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Home My WebLink About2606-zF~B,M NO. 4 TO~N OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupnncy No.Z.7870 ....... Date ........... .~.ePt ....6 ...., 19. ?.7. THIS CERTIFIES that the building located at . ~/$. Sotmd..~iew..Ave .... Street Map No..xx ....... Block No. ~c ..... Lot No, . z~c... $outhold.. I~,Y. ......... confoms substantially to the Application for Building Permit heretofore filed in this office dated ..... Dec 12 ...... , 19.6~. pursuant to which Building Permit No...P.606Z dated ........ Dec...1.2 ..... , 19.6.~., was issued, and confoms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is .. ?rivat.e..one..f.a .mily.. ~.ej.. ~.~g ..................................... The certificate is issued to .Ne~l .Rap.pa ~o~iginal. owne~]. ~ .Brooke. WaJ~ker..& Wife (owner, lessee or tenant) owners of the aforesaid building. Suffolk County Department of Health Approval Oct .~... l~)~., b~..R..Villa ...... UNDERWRITERS CERTIFICATE No.. (N,R,. ~ 96.~) .............................. HOUSE NUMBER .... t 8c)?~. · Street . 3o.ul~d..vi.er. ~kv.e ..... ~o~t~hol~. ......... .~OTE.~..~ot; .to. he .us.ad. as..t~o. £a~ily..dvelll~g ............................ FOI~NI NO. 2 TOWN OF $OUTHO/D 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? 2606 z Permission is hereby granted to: ........... l~:t:..a.7~ ................................................... ............. ~m~k~y ..... 1I..~,, ......................... to ..... ~:lgt..ne~..c~e...l~a~i.l,lr..d~l.lta~ ................................................................................ at premises located at .......~..~.21/~eW..~.y~! .......................................................................... ........................................................ ~h:mt~14. .... llw-Y., ...................................................................... pursuant to apphcation dated ...................... [1~,.....'1.1~ ................... 19...(~}+, and approved by the Building Inspector! ~; "~1¥1.~ perilL~ ~[SSl. ted 81abject, t,o X'~oya~l Of exJ[st, tll~ hou~e ~ratler, Fee $1.0. ,,0~ ........... l~Ol~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFIGE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at N/~.S.....fiolmrl..~iew..A.v.e ....... ',.: ............. Street Map No ...... ~J~ ........Block No ..... ~ ......... Lot No ~ ...... ~l/:t;ho:].d~...][~.~r4 ...................... conforms substanbally to the Application for Budding Permit heretofore filed in' this office dated dated ............................ .D~OIII~I~...'1.;~., 19. O-~, was ~ssued, and conforms to alllof the~[equirements of the applicable provisions of the law. The occupancy for which th~s cerhficafe is i~s~ed ~s ........ (owner, lessee or termnt) of the aforesaid building. any change or additional utility fixtlres to be approved by Bullding inspector [ ~ '~ '~ E.D.Approval OcJr %o, 196% by R.ii:~.~a-'- Buildih~g-Jn§p~ctlr ! , S-9 SCItD SUFFOLK COUntY D£R!RT2~;T OF I~!LTH The sewage disposal facilities for a structure located at r --'('qi~- -~' 'qe~- i-o~Y-t¥ol) ........ ~ o~____~__.~_~ .~ ....... .~ .... ~.. ~ _ ~ve bcem i~peo~eC b7 ~s Dep~r~m~d found ¢o be ~i-str ict Engineer (516) - 727-4455 ). FORUM ~N~. 1 TOV,'N OF SOUTHOLD BUILDING DEPARTJ~ENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ....... "'~'C1 "~"~ ........' 1~L~'"6'~ Approved .....................~ ....... , 19 .. ~Permit No ~..~..~..~ D~approv~..~?.~..~....~ .... ~~ ..... .~ (Bui~din0 InspeCt) APPLiCATiON FOR BUILDING PERMIT ,o,, ..................... ..... ........ INSTRUCTIONS a This application must be completely filled in by typewriter or in ink and submitted m duphcate to the Building tnspector b Plot plan showing location of lot and of buildings on premises, relationship to adlommg premises or public streets or areas, and gwmg a detailed description of layout of property must be drawn on the diagram which is part of th,s location. c. The work covered by th~s application may not be commenced before issuance of Building Permit d. Upon approval of th~s application, the Building Inspector will issue a Building Permit to the apphcant 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 ~ssuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Lows, 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 regt~J,atians, t * (S~gnature of apphcant, or name, if c~orporatlon) (Address of apphcant) State whether applicant ~s owner, lessee, agent, architect, encuneer, general contractor, electrician, plumber or builder. If a.~;l~,li~ant ~j a c.,q, rporate,~signature of~ duly autH'q~'zed~flcer.//~' (Name and title of corporate officer) 1. Location of land on which proposed work will be done Map No' . ...........................................Lot No~ ................. Street and Number lJ~.: ...... ~ ...... .f~.....~r~....~. { Municipahty 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 ..........................~.~. 3. Nature of work (check which applicable): New Building ..... ( .............. Addition .................... Alteration .................... Repair ................... Removal .................... Demolition ................... Othe~r Work (Describe) .................. 4. Estimated Cost ....... ..'.~....../,...~..~.?..~ ....................... Fee ........................... ~..J...~..! ....................................................... (to be paid on filing th~s application) 5. If dwelling, number of dwelhng units....~ ........ Number of dwelling umts on each floor .................................. If garage, number of cars ....................... ~ ........................................................................... 6 If business, commercml or mixed occupancy, specify nature and extent of each type of use .............................. 7. Dimensions of existing structures, if any: Front ................... Rear ............................ Depth ............................ Hmght .......................... Number of Stories ....... D~mens~ons of same structure with alterations or additions' Front .............................. Rear ......... Depth ............................. Height .......................... Number of Stones ................................ 8. Dimens,ons of entire new construction: Front .... .~..~... ......... Rear ........................... Depth '~ Height ............... L.¥ .... Number of Stories .......~. ................. 9. Size of lot Front ......... /....~.....~.. ...... Rear ......... ( 0...~. ....... Depth ...... ..~....~ .... 10. Dote of Purchase .............. .J..~...~.....~.. ........................ Name of Former Owner ................................................... 11 Zone or use district m which premises are s~tuated .................................. 12 Does proposed construction violaJr~ an~ zon~ law, ordinance or rea~lation> .... ~.1~.... ..................... 13. Name of Owner of premises......~..~..(~....,Address ~.~.~ ...... Phone Name of Architect ................~....~...~,~ ..... .~,L ...."' . .Address ..................... ~.. 4 ......Phone NO ............ ........... .............. Name of Contractor~...~...~...Address ~.. Phone NO ..~ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and mdmate all set-back d~mens~ons fron property lines. Give street and block numbers or description according to deed, and show street names and red,cat. whether interior or corner lot. t ~--~~nature of applicant) of said owner or owners, and ~s duly authorized to perform or have performed the sa~d work and to make ond fl this application; that all statements contained ~n this application are true to the best of his knowledge and behc and that the work will be performed in the manner set forth in the apphcation filed therewith, CAPCt ff,'E HU$~ , ~~~ Sworn to before me this NOTARY PC,,',I' [';,,,,n cf I'(ew ~ork 4iTATE OF NEW YORK ) S/J S - ......... 2,J ............. /. ~ .~..;./'.../~...-~..~.. ............................ ~...,.,..belng duly_sworn, deposes and~ays that he is the apphca, (Name of ~nd~wdual~ sigmng, gpphcat~jj) J~ t J" ~ ~ J' above na ed. He is the .... .................................. il(Contractor, agent, corporate officer, ~tc.) I