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Home My WebLink About4588-zFOIIM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy N°Z' '~'829 ...... Date ............. June ..... 8 ...., lg. 70. THIS CERTIFIES that the building located at .. Oe~tra.1 'Dr~'e .......... Street Map No...C..ap.t...Y~. d.d]9~O~ No ........... Lot No. '~6 ......... 14a. tt~tuek .... conforms substantially to the Application for Building Permit heretofore fried in this office dated ......... Dee ...... 1 ~., lg 69. pursuant to which Building Permit No. dated ........... -Dee...16.. -, 19.69., 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 '' 'Private' 'o,~e' '$o~.~.~* '~t~eZl~g ..................................... The certificate is issued to . Steve 'Ka!i'ogera-s ..... ; '0~ez~ ....................... (owner,lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval - Jl~ · · · b%..19~0 · · by' .R,. V.~-~tla. - ~ P House # 1200 FORM NO. 2 TOWN 0~ $0UTSOL~ BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, ti. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No. 4588 Z Permission is hereby granted to: ................ ~el~e~ ......... ~.].~ ............................. to ......... ~..mm"~e"~'e~m:~ .......................................................................... at premises located at ............. '~d~"~'""~j~Yb' ~"~ ............................................................ ................................................. geatf~..l~, ........... -~t~1~ ...... -1-d~ ............................ pursuorrt to application dated ............................ ]Del~ ........ ~ ............ , 19....~t and approved by the Building Inspector. lll~lll ~ ~'l~l~ l~l;~fttl tl~e~]~e]Jl~ ~ ~ll~l Fee $...~[J).:.-O0 ......... Building lns?ec~or I · ~OWN OF SOUTHOLD · BUILDING' DEPA~,TMEHT · ~ SOUTHOLDo No ¥o ppraved; ................... ; ................... , 19 ........ Permit No ....... Application No ........ i ................ ~ APPLICATION FOR BUILDING PERMIT Dec 15 1969 Dote INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building InSpector. . . - b. Plot plan showing location of lot and of buildings on I~rer~i~s, relationship to adjoining premises or public streets or areas; and givi'ng a detailed description of layout of property must be drawn on the diagram which IS port Of this application. c. The work covered by this application may not be commenced before issUCmce of Building' Permit....' · . d. Upon approval of this application, the Building Inspector will issue a Building Permit'to the applicant. Such permit shall be kept on the premises available~ for inspectiop throughout'the progress of the work. e. No building shall be occupied dr used in whol~ 6r Irt part.for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLIC. A,TJON IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applic, able Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinanl~es, building code, housing code, and regulations. (SignatUre of applicant, or name, if a corporation) ............................ ·' State whether applicant is owner, lessee, agent, arc_h!t~ct, engineer, general contractor, electrician, plumber or builder. ................................................. ~ea~;.~ ...~.~,$.~A.qA .q~. ................................................................................................... Steve Kaloge~aa ~ Name of owner of premises .............................. ;.; .................. ; ............................................................................................... If applicant Is a corporate, signature of duly authorized officer. Inland Homes Inc. (Name and title of corporate officer) . z672 ' 1. Location of land on which proposed work will be done. Map No.: ........................................ Lot NO.: ........................ ~a~ti~uck Street' and Number .,...Q~,~,T'.~.,,~..~.~-..v..~.... ...................................................................... ' ...................................... ;~'/-- / ~, ~ O Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ......... ..~..9..~.q. ............................................................................................................... b. Intended use and occupancy .................. 1..~'nm~ :I~....])~.L?I,-I.D,~ ..................................................................... 3. Nature of work (check which applicable): New Building ~. ............... Addition .................. Alteration .................. Repair .................. Removal .................. Demolition .................. Other Work (Describe) ........................................ 4. Estimated Cost ......................................... . .................. Fee ..................................................................................... L .... (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 ............ .~..~.. .................. Rear ....... ~..~. ................ Depth .~..~. ................... Height ..... .]:..~. .......... Number of Stories ....~, ................................................................................................................ 9. Size of lot: Front ..c~O. ..................... Rear .92 ..............................Depth 10. Date of Purchase .......... .~...]'.Z~..~..~..~ .................. : .......... Name of Former Owner ........................................................ 11. Zone or use district in which premises Ore situated ..................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? ............................................................ 13. Name of Owner of premises ..~...1;..e...~.?.....~...a..~...°..~...e..~...°..a...Addres, ............................................ Phone No ..................... Name of Architect ...................................................... Address ............................................ Phone No ..................... Name of Contractor ...~.'La~..lTDme.s ................... Address ..Se~]~l, ez~ ........................... Phone No ..................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-~ack dimensions from property lines. Gi~e street end block number or description according to deed, and .show street names and indicate whether interior or Comer lot. 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 mennerjset~forth in the application filed therewith. Swor~t~:~fore me this ............................ ry ' , J....~L~/*~-~Y.~e..~'~3~.. Cou ty (Signature of a~cant) j~ Qualified in ~uffoik~,~ ~, ' co. o& rer~ e<~,a&~..~ ~o,~ ~"/I STATE OF of said owner or owners, and is duly author~ze~l to perform or have performed the sa~d work and to ma~ end file S-9 SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH Date Bldg. P~mmit No. TO WHOM IT MAY CONCERN: The sewage disposal facilities for a structure located - ~/ (Give deed l~cation) - have been inspected by this department and found to be satisfactory. District Engineer District Engineer