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Home My WebLink About2227-z FOIL~ NO. 2 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°. 2227 Z ~te ....................... O*~:~.....~. ......... , ~...~ Permission is hereby granted to: Geo..~,~ez~.....A/~.....~$l.t.~-.~'e$i~el ........ ............. ~Z.l~eheg~ ................. ~ ......................... to ........... Build.. ~ew.. one.. ~..-- d~et.1 t ~ ............................... : ............................................ ct premises located at ...~.~....Hi~,w&~,~g-,.~.&~;~t....-.~%~t~..~a~ ................................... ............................................... ~,o~t~-**~.~ ................................................................................. pursuant to opRlicotion doted ......................... ~.to.b~t ....... ~ ....... 19.~.~.., Ond approved by the Building Inspector Fee $....~LO, ~0, ....... Building Inspector NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at .~/8.....Hi1~a.t~a.~.h~.a...p~.~. ................ Street Map No.....X~;~. ..........Block No ............. · .X~lr~.. Lot No..F.;z,~. ....... ,~I~;13o;l~...N.,.~, ................... conforms substantially to the Application for Building Permit heretofore filed in this office dated .................................... ~)O.$O'/~p.....;~.~..., 19~,... pursuant to which Building Permit No. '"~2~' dated ............................. ~,~013~......2),, t 9.~..., was issued, and conforms to all of the requirements of the applicable provisions of the Iow. The occupancy for which this certificate is issued is ........ The certificate is issued to .l,,~.l.l..:J..~r~'t..~:[./~3- ........ ...................... 0t~"~:A~. .......... ;: .......... ~ ................. (owner, lessee or ter~ant) ! of the aforesaid building. H.D.Approval ~une 18, 196~ by R. Villa ¢: .................. Du,~a,ng Inspeqmr SUFFOLK COU~@Y DEPARTMENT OF HEALTH Date June 18~ Building Permit No._~. 2~27Z TO ~*IOM IT MAY CONCERN: The sewage disposal facilities for a structure located at Hiawatha,? s Ps. th - F~ibel (Give 'deed loc~tion) have been inspected by this Department and fouud to be satisfactory~ District Engineer TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Disapproved a/c ............................................................................................ Application No.., ,'~.,...'~,,~ ,,,Z... ..... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ...................... ¢..6'./~,,.2,./...~..,] ............. , 19 ................ 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 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 a 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 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 applicon( agrees to comply with all applicable lows, ordinances and.regulations. (Signature of ap(;/licant, or name, if a corporation) (Address of applicant) ~/ State whether applicant is owner, lessee, ~hitect, engineer; general contractor, electrician, plumber or builder. Name of owner of premises ................~..~, ..... ~ '.~...~..~. ~.~..~ .................................................. If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which proposed work w/ill be done. Map4No: .,(¢%¢./fu~" ' ........ ~/¢'¢~ftr~,~ ........ Lot No: ...Y..~,~ff.. ......... Street and Number ........ 2 /. . . .~6~2,~::''; ~ ~I'.0_~, . ....... ; .~. . . . .~. . . ~. i .............. .?_.....¢,~r~;~.~/~.~r .~... ................................ Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction' a. Existing use and occupancy ................................................. .~ ................................................................................. b. ntended use and occupancy ......... ,~.~~ 3. Nature of work (check which applicable): New Building ..... ~ ....... Addition .................. Alteration ............... Repc~ir .................... Removal .................... Demolition .................... Other Work (Describe) ........................ 4. Estimated Cost ...... J..~/.)..~,,,7~. ..................................... Fee ....................................................................................... (to be paid on filing this application) 5~ If dwelling, number of dwelling units ......... (~.~, ............. Number of dwelling units on each floor ..~..~ ............. If gqrage, number of cars ........................ J. ............................................................................................................... 6. If business, commercial or mixed occupancy, specify nature.and extent of each type of use ............................ 7. Dimensions of existing structures, ~f 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 ............~ .............. Rear ........... ~TPJ ........... Depth .....7,~ ............. Height ............. I.~ ........... Number of Stories ........ ~ ......................... 9. Size~of lot: Front .......... I.~.~ .............. Rear ......... /-~.~ .......... Depth ..... Z.~.2,.2~. .................... 10. Date of Purchase ................ .~..~.~..~ ..................... Name of Former Owner ......... C~..~.~.~.~.~ ........... 11. Zone or use district in which premises are situated ............................................................................................ 12. Does proposed construction violate any zoning law, ordinance or regulation? ......... ~ .................................. 13. Name of Owner of premises ..~ ........ ]~..~.¢.J. ......... Address ~l.~.(i~.~...~.J(l~ .............Phone No. ~.~..2.~ Name of Architect ...................................................... Address ............................................ Phone No .................. Name of Contractor ..~c.~.,,.~4.lef.~ .......................... Address ..~.~.s...j~J...~.~,.. Phone No. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-bock dimensions ftc property lines. Give street and block numbers or description according to deed, and show street names and indico whether interior or corner lot, STATE OF NEW YORK, ) t ~ COUNTY OF .../..~ ..................~ S.S. ............... ~ ..........~ .................................... '...being duly sworn, deposes and s~ys that he is the opplico (~am~of individual signing~--~li~cat~ 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 fi this opp cot on; that a statements co~ta ned n this o~p cat on are true to the best of his knowledge and beli~ and that the work will be performed in the mq~r ~E~{~ [~[t~o~or~Pplication filed therewith. Sworn to before me this , ,2-~344963 Suffolk Country .............. ~Z~;~ y of ............. ;<~.:/~/.,~: ........ , 19..~.,.~ Notary Pu~ ic ..... .;; .......... ~ . ~...~. ...... ~ County (S gnat're of epplicant) FOR]~ NO. 1 TOWN O,F SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. E×amined ............................. 19....-~--- Approved ............................... / ....... , , ........~ermit No .................. / Disapproved o/c ............................................................................................ Application No ...... . .r~...~...¢~...~.. .... (Building InspeCt.. APPLICATION FOR BUILDING PERMIT Date ........................................................ , 19 ................ INSTRUCTIONS a. , This application must be completely Filled in by typewriter or in ink and ~ubmitted 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 apphcation 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 on the premises available for inspection throughout the progress of the work. e. No building shall be occupied or used in whole or in part 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. ............. ....... ......... ......... State whether applicant is owner, lesi~hitect, engineer, general contractor, electrician, plumber or builder. applicant is o corporate, signature of du~y authorized officer. (Name and title of corporate officer) Street and Number ................................................................................................................... Municipality 2. State existing use and occupancy of premises and intended use and ocbupancy of proposed construction: o. Existing use and occupancy ............................................... ~ .................................................................................. b. Intended use and occupancy ...................... 3. Natbre of work (check which applicable): New Building ..... ~ ...... Addition .................. Alteration .............. Repair .................... Removal .................... Demolition .................... Other Work (Describe) ........................ 4. Estimoted Cost ............................................... Fee ...................................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ......... .(z.~.7¢.. ............ Number of dwelling units on each floor ....~...t~ ............ 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 ..............~.'~..N.. ............. Rear ........... ..~.~.?. .......... Depth ...... .~..~ ............. Height ............. ./..3. ........... Number of Stories ........ ! ......................... 9. Size of lot: Front ..... 1~6~ O '~ ........................... Rear ......... /....~ ............ Depth ...... .Z..~.~.:.~ .................... 10, Date of Purchase ................. .?,,/..(~.Z~..~/. .................... Name of Former Owner ......... .C...~.,' ............ ~'"'¢,.~..~ ................. 11. Zone or use district in which premises ore situated ............................................................................................. 12. Does proposed construction violate any~oning law, ordnance or regulation;~ .../~.~ 13. Name of Owner of premises ...W..~ ....... /~'~ .~/ ......... Address .~..~.~..~.~.../f.....~..~'J~i~i'iiiiiiiiil. Name of Architect ...................................................... Address ............................................ Phone No .................. Name of Contractor .....~..c..°.~....~.~J.¢.C.s. ......................... Address ....~..e..~.~..~.~i...]~.~.....~...~.'~...~:.. Phone No. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions fro property lines. Give street and block numbers or description according to deed, and show street names and indicc whether interior or corner lot. STATE OF NEW,x'¢9~I~.,,,~ ) ~ ~ / ~ ............... ~ ..........~.t~.W ........................................ being duly sworn, deposes 'and says that he is the applica (Contractor, agent, corporate officer, etc.) of said owner or owners, and is du~y authorized to perform or have performed the said work and to make and this application; that all statements contained in t~is application are true to the best of his knowledge and and that the work will be performed in the mannerJ~O~t~e~pplication filed therewith. t.~e ~hf,~ ............. ~ ~¢:~ c~.?~ G~ ~ (~