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HomeMy WebLinkAbout2335-zFO~i~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHO/D, N. Y. CERTIFICATE OF OCCUPANCY No, .~...~8. ............ Dote ........................ ~1~.....~ ............... , 19...~..J}.. THIS CERTIFIES that the building located at ~,J~.....~iJJ//..~J~j)~.(~b~..D~.~,~.O. ................ Street Map No...~ ............ Block No ....... ~ ......... Lot No..~ ....... ~.~t~t~,,~,~...~.,~, ................ conforms substantially to the Application for Building Permit heretofore filed in this office dated ................................ A~p~ ...... .~ ............ , 19.6~... pursuant to which Building Permit No....~-~3.~'.~. dated .............................. A~.~.....~ ......., 19..~.~.., was issued, and conforms to oil of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ........ ......~.i~t~..~e...£m~l¥...d~elli~g .......... , ................................................................................ The certificate is issued to ..~O~..,~I~L~p.~...~I'~. .................................. (~/'t~e~. ................................ (owner, lessee or tenant) of the aforesaid building. H.D.Approval ~une 1, 196~ FUEl'[ N0~ ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT Town GLERK'S OFFIGE $OUTHOLD, N. Y. BUILDING PI'tRMiY (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE wORK AUTHORIZED) °. 2335 Z Date ...................... , 19 .... Permission is hereby ~..~ted t~.~"'~ ,,~ ~ . ,, ~""~/~ ~~;'"";';i'C~"?'~"~ -""'-: ............... / __.~.~l.~.~ .~.. ~.~;~ ................. Building Inspector Fee Si. ..................... and approved by the Building Inspector s-9 SCHD SUFFOLK COUNTY ~)~P~.~T~ %~T OF HEALTH Date June 1, 1964 Building Permit No. 2335Z TO ~OM IT MAY CONCERN: The sewage disposal facilities for a structure located at 400' $/o Suffolk Ave e/s Dee? Hole Dr. Matt~t~e~ ' .(G~ve deed location) have been inspected by this Department and found to be satisfactory. FOI~M NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved ......................... .~ ........... , 19 ........ Permit No ........ Application No....~.....?....~...?.... ..... APPLICATION FOR BUILDING PERMIT ...................... ......... .... INSTRUCTIONS a. 'l'his 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 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 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 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) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ........ ..~-?. .......... '. .......................... .~ ................................................................................. If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which ro osed work will be done. Man No: ...~...~...........~.. ................ Lot N' ...i~ X Street and Number .~,/~....~.....~,,~~..,~..~~ ........... ~.~~:~:::: Municipality 2. State existing use and occupancy o~f p~mises o~ i nte=~f~ use ~nd occupancy of proposed construction: a. Existing use and occupancy ................................. ,~-~ ~/~' ........................ ,~ ..................................................................... Intended use and occupancy ........ ~.~......~....~....~.~1. ................................................... b.