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Home My WebLink About2229-zFO~M NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at ~.6~.]~..~O,~f~..~.~.~¥..~ .................................. Street Map No. ,.;~,1~ ............ Block No....~r~r, ........ Lot No. ~ ....... ]t~l,.~.t,i.~l~,~.....}~',.~ ............... conforms substantially to the Application for Building Permit heretofore filed in this office dated ................................... 0~t~b~,....~.3....., 19.6~.. pursuant to which Building Permit No..~[...~-.~,~.~. dated ........................... ,O0.t,O.~OZ'...~....., 19..63., 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.~.i.V.a~e.. ¢xne..£amil.y...i~well~g ...................................................................................... The certificate is issued to ....~---~,~;~'~1~...~*10~,~ ......................... ~. ............................................ (owner, lessee or tena,nt) of the aforesaid building. H.D. approval Feb~/r ar~ 11, 196g by R. Villa Budding Inspector FOP, aVl NO. 2 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, Iq. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 2229 Z Permission is hereby granted to: l~d~,...~hi.t~..,..~.C.....~, ,.. ~r~.o'a~ ....................... ...... ~..~k .................................................... tO .~ ~.~1,.. D,~ .~...OD.e.. ~'_aml ~....Cl. la~ ]-~. ~L l:t~ ...................................................................................... at premises located at ..~,/..~...~.~.~J)..,T~.e..~J~l~ ............................................................................. .......................................... .. .......... ~J.t,:,~k~.....~T.,.L% ...................................................................... pursuant to application dated ............ ......... ~.~J~TJ:~-....~3 ............. 19~.~.., and approved by the Building Inspector Fee $...:L0,.Q0. ........ ...... ~'~· C'~'"/Buildlng Inspector s-9 $CHD SUFFOLK COUNTY DEPArTMeNT OF HEALTH TO WHOM IT MAy CONCERN: The sewage disposal facilities for a structure located at e/s DeeP Hol~ Drive, 40~.93' s New Suffolk Ave., Ma~t~tuck ~.~,i - (Give ~ed l°~ation) .............. have ~ .iuspe~ ~ thl~ DePartment and found to be satisfactery. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ........................... .;/.n ...... , t9 ........ Approved ...................... ././.~.~.~'~..~., 19 ...~...~... Per m it Disapproved a/c ............................. ~ .............................................. ........................................ ............... ........ :: ....... (Building JnsPeFtor) ~ APPLICATION FOR BUILDING PERMIT ,,Date ........C..~..',~. :.~, .~,,¢ ......................... , 19..~.~' ....... INSTRUCTIONS a. Zhis.applicatlon 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 shaIl 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 a Certificate of Occupancy shall hove been g~onted 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. (Signo~ur~ of applicant, or name, if a corporation) · (Add ress' ~f' '~2p'l'i'~ ~ ~) .............................. State whether applicant is owner, lessee, agent, architect, engineer, general contractor, e!ectrician, plumber or builder. Name of owner of premises If applicant is o corporate, signature of duly authorized officer. : .......... :..:... ...................... (Name and title'bf eorporate o~fl~er) 1. Location of land on which proposed work. will be done. ~ap ~o: ............................................ Let No: .................... Street and Number /'/ Municipality /' ' : --: ' ' ....... ~" 2. State existing use and occupancy of premises and intended use end' occupancy of proposed construction: a. Existing use and occupancy ................................................................................................................................... b. Intended use and occupancy ............. {L.~'¢¢¢.~,:.,;¢~Z. ........................................................ 3. Nature of work (check which applicable): New Building //'/' Addition Alteration Replair .................... Removal .................... Demolition .................... Other Work (Describe) ........................ (to be paid on filing this application) 5. If dwelling, number of dwelling units ........ .~ ........... 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, Jf 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 ....... ~./~.~ ........... Depth i 1. Zone or use district in which premises are 12. Does proposed construction violate any zoning law, ordinance or regulation? .......... 13. Name of Owner of premises .~...:~.~...V.~....~ ........... Address ............................................ Phone No. Name of Architect ...................................................... Address ............................................ Phone o. PLOT DIAGRAM Locate 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 whether interior or corner lot. STATE OF NEW COUNTY OF S.S. ................... being duly sworn, deposes and says that he is the (Nome of individual s~gnir ~tion) 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 a.pplicbtJon; that all statements contained rcation are true to the best of his knowledge and and that the work will be performed in the'~r, he application filed therewith. Sworn to b~fore me this -- , ~ou~ Nato r~u~'~;~' ~~ (Signature of ap~c