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Home My WebLink About3219-zFOI~M ~0. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Of[ice Southold, N. Y. Certificate Of Occupancy No. Z 3?99 " Date THIS CERTIFIES that the building located at Map No. :[X · Block No.~ Lot No. · pril ~? , 1970 ~/~ Deep ttole I)~ Street Xx ~ttituck .. N,Y,,. conforms substantially to the Application for Building Permit heretofore filed in this office dated ,. 'Sept' 12. , 19 . 66 pursuant to which Building Permit No. 3219Z. dated ....Sept' " I1+, 19.66, was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is Private. one fmait¥ dwe3 ling ................ The certificate is issued to Clifford[ & .t4ar.y Egtnton .... Owner (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval Jlme 25. · ~968 by. t~ Villa Building Inspector ~ouse ~ ?80 FORI~ 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? 3 2 ! 9 Z Dote ........................ l{~rp.temnbe~,..._l.~....., ~9.56.. Permission ~s Hereby granted to: ................. C3,~.~'Qz~..~S~t~m ........................ ................. ~-. gee~ ~e~l~. eh.. ~l ................. ................... I~._~-~.~to~.~...}~. y.~ ........................ to. ~d..l.~.. ne~.. on~..I'ma~ .~..cl~e~,l ~. ................................................................................. at premises located at ..W~{~..-..~T~;..-b~-an~]~..I~..H~]~..I3gF~ ............................................. ................................................ ~t~i~-~mk ~.....1~.¥.~. .......................................................................... pursuant to application dated ....................... 8~t~:11~1~'.....]~ ...... 19~:~..., and approved by the Building Inspector Fee $ ..,~O.e.O0. ......... FOII,]V~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the build,ng located at ..W~.....Dee~..FTo~..~'~..D~. ............ Street Map No ..... ~ ............ Block No .:11~ ................ Lot No .~j~ .......... ~l~'l-~e~.¥ ....... JJ~¥.~ ........... conforms substantially to the Apphcat,on for Building Permit heretofore filed in this office dated ..................................... .~.~.~..~.. ....... ~ ...... , 19...~..~.. pursuant to which Build,ng Permit No .~1.c)..:~ da¢ed ................... .~.?..~.~.. ......... ~..~. ......... , 19....6..6., was issued, and conforms to aJJ of the requirements of the apphcable provisions of the law. The occupancy for which th~s certificate is issued ~s ........ · ~J.~..one...£~r.. ~w~l.l~l~ ......................................................................................... The certificate is issued to .... (~:L~f.~o~d.,~?c,...~j'.,~t~.tot~ ..................... ~B ..................... (owner, lessee or tenant) of the aforesaid building H,D ~Appr o cai ~une 2~ 1968, by R. Villa Building Inspector House ~ ~780 S-9 SCHD SUFFOLK COUNTY TO i/liON IT NAY CONCERN: The sewage disposal factifttes for a structure located at (Give deed location) ~spected by this department and found to be satisfactory. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N, Y. Approved ........................... ~ .......... , 19....~.... Permit No...... ~)''' ........./....... ~ ....... ~'- Disapproved a/c ........................................... ~ ..................... __ APPLICATION FOR BUILDING PERMIT Date ........ ~e.c~t,o..~,s..~L,~.~. ....................... , 19 ........... INSTRUCTIONS a. This application must be completely filled m by typewriter or in ink and submitted in duphcate to the Building_ Inspector. b. Plot plan showing location of tot and of buildings on premises, relationship to adjoining premises or pubhc streets o areas, and g~wng a detailed description of layout of property must be drawn on the d~agrom which is part of this application c. The work covered by th~s application may not be commenced before issuance of Building Permit. d Upon approval of this application, the Building Inspector w~ll issue a Building Permit to the applicant. Such permi shall be kept on the premises available for inspection throu§hout the progress of the work. e. No building shall be occupied or used in whole or in part for any purpose whatever untd a Certificate of Occupanc; shall have been granted by the Building Inspector APPLICATION IS HEREBY MADE to the Building Department for the ~ssuance of a Building Permit pursuant to th, Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other apphcable Laws, Ordinances o, Regulations, for the construction of buildings, additions or alterations, or for removal or demohtion, as herein described. The applicant agrees to comply with oil apphcoble laws, ordinances, buildmg,.cvpde o0fl rp~T~ions (Signc~fe o~pl,can~r nome, if a corporotion) ..... p. ..::?f.: ....................... (Address of applicont) State whether applicant ~s owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or budder. ........ .0..v. ez ............................................................................................................................................................................ Name of owner of premises ...... g~l,~?.~r~..~.},fa~.7..~,~)~.~.+~ ................................................................................................ If applicant is a co~orate, 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 ................................................................. ~t~..u~!e.~&~..]~fl~&~t~]f~..L,~**..]:[.~]., ....... Munici~lity 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction a Existing use and occupancy ................ If,.~e~% .................................................................................................... b Intended use and occupancy .......... ~.~r..~:~.~.~9.~9.~ ...................................................................................... 3. Nature of work (check which applicable) New Buitdmg ...... ~ ......... Ad&t~on .................. Alteration ........... Repair .................. Removal .................. Demolition ................. Other Work (Describe) .................................. 4. Estimated Cost ..... .~.~QQ~QC~ ...................................... Fee ...................................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling umts .............. 1 ............ Number of dwelhng units on each floor ..... .C~ .................... If garage, number of cars ....... .0. ................................................................................................................................ 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 Stones .......................................................................................................... Dimensions of same structure with alterations or additions. Front ................................... Rear ......................... Depth ................................ Height ........................... Number of Stones ....................... 8 Dimensions of entire new construction. Front .......... ~2! ..................... Rear ............ 3¢2.~ .......... Depth ........ 5.! ......... Height ....27+! .......... Number of Stories ...... aha ............................................................................. 9 Size of lot: Front ....... .~.Q.~. ............... Rear ........ .5..Q! ................... Depth ......... .2/~0.! ............... 30 Date of Purchase .... .0..a..%.:....4..~....1..9..5..A. ......................... Name of Former Owner ....G...i..1.9'.?..z'..s..1..e.9..v..e ......................... 11 Zone or use district in which premises are s~tuated ...... !!.A.!! ......................................................................... 12. Does proposed construction violate any zomng law, ordinance or regular on~ . ~c~ .................................... Levittown~ )LY. ' .... 13. Name of Owner of premisesfL,...FxJ, irtt,.0.ri .................... Address 5Q..Q.0.~.stel.k~.tiOi't.~c~, .... Phone No .,~...(L-.c),],~.]. Name of Arch,tect ..................................................... Address ............................................ Phone No ................... Name of Contractor ..... .~na~. ................................... Address ............................................ Phone No ................... PLOT DIAGRAM Locate clearly and d~stmctly all buildings, whether existing or proposed, and indicate all set-back &mens~ons fron property lines. G,ve street and block number or description accor&ng to deed, and show street names and ind~cat. whether interior or corner lot. STATE OF NEW YORK, } ¢ c COUNTY OF ................................ )' .... ......... .0.~.t..f..f..o.~..d....E.~.n..t,..o..n.. ...................................................... being duly sworn, deposes and says that he is the apphcan · ' (N6mi~ ofqndividual s,gning apphcat~on) above named. He is the .......... Qwr;~:~ ................................................................................................................................... (Contractor, agent, corporate officer, etc.) of sa~d owner or owners, and is duly authorized to perform or have performed the said work and to make and f~l this application; that all statements contained in this apphcat~on are true to the best of his knowledge and behef; an that the work w, II be performed in the manner set forth in the application filed therewith Sworn to.J~ore me this ....... ,/) / ~ ~ No P c, .