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Home My WebLink About4544-zFOI~V~ NO, ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupnncy No.z 3840 .. Date . May , 2~. , 19 70 THIS CERTIFIES that the building located at Eastwood Dr Ext Street Map NO.Eastwood.Es~lock No.. sec iiL°t No. 2~ · Cuteho~ue ~,Y, con~or~ substantially to the Application for Building Permit heretofore filed ~ this office dated EbV '7 . , 19~, pursuit to which Building Permit No. dated EoV" 7 ' , 19 69 was issued, and conforms to ~1 of the require- ments o~ the applicable provisions o~ the law. The occupancy for which this certificate is issued ~ . Pti. va- e -oRe family .dw~].ting. . (A~.~.rovei .by Dd The certificate is ~sued to Hen~y.~einecke~.& ,~ife .... (owner, lessee or tenant) of the afores~d building. Suffolk County Depa~ment o~ Health Approval l~ay. 25- 1976 ~y R. Villa . . . B~Iding Inspecto~ House TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFIGE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is hereby granted to: tO ot premises located at .................... ~IIL~..~......~.~...~..~;~;~....~.gt.~...~. ................................................ .......................................... .~b~.~...P~.~ ....... .~t~eg~ .......... ~..,.~,. ...................................... pursuant to application dated .............................. ~.~.T.~ ....... ~7. .......... , 19..~., and approved by the Building Inspector. Fee $~OeOl~ . S-9 SCHD SUFFOLK COUNTY DEPARTHENT OF HEALTH Da~e ~ ~ l/'?l Bldg. Permit No. TO WHOM IT MAY CONCERN: The sewage disposal facilities for a structure located ~Give deed location) have been inspected by this department and found to be satisfactory. MA'Y 2 § 1970 Distriot ~nEineem ~ District Engineer BUILDING TOWN CLERK'S OFFICE , ,, ,, L¢95/ (.., Al~roved .............................. ; ......... , 19 ........ Permit No ......~.~ ................... ;~ Disapproved a/c .............................................................................................. APPLICATION FOR BUILDING PERMIT INSTRUCTIONS o. 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 prem res or public streets or areas, and giving a detailed description of layout of prapert~ must be drawn on the diagram which is port 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 Perm t 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 have been granted by the Building Inspector. B .A, P,.PLIC~ATIO~N ,!S HEREB, Y.,MA_DE to t.h,e B.u, ild, ing. D.ep~.rtm~ent for the issuance of a Building Permit pursuant to the uHamg Lone vra~nance o? tne fawn at ~oumom, ~U?mlK ~.ounty, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations,~-ej~'.:[gr remova or demo t on, as herein described. The appllcont ~grees to comply with oil applicable Jaws, 0rd~~:j~ode, housin.~ede, and regulations' (---~ ..~r...=..~.~.~.~......~ ........................... '~--~(Signature of applicant, or name, if o corporation) (Address o~ applicant) State whether applicant is owner, lessee, agent, architect, engit~eer, general contractor, electrician, plumber or builder. ............ ..0..~.~.....~.. ....... ~'.....~.~.~..~ ... ~.~.~.~.~...~..~ ............. Name of owner of premires ..-?~. Z~.~:c~....~:.~..~r~-- ~ If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Location of land on which praposed work will be done. N~apNo.: .~.~-~,~. ~-s~ ~r~.~. ....................... ....~:/:r~... Lot No.: ....~.... ........... Str, ,Ty Nu ,r ....... .................................................................................. n c puli 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 ...... ..o..~.~......~..~.~.e.~...../~..~..~.~.~.;~..~.5 ............................................................ 3. Nature of work (check which applicable): New Building .................. Addition .................. Alteration .................. Repair .................. P~emoval .................. 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 ............................ If garage, number of cars ............................................................................................................................................. 6. If business, commercial or mixed occupancy, specify nature and extent of 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 ..... .'Z~....~...'=S-.. ............... Rear ....~...~.. .................. Depth ...~..t.../.~..~.../.i ..... Height ...~..L..~.~..~....~ Number of Stories ..... L .............................................................................................................. 9. Size of lot: Front ....... /.~..~) ............ Rear ..................................Depth ................................ 10. Date of Purchase ....... ..w~...g.~..,~ ......... //...../../..~'.~'.~s~. ....... Name of Former Owner ..~...~...~.?...~....~....T.~..~.....~...~..~:~..5.....~....r.-..~. 1 1. Zone or use district in which premises are situated ........ /.~.~..5,~....~....e~?.T...~.e?.~.~.. ........................................................... 12. Does proposed construction violqte any zoning law, ordinance or regulation,;) ........ .~)......O.. ............................................ 13. Name of Owner of premises .~/~...F:~.......~.;...~...-~...-~.-~'~'ddress ....~--~-~..~.~v~.~..~.~...- -~.,~-~..'-- Phone No..~..,~..~.~...c~.. Name of Architect ................... -~-.-~-.~-,~- ..................... Address ............................................ Phone No ..................... Name of Contractor ................. ,~ .~.~.~.~ ...................... 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 number or description according to deed, and show street names and indicate whether interior or comer lot. STATE OF NEW(~'OR~,_ a~ lcc COUNTYc~/ ~'~ ,-~ ' ~OF .~..:......~o.~. ....... ; ...... ~--.....~ ....................... ~ing duty sworn, d~o~s and says t~ he is the applicant (~~~a~gning ~lication) above named. He is the ........................................... ~ ............................................................................................... (Contractor, agar, co~orate officer, ~c.) of said ~ner or owners, and is duly authorized to perform or hoye performed the ~id work a~ to ~e ~ file th s application; that all statements contained in this application am t~t.of his knowl~ge and belief; and that the work will be performed in the manner ~t fo~h Jn the ~plic~i~ there,. Swq~ to before me this ~ / % / Notaw Public, ~~..~'A~°~~~: °' applicant' ~TARY PUBLIC, State 0f HeW Y0rk~ No. 52-8125850, Suffolk Cou~x :