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Home My WebLink About3035-zIPOI~M 1'¢0. 4 ?OWN OF SOUTHOLD TOWN CL~-RX'S OFFICE SOUTHOLD, N. ¥, I]EI~TIPll]ATE OI~' O00UPANOY THIS CEi~TIFIES that the building located at ~.~./.~..~.~.4 .~.O.]:..~.O.~...R.~. . .l~.X.~. ..... 8treet ~p ~o ............. ~o~k No ............. ~ot ~o. ~.. ~P~..~ ......... conforms substantially to the Application for Building Permit heretof.ore filed in this office dated ......... ~.~ .... ~ ..... 19~. pu.rsuant to which Building Permit No.. ....... 3035 Z. dated ........... .&p~.&[...~ .... ~9.6.6, was issued, and conforms to all of the require- ments .of the .applicable provisions of the law. The .occupancy ~u~d ~. ~ .9~. ~.~ ~g .......................................... The certificate is issued ~o (owner, lessee or tenant) of the aforesaid building. .Suffolk County Department of Health Approval . .~¢~*...~}..~. ~. ~. ~ ...... Building Inspector FOP~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? 3035 z Date .......................... ,A.~. ~.~, ....... .T ........... , 19.$6.. Permission is hereby granted to: ...PAU.~..&. ~s an.. ~or.w~t~ ............................... ............... G.~.e~npo~.t ........................................... to ~ild.. ~e.~..~ ..£~il~"...d>~e3,1i~tg ....................................................................................... at premises located at ....... W~/~.....~[~I,~,,~e.~.~(~A..~Oa,~..~.,:A.~ ............................................. : ......... : ....... ................................. G~e~po:c~;.,...~, Z.~..M...~Z~ ................................................................................ ........................................................................ .....~ ........................ . ........ '..~ .............................................. ~ pursuant to application dated ............................. ~....:..~......~ ..... t9~(~...~ and approved by the Building Inspector Fee $...1.Q,.O.O ......... Building Inspector s-9 SUFFOLK COU~y DEPARTMENT OF HEALTH Date TO WHOM 1T MAY CONCE~: The sewage disposal facilities for a structure located at ~ve been inspected by t~s Depa~ment and fo~d to ~ sattsfacto~. District Engineer DiStrict Engineer ~ ~FO~ NO. 1 TOWN OF SOUTHOLD BVlLDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved ........................................ , 19.{.I.-. Permit No ........................ Disapproved a/c .......................... APPLICATION FOP. BUILDIHG PERMIT 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 areas, 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 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 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 o 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. · .Paul...Car.~.ir~ ................................................................... (Signoture of applicont, or nome, if o corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .................................... .O.~e,r .................................................................................................................................... Name of owner of premises ...~fkg. l...qO.~.WJ~ ....................................................................................................................... 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..Map No.: ...~¢.~.~]..~~ ............. Lo~ No.: .3~...~ ........... ~T Street and Number ..... Nt.~8~.~e~..Re~.¥ ........ G~ee~e~ ............................................................................... Municipality 2. State existing use and occupancy of premises and intended use an~ occupa~)cy of proposed construction: a. Existing use and occupancy ...~E~.0.8~..~8~ ..................................................................................................... b. Intended use and occupancy ...... .~¢...~.~,~...&~e.].~ ............................................................................. 3. Nat Rep~ 4. 7. Heic Dim Dap 8. Dim Hei! 9. Size 10. 12. Jre of work (check which applicable): New Building ...~.~..0..~.0.. Addition .................. Alteration ..... i ............. ~ir .................. Removal .................. Demolitian .................. Other Work (Describe) ........................... ............. ~ated Cost .....,~.3.~.OQO...~/~ .............................. Fee ~.. O~ O0 ................................................. (to be paid on filing this application) i If d Yelling, number of dwelling units ...... 0~ ............... Number of dwelling units on each floor .............. I ............. If g~rage, number of cars ...... O~1~ .................................................................................................................. ~ ............. If usiness, commercial or mixed occupancy, specify nature and extent of each type of use .............. ; ............. Dim'ensions of existing structures, if any: Front ............................ Rear ................................ Depth .......... ; ......... ht ........................ Number of Stories ................................................................................................... i ............ msions of same structure with alterations or additions: Front ....................................Rear .............. i ............. h ................................ Height ............................ Number of Stories ................................ ensions of entire new construction: Front ...... ~[2 .......................... Rear ......... ~;~ ............... Depth ....2..~.. ................ Iht .................... Number of Stories o~-e ........... ' of lot: Front ............ ~,~.Q ........ Rear ............. 1'1.0 ............... Depth ..]~.o..C) .................. Dat. of Purchase ........... ~9~.~ ................................. Name of Former Owner ...... ~T.....~'].~i~ ................... .............. Zen or use district in which premises are situated n~..n re~. Do~:. proposed construction violate any zoning law, ordinance or regulation? ............ ~e ............................. .............. Nan ~e of Owner of premises ~..~,~....~g~..~.~-.~ .............. Address ......... g~.f~]PP~.~ .............. Phone No. .., ............. Nar ~e of Architect ...................................................... Address ............................................ Phone No ....... .............. .................................................... Address ........... ~..~.~.D,Rg~.~ ........... Phone No .......i .............. Nan~e of Contractor PLOT DIAGRAM I.ocet~ clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensibns from property li.nes. Give street and block number or description according to deed, and show street names andi indicate whether in erior or corner lot. I I'O ' STA'r'E O~ NEW YORK, 1S S ................. ,~ ............ ~',~I,~i~.rL..~.O~'M;J..Q ...................................... being duly sworn, deposes and says that he is the ~pp 'ca I(Name of individual signing application) (Contractor, agent, corporate officer, etc.) of said o~ner or owners, and is duly authorized to perform or have performed the said work and to rr~ke and file th~s apphqahon that all statements contained in this application are true to the best of his knowledge and bblief; and that the w ~rk will be performed in the manner set forth in the application filed therewith. Swam to b ,'fore me this 1st ~ , Anril ' 9 66 /P /7