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Home My WebLink About3267-zFOR~ NO. ~ TOWN OF SOUTHOLD I~UILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD. N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at .~.~a .~l~]dt..1~ .{~)... Street Map No..]l[;l~ ....... Block No. ~ ....... Lot No. ICCIC · .0]~f.01a~;. · 1I,~, ............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ........... 0Cf~... ~,~..., 19. t~ pursuant to which Building Permit No..~9,6~..Z dated ............ 00t; .... ..~.., 19.66, was issued, and conforms to all of the reauire- merits .of the applicable provisions of the law. The .occupancy for which this certificate is issued is .l~t~t®. ~me..f~.y .dwel~ ........................................ The certificate is issued t.o . .Peter. ~D~:~t~.& .l~,ge ..... 0v~rl~ .............. (owner, lessee or tenant) of the aforesaid building. .Suffolk County Department of Health Appr. oval .. FOP,~I BIO, ~ 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? 3267 Z Permission is hereby granted to: ................. l~oel~...l~oint .................................... ................. .t.'. .......... ll.~ ...................................... to ..... l~tl~t..naw...~n~..lla~lit....~w.e, ll.~ .............................................................................. at premises located at ..... plJ~..l~lld~r,.B~o¥;ll~.J{lL].l.~..~sl~L~;aa.....~JO.e~.~,,.} ....................... ................................................ llriet~t ,..~,.~, ................................................................................... pursuant to application dated ............................. t~(~t, ....... ~ ........... , 19.6J~.., and approved by the Building Inspector. Fee $..1.0. a g~} .......... .......... .... ............. Building Inspector S-9 SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH Date Bldg. Permit No. TO WHOM IT MAY CONCERN: The sewage disposal facilities for a structure located at ~V~o~ ~ ~'~[S(Give deed location) have been inspected by this department and found to be satisfactory. Distr~ ot ~ ..... ~ District Eng i~e ~,~> FO~/~ NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved ................... .t..~ ............... , ]9.....!..Permit No ................................ D~sapproved a/c ................................................................. Application No .... ..~,....~...f...Z ....... ^FP"C^TION FO, BUI',ING PE,M,T Date ......... .O.....~..'~..:...~...~. ............................... , 19.~'.~. .... INSTRUCTIONS a Th~s applicot~on must be completely filled ~n by typewriter or in ink and submitted in duplicate to the Buildm Inspector. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets areas, and giwng a detailed descnption of layout of propertymust be drawn on the d~agram which is part of th~s applicatiot c. The work covered by this application may not be commenced before ~ssuance of Building Permit. d. Upon approval of this application, the Budding Inspector wdl issue a Budding Permit to the applicant. Suc permit shall be kept on the premises available for ~nspection throughout the progress of the work. e. No buil&ng shall be occupied or used in whole or ~n part for any purpose whatever until a Certificate of Occupan¢ 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 ti Budding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of buddings, additions or alterations, or for removal or demolition, as herein describe, The apphcant agrees to comply w~th all apphcable laws, ordinances, budding code and regulations. ~l~ignature of applicant, or name, it~:~ corporation) ..... ........... ........... ......... ........... .... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electncian, plumber or build- ....................... ............................................................................. Name of owner of premises ....... ~.T...G:....~.......4;......~......~...~...!... ~ .... i~ ........... ~...~..'...~. ................................................ If applicant is a corporate, signature of duly authorized officer ~.x~lXlame and title of corporate officer) 1. Location of land on which proposed work will be done Map No ...~..../..~ot No: Street and Number ..... ..~...C..~........./..~....~.....c~.......~ ........ ~...../.~ ........... ~ ................ Municipality 2. State ex~sting use and occupancy of premises and ~ntended use and occupancy of proposed construction: a Existing use and occupancy ....... ..~.~..q.~..~..~...;...~....~...~...~..: ................................................................................... b Intended use and occupancy ... .~.~. ..t.. ~ .... .o. .: .................................................................... 3 Nature of work (check which applicable)· New Budding ..... ../.~ ........ Addition ................. Alteration ................ Repmr ............ ~. ..... Removal .................... Demohtion .................... Other Work (Describe) ..................................... 4. Est,mated Cost 1...!..~.?...~. .......................................... Fee ......................................................................................... (to be paid on filing th~s apphcation) 5. tf dwelhng, number of dwelling units ...... ..~..:..!..?..¢l..~..C.?~Number of dwelling units on each floor ........................... If garage, number of cars ........ 'i..~.....~..~.~ .................................................................................. 6 ff business, commercial or m~xed occupancy, specify nature and extent of each type of use ............................... 7 D,mens,ons of existing structures, if any: Front ....~../..~.:'.~.~. .......... Rear .......................... Depth ........................... He,ght ............................ Number of Stor~es .............................................................................................................. D~mens~ons of same structure w~th alterations or additions: Front '~ ~ ''~ & Rear Depth .............................. Height .............................. Number of Stories ........................................ 8 Dimensions of enhre new construction: Front NL ~' Rear ............................ /"/~' Depth Height ...~....O..." .................. Number of Stones £ 9· Size of lot Front .J.~:.~..'. ............... Rear .... t..~:..¢..'. .............. Depth ../...Z..~ ...... ..~..?...h....i.2-...~° 10 Date of Purchase ..~.~.T.?~....~.? ....., .~.~.~.~ ................. . Name o_.p~, f~F~,ri~e~.,t~Ov~r~....~...~.~T.(..*T .... ~"--~.~.?...~...~...~.. ............. !..~. 11. Zone or use d~smct ~n which premises are s~tuated ................................................... ~ ........................................... 12. Does proposed construction wolate any z_onin~law, ordinance or regulatio~ ..... i..~..~..'.~,.~_~ ........ r,~ ....... ,, ...... "'ama of ~nerof rem,se ~'~ ~ ' ~("~'"~'~Address'~-~ ')C'r~' ~') K't ~-~c'~'¢"~"~'""1 13 ,'q uw p,,,- .lS~']; ......................................................... .~.: ............ Phone No ................... Name of Arch,tect,,ntra~tor'~T'~ .................................................... w-~ '~"t ~,~ ~'~ ~ Address ~..~.~...~.~.;..~..~...j~,~.~.~ .~.~, .~ ................ Name of C ............. .t? .................. : ............ ¥...Address ............................................ IN PLOT DIAGRAM Locate clearly and distinctly all buddings, whether existing or proposed, and indicate all set-back dimensions fror property lines· Give street and block numbers or description according to deed, and show street names and md~cai whether ~nter~or or corner lot. STATE OF N~RI~./ ~z2,- ~ S S '- ~~~ .......................... ~ ......... being duly sworn, deposes and says that he s the app ca ............. (Namte..~ individual sign,ng/~pl~',cat,on)~ '---..~_ above named. He ~s the ......................: ............... u...~...~ ......................................... (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 th~s apphcahon, that all statements contained m this application are true to the best of his knowledge and bah- and that the work wdl be performed in the manner set forth ~n the application filed therewith. Sworn to before me this ~ ~, ................ ~. .... day of ................................... ~, 19 ~ ~- .~ ' ' ~ , , Notary Pub'c, · .......... ~'~%',~!,r · ~' ' ~'~'~ ~" ~ ......................... ~--m~ ,¢ r ~C_ (Signature of applicant) ~I.~l~q'~' klm.' I'., Z ,?e or ~',~w/Yo,r~ No 5_~ .s2,~,tJJ S~,',olk CoL~ Term F×p~res F,~arr'tl 30, ~.9 '