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Home My WebLink About3970-zTOWN OF SOUTHOLD BU~L. DING I~PARTMENT TOWN CL~RIr'S OFFICE SOUTHOLD, N. Y. ~o..g..339.6 .... Date ......... .D. eeambsx.. 30 ....... 1068. THIS CERTIFIES that the building located at . .N/R. Igl. la.~. X, al~ ........... Street conforms substantially t~ the Application for Building Permit heretofore filed in this office dated ........... J.u].~.. ~ .... 19.6~ pursuant to which Building Permit No..3.9.70. dated ........... ,)'~,ly...21~ .... 19.-68 was issued, and conforms to all of the require- mants of the applicable provisions of the law. The .occupancy for which this certificate is issued is .Pr&w.te. one..fmailp .d~ :~-l~g .......................................... The certificate is issued to . ,To~4~lOl~ .Aqll~-tlrlO ....... O~l~s~F ........................ (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . ~.qCs..~6.S..~.~... ~I .lt.a .~il]-~. ..... LO~ ~urggulbnon Gunther Lilac La ~/~sel~ · px 220 Ft ~/ aorton L~ (PVT RD) FOBM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERIC'S OFFICE SOUTHOLD, N. Y. BUILIMNG PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK'AUTHORIZED) N? 3970 Z PermissJofl Is hereby granted to: ,o ,,~53.~.;~e~. o~e .~e,ag..~..~a.~2Z,I,~ ............................. ~'nx.~ ot ~0 llagsa~t ~l~q? ............ at premises located at ..................... .~. ............ ~r.l~ .............................................................. pursuant to application dated ............................ .,,~LL~ ....... ~'. ......... , 19...~, and approved by the Building Inspector. Fee $.lg,..e~O ........... Building Inspector THE NEW YORK BOARD OF FIRE UNDERWRITERS ~ BUREAU OF ELECTRICITY ~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 rate ~cek~:~ 9, 19~ ~"c~t~on,¥o. onyUe 0971--27 N 50~,~ ~'~ ~ ~ > THIS CERTIFIES THAT Only the e~t~al equip~ ~ &se~d. ~ a~ ~nt~ed ;by the e~c~p~-~med on the eb~e ~p{ica~n ~=m~r in t~ prem~es of in the~ol~wing location; ~ B~ement ~ 1st Fl. ~ 2nd Fl. Section Bl~k ~t w~sexamiaedon ~ i, ~ andfoundtobeincompliancewiththere~ulre,ne~tso~thisB~d . RXTURES RANGES C~INGDECKS OVENS DISH WASHERS EXHAUST FAN~ DRYERS FURNACE ~TORS ~TURE AP~IANCE FEEDERS S~CIAt REC'PT TIMECEOCKS BE~ UNIT HEATERS I MULTI-OUTLET * DIMMERS I I SYSTEMS SERVICE DISCONNECT NO. OF ~ E R V I C E This certificate must not be altered in ~ny manner; return to the office of the Board if incorrect. Inspectors moy be identified by ~hei~edentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. Riverhoad New York 11901 516 727 4140 TITLE INSURANCE Company of New York December 5, 1980 Building Department T/South old Re: Title No. 80-52-33649 Gentlemen~ Enclosed please find check in the amom,'nt cover the cost of a search for a duplicate Certificate of Occupancy° ~ JOSFP%~ & F"?~ A~)~TILANO : See' att,~che~ survey° Title ?~n.' Loc~tlon~. of $i.o0 to copy of a Please use the self-addressed, stampedI envelope for your reply. We have file to which the Certificate of Occupancy is to be applied. Very tru~ly yours, Gall Edwards no other means enclosed to identify the intended PF44B §U~V~Y:_' F2:2. 'J I ?: & :", TO\VId TOWN OF SOUT~IOLD BUILDING DEPARTMEN~r '~"OWN CLERK'S OFFICZ SOUTHOLD, N. Y. CERTIFICATE OF OOr. I]IaANCY THIS CERTIFIES that the building located at .~/~.~....~.~a..C..~,a..rig. ........... Street Nassau Farms _ resubdivided plot 12~ ~,~W/Geaele~.E./G~tker)..Cuichogue Map No ............. Block No ............. ~otNo.. conforms substantially t~ the Applicat~,on for Building Peymit heretofore filed in this office Sated ............ July...Sh.., ~.68. pm'suant to wni&Permit No. ~97~$.. dated .......... ~1~ .... 2~ .... 196.8., was issued, all of the require- ments ,of the applicable provisions of the law. issued is Private one The certificate is issued .J.ose.Dh~..& of the aforesaid building, ,Suffolk County Department (LOT DESCRIPT. ON) this certificate is ,, IoWner,, or tenant) .D~]. 26,..1968...by. a.. ~l.l.q.a ...... Building ~ ........... N/ Burgguignon E/ Gunther S/ Lilac Lane W/ Gesele Aprox 220 ft w/ Horton Lane S-9 S£~D SUFFOLK COUNTY DEPARTMENT OF HEALTH Date Bldg. December 26, ]968 Permit No. 3970Z TO WHOM IT MAY CONCERN: The sewage disposal facilities at Td]~c I,ane off SLer].~ Rd, ,i (Give deed location) for a structure located South o! d ' have been inspected by this department and found to be satisfactory. , Dl~trfot Engineer ~'~'-' Di~t r i c t E~gi.~eer.~ ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT~',~,c... ,~. ~-,~. ~ ~ TOWN CLERK'S OFFICE -~t"~ , ~ ~ SOUTHOLD, N.Y. ~ ~-:~ Examined .............. , 19 ....... Application No. Approved ........................................ , 19 ........ Permit No ....................... Disapproved a/c ~.~..., - .......... ~ector) APPLICATION FOR BUILDING 'DELIMIT Bt, ............... ..~ ....... :.z..?. ................... , 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 drown 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 pa rt 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. ......... '~'~i~;~'~';~' '~'F~~;~g~'~;"i'F ~ '~g;~;~iiD;i' ', ....... State whether applicant is owner, lessee, agent, architect _, e~general contractor, electrician, plumber or builder. Name of owner of premises ................ ~.' ............... ~ .............................................................................. If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. L~ation of land ~ which pr~osed work will be done. Map : · .. ~ ................... ~ No: ..... ........... s re..nd .......................................................................... .................................................. Municipali~ 2. State ~xisting u~ and ~cupancy of promises and intended use and ~cupancy of pr~os~ cons~ction: o. Existing use and occupancy ................................................................................................................................... b. Intend~l use and occupancy ...................................................... .~ ....................................................................... 3. Nature of work (check which applicable): New Building ~' Addition Alteration Repair .................... Removal .................... Demolition .................... Other Work (Describe) ...................................... 4. Estimated Cost ............. .~....O.~ ..~....,..O...O. .......................... 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 .................. ..3.. ................................................. :: ...................................... : ............................ 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 ........................................ 8. Dimensions of entire new construction: Front .............. ,~..,..~.. ..... Rear ....... ...O.....~.. ............ Depth .....~.~..~..~.. ........... Height ............. ./..~.. .......... Number of Stories ...... ./. .................... 9. Size of lot: Front .......... l.l..O. ............ Rear ......... d/...O. ............ Dep~th .......... .~...~..~. .............. 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 1 1. Zone or use district in which premises are situated ........................................ ...~.. .................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? ........ ~ ........................................ 13. Name of Owner of premises ...~.P~.......~.~'.~.I.6~..~. ......... Address ...~..~,...~'..~.~.e..-t~...~.~'.¢...4~.'./...3~..~ne No.../~..~..Z...~.E~J..~. Name of Architect ...................................................... Address ............................ · ................ Phone No ..................... Name of Contractor ...~...~. ........ ~../~./.~.(5. ................... Address ............................................ Phone No ..................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block numbers show street names and indicate ~ or description according to deed, an whether interior or corner lot. ~ ~ STATE OF NEW)FORK,,~ ,~ ~ ,, ~ - --- ~ -"~ COUNTY OF ~'"~'~ . ~'~'/':'~l')[): '( ~ ..................................... ..,~...~ ........ ~ ............... being duly sworn, ~oses and says that he is the applicant ~bove na (mNe:.m~[fisi:~;i.d..u.].l..~.(~..71ng applicati..on~~ .... i ......................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application a.re 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 -- ....... 19~ ...................4 /~"; d yof ............... , .... R0CH~" AI~ ' ....... .................................. Notary Public, ~...~~~ (Signature of applicant)