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Home My WebLink About3324-z~OR~ ~0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD. N. Y. BE:RTIFICATE: OF OCCUPANCY THIS CERTIFIES that the building located at .N~ti~ .Alb0. DX' ................ Street Map No ..... ~ .... Block No ..... ~ .... Lot No..~... ~:~_1i~.~-~ ~.. N.,¥., ........... conforms substantially to the Applicati.on for Building Permit heretolore filed in this office dated ........... I~IG¥ .... ~1..., 19~. pursuant to which Building Permit No. ~-~. Z. dated .............. No.~.. ~1.-, 19.6~, was issued, and conforms to all of the require~ merits of the applicable provisions of the law. The occupancy for which this certificate is issued is .~.Iva];e. :ORe..F~ity .Dwet-i.i~lg .......................................... The certificate is issued to ~].{~]l. & .Lo~l'~fl~.. ~r~el~ ..... 4~1~1,$. .............. (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .... ~l~l~..21~..1~57 .-by--1~-.¥i.%l&. · · Buil~n~gInspector ~ FORM NO, ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFIGE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 3324 Z Permission is hereby granted to: ................ ..~...~..,..q~k..~.~.q.,..........~....,.....~...o......._~. ~ ~ · ~t~ .................. ~.o r.t .. ~.e£~a~ ic~. ~it~ t..... ~1 ~¥.~. to ....l~ai. li..ne~...o~e.. J:m~i3.1r.. 4w~ LLI~ ................................................................................ at premises located at ...]~/J].....~I.ID~..]~L~ ............................................................................................ ............................................ ~.t..t...t..t.~,.~ ,...~... ~... ................................................................................ pursuan¢ to application dated ........................... ~..~. ....... ~', ............. , 19..~.., and approved by the Building Inspector. Fee $..~e..O..e....O~.. .......... S-9 SCHD SUFFOLK COUNTY Date Bldg. Permit No. 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. bistrict Enginee~ ' District Engineer TOWN OF $OUTliOtD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. .... ........... Approved ................. :..x. ................... , 19 ........ Permit No.-- ''~- ~ D~sapproved~ .................................... (Budding APPI. ICATION FOR BUILDING PERMIT Application No ............................ INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Buildin, Inspector. b Plot plan showing location of lot and of buddings on premises, relationship to adjoining premises or public streets o areas, and gwmg a detailed description of layout of propertymust be drawn on the dmgram which is part of this application c. The work covered by this apphcation may not be commenced before issuance of Building Permit. d. Upon approval of th~s apphcation, the Building Inspector wdl issue a Building Permit to the applicant. SucJ permit shall be kept on the premises avadable for inspection throughout the progress of the work. e No building shall be occupied or used in whoJe or in 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 Building Permit pursuant to th. Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other apphcable Laws, Ordinances o Regulahons, for the construction of buildings, addmons or alterahons, or for removal or demolition, as hereto described The apphcant agrees to comply w~th all apphcable laws, ordinances, building code and regulations. (S~gnature 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 ./.~...~...~....~..../R(........~.......~...D....~.....~.....~....(....'~.....~.~ ........ ...~......'~...~..'~..~-~.....'~... ...................................... If applicant ts a corporate, signa~ture of duly authorized officer, nd ti fficer ' 1. Location of land on which pr~osed work will be done Map No' ..~...q,~.~.ff~.~ ................ Lot No' ..~.~..~. o.d N. be .......... ...... ............................. ...................................... Mumc~pali~ 2. State ex~stmg use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .............................................................. = .................................................................. b. Intended use and occupancy ........................................... ..~.../r.Z,--~.....x....~...,.~L,.~7.....(.,.,.~,7. ........................................... 3. Nature of work (check which applicable). New Building J Addition Alteration Repair .................... Removal .................... Demolition .................... Other Work (Describe) ..................................... 4. Eshmated COSt .......... ~ I~ I i~1 i~l I .~ .......................... Fee ......................................................................................... (to be pa~d on fihng this application) 5. If dwelhng, number of dwelling units ........ D....~....c'..-. ....... Number of dwelling umts on each floor ...... ¢...../?f....c.'7 ......... If garage, number of cars ........... ..~..../~....~..~. .................................................................................................................. 6. If bus~ness, commercial or mixed occupancy, specify nature and extent of each type of use ............................... 7 D~mensions of existing structures, ~f any. Front .......................... Rear .......................... Depth ........................... Height ............................ Number of Stories .............................................................................................................. Dimensions of same structure with alterations or additions Front ................................ Rear ............................... Depth .............................. Height .............................. Number of Storms ........................................ 8. Dimensions of entire new construction' Front .......... ..~'...~. ........... Rear ............ ~...~. .......... Depth ....... ..~.. ............. Height ........... /.,5.~.. ......... Number of Stories .............e....~....~.'-'.. 9. S~ze of lot. Front ....... .~.~!...O. ........... Rear .......... ~...c?...~ ....... Depth ....... ~.2-.~.. ............. 10 Date of Purchase ........................................................ Name of Former Owner ...................................................... I1 Zone or use district m which premises ore situated ............................................................................................... 12. Does re osed construction v~olate any zonin¢l law, ordinance or regulahonP ,4~ o 13. Name of Owner of pram,sas .......... ~.z~....z~,.2.~. ........... Address ......................... z. ................. ~l~one~No. ~..~..~....~.., Name of Architect ...................................................... Address ............................................ Phone No ................... .~..lY , 7'¢~ '~ ,"~"~ t~..[~>c,,~,~j ress t~'.~ 6/'/'~'J~c~ejO;~Phone No. I-/,"C3 Z'2~ ?- Name of Contractor .................................................... Add .............................................................. PLOT DIAGRAM Locate clearly and d~stinctly all buildings, whether exmting or proposed, and indicate all set-back dimensions frog property hnes. Gwe street and block numbers or description according to deed, and show street names and ind~cal whether interior or corner lot. STATE OF NEW YORK, COUNTY OF .............................. / S.S.. ..~..`..~..~......~..'~[...-~...'./.~...~...~..7'c~./....~...~.~../../..(~......~.. .............. being duly sworn, deposes and says that he is the applica ..........---- --hcation(Name of ind~vidua~ s~gning app ) above named. He is the .............................................. ..~..../)....~....~'.'../~.....~...~...'~'..?.../.[..~:.. ..................................................... (Cantractor, agent, corporate officer, etc.) of sa~d owner ar owners, and is duly authorized to perform or have performed the said work and to make and f th~s application, that all statements contained m this apphcahon are true to the best of his knowledge and beli: and that the work wdl be performed in the manner set forth in the application filed therewith. Sworn to before me this t~ /:/ No 52 06].8~,00 STAKE J=MONUMENT 3.68°04,~ j "E. POND AREA --EDGE O~F WATER BOG AREA ~.0O' N.73046'50"W. 100.00' ALBO DRIVE FINAL LOCATION 4- 17-67 PlOT NO'S. 20 & 21 AS SHOWN ON UNFILED MAP Of SECTIONS 2~ 3,4, 5,6&7 OF SUBDIVISION OF LANDOF GEORGE I. TUTHILL AND OTHERS. GUARANTEED TO FARMERS HOME ADMINISTRATION MAP OF' LAND LOCATED AT LAUREL RALPH&LORAINE LARSEN GEORGEH. LUT~ .r'K. ~.^~-~:, I" = 30'