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Home My WebLink About3817-zF(H~M NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY ~orner .q£ THIS CERTIFIES that the building located at .... gspze.v....~l~es.t..j~,o&~t..& ...................... Street ~n~g Harbor Koaa Map No...Dawn .......... Block No ....................... Lot No53...Gr.een~r~,...Ne~...~.Qr]~ .................. Estate~ conforms substantially to the Application for Building Permit heretofore filed in this office dated ........................ M~C]1....,29,~ .................. , 19..,6J~. pursuant to which Building Permit No. 3.~1.7...~.. dated ............. Ap:~&.l.....],.~ ................... , 19.68.., was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ........ ...... .pr.~.v.a ~e.. ~.ne... ~t,ly... ~.e 1~1, ~g ........................................................................................ The certificote is issued to ......... l~a:~'~er.t..F~;[~.glez ........................................................................ (owner, lessee or tenant) of the aforesa'id building. Health De~t. Approval, October 9, 1968, Robert V~Llla Building Inspector .FOF~!~I 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 OE~THE WORK AUTHORIZED) N? 3817~ Z Permission is hereby granted to: Cee. ~_~_t~, ~.....~e~l~e~.t..~.f,e~l~.~ ..... ................... . .... to ............. .~. ........... ,~..~..~t..; ...... ~a]~..t~,,.~.~ .......................... ................ , ........ ?urs~cnt to application dotted'. .......... '....~ ............. ~,~,,]~..~ ...... ~...., 19..~..~,., and approved by the Bu~ i!ding Inspector. F~e $.~,.~. ...... · ' '~ ~3uildirig Inspector $-9 SCHD SUFFOLK COUNTY TO WHOM IT MAY at CONCERN: The sewage disposal O~pre¥ Nest Rd, (Give deed DEPARTMENT OF HEALTH Date 0Cl 9 1§68 Bldg. Permit No. 3817Z facilities for a structure located location) have been inspected hy this department and found to be satisfactory. O~er-Herbert Ziegler Builder-George Ahlers ,, ,--. / 7 Approved ........................................ , ]9 ........ Permit No ................................. TOWN OF SOUTHOLD ~....6, ,,..",~, /z~,., ,..~,~- ,~o , ~,,~,,-z. ~ BUILDING DEPARTMENT ' ~(-~ ~ TM ~z~ .. ~ TOWN CLERK'S OFFICE D'?. /~' SOUTHOLD. N. Y. ,. Application ~1o ................... ~ ......... Disapproved a/c ~ ................... ..................... ................................. APPLICATIO~G PERMIT Date ~/~ ? 4 C~' ....... , 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 propertymust 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 usec~ 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 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 and regulations. .... '.. '('§i'~hoture of a~plicant, or name, if a corporation) ~ (Address of applicant) ~J State whether applicant is owner, lessee, agent, architec~~eral contractor, electrician, plumber or builder. Name of owner of premises ......... ~ .......... .~' ......................................................................................... If applicont is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which~oroposed work will b,q done. Map No: ...... ~,.~..~.......~.~ .~.?....~..~.... Lot No: ..~.~ ............ (] Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: Existing use and occupancy .................... ~,-/.:~,~ ........................................................................................... Intended use and occupancy ................. ~.? .......................................................................................... 3. Nature of work (check which applicable): New Building ....... ~.... Addition ..................Alteration .................. Repair .................... Removal .................... Demolition .................... Other Work (Describe) ...................................... (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 I 6. If business, commercial or mixed occupancy, specify nature and extent of each Wpe 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 ........................................ Height ......... ./...-~/.. ............ Number of Stories ......... /. .................. 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 1 1. Zone or use district in which premises are situated ...................... ,.~.. ....................................................................... 12. Does proposed constructio0 Yiolate any zoning law, ordinance or regulation? ~ Name of Architect ~..O..J.,~....tl ........................................ Address ............................................ 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 numbers or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK,~,. ................... ~_:..~ .......................... . ......... being duly sworn, deposes and soys that he ~s the opp.cont ...................... i .............................................................. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements 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 forth in the application filed therewith. Sworn to before me this ./. ~ day of ~ , 19 ~.~ ~]. ............ ......... Notary Public/~...~.~ ........ ~""/'"~"~~t~ ~ ~c~tm ,,~,~, (Si{~at~'~i o~ applic'~'n~i .............................