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HomeMy WebLinkAbout2163-zNO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No..-:.Z...1802 .......... Date ...................... ~.e.~.ar~......1.0....., 19....6.~ THIS CERTIFIES that the building located at .~/J~.....J~l,~Te.J~tthe~.....~.]~.~.~. ...................... Street M~B'~..~..~..$....~...?~...~?.%lock No ....... Y~ .......... Lot No...y,.% ......... S~tl.t~l~.tl.,.,N.Z, ................. conforms substantially to the Application for Building Permit heretofore filed in this office dated ..................... ................. A~t~t~l~.....~6...., 19.6~.. pursuant to which Building Permit No...~.~.~.3..~... dated .............................. ~,lJl~tzst,.....~6., 19...6~., 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 ........ ........... · pz, i. va.t e...e~e...Z, am~.l¥....~w~ 1.1~ ..................................................................................... The certificate is issued to ..,N,~t~iJ~O~S,.~.Q~,~t..~I.e~ ............................. O.1~Le.~ ............................. (owner, lessee or tenant) of the aforesaid building. H.D. A~proval Feburar¥ ~, 196~ 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? 2163' Z Date .................. ~llg-~.....~!6 ............... 19.63... Permission is hereby granted to: ·*A.~.~.e~-~..~.-&..~o~s.....~G.....-~eh~s...~erttes ................. ~t.tt~uc~ ......................................... to ..~-~...n~.. o~e..~e~t.'~..~e~.ng ................................................................................... at premises located ct ....~/t]......l~l~l~®l:l.~llt;.....t~:l.Vd. ....... ~otl...(~lt.6.) ................................................ ........................................ -Iaattgh. ing· .~at~er ~ ~. ......... SouC~.h~lzd ..................................................... pursuant to application dated ............................ -~ll~'llit~ ....... 26 ......... 19.63.., and approved by the [3ui[ding Inspector Fee $.*,t0 ................ SUFFOLK COUNTY DEPARTMEA~T OF HEALTH Building Permit No.. ..... 2163Z TO WHOM IT MAY CONCERN: The sewage disp,sal facilities for a structure located at Lot #2 Minnehaha Blvd. Southold .... ~- .... (~ d~ed .... ) ..... ...... e location have q~een inspected by this Department and found to be satisfactery. DiStrict 'E~gineer -- ~ FOP,,M NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Ex*mined ............ .~ ....... i .............. , 19.....J.. Approved ........................................ , ]9 ........ Permit ................................. Disapproved o/c ............... ~'e ............. ~-~ ................. :~ .... (Building Inspector) Applicatien ~o ............................. APPLICATION FOR BUILDING PERMIT Date ....................... AU§m~.t.....26 ......... , 19..6.3 .......... INSTRUCTIONS o. 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 adioining premises or public streets or areas, and giving a. detailed description of layout of property must be drawn on thediagram 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 a Building Permit to the applicant. Such permit shall be kept o~ the premises available [or 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~nted 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 demolitioh, os herein described. The applicant agrees to comply with all applicable laws, ordinances and regulations. .......... A....Reill¥.. &.£ons...Inc ...................................... (Signature of applicant, or name,.if o corporation) ............. ~a~.ti.~uek ............................ .................................. (Address of applicant) State whether 'applicant, is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ....~e~o.l.s...~]~r..~.~l.~l[ .............................................. ~ ..................................... 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: ~[~.]l~}~].n~..W.aJ~.(~a ........ Lot No: ._.(.~6.). ....... Street and Number ....~.....~i.l~...~a.~-..~./...b~.~ .............................................................................. Municipality State existing use and occupancy of premises and intended use and occupancy of proposed co6~truction: a. Existing use and occupancy ...~..~;~ ......................................................................... r ........................... b. Intended use an~ occupancy ...~..~.~W~.~&~. ................................................. / ............................. 3. Nature of work (check which applicable): New Building .................. Addition .................. Alteration Repbir .................... Removal .................... Demolition .................... Other Work (Describe) ........................ 4. Estimated Cost ....... i.~..~..I....(~ .................................. Fee (to be paid on filing this application) 5. If dwelling, number of dwelling units ....... OhO ................Number of dwelling units on each floor If 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 Depth ............................ Height ................................ Number of Stories ........................................ 8. Dimensions of entire new construction: Front ...... .~Q ....................Rear ....... 32. ................Depth .... Height ............................Number of Stories....O~O ....................... 9. Si~e of lot: Front ................................ Rear ............................ Depth ........................................ 10. Date of Purchase ........................................................Name of Former Owner 11. Zone or use disffic~ in which premises are situated ........ 12. Do~s proposed construction violate any zoning law, ordinance or regulation? 13. Name of Owner of premises ..~l'i~]~tr~l,~...]~.O~ ......... Address ............................................ Phone No. Name of Architect ~ .....................................................Address ............................................ Phone No. Name of Contractor ....~,...~:L~..'t~. .......................... Address ............................................ Phone No. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions fn property lines. Give street and block numbers or description according to deed, and show street names and indic~ whether interior or corner lot. STATE OF NEW YORI<, ' ) ................................ ~k~q.I'~Cl].l~..~'l~.~l~. ................................. being duly sworn, deposes and says that he'is the applic~ (N.ame of individual signing app]ic~tion) above na~ed. He is the ............ .~.~ .............. (Contractor, ~gent, 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 appli6ation; that all statements, contained i,0~isZa~6~i~0~ are true to the best of his knowledge Qnd bel and that the work w be performed in th~ ma~m~, ~j~t~e~pplication flied therewith. Sworn to before me th s .... ; , ,,, ' ~ OMNI ABSTRACT CORP. 397 SUNRISE HIGHWAY, WEST BABYLON, NEW YORK 1'1704 (5'16) 669-2273 (2'12) 2B3-1B2B October 30, 1985 Building Department P.O. Box 765 Southhold, New York 11802 Re: Title No. 8508-294925 Dear Helen: Would you please mail me the two C.O.'s we spoke about on the phone. 1. Nichols Property Permit~ 2163 c.o.# z1802 2. Milo Catan for new dwelling Permit~ 3112 c.co. ~ z2549 Enclosed please find a check from Omni Abstract Corp in the amount of $ 2.00, covering your charges. I would like to thank you very much for your courtesy to me. Enclosed please find a self addressed envelope for your convience. Very truly yours, Carol A. Banks REPRESENTING CHICAGO TITLE INSURANCE COMPANY