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Home My WebLink About2440-zFOR~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES thor the building Iocoted ot .... ~:~..T...R.,.0..~[,..~/~...~OO.~...{~r.9,~;... Street MOf~, W/S N. Bay..,V~e~ Road ap INo ....................... o,oc~, INo ....................... Lot No .... ~ ......... ~o~th~d~..N.~. ............... conforms substantially to the Application for Building Permit heretofore filed in this office dated ............................................ ~ruzle......~0..., 19..~.~. pursuant to which Building Permit No ..... 2.~.0Z dated ................................ ~1.~'. ...... 3......, 19.6.~..., 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 ........ .......... Pr.i.v.a.te...on~ .. £amilT... ~wel ling ....................................................................................... The certificate is issued to ....~,~t~l..~.~,.~.t~ ........................ .0~r~e~. ................................................ (owner, lessee or tenant) of the aforesaid building. Building Inspector FORM NO. 2 TOWN OF $OUTHOLD 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 AUTHORIZED) N? 2440 Z Permission is hereby granted to: Geo. Ah3~e~ .....~t~.. T,m~ · :~t~e~ ......................... to ,11~1,;L4 .. mm..eae..~, aa~..36,.. ~e.~.Z.~a~ ...................................................................................... ct premises located at ..~l~.....~..~l,e,~..-..-o~f.-W/~..~...t~r~L~..]~ee~...Bt~oo~e-Cre~ ........................................................ ~o~t, ll~ ],~I, ~.....l~,.~'., ...................................................................... pursuant to application dated ................................ ~I'13111~ ....... .~0 ....... 19~1,.., and approved by the Building Inspector Fee $.~.~a.(~O ........... ~ ~ ' ~Buil~n~' Inspefor ! SUFFOLK COU~TY DEP~RT~Ei~T OF HEALTH Date 9/2/64 Building Permit No.. ..... 2440Z TO ~IGM IT MAY CONCERN: The sewage disposal facilities for a structure located at _~/s Pvt. Rd, off N. Bayview Ave (Witten) Southold ' (Give dee~l~cat£on) ' ' ~ have been inspected by this Depart~enb and foun~J to be satisfactory. District Engineer TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE Examined .................... , ]9 .... ,, , · Approved ..... ~ .......... ! ................... , 1~ ........ Permit Na. ...................... ........................ ................................... (~uildino l~p~or) APPLICATION FOR BUILDING PERMIT 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 p remises, relationship to adjoining premises or public street~-~F areas, and giving o 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 po rt for any purpose whatever until o 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. ordinances and regulations. ..~...~..~. ,'1 ~..~.~..~./. The applicant agrees to comply with all applicable laws, c- (Signature of applicon}fit, or name, if a corporation) ............................ (Afl_2tlress of applicant) State whether applicant is owner, lessee, agent,,~hitect,/~)n/~ineer, general contractor, electrician, plumber or builder. Name of owner of premises .................... ~..~ .......... If applicant is o corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which proposed work will be done. Map No: ~ -' Lot No: ...... C ......... Street and Number ..... !..~..'..0.....~.....L......%/.~..i.....~...'~.....~..~...C.. ............... ~...~...: ............................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exist ng use and occupancy ................................................................ '""'-'~/~'-i~ .............. 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 ...... ..~... ............... 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 .......................................................................................................... J... 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 ............. ./.~i..~. ........ Number of Stories ......... ./. ....................... 9~ Size of lot: Front ............... ~.~ ............. Rear ............................ Depth ........................................ 10. Date of Purchase .............................. ./..?..~...~.. ............... Name of Former Owner ......... ~.~.:.A.,. ............................... J'" 1 1. Zone or use district in which premises are situated .............................................................................................. !... 12. Does proposed construct on vo~te any zonit3~ aw ordnance or reau ation~ ' 13. Name of Owner of premises ....~...~. ~ .Address .~..~.~...~...~..~. ~l~./..~..~...~..~.~i~hone No...g..~.~.9' ~..~.g~ .............. Address ..................................... ,~.... Phone No..~ ............. Name of Architect ......... ,~ ............ Name of Contractor .... ~ .............. Address ..~.-'~....~~//~. Phone No. ~"~'"'~'~"~'~"I... : PLOT DIAGRAM i 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 description according to deed, and show street ~ames and indice whether interior or corner lot. STATE OF NEW ¥OR.,K/ , 7_ ) ,. ,.. COUNTY OF .;~~.(~...)~/~., ~ ' i .............................. ..~..~.~.~ ....... ~. ......................... being duly sworn, deposes and says that he is the applicaht (Name of indivi~bol signing application) // above named. He is the ............................................................. ~ ............................................................. !... (Contractor, agent, corporate off cer, etc.) of said owner or owners, and is duly authorized to oerform or have performed the said work and to make and f le this application; that all statements contained in tl~i,}l~oolication are true to the best of his knowledge and belief; and that the work will be performed in the marlfa~,,~l~f~he application filed therewith SAorn to before, me th~s ~lo. ~'~449~3 SuSa"- - k ,