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Home My WebLink About3860-zFOI~iVI NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No...~..3.~9E~ ........... Date ......... ~e~er.....3.~ ..................... , 19..68.. THIS CERTIFIES that the building located at .So~n~l.eW.:.Ave~lae .............................. Street Map No ....................... Block No ....................... Lot No..B~,tt.~o..%.~[v...Ne~...~erk .......................... conforms substantially to the Application for Building Permit ~heretofore filed in this office dated ..................... · A~..%.[......2~ ..................... , 19..~e8. pursuant to which Building Permit No. 3,~..~. dated ........... ~pz'.;i, 3-.....2,(h~ ................... , 19,,-68, was issued, ohd conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ........ .... pr .tv. ate,. one.. ~f~m~.~.y.. ~e~1,1.£~g. ............................... '. .......................................................... The certificate is issued to ......C,o~.~,l~rt(J~..,~l;~e~r. ................. '. .......................................................... (ownJ~r, lessee or tenant) of the aforesaid building. Health Dept. Approval, September 26, 1968, Robert Villa ..................... .......... ............... FOP,~ IgO, 3 TOWN OF SOUTHOLD BUILDING DEFAI~.TMENT' 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? 3860 Z Permission is hereby grar~o~ez,~ A~ ~ ~t~1~7 to Building Inspector. 8-9 SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH TO WHOM IT MAY at CONCERN: The sewage disposal Date SEP 2 6 1988 Bldg. Permit No 3~6OZ facilitiei for a structure located Soundview Ave. (Give deed location) S~uthold have been inspected by this department and fodnd to be satisfactory. Owner- Cor%~andt Poay B~i ]der-George Ah].er Dis~ric~ Engineer TOWN OF SOUTHOLD BUILDING DEPARTMENT am ned ............... ,9 Approved ........................................ , 19 ........ Permit No ................................. · Disapproved a/c ....................... APPLICATION FOR BUILDING PERMIT Application No.. ,~,.~,~, ............ 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 propertymust 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 Jn part for any purpose whatever until a Certificate of Occupancy 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 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 regula, tJj~s~ (S'o re of al~lica , or name, if a corporation) Name of owner of p m's ................ ...,...~,~,*~.-.-~..,... .................................................................................................~ If applicant is a corporate, signature of duly authorized officer.~J (Name and title of corporate officer) 1. Location of land on which proposed,work will be done. Map No: ............... ~"x.4 .................. Lot No: .................... Street and Number ..... ~.~ ........ ~ ....................~.~ ........... ~ ......... ; ........... ....... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ......................~~ ................................................................................... 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 .........../..~.~.....c~.. ............................ Fee .......................................................................................... (to be paid on filing this application) 5. If dwelling, 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 ............................................................................................................... Dimensions of same structure with alterations or additions: Front ................................ Rear ................................ Depth .............................. Height .............................. Number of Stories ........................................ a--'l · " . .. 8. Dimensions of entire new construction: Front . ...... '.~.,.,.~. ........... Rear ....~'..~....~. ............ Depth ....................... Height ........... ~ ............. Number of Stories .J ...... ~.~.~ ............. 9. Size of lot: Front .......... ././..O.~.~.. ...... Rear ...... ./...~...~:~,~. ........ Depth ........Z.A..~'.._,.. 10. Date of Purchase ......... ./.~..~..~.. .................................... Name of Former Owner iiiiiii..~..~....o~.s;~ ...................................... 11. Zone or use district in which premises are situated ................................................................................................. 12. Does proposed construcbon .¥iolate any zoning law, ordinance or regulation? ........ ~ ........................................ 13. Name of Owner of premises ..~...~..~ed'L..~.?.e.,~" -- ............. Address ...~.5......~. !~9.~....~..~.....l~..~-...~[...~.~one-- "-- -- '- No. Name of Architect ........................ :.~.~...~ .................... Add ess ..................~ ................ N ..................... Name of Contractor ....~.e~. .......... .................. Address ..~...~._.~'~..e.~....~.~....~.e'.~ ....... Phone No. PLOT DIAGRAM Locate cleorly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block numbers or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, ~, ~ ~ COUNTY OF ................................ ,~ .~ ~ ............................... beiqg duly sworn, d~poses and says that he is the applicant ................ ~me~''~' of in~idual signing appli~h~n~ ~ above ~med"He is the ................. '~---'~...,-~ ..................................... ' ................................................................. (Contractor, agent, co~orate officer, ~c.) of said owner or ownem, and is duly authoriz~ to perform or have pe~ormed the said work and to make and file this application; that all statements contained in this applicati~ are true to the ~st of his knowledge and belief; and that the work will be perform~ in the manner set.fo~h in the application filed therewith. Sworn to before me this . 19 .......... ....... , .................. , ........ ........... Nota~ Public,/~ '. ~. , ,,t,.~"~-~iggatu~e of ~0. 52-~618100_~?o~k Coun~ C~miss~n Expires March ~0,