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Home My WebLink About2946-zFOI~M NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFF~CE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at ...T~/$.....~.Jl~.~e...~e,t,e~.~,..]~l, .................. Street Orient by the ~ea Map No ....................... Block No .......:i~ .......... Lot No. '3.'~ ........ 0r.le~t~.....~,.~, ...................... conforms substantially to the Application for Building Permit heretofore filed in this office dated ................................... J;)eo,~llt1~e~....,.~....., 19.6~.. pursuant to which Building Permit No..2~.~.6..~ dated ....................... D. eO., ........ '1 ............. , 196.~..., was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ........ ........... Pr..~.~a.t e...one.. ~.amtl.y.. ~we.ll. in~ ..................................................................................... The certificate is issued to ...D~-~,~,.e~..J~on~8~ ........................... 0~q~. .................................. (owner, lessee or tenant! of the aforesaid building, H.D. approval April 1~, ~966 by R. Villa ................ .......... ( ~' B'u~lding 'lnsp~r~tor ~ j ' ' FOI~M NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NV 29 6 Z Dote ............................... .J)eee.~J~l~...],...., l(Jl~.~'.... Permission is hereby granted to: Ton~...N~klun.... ,~C.. l)an;~aL lqonahan ...... .......... O~.~e~t~...l$.:¥, ......................................... to ~t;~d...~..one .. ,e~l.y.. 8~1. Z~n~ ....................................................................................... at premises located at ..;J,O~...~.~...l~t,~O~..~t..O~.;J~I~,t..J3y...t]3~..~l~ ................................... ................................................. · T.l~ee~ate~..&..~...~ea...I)r ............... G~$e~t ............................ pursuant to application dated ................................ J;~O4}~.beJ'......1,.., 19~o.~..., and approved by the Building Inspector Fee $ ll~i.,g.O ........... SUFFOLK COUNTY DEPA~NT OF HEALTH Date Bldg. Permit No. _2946Z .. TO WHOM IT MAY CONCERN: The sewage disposal facilities for a structur~ located at w/s .T~,rse Waters Lane s/s North Sea Drive, Orient .... -~i~e~e d locatio~ have been inspected by this Department and found to be satisfactory. District En~-~ineez District Engineer ''' FOP~M NO. I 'I~OWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ..,,?!~3, · ~,,. ......... ~ ............ , Approved ........................... :: ........... , 19.;/. .... Permit No. Disapproved a/c .............................................................................................. ................. ./..~ .......... ~...~ ..:,,.~y~,.. ....................................... (Building Insp~?tor) Application No~)..:}...c¢ .(~ ............. 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 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, end other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant c~grees to comply with all applicable lows, ordinances, building code and regulations. (Sign~;~fure of applicant, or name, if a corporation) (Address of opl~licd~) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises .... ~ ..................................................................................... 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..Map No.' ........................................Lot No.: ~;~- Street and Number~....~./..~. ~...~.....~.; ..... .'. ........... 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 -~ ' whether i,nt~rior or corner lot. 3. Nature of work (check which applicable): New. Buildihg .................. Addition .................. Altera.tion Repair .................. Removal .................. Demolition .................. Other Work (Describe) 4. Estimated Cost .../...//..,..~..q..O.. ...................................... Fee (to be paid on filing this application) ! / / 5. If d~.,elling, number of dwelling units ............................ Number of dwelling units on each floor If gd~rage, number of cars 6. If bgsiness, commercial or mixed occupancy, specify nature and extent of each type of use 7. Dimensions of existing structures, if any: Front ............... i ............ Rear ................................ Depth He ght ........................ Number of Stories Dimensions of same structure with alterations or additions: Front ....................................Rear Depth ................................ Height ............................ Number of Stories ................................ · 8. D~mCns~ons of entire new construction: Front ......................... Rear ............................ Depth Height ..../..~....~. ....... Number of Stories / . , :. ............ 9. Sizerof lot: Front ...... : ........... /..~...".'... Rear ..... :...: .......................... Depth 10. Dote of Purchase ........................................................ Nome of Former Owner .....'~..t.~.: ............. 1 1. 7'on~ or use district in which premises are situated ..... ~4~..-,.~. ........................ 12. Does' proposed construction v elate any zoning law, ordinance or regulation? Na 'e of Owner of remises .~..~ ~ Address ?-F/'~{..~,~.~ ~7~ ,Phone . 13. n] p .............................................................................. ~.' No Norge of Architect ................................... .~, ................. Address ................ : ........................... Phone No. Name of Contractor ......~Z~..~ ....... Address ......... ~.~1. .. Phone No? PLOT DIAGRAM kocat~ clearly and distinctly ell buildings, whether existing or proposed, and indicate all set-back dimensions property limes. Give street and block number or description eccording to deed, and show street names and STATE OF NEW YORK, t S S COUNTY OF .,~.~/.Z:-.~.q..Z../~. ............. ................. i......Z.~.//Z.l .......... //~.x~..~/~.'~.~.~/~. .............................. being duly sworn, deposes and says that he is the applic~ (Name of individual signing application) above named. He is the ............................................ .C~..~'....~..~...~,..C...~..~..~. ................ (Contractor, agent, corporate officer, etc.) of said owher or owners, and is duly authorized to perform or have performed the said work and to make and this opplici~tion; 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 Npfore me this 19.~.~.. ........ ....... day of ................. ................. , - ! .~ .~ /., -~., .,~ _ , . ....... I,....~...~..'~-..~.....,~.;,/.....oT....'~.~...~_...'-m-~.. ............ Notary Public, 4::~,~?~....~.~.~-r;~j~,i~.~..~.~.~,C3~..nty ~ (S.gnoture of applicant) ~ ~' ,/'/~OTARY PUBLIC, State of New York No, 52-7267800 ~;u ffolk q'erm IC, xpires M~rch