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Home My WebLink About3220-zFORI~ i~O. 4 TOWN OF SOUTHOLD ]~UILDING DEPARTMENT 'I"OV~N CLERK'S OFFICE SOUTHOLD, N. Y. P. ERTIFIP. ATE OF OP.I-:.UPANP. Y No. Z..2660 .... Date ............. Peburary. 20-', 1967' THIS CERTIFIES that the building located at 8ethel-~)ri~,e ................ Street Eastern Shores Map No ............. Block No ............. Lot No.l.20~...G.~eenpo.~t,..N,~-, ........ conforms substantially to the Applicati,on for Building Permit heretof, ore filed in this office dated .......... S~I~; ..... ~l+.., 19~.. pursuant to which Building Permit No..3~0-~ dated ............. ~el~;-"].J+-, 196~', 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 .. p~,¥~ ',. e. ~l~e -fam~tT- dwet~'~g ......................................... The certificate is issued t.o . .D.~'~..~tlt01~ .t~$o~leo].~ght;. & .g~e...01~xler~ ........ (owner, lessee or tenant) of the afor~aid building. .Suffolk County Department of Health Approval .. ~lO~w .. ~..'it<:)~. -b~..~,..~:~'4-'l.n · - - FOR~ ~0. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST I3E KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°. 3220 Z Date ............................. ~t~p~,~91~....~i,~, 19.(~,. Permission is hereby Dranted to: ................ ~po~ ........................................ to .~J.d..nev...one.. £a~l~y..~l~l;l..~i .................................................................................... ct premises located at ...~0.~ ...,~20....~aSt,~..~O~ .............................................................. ................................................. G~e~npor~i......N.,y~ ................................................................... pursuant to application dated .............................. I]~' '"'1.~' ...........19.1~t6.., and approved by the Building Inspector Fee $ ...... ],O*.QO ...... Building Inspector S-9 SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH Date Bldg. Permit No. DEC 2 8 1966 TO WHOM IT MAY CONCERN: The sewage disposal facilities for a structure located (Give deed location) z j have been inspected by this department and found to be satisfactory. Engineer NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ........... ....... Approved ........................................ , ]9 ........ Permit No ...... D~sopl:roved a/c ~ ........... ........... .... ................................. Application No ............................ APPLICATION FOR BUILDING PERMIT O te .............................. ....... ........ ,19.. 6 .... 1 NSTRUCTIONS a. Th~s application must be completely filled m by typewriter or m ink and submitted in duplicate to the Buildin, Inspector. b Plot plan showing location of lot and of buildings on premises, relationship to adjoimng premises or public streets o areas, and giwng a detailed description of layout of propertymust be drawn on the diagram which is part of th~s applicat~or c. The work covered by this opphcation may not be commenced before ~ssuance of Building Permit. d Upon approval of th~s apphcat~on, the Building Inspector will issue a Building Permit to the applicant. Suc[ permit shall be kept on the premises available for ~nspection throughout the progress of the work. e. No building shall be occupied or used in whole or ~n part For any purpose whatever until o Certificate of Occupanc shall have been granted by the Building Inspector APPLICATION IS HEREBY MADE lo the Building Department for the issuance of a Building Permit pursuant to th Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other apphcable Laws, Ordinances c Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describec The apphcant agrees to comply with all applicable laws, ordinances, building code and regulations. (Signature of apphcant, or name, if a corporation) Greenport (Address of applicant) State whether apphcant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builde Contractor Nome of owner of premises ...Dz'.....~Le.Tma~ua~...W&ecl,ec~£~t~t..&..N. if.e .................................................................... If appl,cant ~s a corporate, signature of duly authorized officer. (Nome and title of corporate officer) 1. Location of land on which proposed work will be done. Map No' . ..... ~..s.~.e..?.~...~.o.?...e.~ .... Lot No: '120 Street and Number ...N/.S.....~a~mcl...,D~'.i.-?e.....Gz'~.e. zz~3:~.t,..~...~ ................................................................... Mumc,por~ty 2 State ex~sting use and occupancy of premises and intended use and occupancy of proposed construction: a Ex~sting use and occupancy ....... .~a~3.a~.t...]_.o.t5 ................................................................................................ b Intended use and occupancy ......... ..o.~..e.,.~?.~,l..~.....ct:.~..e..~.l..~.(~ .................................................................... 3. Nature of work (check which applicable): New Budding ..... ,Y~,~:~.. Addition .................. Alteration ................. Repair .................... Removal .................... Demoht~on .................... Other Work (Describe) ..................................... 4. Estimated Cost ...~Q)...~OO..~./ .................................. Fee ..... ;LO ............................................................................... (to be paid on filing this application) 5 If dwelhng, number of dwelling units ...o...~.,e. ................... Number of dwelling units on each floor ........................... If garage, number of cars ...............~.Xte .................................................................................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ............................... 7. D,mensions of ex~sting structures, if any' Front .......................... Rear .......................... Depth ........................... Height ............................ Number of Stones .............................................................................................................. D,mens~ons of same structure w~th alterations or additions' Front ................................ Rear ............................... Depth .............................. Height .............................. Number of Stories ........................................ 8 Dimensions of entire new construction' Front ....... .~.6...-....,,~ ...... Rear ..6.6....-....3 ............ Depth ....~-~.-..9. ............. Height ........................... Number of Stones ..,~. ................... 9. Size of lot: Front .... ;LOC). ................ Rear ...-'13,0 .................. Depth .......3~ID..~./ ............ 10 Date of Purchase ..........1.9.66. .................................... Name of Former Owner ....... Es~q.J;~,:~...S:boz'.e& ............ 11. Zone or use d~strict m which premises are s~tuated ............... ttA.tt..~l..ie.t, ............................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation.;) ..... ~O ......... ¢ ....... .¢ ........ .,..~....~ ..... · ~cguzre Alrzor, 13. Name of Owner of premmses .$.e~or.e...~e, de,~]J.l~ess .2~..-.6.6....Z~3:c~n..Eh .... Phone No ...... -~t~e-.. Name of Architect ...................................................... Address ............................................ Phone No ................... Green~ort Name of Contractor .C3,a~.e~ce...R~.we.1;k~. ............ Address ...................... .: .................... Phone No ................... PLOT DIAGRAM Locate clearly and d~stinctly all buildings, whether existing or proposed, and red,cate all set-back dimensions fro~ property hnes. Give street and block numbers or description according to deed, and show street names and ind~cat whether interior or corner lot. k. t, ~ t>,~ -~ '~ STATE OF NEW YORK, 1 S.S COUNTY OF ...~.~:f.o:Lk ........... ..................... ..C.~.~,:~.]O.~.~..~.O~.e,L~ ....................................... being duly sworn, deposes and says tl~at he is the applic (Name of individual signing aptSlication) above named. He is the ............ ~Op,.t;~'~O.~:)~'. ............................................................................................................... (Contractor, agent, corporate officer, etc ) of sa~d owner or owners, and is duly authorized to perform or hove performed the said work and to make and th~s application; that oil statements contained ~n th,s application ore true to the best of his knowledge and bel and that the work wdl be performed in the manner set forth m the application filed therewith. Sworn to before me this ................... Zb.._doy .of...... ....... .......... , ~i {~Z,, ...... I~'.... 4,..W ................................. ............ / /fl ' CommlssloR Expires M~rc~