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Home My WebLink About2353-zFO1~l~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at ...]R.:[l~e..~me..~O~d ................................. Street Map]~..~.~.l.~.~).~...~.~., Block No ....... ~ ........ Lot No. ~,6 .~:..~.~..~,~.~1. ....... ~.tt~,hO[tJ~.,....~, :f:.* conforms substantially to the Application for Building Permit heretofore filed in this office dated ...................................... ~.~..~.~.~..,..,~,~.. ...... , 19.,6.~.. pursuant to which Building Permit No...~..,~.~..,~..~..,. dated , A~ril 'lit, 19 6)+ wa issued, and conforms to all of the requirements of the applicable provisions of the iow. The occupancy for which this certificate is issued is ........ ......... P~.~.~te..on4~,..£am&ly...d,welling ........................................................................................ The certificate is issued to ...W:Llliam..P. et~rs ............................... ~na~ ..................................... (owner, lessee or tenant) of the aforesaid building. H.D. Approval Jul~ 20t 196~ by It. Villa ..... ......... .................... Bui ding Inspector ~ / FOI~M NO. 2 TOWN oF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ~,U!LDING P~RMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK ?',UTHORIzED) N.° 2353 z Permission ii hereby granted tO: ' ~eo~8~..~z~..~/o~ .~ ~e~..,,~. .................. .......... ~.~eho~u~ ........... :.,.....~..: ....... ~ ................. premises located at .,...;~..~$..&,,l~,~...~.t.,,..~lffe~aa.,,l~.~ ....... ~, ......................... · ............ ..... ~ ........................................ ~.,.p.~.ne ..~vee..~oe~l...., ..................................................... , ...................... pursudn't to application dated ...........~ ........ .~,.a~l ....... ~;~.....,: ..... 19.6~.., and aPProved by 'ihe Building Inspector SUFFOLK COUntrY DEP~RT~NT OF HEALTH Date J~.ly 2Q~ 1964 Building Permit No. 23~3Z TO t~IOM IT MAY CONCERN: The sewage disposal facilities for a structure located at Pine Tree Road~ Cutchogue (Wm. Peters) (Give deed location) have been inspected by this Department and found to be satisfactory. District Engineer TOWN OF SOUTHGLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. (Building I nspe~,~ffor) Application No..'.~.....~.....~......'~. ......... APPLICATION FOR BUILDING PERMIT Dote ............ ~...~.. ....................... , 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 Ioca¢ion 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 avaibble 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 g~anted 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 wi~h cdl applicable laws, ordinances and regulations. (Signature of applicant,/or name, if a corporation) If applicant is o corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of and on wh ch proposed work wiJ,J be done Map No .... /..~?_?,~. ~.~d/..'~'t~Cot No' ~ .. Street and Number ........... ~ ....... ~.. ·. · .~.~.i~...~.~ ........................... ~.. 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: Existing use and occupancy ............................................ .~ ................................................................................... b.Intended use and occupancy ..................................................................................................... 3. Nature of work (check which applicable): New Building ~/ Addition Alteration Repair .................... Removal .................... Demolition .................... Other Work (Describe) 4 Estimated Cost .................................................. Fee ...................................................................................... (to be paid on filing this application) ,5. If dwelling, number of dwelling units .............................. Number of dwelling units on each floor ...... 9. ................. If garage, number of cars .......................................................................................................................................... 6. if business, commercial or mixed occupancy, specify nature.and extent of each type of use ............................. 7. Dimensions of existing structures, if 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 .............~..~ ............... Rear ....... ..~...~ ............... Depth ......~...~. ............... Height ........... ~. ............ Number of Stories ................. ( ................ 9. Size of lot: Front ......... C.~2 .............. Rear ......... ~.~ ............. Depth ......... ~.~.Z~..f ................. 10. Date of Purchase ........................................................ Name of Former Owner ..................................................... 11. Zone or use district in which premises are situated .........................~ ........................................... 12. Doe~ proposed construction violate~any zoning law, ordinance or regulation? ........... '"'-'w"~ .................................. 13. Name of Owner of premises ~...~ ................. .Address No. ~.~.~.~:~ Name of Architect .............................. ~ ...................... Address .~ ........................................ ~ Phone No .................. Name of Contractor .~: ......... ~ ................... Address ~...~.~Phone No~.~..~{.~ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-~ck dimensions fr~ property lines. Give street and block numbers or description according to deed, and show street names and indic whether interior or corner lot. 90 3o ~ ~ ) COUNTY pF ................. .......~..~ ~' ' ................ ~ ............................................................... ~ being duly sworn, deposes and says that he is the applicc (Contractor, o~ent~ corporote officer~ etc.) of said owner or ~wners~ ond is duly outhorized to ~er{orm or hove performed the soid work ~nd to m~ke ond f th~s opplicotioni tho~ o~ statements contoi~ed i~ th~s oppl~cotion ore true to the bost of his knowledge ond beli ond thor the work will be performed in the monner set forth in the opplicotion filed therewith. Sworn to bofore me this