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Home My WebLink About3338-zFORM NO. 4- TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BERTIFIP. ATE OF DIgE:UPANBY No. l~ 2825 .... Date .. t~tept~fl~er I , 19 .67 THIS CERTIFIES that the building located at P~l:k ~:ea ........ Street Map No. ;gXX Block No. ~ Lot No. XX~ l~&~e~B ':l:Slaz/d; ' It.F; · conforms substantially to the Application for Building Permit heretofore filed in this office dated .De~:~mez' 12 , 19 66 pursuant to which Building Permit No. 333E~.. dated . ~ead:~e~ 1.3 . ,19 66, was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is . one £~iltr .d~elLl~g ........................................ The certificate is issued to . (~o~nel,tus. O~Conno:c ................................ (owner, lessee or tenant) of the aforesaid bmlding. Suffolk County Department of Health Approval I~/A ................... Building Ins~)e~ ...... FOF,~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? 3338 Z Permission is hereby granted to: ............. O'¢o or .................... F. ~,-sher~..T-~l~r~ .......................... to ~.~..d....D.~.W....gD,9.....f.~ ~ ],/f....~,%f~, ~,11~ ................................................................................... at premises located at ..N/.,9..Y~Lr,...F,,,,l,L.,Boa, d.....'Lo.t..~..~-.~...or,l,{l..'i,-ua.1..~ ......................... .... Fi she r.s.. X sls~d.. E s.ta.ta ~ ~..../~.& s he rs...I slandt..., i~ o X. ............................................. pursuan,t to application dated ........................ ]~.~..,, .......~. .............. , 19.~..., and approved by the Building Inspector. ilding Inspector u FOEM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ...... ...~....~.......c~....../....~.. ........ ] 9.,.~....~ Approved ........................................ , ]9 ........ Permit No ................................. O~sapp roved a/c .~.~.~_.....~--,,,,~-~.. Application No. ~ ~ ~ ~ APPLICATION FOR BUILDING PERMIT Date ............ ~e~em~r...;L2~ ................... ,19..~.~. .... 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 buildings on premises, relationship to adjoining premises or public streets o areas, and giving a detailed description of layout of propertymust be drawn on the diagram which is pQrt of this application c The work covered by this application may not be commenced before ~ssuance of Building Permit. d. Upon approval of th~s application, the Building Inspector will issue a Building Permit to the applicant. SucJ permit shall be kept on the premises available for inspection throughout the progress of the work. e. No bu~ldmg shall be occupied or used in whole 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 Building 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 applicable Laws, Ordinances o Regulations, for the construction of buildings, add~tions or alterations, or for removal or demolition, as herein described The apphcant agrees to comply with all applicable laws, o~de and regulations. (S~gnature of applicant, or name, if a corporation) ...................................... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ....................... .~.~i~r~...G,Q~J.~...~.L~ ........................................ Name of owner of premises CORNELIUS O j CONNCR 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: .... ?..¢~..~..~.~. ................. Lot No: ................... Street and Number ....... LN.L.'~,~ ................................................................................................................................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..... ~.{~.~j~.V41~.QJ~ ....................................................................................................... b. Intended use and occupancy ............................................................................................................................... 3. Nature of work (check which applicable): New Building ...~ ............ Addition .................. Alteration ................. Repair .................... Removal .................... Demolition .................... Other Work (Describe) ..................................... 4. Estimated Cost .... ~.~.5...¢..0..0...0.......0..0.. ............................... Fee ...~..Z...0.,~.,.O..0. ........................................................................ (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. Dimensions of existing structures, if any: Front .......................... Rear .......................... Depth ........................... Height ............................ Number of Stories .............................................................................................................. D~mens~ons of same structure with alterations or additions: Front ................................ Rear .............................. Depth .............................. Height .............................. Number of Stories ........................................ 8. D~mensions of entire new construction: Front .... ..6..0....~.~.~.....0. I~... Rear ...6..~...~.~.~..;~]~. ..... Depth ..2..8....~.~.......0.~] .... Height ..~.~....~..~.~..:~]~. ...... Number of Stories ..C,L~i~ .................. c). S~ze of lot: Front ..3~,C)..~.~, ............ Rear ...~g,Q..~.~. .......... Depth .....~Z6g..~'.~, ........... 10. Date of Purchase ..,1,.0...~.6. ............................................ Name of Former Owner 11. Zone or use d~strict in which premises are situated....,~u,~.:[P.~;:RU~ ................................................................ 12. Does proposed construction wolate any zoning law, ordinance or regulation? ......... ~[£t .................................... 13. Name of Owner bf premises ..q.O.~'P.ft~J,~,l~,...f~.~.g.o.~r~ldress ~'.~.~,~.f~s..,T.,s.,1. az:zct.,...L"Z..'~hone No .... r"2.3. ........ Name of Architect .H...~..z'...~.~.~.....&....~..~..'¢..$.~. .................... Address ~J,~,.~gl.],.~,~.O.~.~....C,~g. ..... Phone No~ ~.,5..~.9...q.~.... Name of Contractor ..~..:...~..o.~.~...,g..~.~.~. ...................... Address ~'j.~.b,f]~.fl..~,],i~o.ct,~.._N.o.~one No...~3,J, ........ PLOT DIAGRAM Locate clearly and d~stinctly all buildings, whether existing or proposed, and indicate all set-back dimensions rrm property lines. Give street and block numbers or description according to deed, and show street names and ind~caJ whether interior or corner lot. STATE OF NEW YORK, i COUNTY OF .o.'.~.[~.1.]¢ ............... ~ s.s. ....................... ,,t~.,...~.Q~..G.~C]~ ............................................ being duly sworn, deposes and says that he is the applio (Name of individual signing application) above nome& He ~s the ............ (~....~..1~..~.~...~)...R, ................................................................................................................ (Contractor, agent, corporate officer, etc.) of sa~d owner or owners, and is duly authorized to perform or have performed the said work and to make and this apphcot~on; that all statements contained in this application ore true to the best of his knowledge and bel and that the work will be performed in the manner set forth in the application filed therewith. Sworn to.~fore me this ,/~ z9 ........ .~'..~.. ........... ~day of ..~"~:'/'" , 19~/~(' ~' /] -- ........... . ...... ..........................................