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Home My WebLink About2961-zFOP~i~I ~0. 4 'TOWN OF SOUTHOLD BUILDING DEPARTMENT '~'OWN CL~-RK'S OFFICI~ SOUTHOLD, N. ¥. O£1~TIFIOAT£ OP O00UPANP. Y THIS CERTIFIES that the building located at E/S Frad Street Street Map No..~.X. ......... Block No. ~ ......... Lot No.Y.~. ....~.~.¥..~..1~.?.0..~..,..~. ~.?:.,. ........ conforms substantially to the Applicati.on for Building Permit heret0~ore filed in this office dated Dec ~ dated De~. 20 196~ was issued, and conforms to all of the require- ments ,of the applicable provisions of the law. The .occupancy ~or which this certificate is issued is Privateone fa~lly The certificate is issued to (owner, lessee or tenant) of the aforesaid building. -- .}4ar 22~ ~968 by R~ Villa .Suffolk County Department of Health App~.ovm ............................... ~ .......... Building Inspector ou, se # FORM NO. 2 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 AUTHORIZED) N? 2961 z Date ............................... D~a~J,l~..~O.., 19.6.~.. Permission is hereby granted to: .... .8.,..u~. ~..~..e., .~.,~: ................................................. .............. ~..a33~.r..t.~.....~ ,.Y~,. ................................ tO ]~,;~! .. ~,~.~..l~te...fm~Ll.¥...d~e3,1~,z~ ........................................................................................ at premises located at .~.....~.e~..g,t ................................................................................................ ............................................ ~.~..~.u.ffo3.~ .......................................................................................... pursuant to application dated ...................... ])J~.{I, ......... ~,1~ .............. 1~).~...., and approved by the Building Inspector Fee $..]'. ~."...(~)... .......... SUFFOLK COUNTY DEPARTMENT OF HE~LT~ Date , Bldg. Permit No. ~__~¢~ ~ TO WHOM IT MAY CONCF~RN: at The sewage disposal facilities for a structure located (Give deed~location) ~ have been inspected by this department and found to be satisfactory. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined .......~..,..~...~ ........ , 19...~....b..''-' Approved ........................................ , 19 ........ Permit No. ..~. .... Disapproved a/c ........~ ......................... (Building Inspecto/ APPLICATION FOR BUILDING PERMIT Date .................. ....................... 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 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 nome, if'o corporation) (o1 'o 3o R ,F_ ft y AYPoffT:/ k', (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ..,~..~.,~....[~..//.~..Z.~.l./~...../~ ......................................... If applicant is a corporate, signature of dal~ authorized officer. (Name and title of corporate officer) 1. Location of land on whic~h proposed work will be done..Map No.: ..~..~...~......~..J._~.(/~. ............. Lot No.: ....~.. .................. Street and Number.~'~../..~.......~.~..~,.t~.-/'~. ....... ~;.-'~..' ........... ~.~'~'/0...~......~/.¢.. ...... .~..~.,~,.~..1~.¢~_.....~... ....... ~t~, ................................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: o. Existing use and occupancy ................................................................................................................................... b. Intended use and occupancy ...... .0.~..'" ....... --...~..'/~,/~ ........ ~-~)-....~..~-~].(.ti~..~' ...................................................... / 3. Nature of work (check which applicable): New Buffding .................. Addition .................. Alteration .................. Repair .................. Removal .................. Demolition .................. Other Work (Describe) ........................................ 4. Estimated Cost ......................... ~....~..~,.~:rP::~. ............. 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 ................................................................................................................. Dimensions of same structure with alterations or additions: Front ....................................Rear ............................ Depth .......... Height ............................ N~mber of Stories ................................ 8. Dimensions of e~,e new construction: Front ...... '~ .~..~.,. ...................... Rear ....... .~....~, ............... Depth ..~..~.....N. ............ Height ...... ~....D. ......... Number of Stories ......... ~.....2 ........................................... ~ .................................................... 9. Size of lot: Front ........... 1.9....O. ......... Rear .................................... Depth ..,/...~....,~. ................... 10. Date of Purchase ........................................................ Name of Former Owner .~......j..N..'.Z....~.~..A...~.~. ................... 11. Zone or use district in which premises are situated ....... 'l~v.......~..~,..~..: ..................................................................... 12. Does proposed construction violate any zoning law, ordinance or reaulation? ..... ..~...O. .............................................. 13. Name of Owner of premises~,~.:......J..~....~..~..L...~...S..%~ddress .~...!Z..,.,...~....../.~...~?' ....... Phone Nc~/.~...~.~..~...~..~ Name of Architect ..L.:...~.~..o.~..~./~..~../~.~.../~ .................. Address ..~;~¥.),~....../~.,.~.. .............. Phone No ..................... Contractor~.~J.~l~.....Q(~P/~)L C~R.~. Address ~.j~..0 Name of ............................... j~'j~i,~'j:~}""~)y' ..... Phone No.J'/~.&....~....~..~... 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 number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, ~ c c COUNTY OF ................................ ,f ........ J.l~.~.O...: ................................. being duly swornI deposes and says that he is the applicant (Namcaof indivitJudl signing application) (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 file this application; that all statements contained in this application are, true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the ap[~cation filed ther~g~. Sworn to before me this / ,o £ \ /" } Comm::s,on L'x/]~res March 30, 19~/ I ~z~uop,F --~c ~L~' t d4"-I'To----' I i I I }N ROS HAL '~'IS~I suNRIsE HIGHWAY BABYLON. N. Y, MOH&WK 1-3530 c.~F ~ _N : 'T~I~I DRAWING HA~I BEEN PREPARED FOR A PARTICULAR BUILDING IMPROVEMENT ONLY WITH THE DISTINCT UNDERSTANDING THAT IS THE PROPERTY OF THE AECHI- ~E USER TH~EOF BECOM~ ~BTED TO TH~ ARGHII'~T A- __ ............. ~.RC~HiTE~ 859 SUNRISE HIGHWAY ~ I ~t~'~ :O' I ~ ss. 1 4; h L. Ik/i N~ ::OR FULL COMMISSION~ LEON ROSENTHAL 85f) SUNRISE HIGHWAY BABYLON, N. MO~4AW~ 1-3530 LEON ROSENTHAL 859 SUNRISE HIGHWAY BABYLON. N, Y, MOHAWK , - ' ::Z?-:./-. /%' I_EON RosENTHAL 4. I. A" ARCHITECT 859 SUNRISE HIGHWAY Y. oF ~