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Home My WebLink About4048-zTOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. r. ERTIFICATE: OF Or.r. UPANCY TH/S CERTI~'iES that the building located at .Gil~nn J~oad ................. Street Map No. ~..I.1.~:..C.3~[~kBlock No ............. Lot No. 15.. ~OIl~hOlde. ~1~1 .~k ........ conforms substantially t~ the Application for Building Permit heretofore filed in this office dated ...~.~.g~..I..t...2..7.,. ......... 19~. pursuant to which Building Permit No. 4D48. dated . ..~.~.~...11~...~...],.1.~ .......19.~8., was issued, and conforms to all of the require- ments ,of the applicable provisions of the la w. The .occupancy for which thi~ certificate is issued is ...... ~.~..~.~..8,..~.~...~.~.O.~..~.¢j[O...(~,Q.~.~lll~lOr~'). bl,lJ,~,diJ3~g' ......................... The certificate is issued bo . .~...a~.tl..o.~...D~.....~ .t~..a. ....................................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval ......................................... ....... X~..~./:..../...~., ./.~ .~: ...... Building Inspector FOI~M NO. 2 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? 048 Z Permission is hereby granted to: ...Smme:i,...l)~L~& ............................................. ........ t~tk.....lr~am~tl~ .,l,~e ............................. ............ Ile~..il~e..~,Y, ....... !I,~'., ................... to .....]~L].IL.Ilt ..~ct c~' s,~l~:t~... ~t,~.. ~.:~...~-~ -!.~[$r~ ................................................................ at premises located at ...... .~,O.~..~....'J.~ ....... ~OJ.J;..(~.~.et/:..~l.f,a,~llJ ............................................... ................................. ~J~.....J~o~. J~tmut ......... ~Imt/t~ol& ...... ~.:~. ............................................. pursua:n¢ to application dated ....................... A~g..2~../...~e~;...t~19..~, and approved by the Building Inspector. Fee $...~..eJ~ ........... Building Inspector J TOWN OF SOO-A'~OLD Bu~L,DING DEPARTMENT TOWN CLF,.R~°$ OFFICE SOUTI-IOLD, N. Y. NOTICE OF DISAPPROVAL File No .................................................................. Date ............................ .~, t!~ ......... ~l.! .............. 19...6.~.. To Samuel 9e~-~ea pL~,A,~, TAKE NOTIC~ that your application dated ....................... ..A.~...i...~.. ..... 19..~.. for permit to eon~ruet ...~...~.X~.I~I...~.~,~ ....... at the premises loeated at .................................. .S..~........~l. tW~...~dk ............................... s~eet ~a~thol~, ltol~. Map .~.~.t.....~...F.~..e.~...E.l~ ....... Block ........... ~ ......................... Lot ....1~.....~ .................................. is returned herewith and disapproved on the followin~ Erounds ,.....~..l~.~.t$.~...~l~'...lPl[l~t il...ia~llll~le.tl ~.....Jlln..P. lat.. J~lal~..lt.. ia..nt...ailae~.nr., no.ta,~t%,~,~. ................ ..~e ~e..~2~...~.~ fee chick or $ ~.00 ~endinl ~!~!~.p.~ ~..2~...11[ .~...m. pletei &pplioati~n~ Building Inspector TOW~ CLERK'S OFFICE SOUI'HOLD, N. Y. Application No: ....~..;~...~.~...~.. APPLICATION FOR BUILDING PERMIT Date &u{;u~ ~? 19~ ........ 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 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 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 Deportment 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 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 c~e~.bxousinrg~;ode, and regulations. "-~'-d ~' -~ ...... ...~....~-~:..:..~.. ............................... (Signature of applicant, or name, if a corporation) 163.4 ~l=~u~h Ave,~lew H3'de Paz'k~11040~ ll.Y. ~ress of applicant) State whether a~licant is owner, lessee, agent, architect, engin~r, ~eneral contractor, electrician, plu~er or builder. oliver Name of owner of premises 8 mege~. De L~ea 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. ~Map No .l~...q~.. (~eeir ~'e&t;ee Lnt I~n · ~ W e~ Oreek Z~ ' ...s.,. ............................................ ~ ..... Street and Number ................................................. ..r~ (~en~ Ro&~, Bo~t;lsoX6, I[.Y. Municipality 2. State existi.ng use and occupancy of premises and intended use and occupancy of propOSed construction: a. Existing use and occupancy ~g~e~q~r~1~9~'{q~1L~t~e~~ ........... : bo~ ~.~ oqutpmon~. 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 ............................................................ 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: F~ont ....................................Rea£ ...:...: .................... Depth ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front .................................... Rear ............................ Depth ...................... Height .................... Number of Stories ...................................................................................................................... 9. Size of lot: Front ........ .J...t~...'. ............ Rear ........ .J. JJ,~'J~. ................. DepthJa~l..Atl~l~..JJJ.~.Ja~l si. de 10. Date of Purchase ............~.....J~...R..~ ............. Name of Former Owner .,..,..~.~J~.1~l~l~..l~/~ll~. ...................... 11 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 ..~..~.. ~ ........... Address .1~..1111,~III!1~.~11~.* ....... Phone No. ~ew ~e Name of Architect ...................................................... Address ............................................ Phone No ..................... Name of Contractor .................................................... Address ............................................ Phone No ..................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-hock dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, , I c c COUNT~ OF ..../~.,/./:/.S~F/..C/....~.. ...... J .... ~ ...... : ~...~.~: ........ '..Lt ......... ~....~eing duly sworn, d~oses and says t~t he is the applicant (Name of individual signing application) above named. He is the ........... ~.~.~ ........................................................................................................................... (Contractor, agent, co~orate officer, etc.) of said ~h~ 8r~ owners, and is duly aut~ri~ed t0 p~Fform or h~9~. peF~qr~ed the said work and to ~ke and filt this application; that all statements contained in this application'~e tFlX' t0 'the best of his knowled and belief that the work will be performed in the manner set fo~h in the a~lication erewith. Swam to be~re me this ~ , Nota~ P bli~~....~~,.~unty' ignature of applicant)