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Home My WebLink About3017-z~ORI~ ~0. 4: TOW~ OF SOUTHOLD ~'OWN CLEHK'S OFFICE SOUTHOLD, N. Y. CEI~TIFICATE OF DCCLIPANCY Z 2628 December , 20 19..6.~6 No ............. Date ................................ , THIS CERTIFIES that the building loeated at .¥././~...~..V~..5.e.~,` ~.rt.~. ...... ;,,, Street Map No..~ ....... Block No.....Xa~¢.. ...... Lot Iqo. ~ .... .(}.lT..~.~.r4. p.o.~.{},..~..~ ~-. ......... conforms substantially to the Applicati,on for Building Permit heretofore filed in this office dated .............. .I~...r.e.h.. ~.~., 19..~..~ pt~rsu'ant to which Building Permit No.. ~(~..Z dated ; ......... .N~}I..~..., 19.66., 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 Private one family dwell~g. The certificate is issued to . ..James Meltas. .... =~...O~..z.e.r. (owner, lessee or tenant) of the afore.said building. .Suffolk County Department of Health Appzoval .... ~.0.~....bf.,..1..~.~.~....b.y..I.{T..~.~..~.~./~. .... Building Inspector FORM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLER~('S OFFICE SOL)THOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 3017 z Permission is hereby granted to: Jc~e~...~e ~.~e~.~ ................................................... ................... ~z~ee~.]~o.~s ....................................... to. ~ ,~¢~ .. ~_ ~,. c~ e...~, ~.~, ~.Z.y.,.~ ~xe ~.~, .~ ~ ..................................................................................... ........................................................................................................................................... ~.,,,;,~ .............. at premises located at .~/D....G~e~'"~e .................................................................... ;"~'""~ ....... ............................................... Gr~ettpoi'¢, .................................................................................. ~! pursuant to application dated ..................... ~,~ ......... ~,.~.; ............ 19..i~1~., and apP~'o~ed by the Building Inspector Fee $'"~.C)~ ~0 .......... 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 at (~t/~' ~ f~}~' /~?tAI~ , '~ ~'~.~z?O()/~~ ' (Give ~eed location) located have been inspected by this department and found to be satisfactory. Diatriot Engineer District Engineer FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLO, N. Examined ............ ~...../.....~.. ......... , 19 Approved ........................................ , ]9 . .. Permit No ........... Disapproved (Building Insp/~ctor) ,~ F Application No. ~.~O / ~ APPLICATION FOR BUILDING PERMIT ~r r Date ............................ ~fL~.a~.... ].~ .......... , t9.66 ....... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted ir~ 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 breas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this application. c. The work covered by this application may not be commenced before issuance of Buildiqg 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 part for any purpose whatever until a 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 alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code and regulations. (Signature of applicant, or name, if a corporation) (Address Of applicant) State whether applicant is owner, lessee, agent, architect, engi.neer, general contractor, electrician, plumber or builder. ......................................................... QW~ez'...m..b.uild ex .................................................................................................... Name of owner of premises ....... ~.~em...Me.ll~ ................................................................................................................ If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) t. Location 6f land on which proposed work wilt be done. Map No.: ..~ .............................. Lot No.: ..... ~ ............. Street and Number ..~....~S~¢..&~e ....... ~e~o~.¢ ............................. ~ ................................................. Municipality 2. State existing use and occupancy.of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...... ~a~.~..~n~ .................................................................................................. b. Intended use and occupancy .: ....... o~e..~L~...d~e~ .......................................................................... 3. NatUre of work (check which applicable): New Building ...... ~ ..... Addition .................. Alteration .....: ............. Repc~ir Removal Demolition .................. Other Work (Describe) ......... , Estirfiated Cost .20.~.0.0.0..~./~ .................................. Fee ..... ~.O..; ................................................................ : ............. 4. (to be paid on filing this application) 5. If d~velling, number of dwelling units ....... 9.Ee ............... Number of dwelling units on each floor ............................ If g~rage, number of cars ....... ~ ................................................................................................................. ~ ............. 6. If b"usiness, commercial or mixed occupancy, specify nature and extent of each type of use .............. I ............. 7. Dirt ensions of existing structures, if any: Front ............................ Rear ................................ Depth .......... ; ......... He,hr ........................ Number of Stories ................................................................................................................. Dim,'nsions of same structure with alterations or additions: Front ....................................Rear .............. i ............. Dep:h ................................ Height ............................ Number of Stories ................................ 8. Dirrensions of entire new construction: Front ............. 3.8 .: ............. Rear .......~ ............. Depth ...28..[ .............. Hal!iht .................... Number of Stories ..~,~..... ............................................................................................ ! .............. 9. Size:of lot: Front ........ .~'. .............. Rear .............. .~.[~ ................. Depth ........ 'J.~..~ ................. 10. Dat~ of Purchase ...... ~l~.~ ........................................ Name of Former Owner ......... ~.e.(;TL..D.8,~;I,-~ ........., .............. 11. Zonb or use district in which premises are situated ........ !!~!!...c~:L.s.~ ............................................................ L ............. 12. Doet proposed construction violate any zoning law, ordinance or regulation? ............. D.II ............................ i .............. 13. Nor~e| of Owner of premises ~.~...~],~t~l~ .................. Address .....G~,e~DZ'.:b .................. Phone No ..................... Nar te of Architect ...................................................... Address ............................................ Phone No .......' .............. Na~e of Contractor ............ ~.~D,~ .............................. Address ............................................ Phone No ..................... PLOT DIAGRAM I.ocah, clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensibns from property li~es. Give street and block number or description according to deed, and show street names andi indicate whether in1 erior or corner lot, STATE O~ NEW YORK, } ~ ~ COUNTY OF ....S:.~LP~.O3J~ ........... ~ .... ...................... ~I',gJ~i3.S..~e~.].EL~ ............................................. being duly sworn, deposes a~d says that he is the bpplicant /(Name of individual signing application) t ' (Contractor, agent, corporate officer, e c.) of said o~ner or owners, and is duly authorized to perform or have performed the said work and to make' and file this opplicntion; that all statements contained in this application are true to the best of his knowledge and belief; and that the w,)rk will be performed in the manner set forth in the application filed therewith. Sworn to ;fore me this Notary Public ..~..k,,~....:..~. f;lounty // (Signature afl,applicant) C~mm~sion Expires ~arch 30, ~9~/