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Home My WebLink About2254-zFO~M NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFF~CE $OUTHOLD, N. Y. CERTIFICATE Of OCCUPANCY THIS CERTIFIES that the building located at ...E/8.....S~li.p~.ar, d...Lan~ ....................... Street Map No....:Y,,~'¢ ............ Block No .....;XX:~X ........ Lot No...XX:CZ ......... ~a.~T,....~.iD. rt.~...l~.,.~., ...... conforms substantially to the Application for Building Permit heretofore filed in this office dated ...................................... ~To.v. oml~......~.9, 19.6~... pursuant to which Building Permit No..~.2~..~.... dated ......................... ~o.v. etm~e~.....~f).., 19./o3., was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ........ ...... P~.iv. at e...o~e.. ~.amil~... d-~lli~g ............................................................................. ~ ............ The certificate is issued to ..~o.l:}er/t;..1,Be,l~e~. ............................. ~e~ .......................................... (owner, lessee or tenant) of the aforesaid building. H.D. Approval June 19, 196~ by R, Villa .............. .................. ................ .. Building Inspector ( FORM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING Pi~RMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 225 z Permission is hereby granted to:, New ~'~leJ~,,~ z,..-&/~.,,~,~..~e~ .............. ....... ~.e~i~ho...~ .............................................. .............. ~t;~...J~es~-..L,..~., .............................. to ........ ~.~i~.d.:~w...o~..~mil~..,~wallin~ .................................................. , ....... .:~ .................. at premises located at ..... ~1~/~....~~...~[ .......................... ~ ...................................................... ....................................................... EaSt ''r~"$~'~'~'''' ' ~, ~', ............................................................... pursuant to application dated ......................... ~O,'tte~l~ .......~), ....19...~.~ and' approved by the Building Inspector Fee $. ~,0,.(}~. .......... SUFFOLK COUNTY ~EPART~I{T OF ~EALTH r)ate Building Permit Ne._ ~2~11Z ...... TO WHOM IT ~Y CONCERN: The sewage dispesal facilities for a structure located at ~ ~/a Sh~ova.rd Lane, spprox,,,5~O' S/o Nor~,b ,Rd.~ , - (~ive de~dt0Cati0n) ....... - East M~rion, Soutbold have ,been inspected by this DePartment and found to be satisfactory. ..... Districb En~ ....... -% 65-~ ~:0" Vg,--- t50.0 t,40T 'r MAP OF PI~OPER, T¥ .ROE3ERT' ~ EEVELYN E'AST REL. YEA TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. ~ · /l Examined ........... g..v.... :..... ............... ] 9 ........ Approved ........................................ 19 ........ Permit No ............................... ^pplication No. ~ Disapproved a/c .......... ~ ................ , ....... .................................. (Building Inspec~r) 1(- r lC , APPLICATION FOR BUILDING PERMIT INSTRUCTIONS ~. T~his~ application must be compJe'~ely filled in 6y 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 o detailed description of layout of property must be drown on the diagram which is port of this location. 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 part 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 h'erein described. The applicant agrees to comply with alt applicable laws, ordinances and regulations. NEW ENGLAND HOM~S~ INC, (Signature of applicant, or name, if a corporation) JERICHO TPKE, ST.JAMES, NY (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder· ..................................................... ~$~¢~.~ ............................................................................. . ....................... Nome of owner of premises...~.°..l?.e.~.+°.....R..e..3~..e..~. ....................................................................................................................... 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: ............................................ Lot No: .................... Street and Number ~`~/~;~py~?~V~1~g..~*~9~.p.~;~g~!~/..9~..~9~.~..~.~.~'~*~$g~c .......... ~..Z._. ...... : ........ 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 .............. gp. fl..~fwl:L~,y..x'.e,~q.J,~.~qe...O, xf~&~;i,r~g ...................................................... ~. 3. Natare of work (check which applicable): New Building....J.e.s. ......... Addition .................... Alteration Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost...!i~.LL,t.b:.?..0..®. ........................................... Fee (to be paid on filing this application) 5. If dwelling, number of dwelling units .......p..n..e. ................... Number of dwelling units on each floor...= ....... If garage, number of cars ....................... on~ ..... 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 ......... 62~ ............... Rear ...... 62, .................. Depth ...2fi' Height .....~.'.~. ................. Number of Stories ~,..ane ................... 9. Size of lot: Front .......~.0.t. ............. Rear ...... ZkS.Q! .............. Depth .............. ~;0.~ ...... 10. Dote of Purchase ........ ..~,..~.e..h...~..~ ............................ Name of Former Owner 1]. Zone or use district in which premises are situated 12. Do~s proposed construction violate any zoning law, ordinar~ce or regulation? .... P,.q. ............... 13. ,Name of Owner of premises..~.qbfl~.~..~,fl~L~a. ...........AddressS.~...~9.O.~;f~aZ~...P.~$,~..V.~'.]',.]-..~o~cez'~i~ Name of Architect ........................................................ Address ............................................ Phone NO. Name of Contractor...N.9.'C...L.'~.Jl~.atl¢t,..ff~,~z~ ........ Address ..~T.e~'&~)..gp~z,..~'b¥~te~°hone N PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-beck dimensions fr property I~nes. Give street and block numbers or description according to deed, and show street names and indic whether interior or corner lot. LR~£ STATE Of NEV~/-,YOp, I~, ~ ~_~) COUNTY Of .~ ...... ) S S. uu .... ]~....])~L].~,..J~.o.o.e, ........... : ............... N ............... being duly sworn, deposes mn~ says ~hat He is the appJ~ ", (~e of individual si~ning applicatibn)I ' '~ ~ I ~ ...... ~-~ -. ,.th. ~...~.~ ........................................................................... ..k ~ ......... ~ ..... (~ractor, agent, corporate officer, e c.) k J of said ~wner or owners, and is duly authorized to perform or have performed the said work and to ma e and this application; that all statements contained in this application are true to the best of his knowledge and be and that the work will be performed in the manner set fortN~pplication filed therewith. Sworn to before me thcs N~, ~ ~~~ :~ounty ,, ., , .~_.~U ............ ., TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ........... /..~f.3 .............. .I...... 19 ...... :. Approved ........................................ 19 ........ Permit No ................................ Disapproved a/c ~ ~ ~~~. ..................... ............................ Application No...~'..?:.M~i...~../. ....... APPLICATION FOR BUILDING PERMIT uare ............................................................ 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 odioining 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 location. 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 part 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 issuanoe of a Building Permff p?rsuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Law~, 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. N.~ EfiGIAND HOM~S~ INC. (Signature of applicant, or name, if a corporation) JERICHO TPKE~ SToJAMi~S~ NY (Address of applicant) State wheth.er applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ..................................................................... .................................................................................................... Name of owner of premises I{obe~ Re.~.e~, ...................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and titJe of corporate officer) 1. Location of land on which proposed work will be done. Map No: ............................................ Lot No: .................... Street and Number ~..~/..8..~.~..f.."8.h"i.j~.~.?..~...~?.~....ap..~..~....~...~..3.~.~..g.~..~./~..~.~.?.~..~.?...~9~ ...................... ~ ....... 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 .............. .o,~...f..a~..~.l,.¥..z'.?~..t..d..e...n..o..e....d..%.z..~..1..1.~ ........................................................ 3. Naiure of work (check which applicable): New Building....~r~ ......... Addition .................... Alteration Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost,..~..~,,~,.~'.O..~ ........................................... Fee i (to be paid on filing this application) 5. If dwelling, number of dwelling units .......~ ................... Number of dwelling units on each floor.....-. ................... If ~arage, 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 ........ .62. ............... Rear ..... (~, .................. Depth ._2~.I. Height .....~..1. ................. Number of Stories ...~'~ ................... 9. Sizb of lot: Front .......~.0.~. ............. Rear ...... .I~Q! .............. Depth .............. ::I~Q.~ ...... 10. Date of Purchase ....... ...l:~..~.q.b:...~.~.~ ............................ Name of Former Owner 1]. 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..~.~0~..J~,~l~& ........... AddressJ~..~.l~,~.~lt..D~l~.~.~o~n~~''el~. Name of Architect ........................................................ Address ............................................ Phone NO. No:me of Contractor..~...e~...~.~::~..~.~Jl~l~*, ...... Address ..~L~',~..~p~l%.~%,~r~hone NC PLOT DIAGRAM Locate clearly and distinctly all buildings whether existing or proposed, and indicate all set-back dimensions f~om property lines. Give street and block numbers or description according to deed, and show street names and ind date whether interior or corner lot. STATE vO, F NEW~¥ORr~, n 0 ) S S ]P,~ D~.,.~....?...~..~ .............................. being duly sworn deposes and soys that he is the eppli, ............... ('~g~"~f i~ividu~l sig~ing application) ' ~ .... ) above named He is the ,~~ ~-~ .................. ~ ................................................ ~ .................... ~ ............. ~ntra~ ~_%_5?,rOorate off'cer, etc.) J 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 this application are true to the best of his knowledge and be and that the work will be performed in the manner set forth in the application flied therewith. Sworp~.oto,before ~ th s ~ )/,_. ~ ~_ ~ ~' F,~ o~~ ~ , ¢ , , t, ~ N6,~, ~ applicant File ef;