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Home My WebLink About2654-z~ FOI~M NO. 4 -- TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No.Z...2.~_~.9. ............. Date ......................... ~.~.....12...., 19.6~... THIS CERTIFIES that the building located at .j~&~_ ~0~.¢~ ........................................... Street Paradise P&~nt ~ap ~o ~75~ ............ ~lec~ ~o ..................... hot ~o. 1..&..~c..~ ...... ~.c~th~l~..~,.~, ..... conforms substonhally to the Application for Building Permit heretofore filed in thru office dated ................... J~j~lt~ ..... .i~ ............ , 19.~'. pursuant to wh,ch Bu,lding Perm,t No ~.~.~...Z.. dated .................. ~.Oh ...... ~ .......... 19.6~', was zssued, and conforms to all of the requirements of the applicable prows~ons of the law The occupancy for which this cerhficate ~s msued ~s ........ . ~. lv.a.t e...one..~amil~....d~.e l/.ing ........................................................................................ The certificate is ~ssued to ..~I,.'I.]L~IEI~..~.,...~.O~['~ ........................ tg::~e~t. ................................. (owner, lessee or tenant) of the aforesmd budding H.D.Approval ~an. 10, 1966 by R. Villa ....... Building Inspector FOP, Wi 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? 2654 Z Permission is hereby granted to: ],], ..]~r...¥,l,e~ ..A~.e ............................................ ....... ~m.e.~, ..... ~,.X~ .................................. to .... ~,~3_~...~...om..~'~.~...6'~Z~:~ ................................................................................. at prem,ses located at .... ~L~I~..~,..~:...~'..,~O.~..~,I~....~..It~..II~L~.~I..~.Q~,~...~.~. .............................. ...................................... ~Z~......;~.~.~..~.~.~,...P~r.~.~m.e...~.~;~.u.~. ............................................... ......................................................... ~.o..~..z~., ..... ..,..,...z.:. ................................................................... pursuant to application dated ............................... ..]~...i'..~.~........~. ........... 19...~..~.., and approved by the Budding Inspector Fee ~..0. ~ ~. ........... Building Inspector SUFFOLK CODI~TY DEPAEN~NT OF ~&LTH JA~] I 0 1965 Date ~J. dg, Per~t% No. TO WHOM IT MAY CONCERI~ The sewage disposal facilities for a structure located at ..... <1,, ~~. ~ ~.~~ /~. _. - (Give deed location) have been inspected b~ this Department and found to be satisfactory. FO~ NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved ~ 19.~Permit No. (Building Inspector) APPLICATION FOR: BUILDING PERMIT a ! Date ..... ~..Eg.~,...~,..l~5 .......................... ,19 ......... INSTRUCTIONS o. Th~s application must be completely filled in by typewriter or in ink and submitted in duplicate to the Buildir Inspector. b. Plot plan showing location of lot and of buildings on premises, relobonship to adjoining premises or public streets areas, and g~wng o detailed description of layout of propertymust be drown on the diagram which is part ob this opplicatio c. The work covered by this application may not be commenced before ~ssuance of Building Permit. d. Upon approval of this application, the Budding Inspector will issue (3 Building Permit to the applicant, Su, permit shall be kept on the premises available for inspection throughout the progress of the work. e. No budding shall be occupied or used in whole or in part for any purpose whatever unhl a Certificate of Occupan. shall have been granted by the Bulldmg Inspector. APPLICATION IS HEREBY MADE to the Budding Department for the issuance of a Building Permit pursuant to tl Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulohons, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describe The apphcant agrees to comply with all applicable laws, ordinances, building code and regulations. (Signature of opphcant, or name, if a corporation) 11 ~a3~iew Ave M anhasset, N.Y. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electr,cian, plumber or budd: General Contractor Name of owner of premises ..................~..i..1..1.$...~...T...C..o...~....q~. .............................................................................................. If applicant ~s a corporate, signature of duly authorized officer. ............................ ..... ............................ (Name and title of corporate officer) l&2 1. Location of land on which proposed work will be done. Map No .... .~?.(~;t, ................................ Lot No: ................ Street and Number ................... ~.s..i.~..~.o..a..cl,.r ........................................................................................................... Municipality 2. State ex~sting use and occupancy of premises and intended use and occupancy of proposed construction: o. Existing use and occupancy Vacant Land b. Intended use and occupancy ............. ~z'j, ff~,$.e..k~f~C.;;kC,.e.~.q.e. ............................................................................ 10 11. 12. 13. Nature of work (check ~licable): New Budding ...... · ......... lition .................. Alteration Repair .................... Removal .................... Demolition .................... Other Work (Describe) ................................... Est,mated Cost ...........$...~,,.O. QQ,.QQ ........................... Fee ............. ..'~......./.../~..c....C~....C~.. ................................................. (to be pa~d on filing this apphcation) If dwelling, number of dwelling units ....... ~ ................... Number of dwelling units on each floor ....... .1. ................ 1 If garage, number of cars ........................................................................................................................................ If business, commercial or mixed occupancy, specify nature and extent of each type of use ............................. D,mensions of existing structures, ~f any: Front ..........................Rear .......................... Depth ......................... Height ............................ Number of Stories ............................................................................................................ D,mens~ons of same structure with alterations or additions: Front ................................ Rear ............................. Depth .............................. Height .............................. Number of Stories '-'_'z~' ........ ','"';: ............... ' "' ~ 6' · . 79 : 4 fi~Jlll~79 4 Dimensions of entire new construchon. Front ............................Rear ............................ Depth ......................... Height .... .1..4,...t. ................ Number of Stones ........ .1. .................. Size of lot: Front ......... .1..5..0.! ............ Rear ..... .3:.5..0..'. ............... Depth ...~..2~..! ...................... Date of Purchase ..................... .1.~.6.3 ........................... Name of Former Owner ....~..~.~...~..(,~?......~....~... ........... Zone or use district ,n which premises are situated ...... ~ ...... ~ ................................................................... Does proposed construct,on v,olate any zon,ng law, ordinance or regulation? ..... ~TO ........................................ Name of Owner of premises .~.$~.],..~.~...?...0..9.~.~..9~. ...... Address .................... )..'~D.C.~.'q~..b..,..~..~hone No....8...g....~..2.c2. Name of Arch,tact .Z;~l~g..~0~;te,~'.~ ....................... Address .......... G~.~.$..~.e.9~,..~,.~.~.. Phone No,T~T...7...9.9.~,~. Name of Contractor .J..~...~.e.~.°.~...~..°..m..e....!..~..~.],..?.°...?.] ..... Addressl.]:...~.~.t..e..w...~z.e..'...~?.~;hone No..~....~....6..2..8.,' PlOT DIAGRAM Locate clearly and distinctly all buildings, whether exmtmg or proposed, and indicate all set-back dimensions property lines. Give street and block numbers or description according to deed, and show street names and india whether interior or corner lot. STATE OF NEV~Y_ORK, ~ COUNTY OF C.~.~..f S.S. Z.z,7' . ....~...~1J..~.4~. ~.~...~. .................................... be,rig duly sworn, deposes and says that he is the applio ........... (N~me of ,ndividual s,gning application) above named. He is the .................................. ~.~.s.-r.~t~~..:...~.:..=:.~. ,r,w....-z ........................................................... (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 thru applicat,on; that all statements contained in th,s application are true to the best of his knowledge and bel and that the work w,II be performed in the manner set forth in the application filed therewith. Sworn toJ~efore me this ~ ........ N -54 ; ...................................... i':'"" ...................... Nj~,~bil~i~~__.. ~~ Count~ (Signature of applicant) ~,ommlssion Expires March 30, ~,96~