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Home My WebLink About3997-zFOR~[ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certi[icnte Of Occupnncy No. Z..3520 ..... Date ......... July. ...... 9.,. ..... , 1969.. THIS CERTIFIES that the building located at ~.J, newood. Road ........... Street Map No ............. Block No ........... Lot No.. (:.~;¢bP.g~e,. ;li~.~. XQ~;k ........ conforms substantially to the Application for Building Permit heretofore filed in this office dated ...... .A.~g~.s.*;... ~,9,., 19.6.~. pursuant to which Building Permit No... ~.997. Z dated ...... .A.u. gp.~.t.....2.1., .., 19.6.8.., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is .... pr. ivatm .one..family. d~lXing .................................... The certificate is issued to ...E.d~. ~r.4..l~r.e.a~ ...................................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval P, ay. 2:1,. 19~9,. ~l:~zf..Villa .... House # 670 l):Lne~ood Road FOP,~! NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST Bi:: KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 3997 Z Permission is hereby granted to: .~.t .. C~ae..,. ~C.... ~lwa~..l~a~. ..... 8.. II,...ii~ tb-a,x~... ~ ................................... .......... lb.a~t,o~.~l~y,~ ....... ~.~..Xr..~ ........................ at premises located at ..... ~...I~....~.....~.t ............~.3,.~.~tl...~..~.~k ............................................ .......................... .~t~l~+..~.~'Z.. .................................................................................................. pursuant to application dated ............................... .~;~f,~.....21....., 19.~1~..., and approved by the Building Inspector. ............. : ............. ':.;...~ ............ ~.,;::~::..:..~. r::~ ........... Building Inspector ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT 'I'OWN CLERK'S OFFICE SOUTHOLDo N. Y. ~E:F~TIFIr:.ATE: OF' O~I~UPANCY No..l~. 3493 · · · Date .......... May ..... ;~6, ......... 19.69. THIS CERTIFIES that the building located at P&newoQcl .Road .............. Street Map No ............. Block No ............. Lot No .... Cut~2hog~le-r .N~w..York ....... conforms substantially to the Applicati.on for Building Permit heretofore filed in this office dated ....... &u~Jus.t;.. ;l, gw .....19.68. pursuant to which Building Permit No. 39~?..~.. dated ...... August...23,, .... , 1968., 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 ..... .13r£va~e · one. ,~am,tly..(~wel;l..~.Rg. ..................................... The certificate is issued t~o .~-cl~a3~d. Moreat~ ......................................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .-Nay..2.3~.-1969~. ttobel~t..¥]..~1a. · · Building Inspector House % 670 Pinewood Road S-9 SCHD SUFFOLK COUNTY DEPARTHENT OF/ftEALTH Date ! ~ / Bldg. Permit No. TO b~HOH IT HAY CONCERN: The sewage dispos'al facilities f~r a structure located (Give deed location) , have been inspected by this department and found to be satisfactory. Dlstrio~ Engineer District Engineer a. Thi~ dPpiication 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 adjO, ning premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is. p~rt of this aPplication. c. The work covered by this application may not be commenced before iSSuance of Building Permit. d. Upon approval of this app. lication, the Building Inspector will issue a Building Permit to the appJicant. Such permit shall be kept or~ the premises avadable 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 Buildi.ng Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other apphcable 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, housing code, and regulations. (Signature of applicant, or name, if a corporation) · State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .............................. ........................................................................................... ................................................. Nome of owner of premises ..... ,,~,. ~,.k~, ~1.,~, ~., i~.O..~...~. ~'.~...''' ............ ~, ............ .. ' ' If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 'Street and N~r ~.~.~..C~....~..O.O.~...~..~.... ~..M.t.~, ~.,~,,....~,~..~.,.': ....... : .......... ~' ....... ~1~-- ~7~ ' / Munici~ll~ ................. 2. State exi~ing ~se and ~cupancy of premises and intended use and ~cu~ncy of p~m~ con~mction: ' o. ~istlng ~and ~cupa~y ...~.0 ........................................................................................................ · . ,, ....... ............................................................. 3. Nature of work (check which applicable): New: Building ....... Additio~ .................. Alteration ......... Repair ........ ~ ..... RemOVal ..... ~ ......... Demolition ...... ~ ...... Other Work (Describe) ........ ...'~.........I....~..~ ........ ,.. 4.Est mated Cost .~...~.~j.~rZ,~... ....................................................................................................... Fee . (to be paid on filing this application) 5. If dwelling, number of dwelling units ...~....~..'.~... .......... Number of dwelling units on each floor ..... T......~ ............... 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 --"' He ght ~ Number of Star es ...~ .................................................................................................. I~iD~_eL~sions of saree structure with alterations or additions: Front .~......~['.~...c;:..~...~,. ...... ~ ...~Z~..~..5.~.~ Height ........................... ~umDer at Stories ...~ ............... .~ ...... 8. D mens one of ~nt re n~ constr~ on: ~ ....~.~ ............. ~ ~ ~ O 9. Size of lot: Front ..~.,.I.~ .......... Rear ..~.O~.~.l.~ ................. Depth ...L~ ....................... -- , , 10. Date of Purchase ........................................................ Nome of Former ~O.~...~..~...e.~.~... 1 1. Zone or use district in which premises are situated ..................................................................................................... 12. ~es proposed construction violate any zon ng aw, ord nonce or. regu ~ oq? ~.~ .................. Ow. r ...... ............. Name of Archit~t ~....~.6~.OJ[. .............. Address ~4~.,.~.. .......... Ph~e ,ama of Contractor .~ ........ ~..~ ................ ~ddress L~o~e ~l~oHy ~n~ ~i~fin~fly oil buildin~s~ wMe~Mer exisHn~ o~ pr~osed~ and indica~ ~ll pmpe~.lines. Give strut and bilk number or de~ription according to de~, and sh~ street hammond indicate whether: ~mteri°r or comer lot.. ,/~~~ STATE OF NEW YORK, COUNTY OF ................................ ~'~' ......................... ,...,.[:.....~..,. ............. b~in duly ~w~rn, d~oses and Soys tl~t, he is the applicam (Name of individual s~gn~ng applico~0n) above named. He is the ............ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have perfo~ said work and to make and file thiS application; that all statements contained in th s application are true tO tt~St of his knowledge and be ief; and ~ hatthe ' · · - ~- ' ~ . ,work wdl be performed ~n the manner set forth in the apphcation fried, therewith. 3wom to ~eto~e me this ~- of ,...,. ........... "°to rY P~'L/'('fw~':g~%~" "'tiC' "'/' '~ ' "~°u n 'Y'~/~RlO~ ~ ......... (Sig~;¥1Jre of applicant) ..................... NOTARY PUBLIC, fitate of New Yot~ No. 52-3233~.20 Suffolk Count,~- Term Expires I~rch 30, ].gJ~.~' ',t N u~r4T" PLAN., \ FL o~ PLAN' 17,, t ¸7, ELLE YAT'ION ~ , bloat ~4 ,I J At.,4 '_~_ l I ! IZ-