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Home My WebLink About2281-zFO~I~ NO. 4 TOWN OF SOUTBOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, ti. Y. CERTIFICATE Of OCCUPANCY - ~ 9f£ E/_8 6r~na Ave THIS CERTIFIES that the building located at ~8 ~e..~e.. [~.~.,. ~.,.~.,~.~.} Street Map No..~ ........... Block No ...... ~ .......... Lot No.~ ....... conforms substantially to the Application for Building Permit heretofore filed in this office dated .................................... ~.....8......, 1~.... pursuant to which Building Permit No. 22~ .... dated ~a~ 8 ] o ~ as ~ss ........................................................ , ........... w ' ued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ........ ~ivate one ~1~ dwell$~g . The certificate is issued to .~r,,d...Gr. oe.senhacher...&.~e. ............ ~e~2 ........................ (owner, lessee or ten~,nt) of the aforesaid building, H.D. APPr°v~l J~e It 196~ by R. Villa Building Inspector FOE~ NO. ~ 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 ~UTHORIZED) 2281' z Permission is hereby granted to: i~i~ ,tbt~....~t/a..~4..Ov~m~a~l~ ............... ........... J~.~t~L. tmell:-...........: ....... ~ ....... ~ ........... ~ ..... at premises located o'( ..,~'S.....l~e~.d~Ve.,,..O£~...~l~..~V~tet...AVe ..................................... .................................................... ~t~ll:.,' ......... :*~ ................. , .............. : ......... ;-~ ............ ~ ................ pursuant td application dated ........................ o1'~...,.8.;..~ ...... , 19~.., and approved by the Building Inspe~:tor Fee $.~J~.~. ......... SGHD SUFFOLK COU~]~Y ,J~P~k,~T. ~NT OF HEALTH TO s,~0M IT MAY CONCERN: Date_ , J~me 1~. lq6J! Building Permit No. 22812 The sewage disposal facilities for a structure located at 1000' $/o Grand Ave. N. ~ide M~ple Lane ..... (Give deed location) have been inspected by this Department and found to be satisfactory. Dis't~ic t' Engineer FOI~M NO. 1 TOWN OF SOUTHO/D BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ~ Approved ........................................ , ]0 ........Permit ~o ................................. ........................ ................................. \ APPLICATION FOR BUILDING PERMIT Dote ......................... ~T~1~......~ ....... , 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 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 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 and regulations. ..... ...................................................................... (Signature of applicant, or name, if a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........................... Dontr~c.tor. .............................................................................................................................................. Name of owner of premises ...~,i~.~'.~.~._~...~.~r.Q]~.A..G~'.Q~.~.9~]~.~,Q]A~ ......................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of co~orate officer) 1. Location of land on which proposed work will be done. Map No: ...~ ...................... ~ ....... Lot No: ~ ......... Street and Number ....... . ......................................... Municipali~ 2. State existing use and occupancy of premises and intended use and ~cupancy of, proposed construction: a. Existing use and ~cupancy ~.~g&~..~A~ ............................................................ b. Intended use and ~cupancy Q~ ~i~ .dw~ ........................................... 3. Nature of work (check which applicable): New Building ....~.... Addition .................. Alteration .................. Repair .................... Removal .................... Demolition .................... Other Work (Describe) ........................ 4. Estimated Cost ..... ~,3.~.Q0. ....................................... Fee ......... ]L.0,.O.0 ..................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ....q.~...e .................... Number of dwelling units on each floor ............................ If garage, number of cars ................... O.qe.. . ......... 6. If business, commercial or mixed occupancy, specify natureand extent of each type of use ................................ 7. Dimensions of existing structures, Jf 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......~.Q ..................... Rear ...... ~0. ................. Depth ........ 2.)+..-:~. .......... Height ............................ Number of Stories......QD,e ...................... 9. Size of lot: Front ...~..Qg. ..................... Rear ........ ~.O.~ ............. Depth ......... 3.~-.0.~. .............. 10. Date of Purchase ................ ],~).~.~ .............................. Name of Former Owner ............ 11. Zone or use district in which premises are situated .................. ~ ............................................................................ 12. Does prop6sed construction violate any zoning law, ordinance or regulation? .............. ,TI~ ................................... 13. Name of Owner of premises ..-~.iLC'm.aS,S.e~,ba.c.h_~Zt..Address ............................................ Phone No ..................... Name of Architect ...................................................... ^ddress ............................................ Phone No ..................... Name of Contractor ....~.~...,/~:~.1~.~ .............................. Address ............................................ Phone No ..................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block numbers or descrip~g to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK· ) COUNTY OF ...... .S...~..~..~...o..Z...~......) S.S. ..................... .~...d..w.....~..~..~..%...~. ...................................................... being'~luly sworn, deposes an~ says that he is the applicant (Name of individual signing application) (Contractor, agent, corporate officer, etc.) ..................... of said owner or owners, and is duly authorize~,,to,pe~[~ or have performed the sa d work ahd to make and file th~s' c~pphcation;' that all statements corttc~ine~bt .l~r~t~eS"~'f~i~i~tion. ,~ry are true to the best of his knowledge and be et; a_nd that the work w!ll be performed ~n~.~ ~J~]~J~l ~l~0~i~in, t,,~e applic~qfion filed therewith. ~worn to before me this ~omm;ssi0n Expires March 30, ].9(0,~