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Home My WebLink About4142-z FORM: NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. .Z. 35.47.... Date.... ..July..... .11.,........., 19~.9_. THIS CERTIFIES that the building located at .Leeton. DJ:ive . . . . . . . . . .. Street Map No. ....... . . . . . Block No. . .. " .. .. .Lot No. . .Southollt.. .N"". .YO¡:}c,. .. .. .. . conforms substantially to the Application for Building Permit heretofore filed in this office dated... Hovember.. .30...., 19.68. pursuant to which Building Permit No. .4142. Z. dated '" December. . . .3. . . . ., 1968.., was issued, and conforms to all of the requir~ ments of the applicable provisions of the law. The occupancy for which this certificate is issued is ... private. one. family. dwelling. . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to . . . Jeanne. Lowel~ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval ..........-.............. ........... .' /'. ofl- J.I~ C! ,. ,/ .....-(_-:.,..< /é,¡:/ / . . . . . . . . . . . . . ':àciIdi~g' i~p~~t~~l' ....... IIO\1H * 1980 Leemn ~ive FORM NO. Z TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTH OLD. N. Y. , . BUILDING PERMIT <THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N9 4142 z Dote ..............................,........).., 19..... Permission is hereby granted to: ·......J~..~lIe-U..·..·..........·...................·.... ·...........r1-'..."ó.......·26.....·..·..........·..·.............· ................·h7.iü.........y·.....·14-)M·........... to ù..:i :l.J.. ...n-. ...G.¡,i.t, ~",u....,n.· .as.. ·..·A.1... ...1n¡.. 4weU1J:¡.¡·..··..······..·.........·...·... ...................... . ................................................................................................................................................................ - at premises located at ....'-e:tOf...~!:y.¡,···········..·..··..··..··..········..·····..·............................................. ... ........................... ............. ..··..·,:5gu'tù;JU·· ··..·tI.~·.·..·..··..····· .................... ....................................... ................................................................................................................................................................ pursuar>t to application dated ............................:Ji.........)O............' 19""(f" and approved by the Building Inspector. Fee $.~;..o\ol""............. ·~1.·~·'7mm .' 'FORM ,NO. 1 TOWN OF SOUTHOLD BUILDING DÈPARTMEr-i'T TOWN CLE:RK'S OFFI~ SOUTHOLD. N. Y. Examined ..J1. {< . .:.::?.. . . ., 19~.~- ¡\ h. t--[{l.{JLZ--- Appr-oved . . . .. .. .. . . . . .. .. .. ., 19 .. . . Permit No. . .. . .... .. . .. .. .. . . Disapproved ale ........................ . . . . . . . . . . . . . . . ~,--------- ~ . ------- .- ...........-...........,.............. ................... ¡...... Application No. .'1/ .~( .~. . . . .............. ,.. .... ·(É~;;~l.)······· .............. . APPLICATIO," FOR BUILDING PERMIT bate .. 111).0./ {, .~.. .. .. .. .. .. .. .. 19... . INSTRUCTIONS a. This application must be comp1etely filled in by typewriter or in ink and submitted in duplicate to the Building Inspector. b. Plot plan showing location of lcYt and üf buildings 0 n premises, re1ati>onship to adjoining premises or public ¡!treets ,0'1' areas,and giving a detaiJed descripÜoll of layout of prope.rty must be drawn .on the diagram which is part of this applicathm. c. The work covered by this appJicaUon may not be commenced before issuance of Building Permit. d. UpOTl approval of this appJicati-on, the Building In spectJdr wÜ1 issue a Building Permit to the applicant. Such permit shall be kept 10'11 the premises avai1able for insp:ection thrOughout the progress of the work. e. No building shall bè occupied or used in who1e CIJ in part Dor any purpose whatever unti1 a Certificate ,af Occupancy shaH have been granted by the Building InspectC¢. APPLICATION IS HERESY MADE to the Building Department for the issuance of a Bui1ding Pelmit pursuant to the Building Zone Ordinance of the Town of S-o'cÜhold, Suffolk Oounty, New Y,O'rk, and other applicab1e Laws, Ordinances or Regulations, for the construction of build ings, additions or alterations, .ar for removal or demo- lition, as herein described. The applicant agrees to com ply with all applicable laws, .ordinances, building code, housing code, and regulations. ./~&.~A................ (Signature of ·applicant, or, name if a corporation) ?! J":-, ~ Þ. .. .~( ::.!.IJv!."J..1'y!/p.e, .-:1./ '1. tP. ~? (Address of applicant) State whether applicant is owner, lessee, agent, arch it ect, engineer, general contractO'!', electrician, plumber or builder .. ..~ ¥.iJ I>Wf.i. .. . . . . .. .. .. .. .. . ... ............................................................. . :r P è>þt)/iI {' Lo w-(' I! . Name of ,owner of premIses. . . . . . .... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .......................... If applicant is a oorporate, signature of duly authorize d ,:officer. .......................... .......................... (Name and title of corpo'rate officer) t ,,~ .¡.f lei , .JoI ~s.' ->,,'-'"''1" 1/ . 1. Location ,of land .on which pr.aposed w,ork wìl1 be done. Map No. ¡>iV."; .~C!Y."!4. .. Lot?:ro.:$?!.-:~.!.... Street and Number ~f.~t.o."!. ..,¡.-. Wfrt .r>r:J....I!.(J.'1/,'.~y.s.. .ß.e/t¡,ç..A./. . <;&>.'-I.t{Q/ç/. .................. MunicipaJity 2. State existing use and oGccupancy ,of premises and intended use and >occupancy of proposed construction. a. Existing use and occupancy ... JJ.'¡./W. '!1!'. ':: )0. ~ .ff{.. . .. .. .. .. . .. ... ......... .. .. .. .. .. .. . .. .. if If b. Intended use and .occupancy ............... . . . . . . . . . . . . . . . . . . . . . . . . . . .......................... Hie" ; ,)i { :~ , ,} - _ ¡ ,¡i A .:>. Nature of work (check which applicable): New Building ........ Addition K.. . .. Alteration .,...... Repair... . . . . .. R¡!f0val ........ Demolition .. . . . . . 'W Other Work (Describe) ...................... 4. Estimated Cost ... ./tlO"...................... Fee... .4.................. .......................... (to be paid on filing this app1ìcation) 5. If dwemng, number .of dwclling units .......... Number of dwelling units on each floor . . . . . . . . . . . . . . If garage, number of cars ...................... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6. If business, commeTcial ,or mixed occupancy, spec ify nature and extent of each type of use. . . . . . . . . . . . . . 7. Dimensions of existing structures, if any: Fvant . . . . .... . . . . .. Rear ............. Depth ..,.......... HeIght .......... _ . . . .. Number of Stories .... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions of same structure with alterations or additions: FJ10nt .............. Rear ............... Depth ................ Height ................ Number of Stot'ies ..................... 8. . Dimensions ,of entire new construction: Front ... . . . . . . . . . . . . .. Rear ..... . . . _ . . . .. Depth ............ Height ... . . . . . . . .. Number -of Stories ......... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9. Size of 1ot: Front .. . .... . . . . . . . .. Rear . . . . . . . . . . . . . .. Depth .............., 10. Date of Purchase ............................... Name .af Former Owner ............................. 11. Zone OJ:' use district in which premises are situated. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. Does proposed construction violate any 'lJoning ia wfo5pnance or regulati.an? ........................... 13. Name of Owner of premises :)~.~~1-!~ . ~f<!f( f. ... ::--.k(¡¿ires~.tt:+, µ>.T!.ð.f,-!I!.1.:.(~~tí'>hO'ne NoM~:-~~-L Name of Architect ............................. ~ddress ...................... Phone No. ........... Name 'Of Contractor ... :~. . . . . . . . . . . . . . . . . . Address ...................... PhO'l1e No. ........... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and Indicate all set-back dimensions from pl'operty lines. Give street and block number -or description according to deed, and show street names and indicate whether interior 'Or cOil'ner lot. , VIOt¡S e ..- J J ec-K wf>e> J '"')...' off- 7Y"1<I1II ( re./1c1C¡-Ù5 g,Ûb/Jet-- dee-I< 1- STZ1/l^j) ~'Htt> I I 1'6 IY' , I t - I , I 1'-/' w~\ t \) \r. ¡~-"-- k"e-¡::::- þ/r STATE OF NEW YORK, )S.S, CO/?TY O!, r f" .. .. .. .. )¿ (' ( c:> (A);f-L-c.); ~ .. ................. Q.. .. .... ~-yf, . . .. ......... being duly sworn, deposes and says that he is the appli- (Name ,of individual signing application) cant above named. He is the ........................ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Oontractor, agent, oOll'pOrate officer, etc.) of said owner ,or ,owners, and is duly authorized t'O perf-a rm or have perfJot'med the said w,ork and to make and file this application; that all statements oontained in th is application al'e true to the best of his knowledge and belief; and that the work will be perfo!l'med in the mann er set forthl in the application filed therewith. Sworn to before me this L rJ-O.e- .~ ................ day .of .................... 19.6.. (Signture of appJicant) Notary Pub1ic, .................... Oounty