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Home My WebLink About2026-zFOI~M 1~O. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at ..~.I~.....~..~..~Le...,,1~.~..~.~....~.o...R..~ ................. Street Map No....~..~ .......... Block No ....... ~ ....... Lot No .....~.....~..~..~.q..~..O./~.~..e..t...~.*.~? .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ................................ ~.~ ....... ~.0. ......... , 19...~..-~. pursuant to which Building Permit No.....~...~..0.~.~.. dated ......................... .A~.?..~...]:......~..]-.. ......... , ] 9...~..~..., 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 ........ ............. ................................................................................... The certificate i~ issued to ....~]~:'~..&.,I)D~.&..~.~I)~.Q~:[ ...................... ~.[/;I ..................... (owner, lessee or tenant) of the oforesoid building. H.D.ap~roval Aug. 1~ '63 By FORM NO. 2 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N.° 2026 z Date ...................... .&~l~. ;L'L ....... 2TM- ........... 1963... Permission is hereby granted to: ......... ~at. tt.tuek~..... ~, ~.,, ................................ to..B~t .].d..t~e~..on~..$e~i.1¥...d,~e;]..l t~.~ .................................................................................... at premises located at ....~.8...L~l..t4~.te...N~k...R~a6 ........................................................................ .................................................... CuJ~ch~e~...N,.:~, ........................................................................ pursuant to application dated ............................ &pF.".].......].O .............. 19.~,.~.., and approved by the Building Inspector Fee $ .~.O~ OO ........... s-9 SCHD SUFFOLK COUNTT DEPARTMENT OF HEALTH Date ,, August 28~ 1963 2026Z Building Permit No. TO WHOM iT MAY CONCERN: The sewage disposal facilities for a structure located at 1042.76' ~.Eugenes Ro~i e/s Little ~eck Road~ F~t Cutcho~ue .......... (Givedeed ............. location) "' builder-E. G. Abitz have been inspected by this Department and found to be satisfactory. District Engineer TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTNO'D, N. v. Examined ........C~. ~.~..~.. ....... .I,..L, 19...~..'.~.. Approved ~ k 19...!....Permit No. Disapproved a/c ~......~......~~ ............ ..................................... (Building Inspector) Application No.....~....~....~.....~.. ...... APPLICATION FOR BUILDING PERMIT 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 thie applica- tion. 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 applica.nt. 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, alterations, or for removal or demolition, as herein described. The applicant agrees to cornply with all applicable laws, ordinances and regulations. (Signature of applicant, or name, if a corporation) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........................................ ~,,~ ~J 7~.~J~ ~7~))~. Nome of owner of premises ...... ..~....~...,.'~....~/.../.~..,..' .~......~.....?...~..~'..~../..~.......~....~....~..(~...~....~.~../?...! ............................................... If applicant i~/~corporate, signature of duly authorized officer. (Name and title of corporat~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 ....................... /.'.~../..~.,,S..../..~...;.~.~..~..z.~ .................................... 3. Nature of work (check which applicable): New Building .................... Addition .................. Alteration .................. Repair .................. Removal .................. Demolition .................. Othe~ ~Vork (Describe) .................. 4. Est mated Cost ~.., .~......o. F~ (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, 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 _....~'...~....i .............. Rear ........ ~...~....'. .......... Depth Z ~ '~" Height ........ ./,..~7. ............... Number of Stories ..........~ ............ 9. Size of lot: Front ......... ./....~'!JL[ ......... Rear ...... ..'..o...o...'. ................. Depth /4-o ' 10. Date of Purchase .......................................................... Na,me of Former Owner ........................................................ 11. Zone or use district in which premises are situated. 12. Does proposed construction violate any zoning law, ordinance or regu ation? ....... ~.~...' ............................................... 13. Name of Owner of premises ...................................... Address ................................................ Phone No ................... Name of Architect .................................................... Address ................................................ Phone No ................... Nome of Contractor /? ~'' /'J~ / 7 2. /'2(..,,~ /7 / ~u rf~//.~. Phone No .................. ............ ; ..................................... Address ........................................ ;... PLOT DIAGRAM Locafe clearly and distinctly ali buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block numbers or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW ~(bR, r,~,Z ~/~ )cc COUNTY OF ...~-~..'.:/.,f'7 ............. ) :'Iff r ,..t ." ............................... ' ................................................. ' ................ ~'-u duly sworn, ~eposes and says that ke is the opplicont (Nome of individuat signing applic~i'~) above named. He is the .......................................................................................................................................................... (Controctor, 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 file this application; that ~11 statements contained in this application are true to the best of his knowledge and belief; and that the work w~ll be performed in the manner set forth in the application fJ~e~ therewith. Sworn to before me this ~ ~ __ ~ day of , 19~ ~, : ............... .....................