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Home My WebLink About4281-zFO~M NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No .... ~- 3743. Date .... J&nu~r¥... 19, ........ , 19.70. THIS CERTIFIES that the building located at .... F. reemn. Avenue ....... Street Map No. G~zden .... Block No........... Lot No..l~r.t .o£..41. &..42. He:l'ghts~ Nm York conforms substantially to the Application for Building Permit heretofore filed in this office dated ....... t~a¥ ..... 7.° .... , 196~. pursuant to which Building Permit No. 428~.. Z. dated ........ ~F ..... 7, ..... , 19 .$9., 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 ...pr.tv&re. one. ~.~.y .~t~],Lng ..................................... The certificate is issued to .. ~am~8 .T,. Anderson ................................. (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval ~anuarY.. lg.,..19.7.0, .l~o~lr.t..Villa ......... Building Inspector FO~ NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. ¥. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 281 Z Permission is hereby granted to: ............... ~'mJes...~.,...Amlel, sea ........................ ................. · 1.~.1..... ~ea~l....A~e ........................ ................... 4.z,e~t~ ...................................... to .......... J~...l:~. · "m~'- · '~ · · t"md:~.~'" ~',~'¥.t.~ ,, g .......................................................................... at premises located at .............. j~O~,~..Jg~l[,~2 ...... Ga~"~'l..tte~g'J,~ ............................................. ................................. tl~/& -... ~'-z-eeJsn'"~,ve ............ ~'t,t~taek ...................................................... pursua:n* to application dated ........................ JJll~ ......... ~. ................ , 19...~9, and approved by the Building Inspector. Fee $.~JJ)J~O ........... Building Inspector S-9 SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH Date Bldg. Permit No. TO WHOM IT MAY CONCERN: The sewage disposal facilities for a structure located (Giv~deed location) have been inspected by this department and found to be satisfactory. District Engineer APPLICATION FOR BUILDING PERMIT Date~ ........ ~..~..~......'7;t' ..................... i ......... INSTRUCTIONS : a. This opplicatian must be completely filled in by typewriter oF in ink and submitted in duplicate to the Building Inspector. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of proPerty must be drawn on the diagram which is part of this application. c. The work covered'by this application may not be commenced before issuance of Building. Permit. , d. Upon approval of this application, the Building Inspector will issue a Building Permit t° the applicant. Such permit shall be kept on the premises available for inspection throqghout the progress of the work. e. No building shall be occupied or used in whole or Jh part for any purpose whatever until o Certificate of Occupancy shall have been granted by the Building Inspector. - APPL CATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Bu ding Zone Ordinance of the Town of Southold Suffolk County, New York, and other aPplicable Laws, Ordinances or Ragu at ons, for the construction of buildings, additions or alterations, or for remOVal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, 'h0u~sing code, and regulations. /~$ignature of applicant, or name, if a corporation) (Address of applicant) State whether applicant is owner, lessee~ agent, architect, engineer, general' contractor, electrician, plumber or builder. Name of owner of premises .' ...... ...~...~......~.........~.~......~.J~....~... ..................................... : .................................................. If applicant is a corporate, signature of. duly authorized officer. (Name and title of corporate officer) 2. State existing use and occupancy'of premises and intended use and occupancy of Proposed construction: b. Int, use ond cupa y ................ ........ ................................................................................. 3. Nature of work (check which applicable): New Building .~.... ........... Addition .................. Alteration .................. Repair .................. Removal .................. Demolition .................. Other Work (Describe) ........................................ 4. Estimated Cost ~H/.~...~.~....'T~... .................................. 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 .~..(g~....~.. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .........'-'~. .................. 7. Dj~t~il~j~s of existing structures, if any: Front ....~..~...~...~. ............ Rear ................................ Depth .................... H~.'...."j~... Number of Stories. ...... ~ ................................................................................................ Dimensions of same structure with alterations or additions: Front ....................................Rear ............................ Depth ................................ Height ............................ Number of Stories ............... · ................ 8..D~/~ns,~f e~ntire new construction: Front ....~....~. ................. Rear ........ ~.....~..:.... Depth ..... ~..~... Hre~J'~f ,...././....~.. Number of Stories .. .~..~ . 9. Size of lot: Front .......... /...~......~ Rear ....... ~..~.....~.~ .......... Depth ..iiiii~.'.?.'.~i~iii ...................................... 10. Date of Purchase ..... ~.~.~/......~'...I.../~.. ....................... Name of Former Owner ~§~..~.~'....'~...~('~/....~.J:.:...~..~..~..~...~.....~../i.lc./-' 11. Zone or use district in which premises are situated .............................................. j.~ .................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation? ...~...~.. ........ 13. Nameof Ownerof premses .~.,.~...~'..J'~.L~...O~...Address Z.'~./. ~'~'-~/I~/F~'~'~",~~'"~-'~' Name of Arch tact .~.!..~..~ ~.......~'. .............. Address ('~//~/'~ J~'/~'~/~' Phone No Name of Contractor ',~)' ~-~ ~/~./~J Address ../~../.. ~Z"r/¢ ~, 2',. ................. y'..~ ............................................................. ~1. .......... 0 e Plo ............ ..~....I../ 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 shaw street names and indicate whether i'nterior or corner lot. STATE OF NEW YORK, t S S COUNTY OF ................................ i · ' ............ · ~..../~.--..~......~-~..,.~-.~...~...~.....~.... ............................... being duly sworn, deposes and says that he is the applicant (Name of individual signing application) ~, above named. He is the ...~..~.........~'....~.~-~.~...~.~..~.~.. ................................................................... (Contractor, agent, corporate officer, etc.) .of said owner or owners, and is duly authorized to perform or have performed the said work and to ~ke and file 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 manner set fodh in the application filed therewith Swo~ to ~ore me this ~ ~ ~ ~ ........ ....... ............ No ~ Pub c ~ ~ S~e~. '~ .... : ........................ : ..................................... >~ ' 1~'~ .... :"":;~'~'"~11~"¢o~'* ......... County '~ ............... ~ignature of apphcant)