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Home My WebLink About3078-z~ORI~ 1~0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT '/"OWN CLERK'S OFFICE SOUTHOLD, N. Y. CE:RTIFIBATE: OF DCE:LIPANP. Y Ave THIS CERTIFIES that the building located at ~/S.--~.gh.~hO~se..~-~, .... Street Map No...~_~ ...... Block No .... ~ ..... Lot No. ~ ...... SOU~thO~,~'~ .]~]~ ...... conforms substantially to the Applicati. on for Building Permit heretofore filed in this office dated ........ ~,p~.~.~, ....~ .... 19. ~ pu~rsuant to which Building Permit No..~(~. ~ dated ........ ~Y ..... .~ ....... 19.~., 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 .. P~.V~..~(~.~SO:l~r..~/~g. L~. ~00~ · ~ho~. &. ~.~;o~g~ ................... The certificate is issued t,o Plltl&p. & .F~g~.~: .~]~a ........ O~X'~ ........... (owner, lessee or tenant) of the aforesaid building. .Suffolk County Department of Health Appr, oval ......... ~*.. ~[~. ......................... .~.~.~.~..:.:-. .............. ~ ..... Building Inspector FO~M ~0. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OF~qCE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 3078 z Permission is hereby granted to: ~.o.~.~.b..~.e~i~h....A/~...~Llili~p..~.a~a~ & ~ife ....... 3~.-.a6...~ ..................................................... .............. & ~ ~.~:~.~......~f,.~, ................................ to . .'~...~M$~.~ .. ~.. ~ltl.t~...b~il~.~g.. ~. ~ e~...~.~...e_~.e ~. .............................................. ct premises located at '"~/~"~g~o~e"R~..~..~/~....~o~..~?.A~ ...................... .................................................... ~.q~}~ ~,~...,.~f,.~., .......................................................................... pursuant to application doted ................................ ~$~.....~ ....... 1~...., on8 approved by the Building Inspector ·OWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. App,cot,on ........ Approved ........................................ , 19 ........ Permit No. ~..d D,sapproved a/c ,~~.~:.~'-' (Building Inspect/6r) APPLICATION FOR BUILDING PERMIT Date ........... 7,~-,~D~,:~,1...B.~,~ ....................... , 19,..6.6 ..... INSTRUCTIONS a. This application must be completely filled in I~y 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 shQll be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have b~en granted by the Building Inspector. APPLICATION 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 ~/bpp[icant, or r~me, if a corporation~ (Ad[dress of applicant) State whether applicant is owner, lessee, agent, architect, engi'neer, general contractor, electrician, plumber or builder. Owner Name of owner of premises ~zZ~[zp Sabal jet & Margaret Sabal ja If applicant is e 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.: ........................ Corner of oound View Avenue and Light H~use Street and Number "U ...................... Municipality 2, State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existi ng u se a nd occupancy ·..~l:¢~:~:~..::¢(:~jkf~:. ............................................................................ - e 00~.? ' b. Intended use and occupancy ...... ~/,~;~Jl~:~l~c~,Cf~f~.~ ...... ¢,~...(;1,,.~.9,.~'....~. ....... ¢. .............................................. 3. Nat,~re of work (check which applicable): New Building .................. Addition .................. Alteration Rep~lir .................. Removal .................. Demolition .................. Other Work (Describe) TOII~. J~J,~, 4. Estir ~ated Cost ............ ~IT~0~ ................................. Fee (to be paid on filing this application) : 5. If dj, veiling, number of dwelling units ~ ....................Number of dwelling units on each floor If g~roge, number of cars ............. ~l~ ........................................................................................................... ~ ........ If ~usiness, commercial or mixed occupancy, specify ~ature and extent of each type of use 7. Dimensions of existing structures, if any: Front ............................ Rear ................................ Depth Height ........................ Number of Stories .............................................................................. DiZens ons of same structure with alterations qr edditions: Front ....................................Rear Depth ................................ Height ............................ Number o~ Stories ................................ 8. Din]ensions of ent,re. V ~**~ new construct,on:f t ' Front1 .................................... "'~. Rear ........................... Depth Hm~ht .................... Number o S ones .......................................................................... 9. SIz~ of Job Front ............................ Rear .................................... Depth ...................... ~ ......... 11. Zone or use district in which premises are situated : 12,~, Doe~ proposed construction vielote any zoning law, ordinance or regulation? ~J JO 13. Na~e of Owner of premises ..................................................................... Na~e of Architect ...................................................... Address ............................................ Phone Na~e of Contractor .................................................... Address ............................................ Phone No. J PLOT DIAGRAM Locat~ clearly and distinctly all buddings, whether exmhng or proposed, and indicate ali set-back dimensions property lines. Give street and block number or description according to deed, and show street names and indi< whether in~erior or corner lot. ' ~eing duly sworn, deposes and says that ~ ~ the appli, above (Contractor, agent, corporate of said o~ner or owners, and is duly authorized to perform or hove performed tMe said work and to m~ke: and this application; that oil statements contained in this dpplicotion ore ~rue to the bes~ of Ms knowledge and belief; that the w~rk will be performed in the manner set forth in th~ application flied therewith. Sworn to ~efore me this . ~ ~ ........... ~ ....... da~. of ...~.~.~ ......................, 1~,..~..~( .. of apl Notary Pu~llc, .. ~.......:, ................ County"