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Home My WebLink About2145-zFO~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY TIllS CERTIFIES that the building located at ..~/~L~&~..,~.f~...R.O.~,~i, ........................ Street ~°~?...~.~...~..~.?~o~ No ........ ~,~.. Lot No ........................ ~.~.~.o~.~,.....~,.~,. ...... conforms substantially to the Application for Building Permit heretofore filed in this office dated .................. ~ ...................... AU~.~.~;......C)..., 19~3... pursuant to which Building Permit No....~..b¢~. dated ......... ~i ........... ~1~"Lt'~'"l;' ....... ~' .......... , 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 Pr.i.v.~te...~e..'~ f. amll~.., dw~l lin~ ................................................................................................ The certificate is issued to ~f~/~.~../k, ~.$.~.~0~.~ ~.~te~ ....... ~ ............ (owner, lessee or tenant) of the aforesaid building. H,D.Approva~ ~eb ~ 196~ by R. Villa FOg~I NO. 2 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 2145 Z Dote ................. A~tet"'"9 ................... 1 ~3 .... Permission is hereby granted to: He~¥...~st.~bors~ ......................................... ........ 6~...Ke~n...Blvd .................................... ............. ~r~ ~p~r ~. ............................................. to ...]~11¢1...~e~.. one..~e~i-ty...dwe.l, ti~g ................................................................................... at premises located at ...-'l'O-~,-.~..&-.~'.....~:l~l;~...B~;y...~$,~. ............................................ .............................................. ]~y~h~e-..R~ · ~e~.wi~...~lv~ ........................................ : ........... ....................................................... ~ee~po'z'~ .................................................................................... pursuant to application dated ............................. ~1~'"-9 ............. 19~]...., and approved l~y the Building Inspector Fee $'t0,00 ........... s' ''~ Building Inspector S-9 SUFFOLK COUNTY ~EPARTME~T OF HEALTH Date Februar~ ~1, %264 ,,~ ,, Edi.~ Pe~it No., ......... TO WHOM IT MAY CONCERN: The sewage disp,sal facilities for a structure 1scated at ~ Peconic Bay Estates, Sec. 1124 Lot #84-85 ~. Sout~old have ~een .iz~pected by this Dep~rtment and feund to be satisfactery. DiStric~E~~.~,~, ....... FORI~ NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMEHT TOWN CLERK'S OFFICE SOUTHOLD, N; Y. Disapproved a/c ............... ~..'%. ........................................................ ~* ........................... ............................... Application No. ~¢ .......... ~; ............. APPLICATION FOR BUILDING PERMIT - INSTRUCTIONS a. Th. is 9pplicotion ~mu%t he, completely filled in by typewriter or in ink a~d 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 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 o 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 pa rt for any purpose whatever until a Certificate of Occupancy shall have been gr.anted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of o 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 rernoval or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances and regulations. State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ............................... ................................................................................................................................... Name of owner of premises ............................... .~ ...... :~ .................................................................................... .....,.: ......... ;.....,.., If applicant is o corporate, signature of du'ly 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 ....................................................................................................................................................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction' a. Existing use and occupancy ................................................................................................................................... b. Intended use and occupancy ................................................................................................................................. 3. Nature of work (check which applicable): New Building ..... ;~ ........... Addition .................. Alteration ............... Repair .................... Removal .................... Demolition .................... Other Work (Describe) ........................ 4. Estimated Cost ............................................................ Fee ./t~..~ .......................................................................... , (to be paid on filing this application) 5. If d'~'elling, number of dwelling units ......... ~).~ .............. Number of dwelling units on each floor ...0..~..~ ................ Two If gdrage, number of cars ......................................................................................................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .......................... F None 7. Dimensions of existing structures, if any: -rant .......................... Rear .......................... Depth Height ............................ Number of Stories .......................................................................................................... DJmfmsJons of same structure with alterations or additions: Front .............. ..................... Rear ............................. Depth ............................ Height ................................ Number of Stories ........................................ 8. Dimensions of entire new construction: Front ....... .~..7...~..*. ........... Rear Zi-? f% o Depth 30 fto Height 1 9 ft. Number . olde ............................ of Stones .................................. July 25, 1963 ,, . .................................................... ]0. Dote of Purchase ................... . ..................................... mome of Former Owner 11. Zonf~ or use district in which premises are situated ........................................................................... ~2. Doe~ proposed construction violate any zoning law, ordinance or regulation? ....~..o. .......................................... 13. Nan~e of Owner of premises HOl~y Ao]4y~]-ilr~oz~,~,, Gz'ee~',ooz'%~L,I.~o~h,~,, Name of Architect zio~_o ...................................................... Address ............................................ Phone No ................. Contractor Ra~iond J. ~ffazl o A~4~ River'zion, d, L. I., N, ~Z. Name of .............................................................................................................. e PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions fr~ property libes. Give street and block numbers or description according to deed, and show street names and indic( whether injerior or corner lot. 4~- F/~, i 1 '~'l' / O o F7', STATE O~ NEW ~RJ~ ,/ ) c ~ COUNTY ,OF ..~~...) ';'?' ........... ~..~..~~: ....................... being duly sworn, deposes and says that he is the applicc (Na~e of indiv~ua~ 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 ~ this opplidation; that all statements contained in t~is application are true to the best of his know[edge end bell and that the work will be performed in the manner set forth in the application filed therewith. Sworn to ~e~e this ................ of ..................... · ....... ............. Notary Public, .......................................................