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Home My WebLink About2732-zFOKM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at .]~].....]~.{I&Qh.....]~,~I~'IR .............................. Street MapOl~...~.d.....~..~...t'~lock No ........ ~, ............ Lot No ...... ~,~ ............ I~ll.t~.t.~,~.13{3~;,.....~...~., ........ conforms substantially to the Application for Building Permit heretofore filed in this office dated .................................... &[0Z~.I....,.,~O ........ , 19.6.~.. pursuant to which Building Permit No ..... doted ............................ ~ ....... .~ ........... ,19...~., 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 ........ ..... l~vate..ene...£am~ly..dw$11~.z~ ............................................................................................ The certificate is issued to ........~'.(3~.~1~1,..~1~.0~,..~..~.~,~'.~ ....... ~l,~.~..l[I. .................................... (owner, lessee or tenant) of the aforesaid building. H.D. Approval July 19, by Ro Villa ................ ........ i..: .......... .I ............. Building Inspector t 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) N? 2732 z Date ............................. Permission is hereby granted to: ..... ,T~ s~epl~ ..& ...kOpeks ....-',la~on:l. ..................... ............... ~09.....wav~,.~...Ave .......................... ......................... ~,£o~.d.~.. Jl,.'~, ........................ to ..~],¢~...~e.w...Q~e...~.a~t,t:LY...~e.],:L~n~ .................................................................................... ct premises located at ....'lo~..3.1~.....~.~oelr..~,....~,a.pt,..J~L~d..~Jt,~.t,e~, ...................................... ......................................... Jf./.~.....l~&~l~.~l.~.e .......... ..~.t,~l~r,,.....]i~i~, ................................. pursuant to application dated ............................. ,J~r.~L....~0. .......... 19...~., and approved by the Building Inspector Fee $.. 1 O,~,OJO ......... Building Inspector / s-9 SCHD SUFFOLK COUNTY DEPARTI~NT OF HEALTH TO WHOM IT MAY CONCERN: Building Permit Ne. ~ $ ~ ~ 2 ~--- The sewage disposal facilities for a structure located at ~Give de~d location) have been inspected by this Department and found to be satisfactory. District Engineer JUt 19 1 b'5 FOBM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N. Y. Exom ned ..... ....... , Approved ........................................ , 19...w..... Permit No. ~ ........................ " Disapproved o/~~ .......... //5-- ..... ' ....................... ............................... APPLICATION FOR BUILDING PERMIT Date ....................... A~ril...3D .................. , 19...65 ..... 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 Building Permit. d. Upon approval of this application, the Building Inspector will issue o 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 sb~lJ 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. APPLI-C~;t:ION-~BY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance o~:'~R-~-'r-o~,bold, 5u.f_fglk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions b-r-~a~t-eTal-/ons;,-o~.for.~em~val or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building cod~-'~%~'~E~atations.. ..... 5.09...Wav. e:~l.y. Av.~au.~, ~f~.Oflp.~;.c;1,,...~.ew ¥..o..~..~.. ....... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ............................................................................... D~e= .................................................................................................... Name of °wrier °' premises ..:~..~.~hT.;~..:-~l~,~.~z, on~. ........................................................................... If applicant is a corporate, signature of duly authorized officer. ........ ~ .... ~, (Name and title of corporate officer) ]. Location of land on which proposed work will be done..Map No.: .,L6?.2..Ca~t..K±~l.d..~.~bt, Ne.,: ..3.4..~1~.ck..2 Street and Number ...... B~a~...~=J,~,...~a.tt£tu~,k.,...~aw...¥z~:k ........... ;. ....... :...;.....:...'.~._~.~;?. ................. Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construetion: a. Existing use and occupancy ......... .~..a~a~..~.oY. ................................................................................................. b. Intended use and occupancy ....... ~n~...~3.mil.~....c~_lZ~.n...g ......................................................................... property lines. Give ~treet and block number whether i~terior or c,~mer lot. / 3. Nature of work (check which applicable): New Building ~XZXZ ..... Addition .................. Alteration .................. Repair .................. Removal .................. Demolition .................. Other Work (Describe) ..................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ...... O~.e ............... 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 ................................ 8. Dimensions of entire new construction: Front ...... 24! ........................ Rear....~?~J ...................Depth ' Height .................... Number of Stories .............. (;~ ................................................................................................ 9. Size of lot: Front ...... 5g! ................Rear ....... 5g.~ ....................... Depth ..... 1RS"'~'~"£~'i'a Eo ~'iom[D.qon 10. Date of Purchase .JYJ~..qh,.....~.~.~.~. ............................ Nome of Former Owner .~rB~.~...T.Q~,Ip, ....................... 12. Does proposed construction violate any zoning law, ordinance or regulation? ............................................................ 13. Name of Owner of premises J&A.~la~on~, ............. Address ..Me~-o~ccl, ........................ Phone No ..................... Name of Architect Name of Contractor .J~$.C~..~..;..D..'..~...~l...~.....)~....~./.'..Address .~..~.~./4/4-- --v~-~.~.~. 4~.~.. Phone No. ~?....~...~.~,SA PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from or description according to deed, and show street names and indicate ORK, ~ c c f folk ............. ~ .... duly s~worn, deposes and says that he is the applicant STATE OF NEW ' COUNTY O,F ' .. S.~ .................. ..,~. ,... ~.~l~Ja .~ ................................ . ...... being (Name of individual signing application) above named.sHe is the ........... ~)WR~ .................................................................................................................................. (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 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 in the manner set forth in the application filed therewith. Sworn to before me this ........ ............ l~folk ~u~W Clerk'l No. ~.7161~ Cummls~lon Expires M~rch ~,