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Home My WebLink About2568-zFO~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY Mo Z. ~P_~6 ........... Date ........... Npvembe.r t~, 19 ..6~ THIS CERTIFIES that the building located et .. W~.S.....~.es.tp~].J.a...Ros,~L ............... Street Map No ...~ .......... Block No .... ~r.~_~r~, ....... Lot No ..~ ....... ~s,t.~.t.UCk~ .... ~,.M'~, ............. conforms substantially to the Apphcatton for Budding Permit heretofore filed in this office dated ............................. 0~'gOb~...~.O. ........ , 19.6~.. pursuant to which Budding Perm,t No . .~,~.~..?, dated ....................~t,~ ..... ~.0 .... , 19 6..bt, was ~ssued, and conforms to all of the requirements of the apphcable prows~ons of the law. The occupancy for which this cerhficate ~s issued ~s ........ ......... ~,~vate.. ene.. tam. i.l¥ · d.~e.].li.n~ ............................................................................... The certificate is ~ssued to ..... ~[i]~]~LazE.l~..]~a,~r~! SQZl..~..~l~.e ............... (~/~e.~..~. .................... (owner, lessee or tenant) of the aforesaid building H.D.Approval Nov. 3, 196% FO~M NO. 2 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? 2568 z Permission is hereby granted to: ~,$2:L,tam..E....Ma~.l~o~.&..Wlfe ................. ........... ~att~.t~ .............................................. to ....l~. 1.4.. ne~.. One...£,~.S.X.y.. ~l,ae.l.l: ~ .................................................................................. at premises located at ...... WY~l~.....)/~l.t,~t..~..el......l~e~.O. ............................................................... ......................................................... :~a:t.t$.tuck ~ ..... l~.~ ................................................................. pursuant to application dated .................................. ~0~"30', 19.(~., and approved by the Bumlding Inspector Fee $. 10.,,Ofl .......... $-9 SUFFOLK COUNTY DEPA~Eh~ OF HEALTH TO ~HOM IT NAY CO~OE~: The sewage disposal facilities for a structure located at ~Give deed location) have been inspected by this Department and found to be satisfactory. DistriCt Engineer TOWN OF SOUTHOLD SUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved . £~ ., 19 ........ Permit N ................................ D~sapproved a/~~.. . .. . (Building/J'nspector) Application N~E~ ........ APPLICATION FOR BUILDING PERMIT Dote. ~o.b..~.~. ~ ................................................. , INSTRUCTIONS al ~:~This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building InslSector. 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 propertymust 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 applicant agrees to comply with all applicable laws, ordinances, building code and regulations. / (Signature of applicant, or name, if a corporation) West~.halia Rd. /~attltuck, N.Y. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........................ ......................................................................................................................... Name of owner of nrem ses William ,.~t ~n~ Lois ?. Ha~rlson 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 West' side of Westohalia Rd,, ~at-tituok Municipality 2: Steteexisting use 'and occupancy of premises and intended use and occupan, cy of proposed construction: a. Existing use and occUPancy ......... ..v..n..9..n.~$....~.~D..d. ............................................................................................... b. Intended use and ~-cu~an'~, One f~mil~ dwellin~ 3. Nature of work (check which applicable): New Building ....X~,..~ ...... Addition .................. Alteration .................. Repair .................... Removal .................... Demolition .................... Other Work (Describe) ...................................... $.2o,ooo , lO. aa 4. Estimated Cost .......................................................... F ............................................................................................ .(to be paid on filing this application) 5. If dwelling, number of dwelling units ..... .~Zl~ ................ Number of dwelling units on each floor ............................ If garage, number of cars attached two car ~arage 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..~..'~ ........... ; .............. 7. Dimensions of existing structures, if any: Front .....N..o..n..e. ............. 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 ?8' 6" Rear ......?_.8., 6". Depth2.0..~....t...o.....~..5..~..9.]~..' Height 2.? ~ max, Number of Stories 10. Date of Purchase ...... .A.~.g.~...s.~....]:.9....6.~ ........................ Name of Former OwnerC.R. Bennett & V.C. ] ]. Zone or use district in which premises are situated.......A. ......................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? 13. Name of Owner of premises W.E..Harrison Address Box 235 Nattituck..- .. MA9-8657 Name of Architect Arthur Worthington BN~ .U. pton~. N....Y.. ................................................... Address ..................................... Phone No ..................... PLOT DIAGRAM Lo~te clearly and distinctly all buildings, whether existing or propo~d, and indicate all set-bock dimensions from praper~ lines, Give street and block numbers or description according to ~ed, and show street names and indicate whether interior or corner I~. All that certain o~t, piece or oarcel of land at ~attituck, Town of Southold, and State of New York, bounded and described as follows:BEGINNING at an iron otpe on the southwesterly line of Westphalia Avenue, 521.80 feet north- westerly along said southwesterly line from Deer Drive; said point of begIu~in~ b~tng th~ no~th~Iy ~o~n~r Of la~d'b~ H~t~ frd~ said po'iht Of beginning running thence alon~ land of said Haines, S. 44~1~'00'' W. 214.91 feet to an iron pipe: thence along other land of Bennett and LeValley two courses as follows: l) N. 62~4'20" W. 167.47 feet, 2) N. 1555'20" W. 200.0 feet, to said southwesterly line of Westphalia Ave.; thence along said '-: southwesterly line, two courses as follows, l~ S. ?4 04 40 E. 1~B.99 feet to a monument, 2) S. 5~41'20!' E. 1~4.44 feet to the point of beginning. STATE OF NE"~Y_.~J~I~_ ,F./r [ ~ COUNTY OF ...~Y'~.~./J;¢~.....(..~. ..........~ "'~' ~ be n duly sworn, deposes and says that he is the applicant .................. ~ ....... ~......~.....,. ~/;m. I/.~.~ ............. .,.. ..... g '(N,~n~e' of' indJvidudl signing application) above named. He is the ................ ~ ............................................................................................... (Contractor, agent, corporate officer, etc.) of sold owner or owners, and is. du'ly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application ore true to the best of his knowledge and belief; and that the work will be performed ir} the manner set forth Jn the application filed therewith. Sworn to before me this ............ ..... ............ ' £. ' No. 52-0618100 ,~aiiO[K_ Commissie, Ex~~i°r0'~i]"'~''' County~ (Signature of applicant)