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HomeMy WebLinkAbout2377-zFOIT,~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No ..... 2...~.9b3 ......... Date ......................... THIS CERTIFIES that the building located at E/~.....S~?.is~..~.a~ .............................. Street Cedar Beach Park Map No .......90 ........... Block No .......... ~¢ ........ Lot No. ~.~9'! ........ SeU'~,h~ld.t...~,'~., .................. conforms substantially to the Application for Building Permit heretofore filed in this office dated ................................. Apr.~,l .......... ,0..9 ...... , ]9.~.. pursuant to which Building Permit No..~-~..~...Z dated ............................ ~*pV./,l. ....... 2.9..., 19~l~,..., was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ........ .... ~.ri~rate...one.. t~ni~....dwe!lirJ~ ............................................................................................ The certificate is issued to Ar.th~...&..And~.e.....Smith ................ /l~ners ............................ (owner, lessee or tena,nt) of the aforesaid building. H. D. Approval Sept.~196~ by R. Villa FORM NO. 2 TOWN OF SO~THO~O BUtLDING DEFARTMENT TOWN CLERK'S OFFICE sOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT Must BE KEP3~ ON THE .PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 2377 z ~ .,Permission is hereby granted to: ct premises located at .,.,'~,~....],6.~..~,~...]~a~Jl..~l~ ................................... ......................... pursuant to application dated ......................... ,lJ,~J~lJ,~..i.~...:.,: ....... 19.(~.., !3nd approved by the Building Inspector · :-Building Inspector Fee $. ~(~.~,(~- .......... S-9 SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH Date October 1, 1~64 Building Permit No. 23772 TO WHOM IT MAY CONCERN: The sewage disposal facilities for a structure located at ,, E/S Sunset ,,Wa~ 500' S/O Cedar B~ach Rd. Southold (Give deed location) ,, (Arthur E. Smith) ....... have been inspected by this Department and found to be satisfactory. District Engineer s-9 SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH TO WHOM IT MAY CONCERN: Date, ,~eotember 28. 1964 Building Permit No. 2~772 , The sewage disposal facilities for a structure located at ,E/S, ~ Sunrise ~ighwa,y ~0,0' S/Q Cedar Beach Road (Give deed location) ,, , Arthur Smith , have been inspected by this Department and found to be satisfactory. District E~neer TOWN OF $OUTHOLD TOWN a. ER 'S SOVVHO O, ........................................ , 19 ........ Permit No ................................. (Bui~in0 Inspector) AP?LICATION FOR I~UILDING PERMIT INSTRUCTIONS o. 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 o 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 ~ertificate of Occupancy. shall hove been gnanted by the Building Inspector. ' APPLICATION IS HEREBY MADE to the Building Department for the issuance of o 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 oil applicable lows, ordinances and regulations. (Signature of ~l~ant/or nome, if o corporation) S State whether applicant is owner, le, e,e~e, atgfn/~, architect, engineer, general contractor, electrician, plumber or builder. Nome of owner of premises ........ ~ ......... f~ ....................... If applicant is o corporate, signature of duly authorized officer. (Name and title of corporate officer) I. Location of land on which proposed work will be done. Mop No: ............................................ Lot No: ................ Street and Number 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 x~ Addition Alteration Repair .................... Removal .................... Demolition .................... Other Work (Describe) ........................ 4. Estimated Cost ........~.~..~...0....O...t..O...°. ............................. Fee ....................................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ............. ~. ............... Number of dwelling units on each floor ....... ./. ................ If garage, number of cars .............. ,/. .......................................................................................................................... 6. If business, commercial or mixed occupancy, sped fy 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. Dim0nsions of entire new construction: Front ......... ,~.. ............... Reor ......... ..~...~... .......... Depth ..~'~ .................. Height ....... L.~.. .............. Number of Stories ......~ .......................... 9. Size of lat: Front ....... ................. Rear ...J..O....~... ............ Depth ...... ../....'~....~.. ..................... 10. Date of Purchase ...........[.~.~.~ ................................ Nome oF Former Owner .................................................... 11. Zone or use district in which premises are situated ............................................................................................ "~"2" 12. Does proposed construction violgte any zoning law, ordinance or regulationP /V~7 ..,,..,. . .......... ............ ......... ..... 13. Name of Qwner of premise~zl~..~ ......... Address ,~..~.~.('~'~[,K4,tv~,...~....~. Pho/~e~[',lo. I.~....~...~.'..'~.~ Name of Architect' .................................................... ' Address '~- Phone No. '--' Name of Contractor . .. ddress Phone No ....... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions fro property lines. Give street and block numbers or description according to deed, and show street names and indict whether interior or corner lot. STATE OF NE~? ~ ............................. ~,..~...~ ...................... · ............................. be'ng y sw , deposes and says that he is the applic<)nt above na (~;.ml~;fisi~ieVi~.~.l..~.i-g..~?.~..~.~.~.l.i~ii~). ................. ~ ..................................................... J .... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and this application; that all statements contained in this apg~i~n~ tru~ to the best of his knowledge and bel and that the work will be performed n the manner ~t~rfo~t~,i~ ~ti~ filed therewith. Sworn to ~efore me th~s ~ '-,'~ ' '~ ~rc~ 30, t~ __