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Home My WebLink About3306-zFOI~I 1~O. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. O~-RTIFiC. ATE OF OCCUPANOY No...S..2668.. Date ................ F~bua~a~. 2~., 19.67. THIS CERTIFIES that the building located at /~/E.. Mai.vi .lqo~d ............. Street Map No. ~ ...... Block No..l;I~ ....... Lot No. ~ .... F~/;tt.t~lek~. I~,Y.~, ....... conforms substantially to the Application for Building Permit heretofore filed in this office dated ........ ~a~e~e~.. '9'.., 19~6. pursuant to which Building Permit No. 3306 '~' dated ......... ~ovell~e~'.-'9-', 19-6~, was issued, and co/fforms to all of the require- ments .of the applicable provisions of the law. The occupancy for which this certificate is issued is ~to..OD~ .~'a~lll~h~'. dM~]~ll~ ........................................... The certificate is issued to .. ~tl~7~,a. ~X;ile$ ..... 0t~l'. ............................ (owner, lessee or tenant) of the aforesaid building. .Suffolk County Department of Health Approval ..... ~,..I~,, ........................ ~uilding Inspector FORM NO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PER~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 3306 Z Dote ........................... leovenbe~-.*.9.., 19...66 Permission is hereby granted to: ..... &Ag.e~e...~.c.r.~.o~,,...,~'.~.....~,vlv.~,a..~,rne s ........................ I~;.~:l.~u..~k ............................... to ~e~..a2,ta~e,t;~.~n~ ..& ..~,i3.~l,..edd, tt, i~z~z. · eh.. e~ e %~. · &v®~ &.~ne ..................... at premises located at ....~..tx:~l'l..,~o~.d.~ ...................................................................................... ............................................ ~t t~.tuek.~..~o~... ............................................................................... pursuaa¢ to opplicotion dated ............................ ]~, .......... ~ ............, 19..~., ond opproved by the Building Inspector, Fee $-~.00 .............. 1~o/~ ~o. 1 TOW~ OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ApproYed ........................................ , ]9 ........ Permit No ................................ D~sapproved a/c .......................................................... Application No. ~'~ O ~ APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. Th~s application must be completely filled in by typewriter or ~n ink and submitted in duplicate to the Buildin Inspector. b Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets r areas, and giwng a detailed description of layout of propertymust be drawn on the d~agrom which is part of this applicat~or c. The work covered by this apphcation may not be commenced before msuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Suc 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 m part For any purpose whatever until a Certificate of Occupant 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 ti Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regular,ohs, for the construction of buildings, addihons or alterations, or for removal or demolition, as herein describe, The apphcant agrees to comply with all applicable laws, ordinances, building code and regulations. (S~gnature of opphcant, or name, ~f a corporation) (Address of applicant) Contractor Name o~: owner of premises S~.lvia Ba~.n~,~ If applicant ,s a corporate, s~gnature of duly authorized officer. (Nome and title of corporate officer) 1. Location of land on which proposed work will be done. Map No cx~C Lot No' Street and Number .... ~.../~........~..8..~.~.....~...°..a.~...~i~.~.:g.1.~..Ll:..o..~..~ ~.".~... ............................................................... Municipality 2. State existing use and occupancy of premises and ~ntended use and occupancy of proposed construction: a. Existing use and occupancy ...... D~.]...J.~ ...................................................................................................... b. Intended use and occupancy same with additio~ 3. Nature of work (check which applicable): New Budding .................. Addmon .................. Alteration ................. Repmr .................... Removal .................... Demohtion ................... Other Work (Describe) ..................................... 4. Eshmated Cost ...... .8..~...~.Q.O. ....................................... Fee ......... .~[~.QO ...................................................................... (to be paid on fihng this application) 5 If dwelhng, number of dwelhng units ..O.~e. ...................Number of dwelling units 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. Dm~ens~ons of ex~stmg structures, if any: Front ..........................Rear .......................... Depth ........................... Height ........................... Number of Stories .............................................................................................................. D~mens,ons of same structure w~th alterations or addmons: Front ................................ Rear ............................... Depth .............................. Height .............................. Number of Stories ........................................ 8 D,mensions of ent,re new construct,on. Front .... ~,~8 ................. Rear ...... ~.~.....'l.~ ....... Depth .....J'.?../..~ ............ He,ght ........................... Number of Stories ............................ 9 Size of lot. Front ............................ Rear ............................ Depth ................................ 10 Date of Purchase ........................................................ Name of Former Owner ...................................................... 11 Zone or use district in which premises are s~tuated ......... !!~tt..~.~,~ ................................................................... 12 Does proposed construction violate any zoning law, ord,nonce or regulation? ............ ~]~). ................................... 13. Name of Owner of prem,ses ..~"l~J~ ..... ]~Z'Z~e,~...Address ................. ]?Z~L.¢,.¢-~.¢~O~. ..... Phone No ................... Name of Arch,tect ...................................................... Address ............................................ Phone No ................... Name of Contractor .... .~.~e...~T.4~:~.O~ ............... Address ........... ~..¢~i-¢,¢,~ ............. Phone No ................... PLOT DIAGRAM Locate clearly and d~stinctly oil buildings, whether ex~sting or proposed, and indicate all set-back dimensions fror property hnes. Give street and block numbers or description according to deed, and show street names and lnd~cat whether interior or corne~ lot. STATE OF NEW YORK, COUNTY OF .... S~f£.oot~ ........... ~ S.S ..................................... ~..~.g.e..~.e.....~...o..~..$.g.~ ............................ being duly sworn, deposes and says that he is the applicar (Name of md,vidual s,gning apphcation) above named. He ,s the .....................C...°.~'.~.fL$.g.*. .......................................................................................................... (Contractor, agent, corporate officer, etc.) of sa~d owner or owners, and is duly authorized to perform or have performed the said work and to make and fil this apphcation; that all statements contained in this application are true to the best of his knowledge and behel and that the work w,II be performed in the manner set forth in the application filed therewith. Sworn tabefore methis ...................... · 9.. day of ............. }~vemb~r ............ , 19....$~. ..... Notary Public, ..~..~.....~..,...~. ~ .................. County /~ (S,gnature of applicant) ~IOTARY ['U3L~L', S ~ ~ ~ t ¥ Yerk