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Home My WebLink About4489-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No.Z .bt~:}~9, ... Date .. THIS CERTIFIES that the building located at . 8~er .l, ario Street Map No. .2031+ Block No. .XXX . .Lot No.. 21~ ... $ollthold -. conforms substantially to the Application for Building Permit heretofore filed in this office dated ' ' t~ep~; · 7''" 19 . pursuant to which Building Permit No. 0¢~; 6 19~ was issued, and conforms to all of the require- dated B~i)~;..7. , . , ments of the applicable provisions of the law. The occupancy for which this certificate is issued is ... Priv&to olde family ~Welling..& Ae~essom-y .Btxildirtg ..... The certificate is issued to Psat% .G, tletc~. of the aforesaid building· Suffolk County Department of Health Approval UNDERWRITERS CERTIFICATE No Pelltlll~[ · ttOUSL NUMBER ·. 0'~xe:P .... (owner, lessee or tenant) 300 Street · 8~maer lane Building Inspectol / TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 4~89 Z Permission is hereby granted to: ............. I~ai3,.~,..~e~i~, ................................... ............. ~....Z...~..8!~ .............................. ............ ;"]~li~es~t~ll ......... ~.~3it ................... :'"' to ............... ~_~-l/L.~,~v..~..~=~.~..~e~3,S~ ....... (~!~b~.~. ~ .............................. pursucm{ to application dated .......................... ~ ....... ~ ................ , 19.L~b and approved by the Building Inspector. ~ _Fee,'$.~{~ .......... S-9 SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH D ate Bldg. Permit No. TO WHOM IT MAY CONCERN: at The sewage disposal facilities for a structure located (Give ~sed location) have been inspected by this department and found to be satisfactory. ~U ~ VE ',/ PAUL. R~ ICH A'T TOt'v'~ oF ~ouTHOL,.O SU~:~OL K COUNTy', ~CALE. ; I'''=, F/I. ED f4Al~, i I, ~c~l~ FILE:' PAUL. RE/CH AT 6AYV~F.I,v Tot,VN oF ,,COUTHOL, O ~l:.P""r. 26~ 1969 MA~p oF ISAY'$1DI; CU ARANTE. E.D '9'~; SURVEY · FOR PAUL F~.DEF~S~.N TOWN OF '30UTHOLD MIFJroI.:K COUNTY~~ N. MAP OF BAYSIDE. T~I~A~ . *: FILED MAR. II,i953 FI~. NO, ~0~4 Al~licotion Approved ............................. ~.'. ........ , 19 ........ Permit No...'~...(:'.l..&.~......~....' C)isapproved o/c ............................. ~.~...~ ........ ............................................................................................. (Building Ir~q~ctor) APPLICATION FOR BUILDING PERMIT ~ Date ...... .~......~..~.....~..~, ................... , , 9...~...,~..... INSTRUCTIONS ~ a. This application must be completely filled in by t,/pewriter 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 port of thie 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 ir~pection throughout the progress of the work e. No building shall be occupied or used in whale 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 pamuant 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 e,~h~~ laws, ordinances bu~~~ing e, ~lnd ulations. (Signature or applicant, or name, ifa co?oration} (Address 6f applicant) -- State whether applicant is/owner, lessee, agent, architect, ongi~eer, general contractor, electrician, plumber or builder. If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which propoeed work will be done. Map No.: ........ ..'~...o...._~....~.. ................ Lot No.: ....'~...~.. .............. KI- ' Street and Number .......... .~....t::,...,~....~....~...~..,..~..~..~ .................................. ...~:...~...~..?..~..?..~...../~..,.~..,. ..................... Mun~pality 2. State existing use and occupancy of premises and intended use and occupancy of proposed, construction: a. Existing use and occupancy ~,~C,4-/v:7" b. Intended use and occupancy /"~-~/~r--~J ~ - ~44.oz:r~-~'/-~-c::a/~ · 3. Nature of work (check which applicable): New Bu Iding ..... .~. .......... 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 ..... .-7. ..................... If garage, number o{ oom ................ ....~'~....~'..~. ....................... 6. If business, commercial or mixed occupancy, sp~:!~,_na~ture and extent of eoch typ~ of use ............................ 7. Dimensions Of existing structures, if any: Front .... ~' Rear Depth Height ....................... Number of Stories ', Dimensions of same structure with olterations or additions: Front .................................... Rear ............................ Depth ................................ Height ........................ ....Number of Stories ................................ 8. Dimensions of entire new construction: Front ........ ~....~..../. ................. Rear'7'X! ................ .Tf ...... Depth ........................ Height ......../...~..~. .... Number of Stories .........../.. ................................................................................................. ............................ 9. Size of lot: Front /C;~O / Rear ....... ./ ........................ Depth ............................... 10. Date of Purchase ....... .~...6'..~.?,....~...~..../..~...~.~.. ........... Name of Former Owner ....~.~.....~....T~....o..~....~.~.~ ............ 11. Zone or use district in which premises are situated [~.~.. ~ ~ ...................... 12. Does proposed construction violate any zoning law, ordinance or regulation.;) ,~,~,~. ~/~ ............................................................ Name of Own, er of premises ~,~.~,~./z~'~d~. ...... Address ~....~..ft...~..,Xl';I...~..~...~j ~ Phone No~..~...~.~....~ff..;$... 13. N a rne °'4" °~'~ A~"e~qm'e~i{'ec~~'~z~~-. .~...~ . .e' ' '~'. .- .Add ress ~(i~. Name of Contractor ..~.'..~....~....~..~......c:~.....~..~ ........... Address ...... Phone ~C~,c, ~'/-~er.~O~ ~ .y_ PLOT DIAGRAM Locate clearly ond distinctly all buildings, whether existing or proposed, and indicate all set-~ck dimensions from property lines. Give street ond block number or description occording to deed, ond show street names and indicate whether interior or comer lot. STATE OF NEW YCk~4fnlb ~ ¢ ~ COUNTY OF ......... Y...~.~..~.~.~:Z ......... ~'~' Paul A. & Paul C. Reich ' ................................................................................................. being duly sworn, deposes and says that he is the applicanl (Name of individual signing application) above named.'.li~.li~.~'~ t e ......................................................................................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to m~ke and file this application; that all statements contotned in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner ~t forth in the application fil~th~ ~ Sworn to before me this ~- ~- - ,'~ 2~l c~b r . 69 ' ........................ · //~/)/~ ~te m, S e of New.?~-~ ............. ;-.: ............................................................... Notary Pubhc, ...~//.~..M~.~~.,~geeoty (Slgnat, re of applicant) ~ifi~' in Suffolk County FOR~ 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°. 6100 Z Date ................... ~ ..................... ? , 19..?,....~ Permission is hereby gr(~nted to~ pursuant to app ica ion dated ...... ; ......... ~ ...... ~ ............., 9 ........, and approved by the Building Inspector. Building Inspector FOEH NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Application No. ~/' 0 0 Disapproved a/c .... ~t ............................................... APPLICATION FOR BUILDING PERMIT Oafe ......... ............. INSTRUCTIONS a This apphcat,on must be completely fdled in by typewriter or in ink and submitted ~n tnphcate to the Building Inspector, w~ 3 sets of plans, accurate plot plan to scale Fee according to schedule b Pict plan showing location of lot and of buildings on premises, relationship to adjoining premises or pubhc streets or areas, a giving a detailed description of layout of property must be drawn on d~agram which is part of this application c. The work covered by th~s apphcat~on may not be commenced before ~ssuance of Braiding Permit d. Upon approval of th~s application, the Budding Inspector will ~ssue a Budding Permit to the applicant Such permit shall be kept the premises available for inspection throughout the work e No budding shall be occupied or used in whole or in part for any purpose whatever until a Cert~f,cate of Occupancy shall have be granted by the Braiding Inspector. APPLICATION IS HEREBY MADE to the Building Department for the ~ssuance of a Budding Permit pursuant to the Building Zo, Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction buddings, addmons ar alterations, or for removal or demoht~on, as hereto described The apphaant agrees to comply w~th all apphcabie law. ordinances, building code, housing code, and regulations, and to admit authorized ~nspectors on premises and ~n buddings for necessary ~nspect~on (Signature of applicant, or name, if a corporation) ................ (Address of applicant) State whether apphcant is owner, lessee, agent, architect, engineer, general contractor, electricmn, plumber or builde L'o, o, ..... ................................. If applicant is a corporate, signature of duly authorized officer. (Name and t~tle of corporate officer) Location of land on wh,eh proposed work will be done. Map No.:~....O...~..~.~... Lot No .... ...~.....~.. ................................ Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...... .~..~ ................ , .................................................................................. b. Intended use and occupancy ................. .t.~ ...................................................................... .¢/ ........................... / 3. Nature of work (check which applicable): New Building ........... .:.~.. ....... Addition ..................... Alteration ............... Repair ......................... Removal ......................... Demolition ........................ Other Work ................................... (Descnptmn) {to be pa~d on hhng th~s apphcat~on) 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. Dimenmons of existing structures, if any: Front ..................... Rear ........................... Depth ................................... Height ........................................................... Number of Stories ............................................................................. Dimensions of same structure w~th alterations or additions: Front .......................... Rear ......................................... Depth ............................................. Height ......................................... Number of Stories ........................................ 8. Dimensions of entire new construction: Front ........... /..~. ........ Rear ......... [...~. ............. Depth .....~ .......................... Height ................................................. Number of Stories ........ ~~ ............................................................... Height ....................... ..~. .......................... ~umoer ot Stories ...................................................................................... 10. Date of Purchase ..................................... Name of Former Owner ............................................................................ 1 1. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation: ............................................................ 13. Will lot be regraded .......... .¢~....O.. ....... ~. Wdl excess fill be removed from premises: [ ] Yes [ ] No 14. Name of Owner of premises ..~,.~.~°~ {Address) {Phone No,) Name of Architect ..................................................................................................................................................... {Address) {Phone No.) Name of Contractor ................. ..~.....~ .............................................................................................................. {Address) {Phone No,~ PLOT DIAGRAM Locate clearly and d~stinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate wheth er interior or corner lot. STATE OF NEW Y(:~K,.~.~.,...~ .v'_ ~ ~' ~ -'/ ~/-/~ COUNTY OF .. ~r~...J/~_'~/[.""~.... . ) ..................................................... being duly s~arn, deposes and says that he ~s the apphcant above namec (Na/nc of mdtvtdual s~tttg contract) He ~s the ...... ~ ............................................................................. (Contractor, agent, corporate officer, etc.) of smd owner or owners, and ~s duly authorized t~ perform or have performed the sa~d work and to make and file th~s apphcat~on; that ~tatements contained m th~s apphcatmn are true to t~~ae and,behef, and that the work wdl be performed m the mann set forth ~n the apphcat~on fded therewith No 52-6168295 Notary Pubhc, ~~~ ..... County L~t~att~r~ nf ~nnlt~nt