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Home My WebLink About3344-zTOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. ¥. C:ERTIFIOATE OF rIOP-UPANOY THIS CERTIFIES that the building located at ~[~8,~h .~[~ .~..~ ~{~,.. Street Map~.l'.~..~.~..~..~lock No ............. Lot No. ~..~. .... conforms substantially to the Application for Building Permit heretofore filed in this office dated ........... De~,...~l ..... 19.(5~>. pursuant to which Building Permit No.~314~..~.. dated .......... I)ee ...... X~..., 19. ~(;, was issued, and conforms to all of the require- ments .of the applicable provisions of the law. The occupancy ~or which this certificate is issued is 91, i¥.a~e .~I~ · i~m.t~,~- ~m'lling ........................................... The certificate is issued t.o .Dali,..F~.a{~oi;.o!c~l~o4{ ...... Lli¢llol~J,,. ............... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval ..... '2k~]~.. 6 .]..'~GT...bi}'....~l,..¥i.X.~.. .... · ~ Building Inspector FORM 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? 3344 Z Permission is hereby granted to: Candlel&§~t..Mome~..[mc..A/¢..Dam..Peaeg.ietopoulos .......... R.i-vePhea~ ................................................ to B~Ai l~ .. new...one.. S amll]Ldualling ...................................................................................... at premises located at .~t.....17. ......... Sterl. ing...H~ia.s .............................................................. ............................ ~each.~..&..Land~n~..Lan~ ..............G.~.eea~r.t ........................................ pursuan¢ to application dated ..................... D. ed.. ....... ~ ................. , 191~..., and approved by the Building Inspector. Fee $....1..0..... .............. Duildir~g ~nspecror ~, S-9 SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH TO WHOM IT MAY CONCERN: The sewage disposal facilities for a structure located (Give deed have been inspected by this department and found to be satisfactory. District Enginee~ ~'~ District Engineer FO]~,~ ~0. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE E×am,ned ....... ............ No. Approved ........................................ , D~sop~ roved o/c ............................................ .......... ................................. Application No.....~....~......~.....~.. ..... APPLICATION FOR BUILDING PERMIT Date ...................... ?..e..9..e...~..b...e. ?. ........ ~? ...... , 19..~.6..... 1 NSTRUCTIONS a Th~s apphcatlon must be completely filled in by typewriter or ,n ink and submitted in duplicate to the Buildin Inspector. b. Plot plan showing location of lot and of buildings on premises, relahonsh~p to ad~oimng premises or public streets areas, and gwmg a detmled descnpt~on of layout of propertymust be drawn on the diagram which is part of this applicotior c The work covered by this application may not be commenced before issuance of Building Permit. d Upon approvat of this application, the Building Inspector will issue a Building Permit to the applicant. Suc permit shall be kept on the premises available for inspection throughout the progress of the work. e. No building shall be occupied or used m whole or ,n part for any purpose whatever until o 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 Regulohons, for the censtruct~on of buildings, additions or alterations, or for removal or demolition, os herein describec The apphcant agrees to comply w~th all applicable laws, ordinances, building code and regulations. Candlelight Homes Inc (S~gnature of apphcant, or name, if a corporation) Riverhead~ N.Y. (Address of applicant) State whether apphcant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or buildei Contractor Name of owner of premises ..D..~...~..-....?....~.~E~,.o.~.°.~g,..z~...o..~ ................................................................................................. If applicant is o 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 ...... ~,e~].~:D~,..~C~S .... Lot No: .....'1~. ........ Street and Number ..... ~e~c,~.~xo.a~..~..~'qc~..~a~qfl ....... .~z'~.ft~DP~ ...................................................... Municipality 2. State ex~st~ng use and occupancy of premises and intended use and occupancy of proposed construction: a Existing use and occupancy ................. ~,~q,.tv...~.~.~ ..................................................................................... b Intended use and occupancy ........... .O.~.~...~'.~,.~.~...f~f~,~ .................................................................... 3. Nature of work (check which applicable). New Building .~ ...... Addmon .................. Alteration ................ Repair .................... Removal .................... Demohhon .................... Other Work (Describe) .................................... 4. Estimated Cost .... ..]..~..~..O..0...O...+ .................................... Fee ]LO (to be prod on fihng this application) 5. If dwelhng, number of dwelhng units ....... .o...~..e. .............. Number of dwelling units on each floor .......................... If garage, number of cars ........ <:>t~e .......................................................................................................................... 6. If business, commercial or mixed occupan,cy, specify nature and extent of each type of use .............................. 7. D~mensions of ex~sting structures, if any: Front .......................... Rear ..........................Depth .......................... Hmght ............................ Number of Stories ............................................................................................................. D~mens~ons of same structure with alterahons or aad't OhS Front ................................ Rear .............................. Depth .............................. Height .............................. Number of Storms ........................................ 8. D~mensions of enhre new construction: Front ......... ~+(~ .............Rear ......... ~.6 ..............Depth .... 2_.6 ................. Height ............................ Number of Storms ..... ~L-~ .................. c), Size of lot: Front ].~l.~.~.8.../....8.~.o~ear ..... ],~ ............... Depth ............... ~,f).~. ......... 10. Date of Purchase ............ ,],cj~).0 .................................. Name of Former Owner ..... ..q......~..~.~,J:.8,...J=..e..~ ................. I1 II ' 11. Zone or use distrmt in which premmes are s~tuated ............ ~,.....qt,,~.~.~ .................................................................. 12 Does proposed construchon violate any zoning Iow, ordinance or regulation? ........ p...O. ......... 'N';'~Z'; .................... 13. Name of Owner of premises .....I).~..~.f~.~p~,f).llf~l~.Q~l,~Jl4l~lss .~.~,C)..,6,tg,ct.l~.Ol~.S..~..~'~. .... Phone No ................... Name of Architect ......................................................Address ............................................ Phone No ................... Name of Contractor .... .O.,~.~d...]....e.....~.~,~.~.%....~..o..m..e...s. ..... Address ...... .~.~-...~..~.~..~.~. ................ Phone No .................. PLOT DIAGRAM Locate clearly and dmtinctly 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 indica whether ~nterior or corner lot. STATE OF NEW~YOI~J<, COUNTY OF ......... S.S. Adelaz'cl Less~d . being duly sworn, deposes and says that he is the applic (Name of indiwdual s~gning apphcation) above named. He is the .................... I~P~J~q.C.I~.CtZ'. ......................................................................................................... (Contractor, agent, corporate officer, etc.) of sa~d owner or owners, and is duly authorized to perform or hove performed the sa~d work and to make and th~s apphcahon; that oil statements contained in th~s apphcahon are true to the best of his knowledge and bel and that the work w~ll be performed in the manner set forth in the application filed therewith. Sworn to before me tbs - ................... ................... , ,, ..... _ .............................. Notary Pubhc,~..L).~....~.~..i~ ...... Co~nty~ ._ k (S~gnature of applicant) ~o 52323~123 S~..JJ Term Expires March 30,