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Home My WebLink About3966-zFOP~I 1~0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. nE:RTIFIr~AT£ OF OCP-UPANP-Y THIS CERTIFIES that the building located at ~Qr,$11l~,~,~. ][~['..[~[) ........... Street Cedar' Beach Pal~ Map No ............. Block No ............. Lot No.~...hal~..~..~. conforms substantially to the Application for Building Permit heretofore filed in this office dated ..; ........ ~.1~. ..... 19., 19.~8 pursuant to which Building Permit No. 3~.,. dated ............ ~.I~. .... 19., 19.68., was issued, and conforms to all of the require- merits .of the .applicable provisions of the law. The .occupancy for which this certificate is issued is ... ~?J~k~.l;.~. ~D~I~. ~],ly..~.].].~.l~ ....................................... The certificate is issued to .~...O~.. ,.~..~...]~t...~.~, .~...~..~., ....... . .0~..~1~.~. ............. (owner, lessee or tenant) of the aforesaid building. .Suffolk County Department of Health Approval ....0~..~.~i ~.~ .~.~.1~...~'. ~. Building Inspector 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? 3966 Z Permission is hereby granted to: ..~.~. ....... ~.~.:~;I,~t..~l~ .................................. pursuan¢ to application dated ....................... ~'..~¥. ......... .~.J ............. , 19...~.~.., and approved by the Building Inspector. Building Inspector SUFFOLE COU~z DEPA~ OF HEALTH TO ~ON 1T ~! ¢ONCE~: The sewage disposal facilities for a structure located at (Give deed ~ Q have been inepeoted by this Department and found to be satisfactory. Distrie% .:ng. _-ee~ Approved ........................................ , 19 ........ Permit No ........... Disapproved ~.....~.....s~... APPLICATION FOR BUILDING PEI~MIT 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 in 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 regulations. AMERICAN HOME CONSTRUCTION CO., INC. (Signature of applicant, or name, if a corporation} 2186 Je:icho Tu:npike, Commack, NY. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or. builder. ............................. .................................................................................................................................................... Name of owner of premises John J. Lee and Maz'c~la=et M. Lee If applicont is a corporate, signature of duly authorized officer. (Name ond title of corporate officer) 1. Locatonof and on wh ch proposed work will be done ManNo. O~.~eda: ~leac.h...Pa:kl,~u^. Easterly · · .... ;;' ......... ........ : ........... South Side of Lakeszde D=. t00 E/D £edar rozn: :ive,BaVVzew Street and Number ....................................................................... :....: · Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: o. Existing use and occupancy ' none b. Intended use and occupancy ~;g .l~;C~.R.i~...g.n...e....f..a-..m..i.~.~...~...a..n..c...h.....h..o..u..~.~ ............................................ 3. Nature of workf (check, which applicl~able) New Building New · : .................. Addition .................. Alteration .................. Repair ................ ~. Removal .................... Demolition .................... ~her Work (Describe) ...................................... 4. Estimated Cost ....... .'7..~...~....~....~. ................................ Fee ....(...~ ................................................................................ (to be paid on filing this application) 5. If dwelling, number of dwelling units ....... .g..g.~. .............. Number of dwelling units on each floor ............ IDrj. e, ......... If garage, number of cars ]- car aaraae 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ......... ~ ...................... 7. Dimensions of existing structures, if any: Front ...~J~te .............. 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 ......~.~ ..................Rear ...... .5..4. .................. Depth ......3..6. ................... Height ............................ Number of Stories ..gg.~l ................... 9. Size of lot: Front ..... ,1,,1,.l[I. AJ~, ......... Rear ....z.p...3. .................. Depth ..2..4..7.....&:....2..5.~ ......... danuar 15th~ 1968 Name 10. Date of Purchase .............. ~. ..................................... of Former Owner Benedict A. Iflanasek,Jr. ................................ · ........ 11. Zone or use district in which premises are situated ................................................................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation? ...................................................... ...... John J. Lee -~ ,1.80 Eo239~h S~¢°Bran~one~u~FA 5-7694 13. r~ame aT L)wner or premises ........................................ ~aaress ................................. 1~' ................................... Name of Architect ....~...a..=.~...H..a.~.~...°..n. ......................... Address .8....'Jl/'.*...H..a.~.rl....S...~c.~,..F'.~;.q.~.Pl.q.~J~lone No.F..R.....~..-..~..~.O...0. Name of Contractor ..A...m..e..,:=.~.,H.,°..m...e....C...°..n..e..~.=..*..,C.,°..t....Address ...2...Z..8.,6....J..~.=.~..c..h..o.....T.~.,.k.~,. Phone No...5..~.~..-.~..q.o...O. I~ommack, NY PLOT DLAG~ Locate clearly and distinctly ali buildings, whether existing or proposed, and indicate all sat-back dimensions fram 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 NI~F'~(~I~, '( S.S. COUNTY OF .."~'"/...........'' '"'-': ................. Harcy Pro%~cer ~ he nn du ,, sworn, deposes and says that he is the applicant (Name of individual signing application) above named'. He is the ..... ~0..~.P..°..~.a...~..e.....q.f.?..:[,r;.e...g.~...~..u.~.~e..~. .................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dufy authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are 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 ....... ......... day, f ....... .................... : Notary Public, . ..... Coun t) 4 ...... dOblH d. 50U'[HOLD GCALE: $(~': I" I00' Z -% b \\ MAP 01:' LAND dONN d. 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