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Home My WebLink About4333-zFOR~ NO. 4 TOWN OF SOUTHOLD~ BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No.Z .~7.~ ..... Date ...... '. .... ~i~l~e,h... !~ ..... , 19~0. THIS CERTIFIES that the building located at . Map No.. x~ ....... Block No..~ ....... Lot No.. '~ ..... SaW,hold.. N.o.Y. ...... conforms substantially to the Application for Building Permit heretofore filed in this office dated ............ J~'~e.. ,1.09 19,6.~. pursuant to which Building Permit No. ,1~. dated ...... ff.~e...].1 ...... , 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 . P.~iva.te. on~ .fatally. dwe].ti.ng. ...................................... The certificate is issued to .Ed~.~ard. ff.,. B&~e ......... (1~I, ....................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . Fe.b,. ~.~..~9~.. b}~ .~,. ~ill& ..... 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) N? 4333 Permission is hereby granted to: .......... ~.?.~...~:.e. ..................................... i ..... .......... ,....~.9.~.g.,.~ ............................................. to ...................... .l~;J,~... ss®~.. O~ti...~a~-~t~..~.y- 4.~]~ ;J..J~JJ ............................................................. at premises located at ..................... ~..~.....JJ~.t~..~a~..-t~..~l,;J~'~l~ll~ ....................................... .................................................. ~mt~.'14 ....... il~lf~ .......................................................................... pursuant to application dated ............................... ,]'.~,1~ .......... ~0...., 19~.., and approved by the Building Inspector. Fee $..'JJ.~.(~. .......... TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. TEMPORARX Ce~i~ica;e O~ Occupancy No. Z '37~0 .... Date ........... THIS CERTIFIES that the building located at . l~ffL i~.~ .t~a~tiew. IRoned... Street Map No... ~ ....... Block No...Y,~X ..... Lot No.. conforms substantially to the Application for Building Permit hereto£ore filed in this office dated .......... j~e .... t0, 19 69 pursuant to which Building Permit No..~333~. dated ........... J~'~so..--~ ~-., 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 .. P~iVa.t~ · O1~..~am~:ty. d'~'®~li~lg. ..................................... The certificate is issued to .... F~wa.~ .J. Ii~g~. (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .-Feb. ~. _._- ..... ~'' ~!~i~~ng Inspecto~ ........... S-9 SCHD SUFFOLK COURT'/ DEPARTMENT Date Bldg. oF HEALTH P~rmit No. TO WHOM IT MAY CONCERN: The sewage disposal facilities for a structure " (Give deed locatio,~) located have been inspected by this department and found to be satisfactory. D~strict Engineer Approved... ~ ................ ,19.:.. Permit No....L/. .............. Disapproved a/c .................................................... APPLICATIQN FOR BUILDING P~RMIT Date ................................. 19 .... INSTRUCTIONS a. This ,application must be completely filled in by typewriter or in ink and ,submitted in duplicate to the Building insp~cior. b. Plot plan shoWing location of lot and of buildings o n premises, relatianahip to ad}oining premises or public s~*ets or areas, and giving a detailed description of layout of property must be drawn on the dial/ram which is part ~f this application. c. The work covered by this application may not b e commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspectoi~ will issue a Building Permit 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 Occupancy shall .have been granted by the Building Lnspect~'. APPLICATION, IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building ZOne Ordinance of the Town of.South01d, Suffolk County, New York, and other applicable Laws, Ordinances or RegUlations, for the construction of build ings, additions or alterations, or for removal or demo- lition, as herein described. The applicant agrees to corn ply with all applicable laws, ordinances, building code, housing code, andregulations. , (Signature of appl~a/nt;-or, na~if a corporation) .... 8.~..9.7~.. fqvt, h~ld,. {~,Y., ..................... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ................................................................................................... of pren~ises ~li~.~!',~l ~3 I~$1}ls ...... Name of owner .... , ....................................................... If applicant is a oorporate~ signature of duly authorized officer. (Name .and title of corporate officer) 1. Location of land on which proposed work will b e done. Map No ................. Lot No .............. Street and Nuffm~e~-...5.~..1~..~ .tig. [~i~¥.v.l~¥,..~;~l'0llil,..N.¥ ............................. Municipality 2. State existing use and occupancy of premises an d intended use and occupancy of proposed construction. Existing use and occupancy .................................................................... Intended use ~and occupancy . .R.e.~.fl. qO.c~ ....................................................... 3. Nature of work (check which applicable): New Building .. X .... Addition ........ Alteration ........ Repair ......... Removal ........ Demolition ........ Otlt~ Work (Describe) ...................... 4. Estimated O~st I~, 0.fi.O, ....... Fee / 0 ~ (to be paid on filing this application) 5. If dwelling, number of dwelling units ... ~ ...... Number of dwelling units on each fl~or .............. I£ ~arage, number of ears .......................................................................... 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 Sixties ..................... 8. Dimensions ,of entire new construction: Front .... .7.4 ! ......... Rear ...76.~ ........ Depth . .~5.~ ....... Height ............ Number of S~eries . ...~,~ ....................................................... 9. Size of lot: Front . .1:..~.5..' ......... R~ar. 1~.~. i. i i ..... Depth . 1813! ......... 10. Date of Purchase . ..,~...n.~..1..9.6.8. ................. Name o~ Former Owner .~lea~lo~.Pot~t. ,qrmpe.~i~igi 11. Zone ar use district in which premises are situated...fl.~.qJ...g.~.n.t~.~.. ..................................... 12. Does proposed construction violate any zoning law, ardinanee or re, gul~ion? . ~.o. ....................... 13. Name of Owner,of premises .~..~.. ~.."~.. ........ .~ddress .. ~.~. ........ Phone No ............ Name of Architect ............................. A, ddress ...................... Phone No ............ Name ~ Contrac~r .E].aO~.s...~?..n.a.~.r..u.~.t.i.q.n..fi.q :.. AddressBPK .~.72,..80UJ;hQld... Phone No. 7&~-14581. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from pro~rty lines. Give s~eet and block number or description according to deed, and show street names and indicate whether interior ~r corner lot. STA'I'~_J OF ~ COUNTY OF P~ ~'~F .. ~~... being duly sworn, de~s~ ~d ~ys ~at he is the appli- (Name Of ~ivid~ si~ing ap~ati9n) ~t. a~ve n~e~He is the .................... ~~~ ............................................. (~a~r, ag~t, ~ate ~icer, etc.) 0f said own~ ~ ~e~, and ~ dul~ auth~zed ~o pe~rm er have pe~ ~e ~d ~k ~d ~ m~e ~d file ~ applicat~n; ~at ~1 stateme~s ~ntaln~ in ~is appll~tion ~ ~e to the b~t of h~ knowl~ge ~d belief; and that ~e ~k will be p~ in ~e mann er set fo~ ~ the applicati~ filed ~e~wi~. Sworn ~ bef~ me ~is ~ '