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Home My WebLink About4143-zFORM NO. 4 TOWN OF SOUTHOLD: BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No, .~. 36.42 .... Date N.~.e~8~x .... 5, ............ , 19 .6.9.. THIS CERTIFIES thai the building located at .Or~ha3:c~ Lane(.~PP. RD).. Street Map No. Cedar ...... Block No ........... Lot No...28...Soui:ho~,d,..New..7~0~:~ .... Beach Park conforms substantially to the Application for Building Permit heretofore filed in this office dated ..... December...3,..., 19.68. pursuant to which Building Permit No..4143. ~. dated ..... December...3, .... , 19.68., was issued, and conforms to all of lhe require- ments of the applicable provisions of the law. The occupancy ~or which this certificate is issued is . p~:iv.a~e..one..famil~, d~.ell:~ng ....................................... The certificate is issued to .... P~y. Akacin ........................................ (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval Oc~ob~c. 3.1,. 1.9.69,. Rober.t .V$11~ House ~ 305 Orchard Lene 170RI~ NO. 2 TOWN OF sOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SouTNOLD, N. Y. BUILDING PERMIT (THIS pERMIT MUST BE KEPT ON THE PREM SES iUNTIL FULL coMPLETION OF THE WORK AUTHORIZED) Permission is hereby granted to: to .~,ld.. ~e.~...O~e...~l~r...~,~.e ~& ~,~ ........................................... . ............................... ot :[,ot 2~ C~ar ~.c.~...~.~_~ ........................................................ at premises located ............................................ ~/~ ~t~..~ ..........,,.~.~ ..~m L.~u~o::Ld---**~.'*~ ................................... ........................ ' ................ 19...~,~, and opproved by the pursuant to application dated "~'~'¢' ......... ~ ........... ' Building Inspector. Fee $.,4-1~*0,0 .......... S-9 SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH OC]' 3 1 19~9 Date 'Bldg. Permit No. zC//~''z~ 't--, TO WHOM IT MAY CONCERN: at The' sewage di~s/~sal facilities for a structure located (Give deed locatio~)f have been inspected by this department and found to be satisfactory. District Engineer District Engineer "F~O,RM ,NO, I TOWN OF SOUTHOLD BUILDING D'F. PAR~T TOWN CL~RK'S OFFIC~ SOUTHOLD, N. Y~ Examined Approved .................... ,19 .... Permit No ................. Disapproved a/c Application No ................. APpL~CATIO~N FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building Inspector. b. Pl, otplan showing 1.ocation of l~t and~0~ buildings on premises, relatkmship 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 n~t be commenced before issuance of Building Permit. d. Upon approval of this application, the Building In specter will issue a Building Permit to the applicant. Such permit shall be kept ~n the premises available for inspecti(m throughout the progress of the work. e. No building shall be occupied or used in whole o~ in part f~r any purl~ose whatever until a Certificate Occupancy shall have been grar~ted by the Building Lnspecl~'. APFLICATION IS I-L~_~I~Y MAI~E to the Building Department for the issuance of a Building Permit pursuant to the Building ~one Ordinance of the Town of S~athold, Suffolk Ck)~uty, New Y.~rk, and other applicable Laws, Ordnances or Regulations, for the construction ~f build ings, additions or alterations, ~r for removal or demo- lition, as herein described. The applicant agrees to com ply with all .applicable laws, ordinances, building code, h.~using cede, ar, d regulations. Raymond Akscin (Signature of applicant, or name if a corporation) Southold (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Owner - builder Name of owner of premises ....~. ~0.]$~1..A.k.s.~. ~]~ ........................................................ If applicant is a corporate, signature of duly authorize d ,~fficer. (Name and title of corporate officer) · · · - Cedar Beach P 28 1. Location ~f land ~n wh,ch proposed w~rk will be done. Map No ................. ~o~No .............. I-3 v Street and Number ...Or ¢laard. Iane..(P..T. I, ............................. Municipality 2. State existing use and occupancy of premises an d intended use and occupancy of proposed construction. a. ]Existing use and occupancy . ...¥~.g~t~ti .lgl~C~ ................. ~ ................................ b. Intended use and occupancy .... 011~. ~&l;a~ly. 0,wo~l,lillg ...................................... 3. Nature of work (check which applicable): New Building ~ .... Addition ........ Alteration ........ Repair ......... Removal ........ Demolition ........ Other Work (Describe) ...................... 4. Estimated Cost .. 3.~. ~ 0.0,Q.._.+ .................. Fee . ] ~ · 0Q ......................................... (to'be paid on filing this application) 5. If ,dwelling, number of dwelling units .. O~e .... Number of dwelling unit~ on each floor .............. I/ garage, number of cars . olle ..... Cai*pOI'l;. ...................................................... 6. If business, commercial or mixed occupancy, spec ify nature and extent of each type of usa .............. 7. Dimensions of existing structures, if any: Front .............. Rear ............. Depth ............. Height ................ Number of Stories ........................................................ Dimensions of same structure with alterat~0ns o.r additions: Front .............. Rear ............... Depth ................ Height ................ Number of Stories ..................... 8. Dimensions ,of entire new construction: Front . .~0~ ~ ~.. ~.. ~ ~ ~ ~ ~ Rear ...~0 ......... Depth ..~0 ......... Height ............ Number of Stories .... ol%m ................................................ ..... 9. Size of iot: Front .... %6(1 ....... Rear ... )+0.7... ..... Depth .3Q.Q./..~ZQ.. 10. Date of Purchase ............................... Name of Former Owner ............................. 11. Zone or use district in which premises are situated ..... ."k".. d3.$~ .................................... 12. Does proposed construction violate any z~ning law, <rrdinance or regulation? .~ ...................... 13. Name of Ownerof premises..l~..~ll.O~l. ~k~.ql~. ~bddress .... ,qO~.t~o3.Cl ....... Phone No ............ Name of Architect ............................. .~ddress ...................... Phone No ............ Name of Contractor ......... aama ............. Address ...................... Phone No ............ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all sat-back dimensions from property lines. Give s~eet and block number ~r de scriptlon according to deed, and show street names and indicate whether interior or corner lot. STA'£~ OF NEW YORK, )S.S. COUNTY OF ~llxffolk, ..... ) .............. ~[~y~o~et .Akacl~ ................... being duly sworn, deposes and says that he is the appli- (Name of individual signing application) cant above named. He is the .... Ow~e~'.-.b~atlcle~, .................................................... (Contractor, agent, corp~ate officer, etc.) of said owner or owners, and is du~ authorized to perform or have perflormed; the said work and to make and file this application; that all statemen~ 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 fort~ in the application filed therewith. Sworn to before me this .......... 3 ..... day of ...... l)~.e. .......... 19.68~ MARION A. REGENT NOTARY PUBLIC, S~te of New York No, 52-3233120 Suffolk Count~ Term E~pires March 30,