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Home My WebLink About3006-zTOWN OF SOL~rI-IOLD ~UXLDING ~EPAETMENT ~'OWlq' CLEI1K'S OFFICE $OUTHOLD. N. ¥. I~ERTIFII~ATE OF' oI~rI, uI::ANI~Y r~o.. ~ .26.09... Date ................ .I~ev~mber. THIS CE~RTIFIES fhaf fhe building located at ~}~S" '~{~eve. ,Ave .S'~ .SyV~,Sfreet Map NO.Bal% .Ai.l~e. }~k No ............. Lot No../.~... ' t4att~t;Lluky ' 'N'~'Y~ ...... conforms substsntially ~o the Applicati,on for Building Permif heretofo~re filed in this office dated ........ .l~e~ ..... t~' ..... 19.6~ pm'suanf to which Building Permit No. '3006' dated ............ l~.l'~h.. ~.., 19.~6., was issued, and conforms to all of the require- ments ,of the .applicable provisions of the law. The .occupancy f~or which this certificate is issued is .l~r.~.xr&:be · Ol%e..:~:aI~:~ty. 'elwett~z~g .......................................... ........................... The certificate is issued %0 ...(~.~,bO1~.~rl(~ ........ lessee or tenant) of the aforesaid building. .Suffolk County Department of Health Approval .... 0~'~ .1'1'~. '1'96~'' b~.l%~..V~].].~ .... // ~ Building Inspector I FOI~M NO, 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 3006 z Dote ...................... ,l~LZ'.~h. ...... ~. ................ , 19..66. Permission is hereby granted to: ....... .~aah~r...~uc ................................................ ............... lia.t.t;t.tuok~.....li, X, .......................... to ....b.~,$..]:.~....n...e.~....o..n...e...~m~l~....~.e. lllr~ .................................................................................... at premises located at ....~/{~.....~.eY.~..&~. ..... ~t~lO.....P~M.~..8ound....V.~.ew...ikv. e ................... ................................................ ~a~ti.tuek~.....~, ¥, ................................................................... i ....... pursuant to application dated ............................. ~llb.......l~ ............. 19..~6., and approved by the Building Inspector Fee $..1.O..t...O~... ......... Building Inspector S-9 S SUFFOLK COUNTY DEPARTMENT OF HEALTH Date~ Building Permit TO WHOM IT MAY CONCERN~ The sewage disposal facilities for a structure located at have been inspected by this Department and found to be satisfactory, Dist~iot E~lneer District Engineer Approved ........................................ , FOI~M NO. 31. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N, Y. 19 ........ Permit No ................................. Disapproved a/c...~ .................. ................................. ................................. (Building Insp~or) APPLICATION FOR BUILDING PERMIT Application No ............................. 1966 Date .F.~.b....'i..5. .............................................. , ............ 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 crees, and giving a detailed description of layout of propertymust be drawn on the diagram which is part of this application. c. The work covered by this application may not be commenced before issudnce 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 pa rt for any purpose whatever until o 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 alterotions, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code and regulations.,-'~ ................~ig~'~ "~"o~ o~~e, ...................... if a corporation)~ ......................... ........................... ............................ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ................ g.on.~r.~g~. ~ .......................................................................................................................................................... Name of owner of premises ......... g..~.~..q?.....~.~.g.~ .................................................................................................................. If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which proposed work will be done. Mop No: ................... : ...................... Lot No: 1 2 S ree o.d ........... ....... ...................... ~onicipoli~y S~ote exisfin9 use and occupancy o~ premises and in~ended use and occupancy o~ proposed ,construction: o. ExisHn~ use ~nd occuponc~ ................................................................................................................................... b. In~ended use and occup~nc~ ..... ~...~.,,~ ....................................................................................... 3. Nathre of work (check which applicable): New :Building ...Ye~. ........ Addition .................. Alteration Rep?ir .................... Removal .................... Demolition .................... Other Work (Describe) ..................................... 4. Esthl..oted~ Cost ..~J.~.,.0D.Q./~0 .................................. Fee .......................................................................................... (to be paid on filing this application) 5. If veiling, number of dwelling units ......... ,0Xt.~ ............ Number of dwelling units on each floor ....-..-.m.-. ................ If ~rage, number of cars ....0.~,~ ................................................................................................................................. 6. If usiness, commercial or mixed occupancy, specify nature and extent of each type of use 7. Dir ,,nsJons of existing structures, if any; Front ........... -..-...-..-. ....... Rear ....... ~..'-..-. ............. Depth ...... ':,-r..-..-. ............. Hei,~ ht ...'..-...-..-. ................. Number of Stories ...... ..-..-..-...-. ................................................................................. Dimmsions of same structure with alterations or additions: Front ......... -...-..-...-. .............. Rear ....7...':.-...-. .................. p~h .... ight .~ .-...-..-. N De .............................. He .................. umber of Stories --- 8. Dim;nsions of entire new construction: Front ....... 5~...~& ........Rear ....5.2.,,~.¢.o ........... Depth ......42,..;[~ .......... Hei ht ....!..2....~,!:... .......... Number of Stories ..... ,o.~.9. ................ 9. Size of lot: Front ....... ,l.O0 .............. Rear ....1..0.O .................. Depth ..2~.~)...~., ............. 10. Dot of Purchase .......... ~.¢~f~...].9.6.5 ........................... Name of Former Owner ....~T.Q~,~,..~C~I,.C,y; ...................... I 1. Zor or use district in which premises are situated ................................................................................................. 12. Do~ proposed construction violate any zoning law, ordinance or regulation? ....~.O. ............................................ 13. Na~ of Owner of premises .~B.,!~OZ'...:[~ ............... Address ..2~a~:pZe...T~z~e.~...~.C.t,:L~l~e No.~.9~.46.4.6.. Na~e of Architect ...................................................... Address ............................................ Phone No .................... Na~qe of Contractor ...~..~..a.,.~,~.,,Z.~.~..,.~........~...O..Z'.~ ............ Address ~]~..Z..e...~.~..:....~...~.~.~.°..~Phone No.~....a:.?.,~...4.~..4.~.. i PLOT DIAGRAM Locat; clearly and distinctly oil buildings, whether existing or proposed, and indicate all set-back dimensipns from property li~es. Give street and block numbers or description according to deed, and show street names and~ indicate whether in 'erior or corner lot. STATE O: NEW YORK, ~ S.S. COUNTY )F ................................ J'~z'8,z~ ]. ~ ,.T · ]]O:Z':D. ........... be n deposes and soys that he is the ~pplicant .................. ~. ............................................................. g duly sworn, :me of individual signing application) above n,o~ d. He is the ........................................................................................................................................... l ............. ~ (Contractor, agent, corporate officer, etc.) of said o~ ~er or owners, and is duly authorized to perform or have performed the said work and to make land file this o~pli¢ ~tion; that oil statements contained in this application are true to the best of his knowledge and belief; and that ~e work will be performed in the manner set forth in the application filed therewith. Sworn to afore me this .......... ..g~...'. ........ day of ........... .~..~..~,...,f~.. .................... ' 19'/~'~" (/~ - ~'7-J~) ~ ,/~ ........ , ............. ....... ,atary .......................... ...............................