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Home My WebLink About3322-zFORI~I NO. 4 TOWI~I OF SOUTItOLD BUILDII~IG DEPARTMENT ~t"OWN CLERK'S OFFICE SOUTHOLD, 1~. CERTIFICATE OF r'IEIP. UPANEIY THIS CERTIFIES that the building located at .~f..~....N.O.~..~..h...R.o.a.~...(.~..I~..7..A.). Street Map No...:t2; ....... Block No .... ~ ...... Lot No.. 2C~... Gl~0,~pO~;~..I~.Y, ....... conforms substantially to the Applicati. on for Building Permit heretofore filed in this office dated .......... 0Cg .... 55 ...... 19.66 pursuant to which Building Permit No..~Z.. dated ............ 1~O~. '2I .... , 1966., was issued, and conforms to all of the require- merits ~of the applicable provisions of the la w. The occupancy ~or which this certificate is issued is . .Pl'~'tz~;e. ~ll¢..f~m:[[~:. :h/.e~ ~.:[rt~ ........................................ The certificate is issued to . ~C.,..l~-~.oo~te ........... 0grief. ......................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .~.e.1;~ ~2~. 196~.. b~r I~ ¥±lla.. FOEM 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) 3322 Z Permission is hereby granted to: ...... ~r..&.~.~k~,~se~..J~/.¢..~t ,C~L~ee se ......................... .8o~t,~Q~l, ................................... to lhlld., ne~ .. ~ne...faJLl~...d~e:Llin~ .................................................................................... at premises located at JJ/~,....,JJO~.t~l,..J~OIi~J ....................................................................................... ................................................... G2emkuor. t t..21. ~. ......................................................................... pursuan¢ to application dated ........................... .~.g.~.....,~, ................ , 19..~.~.., and approved by the Building Inspector. NOel Approved by County Dept Pub.~/kB Fee $ ...]....0.,~...0~.. .......... Building Inspector TOWN [] F S [] UTH OLD OFFICE OF BUILDING INSPECTDR TDWN cLERK'S DFFICE SOUTHOLO, N. Y, MI'. Com %f Suffolk County Yophank Ave, Yophonk, N Y. Dear Sir' In accordance wzth Section 239K of the General Municipal Law of the consolidated Lows of the State of New York, this is to notify the Commis- sioner of Pubhc Works of the County of Suffolk that . ~0"~"~,"~'~'~f"~'f" ~Ib6~f,~'6f'i' Lan~) ................................... has applied to the Town of Southold for o permit to construct o budding as shown on the attached plot plan, submitted in triplicate, dated ............... ~'~'"2~'~'"1~$2'" and t,tled '"Prod o~"Pr~e~'tY"S'~ve7'eft foX' We shall withhold further action on th,s application for ten~y~Sor~s~:~esel c~herwise prov,ded in the aforementioned Section 239K 11/15/65 Approved to the Town of Southold Pursuant to See. 2~9K of Ve~/ truly yours, the General Municipal Law as per plans; before buildin~ access tq CR 27, a permit under See. 1~6 of the Highway Law will be · d require . ~ ,. SUFFOLK COUNTY DEF~. PUBLIC WORKS 'B~ild,ng Inspector R. M~ ~ammerer,/Co~m~s_ioner ~ By: William S. Matsunaye, J . {[ ~ Chief Engineer ~ ~ TOWN E]F SE]UTHEILD OFFICE OF BUILDING INSPEIDTBR TOWN OLERK'S OFFIIDE [~EIuTHOLD, N. Y, Mr, Suffolk County Yaphank Ave., Yaphank, N. Y. Dear Sir. In accordance w~th Sechon 239K of the General Municipal Law of the consolidated Lows of the State of New York, this is to not~fy the Commis- sioner of Public Works of the County of Suffolk that .... ]J~Jj~i~J '~' ~',;C"~";;(~)'" (~,/',S' ~'t~"~'~ 'c~:~, ~0t3;"~'~"~"~:~i'~" Yt" 'A:llS';~'~t;S'~, ' ~ti~i) ..................................... has applied to the Town of Southold for (3 permit to construct a budding as shown on the attached plot plan, submitted in triplicate, dated ............... j~j~.~j~j~[..;~,...~:~,~ ..... and titled **'7'~.~f* O~"'~'~i~'~'*'l~l~'~e~ We shall withhold further oct,on on this application for otherwise prowded m the aforementioned Section 239K Very truly yours, Budding Inspector Town of Southold, N. Y. S-9 SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH Da~e Bldg. Permit No. $ EP 1 2 f967 TO WHOM IT MAY CONCERN: The sewage disposal facilities for a structure located (Give deed location) have been inspected by this department and found to be satisfactory. District Eng!nee~ District Engineer LANE) OF ~qOL£ZY ~ ",, O/V: -rd TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ........~....~..../. ................ 1 c)..~.....~. Approved " ~ [ 1n ~'-~.P ~ ~ )'' 2~ ~ ........................................ , .......... ermit No .............................. ......... ................................... ................ ................................. Application No. ~ ~ ~' ~ INSTRUCTIONS o. This apphcotion must be completely filled m by typewriter or in ink and submitted in duplicate to the Building Inspector. b. Plot plan showing location of lot and of buddings on premises, relationship to adjoining premises or public streets o. areas, and g.wng 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 issuance of Budding Permit. d. Upon approval of th~s opphcotion, the Budding Inspector wdl issue a Budding Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the progress of the work. e. No budding shall be accupied or used in whole or m part For any purpose whatever untd a Certiftcate of Occupancy shall have been granted by the Budding Inspector. APPLICATION IS HEREBY MADE to the Budding Department for the issuance of a Building Permit pursuant to the Budding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other apphcable Laws, Ordinances or Regulations, for the construction of buddings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply w~th all applicable laws, ordinances, building code and regulations. .......... ................. (Signature of applicant, or name, if a corporation) (Address of applicant) State whether apphcant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ....... .................................................................................................. If applicant ~s a corporate, signature of duly authorized officer. .... (Name and title at corporate officer) 1. Location of land on which proposed work will be done. Map No ............................................ Lot No' . ................... Street and Number ..... ~./,?,~.,~..Z~.....~..~. ....... ..~...~...~.. ...... ~....~....~...'~....~., .~....~....~....'~... ................................................... Munic~pahty 2. State ex~sting use and occupancy of premises and intended use and occupancy of proposed construction: Existing use and occupancy ................................................................................................................................. Intended use and occupancy ........ ~..... ,.Z~x~... ,/~7,,/,, ,,~.,,, ,~,..... ,~., ,.,,c~(. ,...~.,.,~.,, ,Zv..~'"f' ',<(~....~.. ........................................ / 3 Nature of work (check whmh applicable). New Budding .... ~.... ....... Add~hon .................. Alteration ................ Repair .................... Removal .................... Demohtion .................... Other Work (Describe) ..................................... 4 Eshmated Cost ..........J..~~..~.'~... ...................... Fee ......................................................................................... (to be paid on filing this apphcation) 5. If dwelhng, number of dwelling units ....... / .................. 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 D~mensions of existing structures, if any: Front .......................... Rear .......................... Depth ........................... Height ........................... Number of Stories .............................................................................................................. Dimensions of same structure w~th alterahons or additions' Front ................................ Rear ............................... Depth .............................. Height ............................. Number of Stories ........................................ 8. D~mensions of entire new construction' Front ...... .'~'....~...~ ............ Rear ....... ..~....~..[ ........... Depth .'.~.....~..~..~...'. .......... He,ght ...... .~...~...~ ........... Number of Stories ......... /. ................ 9 Size of lot: Front .... ./......~.. ........... Rear ..... /...~.....~. ............ Depth ......c~.../...~.../...~.. ........ 10. Dote of Purchase .......... .~....~...~....~.. ............................ Name of Former Owner .~4~.x~'.....~..~...Z....~...~..~. .......... 11 Zone or use d~stnct m which premlses are s~tuated ....... 2..~.~../4~...~.4~....'~'..~....-~...~,~. ............................................. 12 Does proposed construction violate any zoning law, ordinance or regulahon? .... ..~S~'...~.. ....................................... 13 Name of Owner of prem,ses ...~?....~.....~.,~..~....~-..~....~. ...... Address .~.4f~..~. ~.....~-4..ZA~...:..~f~./)eff. Phone No ................... Name of Architect ...................................................... Address ............................................ Phone No ................... Name of Contracto~,..~...~'..~...~...~.....~'./.9Z~.~.(~.~..~..<V. ...... Address ..~..~...H...~....~...6...~...?.....~...~.:.. Phone No.~.~...O~'..~'.~..~. PLOT DIAGRAM Locate clearly and d~stinctly all buildings, whether existing or proposed, and indicate all set-back dimensions fro~ property lines. Give street and block numbers or description according to deed, and show street names and lndicai whether interior or corner lot. J % STATE OF NEW YORK, ~ S.S. COUNTY OF ............................... ,~z-~/~ ~ ..~.../c:/c'~c-/J'~' ~-4/' be na duly sworn, deposes and says that he ~s the applica (Name of md~wdual s~gning application) above named. He is the ............. ~..~.Z...~...~..~.~ .................................................................................................... (Contractor, agent, corporate officer, etc.) of sa~d owner or owners, and is duly authorized to perform or have performed the sa~d work and to make and f th~s appiicahon, that all statements contained in this applicahon are true to the best of his knowledge and beli~ and that the work wdl be performed in the manner set forth in the apphcahon hied therewith. Sworn to before me this~ ...... ~.~ ...... ~j ~ ~ ~l~AP~r~ .... ~ ......... t ..... ~~~. Nota~ Public~~M. County No 52-0618tOD SL~Oik Coun~ Camm~ssmn ~p~res