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Home My WebLink About3076-zla'Ol~M 1'¢0. 4 TOWN OF SOUTHOLD SUILDING DEPARTMENT TOWI~ CLERK'S OFFICE SOUTHOLD, N. ¥. r.E RTl ~q O~T£ QF THIS CERTIFIES that the building located at . .]~.8.~.~l~g .]~k~&d ........ Street Map No..~ ....... Block No .... conforms substantially to the Application for Building Permit heretofore ~iled in this office dated .......... ~y .... ~ ....... 19~. pu.rsuant to which Building Permit No. dated ........... ~F...~ ...... , 19.~, was issued, and conforms to all of the require- ments .of the applicable provisions of the law. The .occupancy ~or which th~s certificate issued is .~'&V~. O~O. 'F~i~' '~el~g .......................................... The certificate is issued ~o ~SSiO .& ~.. ,T~e~t ........ ~F~ ......... (owner, lessee or tenant) ~~f the aforesaid building, ~~olk County Department of ma~th A~r,~oval 4~g...;2.... ~.. ~. ~V~g ......... ~ ' ~ Building Inspector BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N9 3076 Z Date .......................... ~I~:. ......... .~ .............. , 19..~...~... Permission is hereby granted to: :~,.~l~d"~z'~e~'*'"~e'""~'~'~to*'~e~acei ....... ............ ~ ~" ~ 9 '"' [famp¢'c~x'"~y~. ................ to ....... ~1~ ~ ' ' '~r · '~' ' ' ~: ~ * ' L~-t~l ZL~ g ................................................................................ ~t premises located at '""~"R~ ........................................................................................... ~ ............................................. ~ew ..~t~......~ y~ ........................................................................... pursuant to application dated ............................... ~. ...... ~ ............. 19..,5~, and approved by the Building Inspector Fee $'*'IO;UO ......... Building Inspector SUYFOLK COUNTY DEPARTMENT OF HEALTH B~dg. Permit NO,, TO WHOM 1T MAY CONCERN: The sewage disposal facilities for a structure located at (~ive~ location) ' ' have been inspected by this Deparbment and found to be satisfactory. now or formerly George F'. FANNING (also known as Grathwohl ROAD "Charlies Lane"} NOTE~ m= MONUMENT SURVEY FOR ALESSIO TONACCI NEW SUFFOLK TOWN OF SOUTHOLD SUFF. CO., N.Y. SCALE: 1"=40' MAY 17, L966 ALBERTA TONACCl GUARANTEED TO~ HOME TITLE DIVISION OF CHICAGO TITLE INSURANCE CO. SOUTHOLD SAVINGS BANK PROFESSI..~_I..:~_~i~[~.Z__ ENGII~ER AND LAND SURVEYOR,~ N.Y~': LIC. NO. 12845 RIVERHEAD~ N.Y. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved ........................................ , ]9 ........ Permit No ............................. Application No....'..'~..~?....~. .......... Disapproved a/c~~_~ ...................................... ]~ .... ................... . (Building InspectOr) APPLICATION FOR BUILDING 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 shah 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. ., ,~PI~'ICATION 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) ....................... ~]~J~; J ;~J '~p~l~t) ............. ~ ...... State whether applicant is owner, lessee, agent, architect, engi'neer, general contractor, electrician, plumber or builder. Nameof owner of premises .......~....J_..~..~.'...~'..:..~....O......... ~.¢ ........ ~.(j ~.~.~ ............ ~j~j~ j~. ~ J~ ................ If apt~nt, is//~corporg(e, signature o;~duly authorized officer. '7/.;, ..... ~.~.~ ........... ~-~7-.;. ....... : ................................. (Name and title of corporate officer) 1. Location of land on which proposed work will be done. ~._:;_. N~.: ........................................ L~ ~.: ........................ .............................................................. ..................... v .............. .............. 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 ..... ~.~.....~.~..~..~ ....... '.~.~.~.~.~ ......... : ......................... 4. 5. 6. Natqre of work (check which applicable): New Building .... .../.... ..... Addition .................. Alteration ................ Repq~ir .................. Removal .................. Demolition .................. Other Work (Describe) ...................................... Es.4ated Cost ......................... Fee ..... .................................................. i ......... j ., (to be paid on filing this application) If d~/elling, number of dwelling units ..... ..~....,/~...,~T.. ......... Number of dwelling units on each floor ........................ If gel'rage number of cars ................................................................................................................................ ' ......... If bisiness, commercial or mixed 'occupancy, specify nature and extent of each type of use ............... ] ......... Dimgnsions of existing structures, if any: Front ............................ Rear ................................ Depth ........... ......... Height ........................ Number of Stories ............................................................................................................. Dimensions of same structure with alterations or additions: Front ....................................Rear Depth ................................ Height ............................ Number of Stories ................................ Dimensions of entire new construction: Front ..... '~,~......~.. ................ Rear ....~...~.....,.~.. ........... Depth ~..~...,.~.. ..... Height ...../.,~.'~...~. ..... Number of Stories ....... .~...~...~.'.'~.- ........ Sizeiof lot: Front ....... ~...~..~...~ ....... ,. Rear ........ ~..~...~....~ ................ Depth ...../....~,...~...~ ............. Dot, of Purchase ......~..~.~'~...~.i....~.~..../..~..~....~... ........... Name of Former Owner J~/~ Zon or use district in which premises are situated ........... ~.~..~ ..................... Doe~ proposed construction violate any zoning law, ordinance or regulation? ........ ~...~. : Na4e of Contractor ..-'~....~...J.,~...~..~..~,..,..~.~..~..~?.,....-~.'...~.~ddress ....'~...~..~.....~...~...~. ............... Phone No...~..~.., PLOT DIAGRAM / clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensi ~es. Give street and block number or description according to deed, and show street names ~rior or corner lot. 10. 11. 12. 13. L.ocot{ property Ii whether STATE OF COUNTY NEW. l~RKmm . ,, ~ '1 S S ~d~'.'~..,.(~.~ ................................. being duly sworn, deposes end says that he is the 0pplio N~q/al sig~rg application) ] above nan ed. He is the ............ .¥ ...................................................................................................................................... ~ (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 ~ke andJHe this application; that all statements contained in this application are true to the best of his knowledge and~belief; nd that the w~rk will be performed in the manner set forth in the applicatio~led the~ith. / ~ ~ Sworn to b~re me this ~ / ~ // ~ Notary Pub ..... Co~, ,,.~ Z (Signature of';~_[~ ~ARION A. REQEN~ /~ ~ NOTARY PUBLIC',, S~LO o; ~,:,',~ Yo,, r ~o. 52-3233~20 SuffoU( Caun~ ~[1~ ~xpires ~a[~h 30, 19~