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Home My WebLink About3193-zI~ORM 1VO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT 'I'OW~ CLERK'S OFFICE SOUTHOLD, 19'. P-EI~TIFIE:ATE OF O~:C:UPANC:Y Z - 2636 Date J*at~I~.~. t9,.. 19..6~. THIS CERTIFIES that the building Ioc,ated at ,..~.~.~Q~. ~ ....... Street Map No, . .~ ........ Block No .... ~ ....... Lot No. coniorms substantially to the Application for Building Permit heretofore flied in this office dated ........... ~g~t...~., 19.6~ pursuant to which Building Permit No..3~. dated ............. ~g...~.., 19.~., was issued, and conforms to all of the require- ments ,of the applicable provisions of the law. The .occupancy issued is ,~V~,~.q · 0~. ~Y..dWall~g ........................................... The certificate is issued to .... H~.~9~. ~.q,r~ ........ ~q~ ........................... (owner, lessee or tenant) of the ~ore,said building. Suffolk County Department of Health Approval .. ~.*..75..$9.~,, .by..~,..~i~ ...... Building Inspector FOP,,i~ NO. 2 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFF{CE $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLE'EION OF THE WORK AUTHORIZED) Permission is hereby granted to: to ................................................................................... at premises located at ...]~'~.~P.O,~..~Q~I, ......................................................................... pursuant to application dated ................................ ~-~.....~.~. .... 19.(,~.~.., and approved by the Building Inspector Building Inspector S-9 SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH Date 0 EC - 7 1966 Bldg. Permit No. 3193Z TO WHOM IT MAY CONCERN: The sewage disposal facilities for a structure located at Marratooka Road 28h.h' ~/o Bungal~ Lane, Ma'~ituck (Give deed location) have been inspected by this department and found to be satisfactory. Builder Valmar Homes Owner Harold Carr District Engineer ~c. q MAP OF SC ," A~..E: 50'= . VILANo GUAi2ANT~EID TO TMI~ HC, M~ 'T.~Ti.& CHICAGO TITLE iN~j:J2ANClg COMI.-'AI~¥ FORM NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N. Y. Examined .................................... , 19 ........ Approved ........................................ , 19 ........ Permit No ................................. Application No....'~...~..?..'~,. ............. Disapproved a/c ............................................................................................ ' ........................... APPLICATION FOR BUILDING PERMIT guguet 15, Ig&& INSTRUCTIONS a. This application must be completely filled in by typewrite[ 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 workY - e. No building shall be occupied or used in whole or in pa rt for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspectpr. 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 a Iterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances and regulations. VALHAR HOHES~ INC, (Signature of applicant, or nome, if o corporation) 6156 ~JNRISE HEGHIdAV, BAYPORT, (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .................. ................ HAROLD CARR Name of owner of premises ............................................ ; ........................................................................................................ 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. Mop No: ............................................ Lot No: .................... Street and Number HARRATOOI~A ROAD FIATTITUC½ ...................................................... ............................................................................. 2. State existing use and occupancy of premises and intended use and occupancy of proposed t;onstruction: o. Existing use and oocuponcy ..................................................... . ......... b. Intended use and occupancy ...... .R..~.~,[~.~.I~ ....................................................................................................... 3. Nature of work (check which applicable): New Building ......X. ........... Addition .................. Alteration .................. Repair .................... Removal .................... Demolition .................... Other Work (Describe) ........................ 4. Est imated Cost · ....Z..2..~.D..§.*O.*e.G. ~ ..................................... Fee .......................................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ....... .1. ..................... Number of dwelling units on each floor ............................ If garage, number of cars ............ 2 ............................................................................................................................... 6. If business, commercia~ or mixed occupancy, specify natureond extent of each type of use ................................ 7. Dimensions 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 ........................................ 8. Dimensions of entire new construction: Front....~i.? ...................... Rear ............................Depth ...2..8..~..I .................. Height ............................Number of Stories .................................. 9. Size of lot: Front ....T[~.I. ................... Rear ....Trlrl..I ................ Depth ..... 2.~ri.I. .......................... 10. Date of Purchase ........................................................Name of Former Owner ........................................................ 1 1. Zone or use district in which premises are situated ................................................................................................. 12. Does proposed cOns{ructiOn violate any zoning law,. ordinance or regulation? ....llJl~. ............................................. 13. Name of Owner of premises .~a~.r..EIsz'ald ............ Address Bunga3.~,~..La~te ............... Phone No ..................... Name of Architect ...................................................... Address ............................................ Phone No ..................... Name of Contractor ..... I/a3ja~:~..Hames~..Tnce ........ Address neypaz, t, ............................ Phone No...~2~,.-~li~[l~.. PLOT DIAGRAM Locate clearly and distinctly oil buildings, whether existing or proposed, and indicate all set-bock dimensions from property lines. Give street and block numbers or description occordin§ to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, ) COUNTY OF ...b'EL~O~ .......... ) S.S. ............. ..g..o..a..e.~..~...?..~..z~.. .......................................... i ............ being duly sworn, deposes and says that he is the applicant (Name of individual signing application) above nome& He is the ......... ~g~l~.g.tl,o.~ ............................................................................................................................ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or hove performed the said work and to make and file this application; that oll statements contained in this application ore true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this 'lS:Y~ dayof ~t~.'t,, ....................... , 19_.6..6... ~/~_./~ ~ ~ ................ ~ILMA L FANNING ..,,,~'}~....~.~rr~......~....~.. ....... ~ .......................... ..... ,._ ~'~ ~'*/L~*O~.I~OTARY PUBLIC. Stat~[6~ltJe~--f~ ~' (Signature of opphcant)