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Home My WebLink About2616-zNO. ~. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at ...,~TJl[lf~.1%.,,l~, .......................................... Street Map No .... ~ ........... Block No .......... ~ ..... Lot No~ ....... ~.f~.~];).~.~.~...~,.~ ............... conforms substantially to the Apphcahon for Building Permit heretofore filed in this office dated ..................................... D. ecemher....3.~' 19.(:~(... pursuant to which Building Perm,t No .... ~,~).~,~...Z dated ............................. ,~f~.~la ..... ~L~. ...... , 19...~., was issued, and conforms to all of the requirements of the applicable prowsions of the law. The occupancy for which th~s certificate is issued is ........ ....... l:~.il/a~e .. o.r~e...:E- m~! '1 ~...d~e.'[~l. il~ ......................................................................................... The cerhflcote is issued to ..... ~t~...R,,..~.e~..~I,[ ............ O~O~e~. ................................................... (owner, lessee or tenant) of the aforesaid building H.D. Approv~ May by R. Villa ~ - Building Inspector J FORI~ NO. 2 TOWN OF SOUTHOLD 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) N? 2616 Z Date .............................. -[~¢-~m~'.....~,~., 19,(~... Permission is hereby granted to: gee,...A~te~ ~......~.(~-..~/m ~...l~e]~....~ ............ ................... ~tetu~tm ....................................... to. li~I,]1.~., ne~..e~e...~m~y.. ~.~ .................................................................................... at premises located at ...~l~t..~Oa4 ....................................................................................... pursuant to application dated ................................ ~l~l~e~...~.~., 19.4r~-., and approved by the Budding Inspector Fee $"t0,, O0 .......... ' ' Building Inspector s-9 SCHD SUFFOLK COUNTY DEPART~NT OF HEALTH Date May 11.,_1965, ~ldg. Permit No. 2616Z TO WHOM ~ MAY CONCERN: The sewage disposal facilities for a structure located at _ Ang!e~§ Rd. Greenp~r~ .... (Give deed location) have been inspected by this Department and found to be satisfactory. District Engineer FOI{1Y[ NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. E!×amined ....... ~..,,C~,., ......./.Z..., , ~..~.,.f Approved .................................. , 19 ........ Permit No ......................... ............................... ....................... APPLICATION FOR BUILDING PERMIT ................ ............ , ............ INSTRUCTIONS a This apphcat~on must be completely filled ,n by typewriter or ,n mk and submitted m duplicate to the Buddi Inspector. b Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets areas, and gw~ng a detailed description of layout of property must be drawn on thed~agram which ~s part of th~s applicat~ c. The work covered by th~s apphcat~on may not be commenced before issuance of Building Permit d Upon approval of this application, the Building Inspector will ~ssue a Building Permit to the applicant Su permit shall be kept on the premises available for ~nspection throughout the progress of the work e. No building shall be occupied or used m whole or in pa rt for any purpose whatever untda Certificate of Occupar shall have been granted by the Build~ng Inspector. APPLICATION IS HEREBY MADE to the Budding Department for the ~ssuance of a Budding Permit pursuant to t Budding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of buddings, additions or a lteranons, or for removal or demoht~on, as herein describ~ The applicant agrees to comply w,th all apphcable laws, ordinances and regulations ~ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or budd Name of owner of premises ................... : ........................................................................ If apphcant ,s a corporate, s,gnature of duly authorized officer (Name and t~tle of corporate officer) 1 Location of land on whichfroposed work wdl, be do9,¥. Map No ................................. Lot No ............. Street and Number ........... ~. .... ~ ................................................... ~?.. .~4?~...~t. (J Mun,c~pahty v/ 2 State ex~sting use and occupancy of premises and ~ntended use and occupancy of proposed construction a Exmting use and occupancy ......................................................................................... b Intended use and occupancy ........................ ..~~~ ................................................... 3. Nature of work (check which applicable)' New Building ....... ~ ..... Addition ............ Alteration ........ Repair .................. Removal ................ Demohhon ............... Other Work (Describe) ............ Cost ~...ZZ.)..z~..~...O. :...O~... ! .............................. Fee .... (to' ~' 'l~'~i~' ~'~"fili~' ~1~ i~"~l~ I~c~i~) ............... 4 Estimated 5 If dwelling, number of dwelhng units ...... ~' Number of dwelhng units on each floor .... ~ ..... If garage, number of cars ....................... ~ ............ 6 If business, commercial or m~xed occupancy, specify nature and extent of each type of use ........ 7 Dimensions of ex~stmg structures, if any Front ........ Rear ................. Depth Height ......................... Number of Stones , Dimensions of same structure w~th alterations or addmons Front .......................... Rear ............................ Depth ........................... Height .......................... Number of Stones .................................... 8 D~mensionsofent, re newconstruction: Front ........ ~.~/ ........... Rear ....... ~..~/.. ............. Depth ......~.~..~.~../.~ ....... Height ............ ./.~. ...... Number of Stones / ............... 9 Size of lot: Front ............. ..~..~..&. ...... Rear .... '.Z..~.~. ....... Depth .... /..~.~'6.~. ......................... 10 Date of Purchase ...........................................Name of Former Owner ................................................. 11. Zone or use d~strict m which premises are situated ................................................................................ 12 Does proposed construction violate any zoning law, ordinance or regulatlon~ ....... ~ ............................... ......... d-r 13 Name of Owner of premises Address ..................... _ ....... Phone No ......... Name of Architect ............................................... Address .......................................... Phone No ................... Name of Contractor .....~...c'~.~,,~c....tr~..~./~.(.5.. . . Address ...g.-~ .(,~..q~.....~.c..~.,.C..~.~.~... Phone No .&...~..~.~.~/..' PLOT DIAGRAM Locate clearly and d~st~nctly all buildings, whether ex~sting or proposed, and indicate all set-back d~mens~ons fron property hnes Give street and block numbers or descnphon according to deed, and show street names and mdicat.- whether interior or corner lot. STATE OF NEW YORK, ) J~.~, COUNTY OF ................. ) S J' '~'j~IL ..being duly sworn, delboses and says that k~e is the applican ............ above named He ~s the ........ ~ ~ ............ ~.c~...~. .................................................. ,,.,,c.~ee~:. ~j (Contractor, agent, corporate officer, etc.) of sa~d owner or owners, and ~s duly~authonzed to perform or have performed the sa~d work and to make and fil th~s apphcat~on; that all statements contained m th~s applicahon are true to the best of his knowledge and belie and that the work will be performed m the manner set forth ~n the appl~cahon filed therewith Swam to before me this/~ // ,~ .... · /.~. .... day of .Z~ .~. · ........ 19 o/~'~"r '' ~- P u b h c'~x ~/q..~-4(~;4-~../c ,'~-.f,/ ~ .(.~2~' .... ~/~. ~.~..~. NOT~F, ¢C~,~yb~,~.?l~u,~,c4~.2~ ~'''~'~ :~'' ~'~'~c~r' ~...~-.~-~.(.30. t~.~ .......................................................... nature of a pp licant) Notary