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Home My WebLink About2938-zFOR~V~ ~0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. No. Z .~.~l .... Date ....... ....... Sep~mb,ar. 9..- 19.66 THIS CERTIFIES that the bufldfnE located at .... ~/$,. ~.tl~O~. ~O~Ct .Rd.. Street Map No. Fair. ~.l~r. ~ No ............. Lot No ...... Y~ .... &o~t~lold~. N,['.,. conforms substantially to the Applicati.on for Building Permit hereto~ore filed in this office dated .... ~0.~2~;~...22, 196.~ pu.rsuant to which Building Permit No..2~..Z dated .......... ~o~,....2~ .... 19.~,~, was issued, and conforms to all of the require- ments .of the applicable provisions of the law. The .occupancy .~r which this certificate is issued is .. ~;l~at~ .c~. Cami.ly. d~].tiAg ......................................... The certificate is issued ~o . .~eo~g~ .~., .Berr.~ ........... , .~1~. .................. (owner, lessee or tenant) of the afore.said building. .Suffolk County Department of Health Approval . ~e~.~ .~.~..~9.66...by..~.~ll~a ........ FOP~I[ 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? 2938 z Date ............................ ]J~'elll13~:~.....~..., 196~'... Permission is hereby granted to: ...Oeor~e...,T.,...~,~-y ........................................ ..................... B~cho.l~ ........................................ to ,B~,:i.~.d .. zm.~ .. ~z~' ..t~mzl:L~¥...d~ze:Ll.~J ...................................................................................... ct premises located at ~.~.....tlQ~..~..~)'~...JJi~TId...L~,~S ........................................................................... ................................................. Se~the14~...-.t~o.Y., ............................................................................. pursuant to application dated .................................... 'NO~"~ ........ 2~" 19'6~'" and approved by the Building Inspector Fee ~,O.00 ............. s-9 TO WHOM IT MAY CONCERN.. The sew~age disposal facilities for a structure located at have been inspected by this Depa~oment and found to be satisfactory. Dis~rio~ ~r~Ineer DistriCt Enginee~ FORM NO.I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ....................................... , 19. .. Approved i~' .~.~. Z...~......~.'......'~ ........................................ , 19.~? ..... Permit No.. . APPLICATION FOR BUILDING PERMIT Date ....... N.o.~emb.er..2.~., ......................... , 19_.6.5 ..... 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 po,rt of this application. c. The work covered by this application may not be commenced before issuance of BuiJding 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 Iow~, ordinances, building code .a.nd regulatioas. (Signature of applicant, or name, if a corporation) Seawood Drive, Southold, m~Y. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Owner and builder Name of owner of premises ........ Gl~.o.~'~e..~o...E~e~,~.D' ........................................................................................................ If applicant is a corporate, signature of duly authorized officer. ~o (Nome and title of corporate officer) 1. Location of land on which proposed work will be done. Map No.: ........................................Lot No.: ........................ Street and Number ....... zl3~o~..l?o~'q.d...Ro.ad...~...~aa,~v~.w..~.,e.~]~ ........... E]o~zt~o. lct,~. E,Y. ................. Municip.ality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .~.J.~.~ ~oc]]],~o.d ..... b.' Intended use and occupancy ...... .............................................................................................. 3. NatUre ~f work (check which applicable): New Building ..... ~ .......... Addition .................. Alteration ..,~I .......... Repair i ................. Removal .................. Demolition .................. Other Work (Describe) 4. Estlr~ated Cost ...............]:...8.,t.0...0..0..:..O..0. ......................... Fee (to be paid on filing this application) 5. If d?elIjng, number of dwelling units ........... .o...~..e. .......... Number of dwelling units on each floor If gc~rag~e, number of cars ....... Two' 6. If bbs ness, commercial or mixed occupancy, specify nature and extent of each type of use ......... None ...... 7. D~mcns~ons of ex st ng structures, Jf any: Front ............................ Rear ................................ Depth Height r ....................... Number of Stories Dimensions of same structure with alterations or additions: Front ....................................Rear Depth ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front ...... ,52.~. ....................... Rear ....,~2, .................... Depth ..~*¢ ........ ["lei hr: ................ Number of Stories ..... ~.9.~'~....~..~.~,~. ............................. 9. Sizeiof jot: Front ...1...9..5..~ ................. Rear ..... .8. .2. . ..,9. ~ .................... Depth ...'.3.~..8: ...................... 10. Dat~ ofI Purchase ...1~..1~..~.8. .................................. Name of Former Owner.-~.o..u..~.h..o.~..~.....D..e..~..e..~..o.~.m.e.~¢ 11. Zone or] use district in which premises are situated ...... 12. Does proposed construction violate any zonino law, ordinance or regulation? George J. Berry Seawood DrTVe No.765_219 13. Name of Owner of premises ........................................ Address ............................................ Phone Nar~e qf Architect ...A.:.....q.o..1..~.s..q~.$.t..h,. ...................... Address ...S,.,o,~.~.h..Q..~..d..~...~.:.~.: ......... Phone No. Nar~e ~f ContractorG..e...°..r.~.e.....J..:....~..e...z:6~ .................. Address ...S...O.,~.%.,.h..o...~..d..~...~,:.~.: ......... Phone ~o~5-~19;~ PLOT DIAGRAM L.ocatb clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions property lines· Give street end block number or description according to deed, and show street names and whether interior or corner lot. STA'FE OF NEW YORK, ~ ¢ c COUNTY :OF '"'Stl'~k' ........... ~ .... ................. ~...Ge~)~.~..6. o..]~e~'~.~¢ ......................................... being duly sworn, deposes and says tha¢ he is the ](N6me of individual signing application) obow~ no~ed.~ He is the ...............~. (Contractor, agent, corporate officer, etc.) of said o~ner, or owners, and is duly authorized to perform or have performed the said work and to make and this oppli~oti6n; that oil statements contained in this application are true to the best of his knowledge and belief; that the Work will be performed in the manner set forth in the application filed therewith. Swam to yfore me this ; 22'~, ~f November ~9 65 .......... ............ . Notary P b cZ ..~ .... u ~ ~u~ull ~'"'"[ ~u~ nature Of