatb clearly and distinctly oil buildings, whether existing or proposed, and indicate oil set-back dimensions fr~ property lines. Give street and block numbers or description according to deed, and show street names and indic¢ whether interior or corner lot. t ST ' 0 - ~SS 'ibove na ~Ne~.n~~!.i~~il (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 all statements contained in this application are true to the best of his knowledge and bell and that the work will be performed in the manner set forth in the application filed therewith. Sworn.to biefore, mea ofthis fix _ .... I..~f,¥..~ ~day o f ,,. ~--~~,i&~/~ ..~ .~.,..~..~....G ....... ' le f;