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Home My WebLink About3805-zFOR~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. ¥'. Certificate Of Occupancy No. ~ .~fl .... Date Tills CERTIFIES that the building located at .~]~...~ .R~"., .... ~... Street Map No...~ ........ Block No[ ...~ ..... Lot No, . ~ .... ~~.[..~ ...... ~onforms substantially to the Application for Building P~rmit heretofore ~iled ~n this office dated ............. ~ ..~., 19.6~. pursuant to which Building Permit No. ~0~... dated ......... ~ .... ~ .... , 19.~., was issued, and conforms ~o all of the require- ments of the applicable p~ovisions of the law. The'occupancy for which'th~s c~tffmate is issued is ... ~v~. O~ ,~y .'~,~,~ .......................... ¥]. ........ The certificate iS issued to ...~,...~aca ........ ' ..... ~1 ....... ' ........ (owner, lessee 0r tenant) of the aforesaid ~buiiding. ' Suffolk County Department of Health Approval .... N~R~. .......................... Building InspectOr FOI~Yf 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 AUTHORIZE-D) 3805 Z Permission is I~ereby granted to: ...ll,..l~el~..&..~.~....~.~..t~ ........... at premises located at ..~....J~tt,~ji~..~J~& ................................ ~ ...................................................... ............................. t~~.....~.l~.~..~,~, ............................................................... pursua~¢ to application dated .................................... Jj~j~..~. ........ , 19...~ and approved by the BNilding Inspector. ,( I~OI~M ~0. 4 TOWN OF SOUTNOLD BUILDING DEPARTMEI~T TOWi~ CLERK'S OFFICE SOUTHOLD, N. Y. OERTIFIEATE ID~' O00UI:ANOY No. Z..3~.1.9..'.. Date .............. :tabulate...10.., ~9.69 THIS CERTIFIES that the building located at . .S/S .~4~lrl .]~0~1 ............ Street Map No .... ;l~ ...... Block No...~ ........ Lot No...~... 4~l~;~l~Og.~e .... ~¥.,. ..... conforms substantially to the Applicati~on for Building Permit heretofore filed in this office dated .......... E~re~.. ~.~ .... 19~. pursuant !o which Building Permit No.. ~0.~ · dated ........... ~t~el~ .... 2~., 19.~., was issued, and conforms to all of the require- ments ~of the applicable provisions of the law. The .o.ccupancy f. or which this certificate is issued is .. P~i~a~8..0/1~ · f~l~i~.y. ~,~Je~.~i~g ......................................... The certificate is issued t.o . J~-~.l;i~ .PaO~ .... 0~4Ile~. .......... : ................... (owner, lessee or tenant) of the aforesaid building. .Suffolk County Department of Health Appr~oval ..... I~ ~ .................. ............. Building Inspector B. Pace Cutchogue TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTHOLD, N. Y. 11971 TEL. 765-1802 March 13, 1981 Dear Mr. Pace This is to advise you that the job under Building Permit No. 5805Z issued to B. Pase on M~h ~. 1068 for An addition and aiter~t~P~ears to be completed as of our last inspection. Before you can legally use or occupy this structure a Certificate of Occupancy must be issued. Please fill out the enclosed form and return same to the above office. There is a fee of $5.00 for a Certificate of 0ccup~]cy Thank you for your prompt attention. Very truly yours, GEORGE H. FISHER Sr. Building Inspector encl. TOWN OF SOUTHOLD BUILDING DEPARTMENT.~.~ m~ CLERK~ OFFICE ~r~ed ........................................ , 1~ ........ Pe~it No..~; ....................... ........................................................................................................................ ...: .......... .... ....................... ~UUIIOl~g In~c~. APPLI~TION FOR BUILDING PE~IT ......................... 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 hove been granted by the Building Inspector. APPLIC_~TION IS HEREBY MADE to the Building Deportment 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, housing code, and regulations. Sidney Beebe A/C B.Pace (Signature of applicant, or name, if a corporation) Main Road Cutchogue (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Contractor Name of owner of premises ....~..,...~.~.~.~. ................................................................................................................................ 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. A4ap No.: ...;r,~ ............................. Lot No.: ..~ ............ ~.. Street and Number .~/.~......~.~a=L1x..J3oe/1 ...... .(~,cho~q~. ............................................... .' ..................................... ~::'/ ~ ,~ ~ ~ '7 ~ Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..]~.~..~;~,g .............................................................................................................. b. Intended use and occupancy ....... ~s~a~e~`~.~.~:~j:~~.~e~ ....................................... 3, Nature of work (check which applicable): New Bu'ilding .................. Addition .~ ......... Alteration ~ ........... Repair .................. Removal .................. Demolition .................. Other Work (Describe) ........................................ 4. Estimated Cost ..8..,.~..Q.~..~.+ .......................................... Fee ...;..~.?..0...0. ............................................................................ (to be paid on filing this appficatJon) §. If dwelling, number of dwelling units ...... .o..~...e. ............... Number of dwelling units on each floor ............................ If garage, number of oo~rs ..................................................................................... ;;:;;.;;~ ............................................... 6. If business, commercial or mixed occupancy, specify nathre and'extent bf 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 ...2~ ............................ Rear ....... .2..~.... .............. Depth ...... .1..~.. ............. Height .................... Number of Stories .......~..0. .......................................................................................................... 9. Size of lot: Front ............................ Rear .................................... Depth ................................ 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ ] 1. Zone or use district in which premises are situated ...... ."~,.."...~.:I.~S.~ ............................................................................ 12. Does proposed construction violate any zoning law, ordinance or regulation.;) ........ 33.Q ............................................... 13. Name of Owner of premises .~..?....~..a:g.~. ....................... Address ...C..~.(~.~3.~.g1~1,~. .................... Phone No ..................... Name of Architect ...................................................... Address ............................................ Phone No ..................... Name of Contractor ......~..?...~.e.~.e.....~.....S..o...z):.s. ........... Address ......C..~..~.o.l~.~...e. .................. 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 number or description c~cordJng to deed, and show street names and indicate whether J.nterior or corner lot. ,kI \I STATE OF NEVi_ YORK. COUNTY Of S~c~z~e¥ 3eebe ................................................................................................. being duly sworn, d~oses and says t~t he is the ~pplicant (Name of individual signing application) above nemed. He is the .., ......... ~.~.~.~O~. ................................................................................................................... (Contractor, agent, co~orate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the sdd work and to ~Ee and file this ~pplication; that all statements contdned in this appliootion.are true to the best of his knowledge and belief; and that the work will be performed in the manner set fo~h in the application filed therewith. Sworn to before me this ................ of .......................... ........ , of applicant)