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Home My WebLink About3232-zFORM NO. ,4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. ¥. I-:ERTIFIP. ATE DF E]P.I-:UPANP. Y No. :~ 2835 Date Septemhe~'.. 8 , 19 THIS CERTIFIES that the building located at E/S Bay Sha~'e Road . Street i~ p~cont¢ ~y E~o%~ei%~men~d ~.Lot No. ~3, ~=~n~o=t,..~.Z. ..... ap l~ o. conforms substantially to the Application for Building Permit heretofore filed in this office dated ~e~t 23 , 19 66 pursuant to which Building Permit No. 3232. Z dated Sel~ 23 ,19 56 , was issued, and conforms to all of the require- rnents of the applicable provisions of the law. The occupancy for which this certificate is issued is Private. one family..d~e//~ng ............................... The certificate is issued to William. Recl~/to. & .Wife ........ Owner.~ ................ (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval ~ept ~. 196~...by. 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? 3232 Z Permission is hereby granted to: at p~e~e~ ~o~ted ot ...I~....h~,..~,~ont,,.I~...l~t.~t~a.~~t..~l~..~ ................ ............... ~lS..:Sa~'.stmz~..~a~t t ..... Gz~,ml~'~,...l~ ,,~,, ............................................................ pursuc~n¢ to application dated/ ......................... ~t, .............. ,~ ..... , 19..~., and approved by the Building Inspector. .Fee $1~.~0 ............ Building S-9 SCED SUFFOLE COUNTY DEPARTMENT OF ~RALTH Date ~ldg. Permit Ne. TO WHOM IT MAY CONCERN: The sewage dis~ osal facilities for a structure located at ./~ ~ ~ ~ ~'~ ....... have been inspected by this Department a~ found to be satisfactory. District Engineer Distri'ct Engineer FOI~M NO. 1 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, Iq.Y. ..... ....... Approved 19 ........ Permit No. D~sapproved a/c ~~ ( B udd ing/nspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a This application must be completely filled m by typewriter or in ink and submitted in duplicate to the Buildin~ Inspector. b Plot plan showing location of lot and of buddings on premises, relationship to adjoining premises or public streets o, areas, and giving <3 detailed description of layout of propertymust be drawn on the diagram which is part of this application c The work covered by this apphcation may not be commenced before issuance of Budding Permit. d Upon approval of this apphcat~on, the Building Inspector wdl ~ssue a Budding Permit to the applicant. Suc} permit shait be kept on the premises avadable for inspection thraughaut the progress of the work. e No budding shall be occupied or used in whole or ~n part For any purpose whatever until a Certificate of Occupancy, shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Budding Department for the issuance of a Building Permit pursuant to th, Budding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances o, Regulations, for the construction of buildings, ad&hans or alterahons, or for removal or demolition, as herein described. The apphcant agrees to comply with all applicable laws, ordinances, budding code and, regulahons. (Signature of apphcant, or name, if a corporation) (Address of applicant)//' State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ............................... . .............................................................................................................................. Name of owner of premises ....~..~.../.../m...../c..d...'~?.../..~.'Z.......~....~..-:.~....?.....~...~ ....... .~.......o~.../....~...?.. ........................................................ If apphcant ~s a corporate, s~gnature of duly authorized officer. (Name and title of corporate officer) i. Location of land on which proposed work will be done. Map No' ....,d'../..?.......'7~.. ......................... Lot No: ....~..--~.. ......... Street and Number .... ~./~..~...,..~..,:-~/...~./~..~. ..... ~.~.. ............ ~_.,d~.~'-.,c~-../~....,~...(.,r~../~..,..../..~..,~...,-- -- ..................... Mumcipality 2. State ex~sting use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ........... f~.~;}.~.~-.zZ..dd.....7-....~..~...-'d~...: ........................................................................... b. Intended use and occupancy ..... .x(. ..... ~7...--,~.~..."d./..~..~.....~.../r~d.~....~...~...~..~...~ ................................................. 3 Nature of work (check which apphcable). New Budding .... ~ ........ Addition .................. Alteration ................ Repair .................... Removal .................... Demolition .................... Other Work (Descr,be) .................................... 4. Estimated Cost .... ~...-~.~..~....~'......~.. ......................... Fee ........................................................................................ (to be pa~d on filing th~s apphcotion) 5. If dwelhng, number of dwelling units ........................... Number of dwelling umts 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. D~mensions of exmting structures, if any: Front ..........................Rear .......................... Depth .......................... Height .......................... Number of Stories .................................................................. ~ .......................................... D;mens~ons of some structure w~th alterations or add~tmns: Front ................................ Rear .............................. Depth .............................. Height .............................. Number of Stories ........................................ 8, D~menslons of entire new construction' Front ..... ..~..~.. ............... Rear ...~.....~. ................ Depth ...~...~..~.....z'. ............ / Height ....... ,(..~.. .............. Number of Stories ....... ./. ................... 9. S~ze of lot Front .........~..~." / .......... Rear ..... /_~.~.. .............. Depth . ...¢~..~..~... .............. 10. Date of Purchase .... ~..~.--.~....~.....,/...~....,~....~.. ................... Name of Former Owner ~...~.~....¢'~.ZT....Z~././Z/.~...~../. ....... 11 Zone or use d~stnct m which premises are s~tuated ................. ,,~... ......................................................................... 12 Does proposed construction violate any zoning law, ordinance or regulahon> ....... ..~...~..' .................................. 13. Name of Owner of premlses~..//,,~Jx~..2.....~.. ........... .~.Address ............................................ Phone No. Name of Architect ................................................. :....Address ............................................ Phone No ................... Name of Contractor .~.Z~r~.~./7~. ~...~..../.c-- ..,~.~/.,,~.-f. ff..~ddress .~..~...g..~:T...~...~...~...~......~.~.~/Phone No.~.O..~..~.~.~ PLOT DIAGRAM Locate clearly and d~stmctly all buildings, whether ex~sting or proposed, and ,ndicate all set-bock dimensmns fror property hnes. G~ve street and block numbers or descnptmn according to deed, and show street names and indicat whether ~nterior or corner lot. /P,,c-C~ ~/~ c. - ... ~.~.. ~.~/,.~, ....... ',.,~...,/...~., ... :~; ........ be ng du y sworn, deposes and says that he is the applicor (Name of individual s~gnmg apphcation) above named. He ~s the ......... ~.¢~...../....~......'~....~..7~ ..................................................................................................... (Contractor, agent, corporate officer, etc.) of sa~d owner or owners, and ~s duly authorized to perform or have performed the said work and to make and fil th~s apphcation; that all statements contained in this application are true to the best of his knowledge and behe and that the work wdl be performed m the manner set forth m the applicahon filed therewith. Sworn~,~eforemeth,s .~. ~.~,._~.. y ......................... day of, .,4~--~~~ ....... , 1c) ........ ~- · ,--,~ 'Z ._~' : ~ ,~ f-~& ~ ' .~.,.~__~,~..~...~~ ....................... Notary Public, ~.,~ County~~.~.(S,gnature of applicant) ~OTARY PUmgLt(~' qa'e of New