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Home My WebLink About3150-zFORM NO, 4- TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. .Tii~4PORARY BERTIFIBATE OF OBBUPANBY No...Z. 29.26... Date ............. ~overaber...6, 19..67 TI{IS CERTIFIES that the building located at .¢~/~. ~(~gP.r~. P?.~v.e ....... Street Ma~?~. A~?.SBlock No ............. Lot No. ~ ..... 8ouJ;ho]ct~..~ ,Y., ......... conforms substantia~y to the Application for Building Permit heretofore filed in this office dated ....... ¢u&y .... l~.. , 19.66. pursuant to which Building Permit No..~l~ .Z dated ......... ~uly.. 13.., 19.66, was issued, and conforms ~o all of the require- ments of ~he applicable provisions of the la~. The occupancy for which this certificate is issued is .. Pniva'ge..one..fam~y. d~e:[ !&n¢ ..................................... The ~ertificate is issued to ... D;r.8,. ~tez~ry. C~ta[ka ....... 0~er ................. ~ (owner, lessee or tenant) of th~ aforesaid building. ~.~D,k~rom~l. Au~4.~..l~6~. ~'~ Villa Suffolk County Department of Health Approval ~ ? .... ....... ~. :... ~ ...... Building Inspector , FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificste Of Occupsncy No.Z.5726 ..... Date ............ ~.~.a.~y...2.... , 19.70. THIS CERTIFIES that the building located at .. E~S · Se~weo~..Drive ..... Street Map No. 'S e awood ' A',Bl°ck No ........... Lot No.. ] .3 ..... S.outhold .... N ,2., ....... conforms substantially to the Application for Building Permit heretofore filed in this office dated ........... ~:!xly' · ']3" 19 66. pursuant to which Building Permit~;No.. ~ ~0Z. dated ..... ~... J~ty. ]~ ..... , 19..6~ was issued, and conforms to all of the require- merits of' th~ applicable provisions of the law. The occupanc~ for which this certificate is issued is .P. ri.w~.t,, o~ue. familY: .d~rellit~g ................. ,, ..................... The certificate is issued to . .~41's.,..Henry .Ct~latka. (Mrs. Eve;re.ti;. Glovex*)...Owner (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .... A~g..3..~96~...by. R..Villa .... Building Inspector House ~ 1150 Seawood D~ TOWN OF SOUTHOLD BUiLDiNG D£PARTME~T TOWH CLERK'S SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES uNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 3150 Z Permission is hereby granted to: ................. Gx~.ae:npoz,.~ ......................................... at premises located at ....................... : ................ ~oo~..~....,.~oU~h~l~, ~q~,~ ~ ' pursuant to appljcatlon ~ted ..... .........:.....:?j.~...~:::~:~..~:;~:~2~;; i9~.~; and a~pro~-~ tho: Building Inspector gui~din~ Inspector, S-9 SCHD SUFFOLK COUNTY DEPARTMENT Date Bldg, OF HEALTH TO WHOM IT MAY CONCERN: The sewage disposal facili~es ~_f~ structure located at (G~ve deed location-) have been inspected by this department and found to be satisfactory. District Engineer FOI~i~ NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTNOLD, N. Y. Approved ........................................ , 19 ........ Permit No. ~/'~-~O ~ Disapproved o/c ~,~-' ' ........................ fJi ................................. Application No..~....~....~...O....~. ...... APPLICATION FOR BUILDING PERMIT Date .................................... Jnly. ....... 1,~.., 19.66. ...... 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 shall 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. APPLICATION tS 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. .......................................... (S'g ~t/6re of applicant, or name, if a corporation) (Address of applicant)/ State whether applicant is owner, lessee, agent, architect, engi.neer, general contractor, electrician, plumber or builder. 0~n - ' d ............................................... .e.~. ....... .b.l~.l.. ~.r ..................................................................................................................... Name of owner of premises ..... I~rl,r.~..~.~.'l.a. tka ............................................................................................................. If applicant is a corporate, sign'ature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which proposed work will be done. Map No.: ...~.~e~..~fl~fl~ ...... Lot No.: .~3 .................. Street and Number ...Se, a~mo,d,.D~.~e ....... .~onth~ld~...N.,.Y, .......................................................................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...... .~a~a~t..~a~d .................................................................................................. b. Intended use and occupancy ..... o~e...~a~iZ~..4w~.i~ ...... ........................................................................ 4. 5. 6. NatpFe of work (check which applicable): New Building ....:~f...~ ......... Addition .................. Alteration .............. Repair .................. Removal .................. Demolition .................. Other Work (Describe) .................................... Esti~nated Cost .....~], ,~ .0.00. ........................................ Fee ........ ,],0 ......................................................................... J (to be paid on filing this application) If dkelling, number of dwelling units ...Ot'~ .................. Number of dwelling units on each floor ....................... / if ggrage, number of cars ............. o~e .................................................................................................................... If ~usiness, commercial or mixed occupancy, specify nature and extent of each type of use ....................... Dimlensions of existing structures, if any: Front ............................ Rear ................................ Depth ................... Height ........................ Number of Stories ............................................................................................................. Dim'ensigns of same structure with alterations or additions: Front .................................... Rear ........................ Del: th ................................ Height ............................ Number of Stories ................................ Din ensigns of entire new construction: Front ............ LI~ ................... Rear ............. 14-0 .......... Depth ..... 28 ......... Hei iht .................... Number of Stories ............... ~'~ ......................................................................................... Size of lot: Front .......... .'l..~g ........... Rear ............. .'1.3.~ ................ Depth .....'1.~(~....../. ....... .~O~' Dot of Purchase .................... ~,9.~.~. .......................... Name of Former Owner .................................................... Zon'e or use district in which premises are situated ............ U~:ll..~.~.~-~ ................................................................. Doe~ proposed construction violate any zoning law, ordinance or regulation? ................... mO ................................ Nar ~e of Owner of premises ..~e~z,.~..($-i.e.]:.a.~.~.~i.....Address ........ .0~.flg~.O~.~ .............. Phone No ................ Nar ~e of Architect ...................................................... Address ............................................ Phone No ................ Nar ~e of Contractor .......sa~e .................................... Address ............................................ Phone No ................. PLOT DIAGRAM ~ clearly and distinctly all buildings, whether existing or proposed and indicate ail set-back dimensipns fri nes. Give street and block number or description according to deed, and show street names and india 10. 11. 12. 13. kocat. property Ii whether in erior or corner lot. STATE OFiNEW YORK, COUNTY ,DF .Suf~o,J~ .............. ............... ~,'e~:~r...CzLe~La.t~ca ................................................ being duly sworn, deposes and says that he is the applicc IName of individual signing opplicati6n) ' ' above nan~ed. He is the (Contractor, agent, corporate officer, etc.) of said ow ~er or owners, and is duly authorized to perform or hove performed the said work and to make and this applioltion; that oil statements contained in this application ore true to the best of his knowledge and belief; that the w( rk will be performed in the manner set forth in the application filed therewith. Sworn to bt fore me this · Iao., . . ............... ....................... ~lLg~u Sta~e o '