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Home My WebLink About4273-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPAI~TMENT Town (]lerk's Office $outhold, N. Y. Certificate Of Occupancy No. Z. 36.93 ..... Date .............. Dec .... .~. ..... , 19.69. THIS CERTIFIES that the building located at . .l~a~sau. Point..Read ...... Street Map No. l~a'ss ;' Pt' PxI~ck No ........... Lot No..67 ...... Cutcho~te.. K .Y. ...... confoms substantially to the Application for Building Permit heretofore filed in this office dated .......... ~a~r ..... 2..., 19.6.9. pursuant to which Building Pemit No...~2.?.3 .~ dated .......... '~'a~.... 2 ..... , 196.9., was issued, and conforms to ail of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is ...P. ri.w. te. one. fsmily..dwe~iing ..................................... The certificate is issued to ..... A .~..I~ehr. er ..... Owner. ........................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Heaith Approval ....... fl .it, ........................ ............ ...... ] .... House / 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) 4273 Z Permission is hereby granted to: to .............. ~Jl~.. JJt~..IJl~ ~Lt J,.IJlJ,. 1~.. JJ~[e.. I~l~lJ, t~J,JlJlL..m.. II~t~J~..(JJl~J~J, ~l~... at premises located at ........... J4~t..6~.....JJAJlJ~&.JJ~j~l~t~..~JJl~Jl..J;~J~ ........................................ ........................................ I ,~....~S&~. i~t~ · .~l~& ......... ~ ................................... pursuant to application dated ............................ ~ ......... Z ............ , 19...~J, and approved by the Building Inspector. Fee $...~J*.(~ ........... Building Inspector / ~F,ORM ~NO. I TOWN O~ SOUTI'IOLD BUII~DING D~PAR~T TOWN ,CL~RK'S OFFIC~ SOUTHOLD, N. Y. .................... ,19 .... Permit No ................... Disapproved a/c ...~ ...... -.'..~... Application No. ~ ..'~T~..~. ..... APPLICATI(~N FOR BUILDING PERMIT Date , , May 2 1969 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 l~cation of lot and ~f buildings o n premises, relati~mhip to adjoining premises or public streets ~r areas, and giving a detailed description of lay out of property must be drawn on the diagram which is part of this application. c: The work covered by this application may mot be commenced before issuance of Building Pemit. d. Upon apPrOval of this application, the Building In specter wiil issue a Building Permit to the applicant. Such permit shall be kept on the premises available for inspectio~ throughout the progress of the work. e. No building shall be occupied or used in whole o~ in part f~r any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS ~_a~gnqy MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of S~athold., Suffolk Oounty, New Y~rk, and other applicable Laws, Ordinances or Regulations, for the construction of build ings, additions or alterations, ~r for removal or demo- lition, as herein described. The applicant agrees to corn ply with all applicable laws, ordinances, building code, h.~using code, and regulations. .... Joseph .Daerkosl~i ........................... (Signature ~f ,applicant, ox name ff a corporation) ..... Met t&tuek ................................... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, eleet~eian, plumber or builder C ontrac tot Name of owner of premises ..... A~M.]~ehr~ ......... ~.~.,~.:. ?. ?.~.~..~'...~R,..., .-~.~....)~..~.f.) ..................... If applicant is a corporate, signature of duly authorize d ~rfficer. (Name and title of corporate officer) ~ ..4~'..~../~t~ .~.. ~. 1. Location of land on Which prorpceed w~rk will b e done. Map No. '~..~., No ......... Strut and Numar ....... ~.~. P~ .~9.~ ............ C~eh~ue.... · ~:.- ..................... ~1 ~ ~ ~R ~ mumc~pmmy 2. State exist~g use and ~cup~cy ~f p~mi~s ~ d intend~ ~e ~d occup~cy of pm~ ~m~ction. a. ~isting use ~d occup~cy ..... ~w~ng .................................................... b. Intended use ,and occupancy ....... wTth' add~ '&' '~ltera~lo~I ............................... 3. Nature of work (check which applicable): New Building ........ Addition ....X~t~. Alteration .XXX... Repair ......... Removal ........ Demolition ........ Other Work (Describe) ...................... 4. Estimated Cost ...% ~ 3/)0..~. ................... Fee ...~./)0 ......................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ...011~ .... 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, ff any: Front .............. Rear ............. Depth ............. Height ................ Number of Stories ........................................................ Dimensions of same structure with alterations ar additions: Front ~ ............. Rear ............... Depth ................ Height ................ Number of S/~ries ..................... 8. Dimensions of entire new construction: Front ...... 1.1~.~+ ...... Rear . .%1-.~ ....... Depth 9-~0 ....... Height ......... ,... Number of S~ories . .QI~. ....................................................... 9. Size of lot: Front ................ Rear ......... ' ......Depth .... , ........... 10. Date of Purchase ............................... Name of Former Owner ............................. 11. ~one or use district in which premises are situated....~.A.~...d.~..s./;. ...................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? ........ lXQ ................ 13. Name of Owner,of premises..A,~o]~hl~oN ...... Address ...Gal*.deD, .C;L/;y ..... Phone No ............ Name of Architect ............................. ~ddress ...................... Phone No ............ Name of Contracbor . .~.~..D.e. fl~'~Q~$ .......... Address .... ~.a.~.~;~.~l.ck ...... Phone No ............ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give s~eet and block number or descript~0n according to deed, and show st~~and indicate whether interior or coener lot STA~: OF ~ ¥0~, )S.S. -- cotr~¥ OF ~Uf~01.k .... ..................... Jos~!~h .Doe:rko. 8~t. ......... being duly sworn, deposes and sa~ that he is the appli. (Name of individual signing application) cant above named. He is the ... C.ont~2ae.to~' ............................................................ (~o~tractor, agent, oo~-vorate officer, etc.) of said owner or owners, and is dub, authorized ~ perform or have pergormod the said w~k and ~o make and file this application; that all statements oontalned in this applicatkm are true to the best of his lmowledge and belief; .and that the mm~k will be performed in the manner set fortl~ in the application filed therewith. Sworn to before me this day of ............ .. .......... ...... N~rtary Public, ............ .~. ..... ._ .C~t.Y.~J~ ; get/"~' ~ (Signture of applicant) ~ ~I~I'ARY PUBLIC, State of New No. 52-8125850, Suffolk Cou~J~f.~ ,Term Expires March 30, ].9~___r.~ TUTHILL .ROAD N- 8Z ° 00' O0' E. LOT ~6 363.34' Prepared in accordance with the mlnlrnu~ LOT 68 Itandards for title surveys as establish the L L A. L S. and '~'ppraved and aa., . for ~uch uae by The New York State Lo,,,. l'itle.~aeciati... CERTIFIED TO: S~RVEY OF PROPERTY ARNOLD BLAIR KAREN HUDSON BLAIR ,i AT T£RRAMARE AB$ TRACT, INC. 'NA SSA U PO/N T ,,./ , ii SOUTHOLD SAVINGS eA~~ TOWN OF SOUTHOLD /; £~c. NO 4955B -~' '~' ' -' '_ SUFFOLK COUNTY, N. Y. ;ENGINEERS , P.C. lib O4 12 I000 'SCALE I"= 40' P.O. B OX 909 LOT NUMBERS REFER TO:~'AMENDED MAP 'A' OF NA'S'SAq POINT"FILED MAY !1 , 19 8 7 MAIN ROAD Aug. t6, 1~22 IN THE OFFICE OFTHE SOUTHOLD , N.Y. 11971 ; REVISION AUG: 13,1987 SUFFOLK COuN:rY CLERK AS MAPNO.156 87 - 58 5