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Home My WebLink About2733-zNO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at ~l/.E,....~.:Ll:te...'~'z'ee..~,oad ........................ Street Map No. ~ ........... Block No....~[~1:~ .......... Lot No. ~ ......... CVt~ho~t.....JJ+~~ ........... conforms substantially to the Application for Building Permit heretofore filed in this office dated ................................. ~,]~.;{,~.....;{~, ........... , 19.~.. pursuant to which Building Permit No....~.~.3~..~, dated ............................... ..~......~. ........... , 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~.l.ve t~ e.. ~me...£,m l.],.y.. ~l~e l.Z .lr~ ............................................................................................... The certificate is issued to ..... kl.t..2.11~J{l..~l{~.~$~ .................................... ~ ......................... (owner, lessee or tenant) of the aforesaid building. H.D.Approval Aug 17, 196~ 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 AUTHORIZED) N? 2733 z Permission is hereby granted to: Zaey.. ~oae~.. A~.¢..W~.lt.{,am.. l~,ai'~. ~r.. t,.~ ........ ........ 3~.~.9....v. ~.t.~.r.~{~...~..~. .............................. ............. ROakD~k,o...,~_. ~...N~ .Lt.'. ............................ to ..... ~uiLd..ne~..~ne..~a.,mt~¥...d~Ll.i~ ................................................................................. at premises located at ...]~[/~.....~Re...~.z~ee..~,ol~l ............................................................................ .......................................... Ca~t~h~ue,.....~, g.,, ................................................................................. pursuant to application doted .............................. ~,LO~..~,~,....~,~ .......... 19..~5..., and approved by the Building Inspector Fee $.10,.00. .......... Building Inspector / / M,~P OF' V'qlLLIAi',,fl 4: HELEN IP..~FFEI~Ty ~T CUTC 1,~ T~N OF* ,.~OUTHOL. O~, ~C~LE ~ ~0'~, I" S-9 SCHD SUFFOLI~ COUntY D~RIu~T~,~ OF ~t~LTH Date June.~lT, 1_~6~_ ..... Bldg. Permit No. 2733 Z TO ~IOIi IT i~\Y CONCE?J~: The sewage disposal facilities for a structure located at N/S Pine Tree Road, 552' E/O Bay Avenue, Cutchogue .... (~-T~'e' 3'~¥ have b~en inspected by this 3epartment and found to be satisfactory. DistriCt W. n~n~e r ~ 1 7 19~ FOt~M NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. .......... , Approved .................... ~.~.. ............... , 19...)...Permit No..................c~ 7 ....... ~ '~........~ Disapproved a/c .............................................................................................. Application No ............................. APPLICATION FOR BUILDING PERMIT Date ............................................................ ,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 public streets or areas, end giving a detailed description of layout of propertymust be drawn an 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 i~or 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 laws, ordinances, building code and regulptions. -- /~ .. ......... ......... (Address of applicant) State whether app/licant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Nome of owner of prem ses ......................................................................................................................... ~ .................. ff oppHcont ~s ~ corporo$e~ s~onoturm of du~y outhoHzed 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~...~..,~(..l~...~...?....~.~.~..~.~.~..~.: .~...~..} ..~/.8. ~..~.~ ..~....~..~... ~iJ..~..,!..~...~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 O~I~/~/%/~t11~.' I~/%lu~J~ 1~/~ ~..~..~.L./~I&/.~... / 3. Nature of work (check which applicable): New Building .................. Addition .................. Alteration .................. Repair .................... Removal .................... Demolition .................... Other Work (Describe) ...................................... 1 o Fee .......................................................................................... 4. Estimated Cost .......r ................................................... (to be paid on filing this application) §. If dwelling, number of dwelling units L 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 b/pe 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 ....-~.. .................................. De tb B, Dimensions of entire new construction: Front ............................Rear ............................ p ............................ Height ....... L.~. ................. Number of Stories [ ................... 9. Size of lot: Front ......!.?..O.z .............. ..Rear ...... !.i~i:.i .......... Depth ?...O..?.....~....~.....~'... ........ ..... Ida V, If~(~/~ Nlnm, n' Former '~'"ner ~-U~-- ~' F...~..~....~..[.. 10. L~ore at t-urcnase ...... ....... ~ ........................................................ r_~.:~_.ll/l~,~/~"[. ...................................................... 11. Zone or use d~stnct ~n which premises are sffuated.....~. ....... /.! ............................ ~1 ............................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? ..I.: .................................................. Name of Contractor .................................................... Address ............................................ Phone No ..................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-bock dimensions from property lines. Give street and block numbers or description according to deed, and show street names and indicate whether interior or corner lot. [ O~ STATE O~.~JWEM/'YORK, / _~ (~,~..qU" ~ COUN~ OF ........ v ..... ~.-'-' - ~" ~ I~~0 L~ L~. be n~du s poses end ,~ys tho, H, s the opp ,cant ...................... ~.;; ............................... ~ ........... ~~t he is the oppl' of said owner or owners, and is duly authorized to perform or hove performed the said work and to make and file this application; that ~11 statements contained in this application ore true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the appelation filed therewith. Swo~to~ore me this ~t ~ , ~ / / --