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Home My WebLink About4584-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupnncy No. 2~ 3??8 Date kpril 2 ,.. , 19 70 THIS CERTIFIES that the building located at 14~.l Road (La) Street Map No.~iley Pk Block No. Lot No. 37 Peconic N ,Y. conforms substantially to the Application for Building Permit heretofore filed in this office dated · Dec · .~ .. , 19 49 pursuant to which Building Permit No. dated .. Dec I0, 19 6~ was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is ... PrSvate .storage..(.ace~sso~y)..bullring ............... The certificate is issued to Lloyd. C, S~eet ...... ~er ....... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval ..... 1~,1~ .............. ~.. ,~ f /~,,, ..... /'~'~'" ...... /' .... ':"t .......... Building Inspectc~r House ~ 1820 FORM NO. 2 TOWN 0P $0UTg0LD BUILDING DEPARTMENT TOWN GLERK'S OFFIGE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 4584 Z Permission is hereby granted to: .......... J~J..S.~ .................................................. ............. ~eem~ ......... ~. ....... i~.9~ ........... to ................. ~q~....~..~.~..~.~..~.~...~ .......................................... pursuon¢ to application dated ........................... ~Jl~ .......... ~. ............. , 19....~, and approved by the Building inspector. F~ $..~..~0~ .......... FOR~ NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. A~roved ........................................ , 19 ........ Permit ~o ............................. D~mpproved ~/c .............................................................................................. (Buildin0 Inspector)[ Application No APPUC^TION BUI'DING Date ................... ................ , i9.. ? INSTRUCTIONS a This application must be completely filled m by typewriter or in ink and submitted m duplicate to the Build.n, Inspector. b. Plot plan showing Iocahon of lot and of buildings on premises, relahonsh~p to adjoining premises or public streets o areas, and giving a detailed description of layout of property must be drawn on the d~agram which is port of this applicahon c The work covered by this apphcohon 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 perm~ 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 (3 Certificate of Occuponc, 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 ih, Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances o Regulations, for the construction of buildings, additions or alterahons, or for removal or demolition, as herein described The opphcant agrees to comply with all applicable laws, ordinances, building cgde, housing cod,~J3nd regulations .............. (Address of applicant) '~7;~ ~ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder If applicant is a corporate, signature of duly authorized officer (Name and title of corporate officer) 1 Locat.on of land on which proposed work will be done Map No...~..~..~.,~'...~/..~ ~...~'Lot No -.-.'~-.7- · .......... Street and Number ........ ~...~..~.. ....................................... i ....... ~ .......................... J~! ~ J ~ ~ ~) 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 ~' . ..~..~.,....~: ................ 3 Nature of work (check which applicable)' New Budding .................. Addition .................. Alterahon ............ Repair .................. .~moval ..................Demoht~on .................. Other Work (Describe) ....................................... 4. Estimated Cost ...... ..~....../.....~....~.. ................................ Fee ................................................................................... (to be paid on filing this application) 5 If dwelhng, number of dwelhng umts ............................Number of dwelhng umts on each floor ........................... If garage, number of cars .......................................................................................................................................... 6 If bus~ness, commercial or m~xed occupancy, specify nature and extent of each type of use ........................ 7 Dimensions of existing structures, if any: Front ............................ Rear ................................ Depth .................... Hmght ........................ Number of Stories ............................................................................................................... D~mensions of same structure with alterations or additions: Front ....................................Rear ....................... Depth ................................ Hmght ............................ Number of Stories ............................. 8 D~mensions of enhre new construchon: Front .................................. Rear .......................... Depth ................ Height .................... Number of Stories .............................. t ....................................................... 9. S,ze of lot: Front ......... L.Z?...~...~.: .... Rear ............. ./...~......~. ........... Depth ....... ./...../......~.. ........ ~ j .. 10 Date of Purchase ................ .~....../....~....~.....~ame of Former Owner ..... ./...~......4~...~~ 11. Zone or use district m which premises are situated ............................................................................................ 12 Does proposed construct,on vio~..y z~ordlnance or regulation;)/'~'., ~'~~ ........... t~ ............. .,..,~.~,. :.. j~: ........ 13 Name of Owner of premises ....~..'. .....~:.~:.....Address ..?..-..X...?....~'....'~....~.....:.-~....Z.... Phone No ................ Name of Architect .................................................... Address ......................................... Phone No ................ Name of Contractor ............................................... Address ........................................... Phone No ................. PLOT DIAGRAM Locate clearly and d~stmctly all buildings, whether exmting or proposed, and red,cate all set-back d~mens~ons fror whether interior or comer lot. t ]~ s_ZAzE oF NEW ' / . ........................ ~....~ ............ '~~..Q.~.~~ be,rig duly sworn, d~oses and says that he ,s the apphca~ (Name of indwidual s~gnin~apphcahon) . ~ above named. He ,s the ..................................... ~~. ......................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have perfo~ed the smd work and to ~ke and th~s application; that all statements contained m thru apphcation are true to the best of his knowled~.and behef; an that the work wdl be performed in the manner set fo~h in the application filed.~herewith. Sworn to before me this __'. _ ............ Z ....... ...... . ................... ................................ ............... RUTR ~ CHICK NOTARY PUBLJO, State af Ne~ No 52-5684250 Res~dm¢ m Suhofk CouBty Commission Expires March 30,