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Home My WebLink About3317-zTOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLV-RK'S OFFICE SOUTHOLD. N. Y. I~IERTIFIOATI~' OF OOI]UPANOY No. ~.. ~.~.~. ..... Date ................ .F~roh .... 16..., 19.67. THIS CERTIFIES that the building located at . l~fig..~t~..~.g&l~.~f~-D.~:~¥O ... Street ~.o.r..~..~..t~ .~t~ ............. Lot ~o. s ........ ~ut~,.~.,~, ......... eonfoms substantially t~ the Application for Building Pemit heretofore filed in this office dated .......... .No.~.,...~ ...... 19.{~(~. pursuant to which Building Pemit No.~.~'l~;~... dated ......... l~a~embe~...1,~, 19.15~, 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 . ~.~'~.¥&~;~. one. £am~ly. ~l~e%~.~x~g. ......................................... The certificate is issued t,o .. Robbing;..I~jr ......... 0~l~&!, ........................... (owner, lessee or tenant) of the aforesaid building. .Suffolk County Department of Health Approval .. Building Inspector FORi~! 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? 3317 Z Permission is hereby granted to: ............. ~K.~omes...:l:,~c..~./.~...~.b..9.~.~..~.o...~ ............... ;$ox...18 .................................................. .......... ~la~p.toz~...]~y~ r. ~. ~f. o .......................... to ... l~u;h~d...n~w., cn~.. ~'ar~t 1.~...d.~oll~n~ ................................................................................ at premises located at ..... .~Ot..~l.....$J~.b(~l~...~L~b~t$..l~t ........................................................... ............................. N./E...Hi~...Lt~..Dr...&..~i~an.tir~..~,t ....So~tt;hc~lt .. ~ ~.~ ~ .................. pursuon,t to application doted ...................... ~.~.~. ....... ~ ..................... , 19.~.~.., and approved by the Building Inspector. Fee $....~,0~.0.0 ........ Building inspector S-9 SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH Date Bldg. Permit No. 3317 TO WHOM IT MAY CONCERN: The sewage disposal facilities for a structure located at e/s B~antine Dr. e/o Marbnr T.~bt m~r~ ~+~ ' (Give d~ed l~c~i~ ...... Harbor Lights Estates, Section 1 Lot 8 have been inspected by this department and found to be satisfactory. Builder -R, K. Homes District En ~-~ gineer District Engineer TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ?,>,;-: / ? Examined .................... : ................... , " " Approved ....................................... , 19 ........ Permit No ................................ Disapproved a/c~~ ..... :.~.";.....~..::~..~:. ...... .....................;'ri ................................. Application No ..... ,d....~. ..... .( ....... APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. Th~s applicah~n must be completely filled in 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 o areas, and gw~ng a detoded description of layout of propertymust be drawn on the diagram which is port of this applicatior c The work covered by this opphcation may not be commenced before issuance 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 Occupanc shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Budding Department for the issuance of a Bu,ldmg Permit pursuant to th Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances c Regulohons, for the construction of buildings, ad&tions or alterations, or for removal or demolition, as herein describe,_ The apphcant agrees to comply with all applicable laws, ordinances, ~ui~C~ng,,code and .l:egulat~ons. (Signature of applicant, or name~f a corporation) .... P.....9.... ..... ............... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builde Builder Name of owner of premises ....... .~..O..b...?..~.....?...:....~..~..~..~.~. ..... .~.~.~..~...~.~..~..~...~.~...~..~..~.~8..~..`~.~..~..~.~.~.. ............................... I,f 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. Map No ........... .~..~...~..~...~. ...................... Lot No: Street and Number .... .~../..~.....~..~.....B...~.~.~..~...~.~.~...~.....D..~.....~..~..~..~..~.~....~.~Q...~g.~..~g~b...p~a ....................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a Existing use and occupancy ............................................................................................................................ b. Intended use and occupancy ....~.,~...~.~,~-.~ ...................................................................................................... 3. Nature of work (check which applicable): New Building ........ .[. ...... Addmon .................. Alteration ................. Repair .................... Removal .................... Demohtion .................... Other Work (Describe) .................................... 4. Estimated Cost -.-'t.6.~.000.~0~ ................................... Fee ........................................................................................ (to be pa~d on fihng thru application) 5. If dwelhng, number of dwelling units .......... l. ............... Number of dwelling units on each floor ..... 1, ................... If garage, number of cars ......................................................................................................................................... 6. If business, commercial or mixed occupancy, spec~5/nature and extent of each type of use .............................. 7. Dm~ensions of ex~sting structures, if any. Front .......................... Rear .......................... Depth .......................... Hmght ............................ Number of Stories ............................................................................................................. D~mens~ons of same structure w~th alterations or additions' Front ................................ Rear .............................. Depth .............................. Height .............................. Number of Stones ........................................ 8. D~menstons of enhre new construction: Front ........ 11,~.~ ............. Rear .....~,~!. ................ Depth .....~! ............... Hmght ......... .~.~.~. ............ Number of Stor~es ....... .~.. ................. 9. S~ze of lot: Front ...~.3~.t. ................ Rear ........ ~.0~1,~ .......... Depth ....2~2.! ................... 10. Date of Purchase ..... a&XXg,~ll~...~l.~6(~ ....................... Name of Former Owner ....~.~.ecl~z'z~¢l~..l~es~ .............. 11 Zone or use d~stnct m which premises are s~tuoted ......................... ~el~,, ........................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation:~ ............. .~10. ................................. 13 Name of Owner of premises ..~.l~=~,...~.~l~ ........... Address ....~...~.ctol:l...Dlt. .................. Phone No ................... Name of Arch~tbct ........ 'R';["~'"~Iol~le'~ll'~"'[tl'e'; ...... Address ......~O;'"BO:X:"~.~ ........ Phone Name of Contractor ....................... ~l~i~ ................... Address ............................................ Phone No .................. PLOT DIAGRAM Locate clearly and d~stinctly all buildings, whether ex~sting or proposed, and indicate all set-back dimensions fro property hnes. Give street and block numbers or description according to deed, and show street names and red,ca whether interior or corner lot. ..... ~~.%~.:...~,~.~~ : ..... ,. ............... be,ng duly sworn, deposes and says that he ,, the applic (Name of ~fid~gidual s~gnmg t~pli, ~ion/ above n~med. He is the ........... ~¢~.~ .............................................................. (Contractor, agent, corporate officer, etc.) of said owner or owners, and ~s duly authorized to perform or have performed Che sa~d work and to make and th~s application; that all statements contained ~n thru application are true ¢o the best of his knowledge and bel and that the work will be performed in the manner set forth in~licat~on filed t~rewJth. Sworn to before me th~s 1 ........ ............ . ..... ...... .......................... Nota~ Pubhc, ~.~~~~.~.=county~~ (S,gnature of ap~icant) ,~'; 4" ?L -H Carla, - ~ood R-P-A ~ EL[:v~T~OH ~<he~t *'4 ,ZLo, :/ '1 Ol 45'- o" '~/4" = 'IL O" -,% .SL o" '2GL o" Vlooa I)¢~kt ~ ~ L O'~. ~'- 0" 5 L ~/o~ ~,/e3 9L.GLDC$ GL.GL Dr.~ [ II'-G" lsL ~," j tS. ft,* 2 _~ o V,~ood Dzc,¢ GLO, CLO, '0 0 9L¢,' ' __25L? L ~kl a F L oo P,.,, PLAN