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Home My WebLink About2844-zFO~H NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at ..]~/S;....~J~.e)s.wa.~f~]~.s....JJ.a. ..................... Street M0ap~o~.t......?..~.....~..~.?.. I~l~c~ No.?~.~..*....~.... Lot No. ~1~. ........... 1D~.~,~,.....~,Z, ..................... conforms substantially to the Application for Building Permit heretofore filed in this office dated .................................. At.i~t~.....~..~. ....... , ]c).~'... pursuant to which Building Permit No....~.~..~..~.....~ dated .............................. .A.?.~.~.~.....],.~..., 19...6.~.., 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 ........ .......... l~.v. ~.e...one.. ~. a~l~....~.~.~ llin~ ...................................................................................... The certificate is issued to ....~iJ.,ll~,~l,..J:~.e~f~,¢l.~ ................... ...Ol~,e~. .............. .. ................................ (owner, lessee or tenont) of the aforesaid building. H.D.Approval April 26, 1966 by R. Villa Building Inspector j FOI~M NO. ~ 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) ~1'-0 ~8~ Z Dote .......................... .&~i~lt~t, · .. · ~L~' ......... , 19.6.~.. Permission is hereby granted to: Ne~ · .Ettgt~-,~d-. Home ~ .. 'L, tc.....A~..-t~....l~eedy · ..,Te~,lehe.-~pk .................................................. ....... ~t~"3'~m~m'"r-';'Z; ......................................... to ..... B~-i~t" new" one "fam~'l~"dwe ['TinK .................................................................................. at premises located at ..........'l~)~..].~l,i...S~...~ ......... OF~.~'t~"~l~lr"~h~q"~ll&' ................................. ...................................... ~ee..9~at~z-s.. ~,a'~ ........ 0z'2ent'i'" ~f;'~[~ ................................................. pursuant to application dated .................................... Ai1~11~;.....~.19, 19..~., and approved by the Building Inspector Fee $.-...~.~OO ...... N 15 t2~. 0 WI LL. IAtM MAP OF' LAh~D SUDMf~YED ~ DOP. OTNY P~EE~. Y AT O~1 ~NT ~S-9 SGHD TO ~,,~{OM IT MAY CONCERN: SUFFOLK COU~ffY OmPA,~T~ ,ENT OF HEALTH Date Building Permit No. The sewage disposal facilities for a structure located at [(Give deed loca'%i0n) EAST SIDE OF T~P~.~, WATERS LANE~ ~ 910' NORTH, OF PARKVIEW LANE~ 0RIE~ POINT, TOWN OF SOUTHOLD have been inspected by this Department and found to be satisfactory. District Engi~e ~1~, District Engineer FOI~M NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ApproYed ..................... ' ................... , 19.~ ...... Permit No ............................. Disapproved a/e .............................................................................................. ................... {..L ........ '~.,.:.~::;..'.::L::;.:~ ..................................... , (Building In~p~or)e~t , Application No ............................. APPLICATION FOR BUILDING INSTRUCTIONS a. This application must b; 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 oll applicable laws, ordinances, building code and regulations. .......... ..?-- ~.~...~f~.; ........................................................... (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. If applicant is a corporate, signature of duly authorized officer. :. ~ (Name and title of corporate officer) 1. Location of Jond on which, proposed work will be done. 6/~,o~ Municipality 2. 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 ........ c]~,e,2.].,~ ..................... ] ................................................................................... L.ocat, property whether 3. Not6re of work (check which'applicable): New Building ..... ~,~ ...... Addition ........... ....... AJt~r0tJ0tl ,...., ......... Repair .................. Removal .................. Demolition .................. Other Work (Describe) ' . ~i~ 4. Estimated Cost ..... ];,~000~ ......................................... Fee ...................................................................................... ! (to be paid on filing this application) 5. If dkelling, number of dwelling units ............................ Number of dwelling units on each floor ........................ If g~rage, number of cars ......... ~ ............................... , . . 6. If ~usiness, commercial or mixed occupancy, specify nature and extent of each type of use ........................ 7. D m~ns ons of ex sting structures, if any: Front ............................ Rear ................................ Depth ................... 'h Hei~ll t ........................ Number of Stories ............................................................................................................. Dim~.nsions of same structure with a,lterations or additions: Front .................................. ~. Rear ........................ Dep[h ................................ Height ............................ Number of Stories ................................ 8. Dim?nsions of entire new construction: Front ......... ~. ...................... Rear .......... .~. ........... Depth Height ......~...I. .......... Number of Stories ~ 9. Sizelof lot: Front ...... ~..I. .............. Rear ........ ~ ..................... Depth ................................ 10. Dat~ of Purchase ........................................................ Name of Former Owner .................................................... 11. Zon~ or use district in which premises are situated .............. .".~..J~,~;OP-,~ ......................................................... 12. Doe~proposed construction violate any zoning Iow, ordinance or regulation~ Na~e of Architect ...................................................... Address ............................................ Phone No ................. PLOT DIAGRAM ~ clearly and distinctly oil buildings, whether existing or proposed, and indicate all setLbaek dimensions fa ~es. Give street and block number or description according to deed, and show street names and indict ~rior or corner lot. STATE OF!N EW,,,YOP-x,I/-~, x~/ 1, S S COUNTY pF :..~ .......... ~ ' ' ...... E.....~..,...../~..~' ~../~.~,~ ...... .~....~. ~ ....... ~ ~,~" .......................... be.ng' duly sworn, deposes and (Name of individual signing application) above n~rr{ed. He is the .................................................... ~...~,?.,~.....~...?-...~....~....~../,?,X~. (Contractor, agent, corporate officer, etc.) of said owper or owners, and is duly authorized to perform or have performed the said work and to make a,nd this application; that all statements conta,ined in this application are true to the best of his knowledge and belief; that the wc~rk will be performed in the manner set forth in the application filed therewith. Sworn to b,~fore me this /n ...... · /....~....~ ...... day of ...~ ............... , 1~...('... ~-'.,_./~'~L?m:. ~, c.oc~ Suffolk Cmmt~, 1,~o[ 52-01103500 says that he is the applic¢