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Home My WebLink About2879-zFOI~IVi NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No. Z abl3 Date Ma~ '9 I9 66 THIS CERTIFIES that the building located at W/~.....0~...~.~, ..................... Street' ~Eoui/pne He~gthe p I~o ....................... Block No ......~ ........... Lot No. 75,.~6.,.2~, ....... O~.~h.~g~ .................. conforms substantially to the Application for Building Permit heretofore filed in this office dated ..................................... A~ .......... 2~ ....... , 19~... pursuant to which Building Permit No..~.~...~. dated ........................... ~.e~.....2~ ..........1~.~ ..... 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 ........ ......... ~J~a~.e.. ~...~.,..~xceZ~g ............................................................ The certificate is issued to ....~.~..~O~g.~..~..~ ...................... ~.~ ......................... (owner, lessee or tenant) of the aforesaid building. H.D.Approval May 6, 1966 by R. Villa 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 ^UTHORIZED) N? 2879 Z Permission is hereby granted to: Br anehv&lle..Con s.~.uc f~ton ..C~ · .A]C..G~or~ e ~oerger ..... ~7.... Ca~l~l ~e..I~l.~e ............................. ....... ,qmJ. t,h~,~ra ~.. i{, .£, .................................... to .. jJ~l~.l d'"~' ~1'~..-fs~' .3 ~,.. ~r~ ~' t'~:~ ..................................................................................... ct premises located at ..lo~..~.~,.7.6,.~7.....~.~ene..He~f, hs ...................................................... .................................... Oalc..~t~e~, ....... Gu.~h~ue~.....8..~. ..................................................... pursuant to application dated ........................ ~t, embeF.....~.~ ...... 19..~.~, and approved by the Building Inspector Fee $-%0',-00 ........... Building Inspector / SUFFOLK COUNTY DEPAEI~ENT OF HEALTH Bldg. Per~% No. T0 WHOM IT MAY CONCERN: The sewage disposal facilities for a structure located at ~ w,/s Oak St~ 348' ~o Pierce Street (~vi~ dee~ i0cation) Cutchegue have been inspected by this Department and found to be satisfactory. District Enginee~ ~-~' ...:~ Distric~ Engineer .... ~'~, ~' ' FOBM NO. 1 TOWN OF $OUTHOLD BUILDIi~G DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined .....~....~....~........, 19..~.~...''' Approved ...................... ~. ................ , 19...~].... Permit No. '~....?..c./...~... .... Disapproved a/c/////...~..~ ....................................... (Building Ir~pector) Application No. u~-~ 7 /~ APPLICATION FOR BUILDING PERMIT Date ............. . .~/...2T/..?.. .............................. , 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 location of lot and of buildings on premises, relationship to adjoining premises or publ c streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is port of this applicat om 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 pursuar;t to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Lows, 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, bu~F~g code ..... (S'g ature of~pplica~(~;p~r';¥'i;;')' ........ State whether applicant is owner, lessee, agent, architect, engi.neer, general contractor, electrician, plumber or builder. ........ .......................................................... . ............... Name of owner of premises ...... ...~..~...?../~....~....~...~......~..:.~....~....~.../~...~....u~..~..../~..~..~.~.~...~ .~..? ...~_~..,~.~ .............................. · If applicant is a corporate; signature of duly authorized officer. (Name and title of corporate officer) 1 Location of land on which proposed work will be done. Mop No.: L"t k~o · 7-~--~& Street and Number ....~...~../.~.~;T/--~.......~.~.....~...../:~.....~...~'..--~.........~....'~...~...../....~./..o......~.../.~ ~ ~...x~....~...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 · - / 3. Nature of work (check which applicable): New Building .................. Addition .................. Alteration ' ' ' ' Repair .................. Removal .................. Demolition .......... 'v'"~ oC)ther Work (Describe) ........................................ 4. Estimated Cost ...~'~y~..~. ............................................ Fee .Z~ ..................................................................................... (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 ............................ Number of Stories ................................ B. Dimensions of entire new construction: Front ......... ~....~.......f ............. i Reor ....... ~../. ........... Depth ....~.....~'...../. ......... Height ......,/..~.../..... Number~,.~., "°f Stories ........ ~i~'~'~' '" .............. I~ ....................................... 9. Size of lot: Front ............. ,,...~......... Rear .................. .....,- ......... iiii?'~."~.~?iiiiiiiiiiiiii 10. Date of Purchase ...... .../~.-.'~..~.. / ~..~.A~.. ............... Name of Former Owner ...~..~..~...~'Z.~.......~'.,~'~.~..~. ............ 11. Zone or use district in which premises are situated ..................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? ...... ~.~ ............................................. 13. Name of ~ner of premises .~.~.~..~ ........ Address ..~~..~... Phone No7~:~.~. Name of Archit~t ~:~:....~.~ .................. Address ~~,..~ ........ Phone mo ..................... Name of Contractor ~~4e~.~.~..Address ~7~/~ ~, Phone No. ~.~[~? · ......./ PLOT DIAG~M ~ Locate clearly and distinctly all buildings, whether existing or pr~osed, and indicate oil set-~ck dimensions from proper~ lines. Give street and block number or description according to deed, and show street names and indicate whether i~terior or corner lot. STATE OF NEW'YORK., - ~ ,-,- COUNT<(~.' ~~1'~''' J' ~-''~'/~, .............. /....~ec:~..,...~wrr,~..,.,..~. ...... .,,~t'..~?,,,CZ .k~'.(~....'%..~'.. ....... being duly sworn, deposes and soys t~t he is the applicant (Name of ~dividual signi~applicati~n) above named. He is the ..................~ .................................................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to ~ke 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 Jn the manner set fo~h in the application filed therewith. Sworn to before me this ~ ~ ~OTARY PUBLIC, State of ~ew~. I /~ ~ ~ ~ Suffolk County Clerk's No. 52 01300~ lb'. 0 '? '.9 _ MaP Of EUGENE HEIGHTS STREET I OCT. 29~1928 MAP 856 - / qB . ~,,~, o ~ GUARANTEED TO: o O M GUARANTEED TITLE DI~TAMER CAN TITLE I NS.~.,~ i 1~5. oo,. MAP OF LARD LOCATED CUTCHOGUE GEORGE A. YOERGER 50/ ,