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Home My WebLink About4413-zFORM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. 2~.1.~.6 ...... Date ............. l~,a-reh .... 25. -., 19. THIS CERTIFIES that the building located at ... 1t~-8. Deep. H~le. Dr ..... Street Map No...Zag ........ Block No.. X~ ...... Lot No..~X ... l~&ttl.tttek../t.¥ ........ conforms substantially to the Application for Building Permit heretofore filed in this office- dated ......... &u~ ..... 8 .. , 1969 · pursuant to which Building Permit No... dated ........... A~lg-.. 8..., 19 69', 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~.iva.~e .en~ .fa~.$1y. d~eltl.ng. ....................................... The certificate is issued to .. I4®i~er.t .ltttts .... O~me.r ............................. (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval l~ar..25.1.97~-..by, l~t .Vil.ta ........ (NOTE: 2nd fleer net completed) House 2605 .........? .... ........ Building Inspects.c] POEM NO. ~ TOWN OF SOUTHOLD BUILDING DEFARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 4413 Z Permission is hereby granted to: ~..~.e. ...... ~.,..~.~.~.....=~.~ .......... ........... I~]AII. ........ I.~,,. .................................. at premises located at ...................... ~J~l~l..~.~.1~lt ................................................................. ............................................................... 31~t,t~tll~ ...... I.Zo .......................................................... pursuon~' to ~ppli¢otion d~t~:t .................................. ~. ........ .~....., 19..~., ~nd opprav~l by the Building Inspector. Building Inspector Disapproved a/c ...................................... · .............. APPLICATION FOR BUILDING PERMIT Date ..... A~I~o.. ~.., ~1,9~. .... INSTRIJ t3i'10NS ao Building Inspector. b. Plot 1)lan showing location of lot and of buildings o n premises, relatkmship 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 rkrt be commenced before issuance of Building Permit. d. Upon ~approval of this application, the Building Inspector Will issue a Building P~rmit to the applicant. Such permi~ sb_~_!! be kept on the premises available for Inspection throughout the progress of the w~rk. e. No buliding shall be occupied or used in whole o1~ ia.part f~r any purpose whatever until a Cert~icate of Occupancy ahall have been granted by the Building Inspectllr.' . ; ._-- : ~. APPLICATION IS I-i~'~Y MADE to the Building Department for the issuanCe[of a BUilding Permitpursuant to the Building Zone OrdinanCe of the Town of Southokl, Suffolk Clounty, New l[~rk,,and other applicalble Laws, OrdinanCes Or Regulations, for the construction of build ings, additions or alterationS, ~ for removal Or demo- lition, as heirein described. The applicant agrees to corn ply with all applicable laws, ordinances~ building eerie, housing code, and regulations. ~~, ~ ................ (Signature of ~ or, name ff ~Pt~icant, This application must be completely filled in by typewriter or in ink and submitted in duplicate to the (Address of applicant) State whether applicant is owner, lessee, agent, architect, engiheer, general contractor, electrician, plumber or builder ........... Name of owner of premises ...... R~bex,'~. Hl~Ll~. ........................................................ If applicant is a corporate, signature of duly authorized officer. (Name .ired title of corporate officer) Deep Hole 1. Location of land on which proposed work will be done. Map No.0.~.e.e. ·~. .]~.~$.~.q~ Lot No..G.~H. ......... Street and Number . Deep Hole Dx'ire · ~lal;ti.~.u.c.k. ...................................... '~'~ ~ ~ ....................... 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 cupancy .. ....... ~1, .]~.~.m. .l)~ .................................... 3. Nature of work (check which applicable): New Building _a* Addition Alteration ~ Repair ......... Removal ........ Demolition .... .... . Other Work (Describe) ...... ................ 4. Estimated Cost /~{~/ .~. 0-O ~. ...... ~.. Fee (/l) ... (to be paid on filing this application) 5. If dwelling, number of dwelling units . .1 ....... Ntlmher Of dwelling units on each floor .... ~ ........ If garage, number of cars . ..~ ....................................................................... 67 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 er additions: Front ............... Pear ............... Depth ................ Height ................ Number of Stories ..................... $. Dimensions of entire new construction: Front . .6~ ............. Rear .. 6~- ......... Depth ...27. ...... Height ].8 Number of Stories ]- 9. Size of lot: Front '"~'~'?~-~b ....... 'Rear . .~[.~0 ........ Depth ..... ~0 ...... 10. Date of Purchase ............................... Name of Former Owner ~° Hi!l;z 11. ~one ~r use district in which premises are situated .................................................... 12. Does proposed cor~truction violate any zoning law, ordinance or regulation? ........ .N.O. ................ 13. Name of Owner of premi~se~ .R.....H..i.]:.~..z .......... Addreas l/J. llez' Place Phone No.~'.~.~.~. .... Name of Architect ............................. Address ...................... Phone No ............ -- --- Z. nland Homes Name of ~on~racu~r .; ........................... Address . .Said. all ........... Phone No ............ PLOT DIAGRAM ~'~ ~iy and distinctly all buildings whether existing or proposed, and indicate all set-back d/mensions ~ ~ lines. Give s .treet and block number or de scription acoording to deed, and show street ~ame~, and ind~a,t~ whether interior Or corner lot. STATE OF NE~Y~,~ )S.S. oT t, ~ ' cant abovo nmoS. Ho i~ th~ ............................................................ (~a~r, a~L ~ate ~t~, etc.) o~ ~d own~ ~ owne~, and h duly auth~ ~ p~ ~ have ~ ~e ~d ~k ~d ~ m~e ~d file ~ applicon; ~at ~1 ~a~me~ ~ntain~ in ~ is appli~ ~ ~e to the ~ of h~ ~owl~ge ~d ~lief; ~d ~at ~e ~k w~ ~ ~ ~ ~e mann er ~t fo~ ~ the appHeat~ fll~ ~e~wl~. Swo~ ~ ~f~ me ~ls N~ ~bl :;~' ';~_ ~Z ........ ~~ '/~'.' .'~' ............. ~ ~, ............. ~ ..... ~nt7~~ (Si~tu~ of app~i~) ~~ ~ I ~ NOTARY PUBLIC, ~late o1 New Yo~ S-9 SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH ! Bldg, Permit No, TO WHOM IT MAY CONCERN: at The s. ewage disposal facilities for,a structure located (~i~ ~ed 10cation) ~) have been inspected by this~epartment and found to be satisfactory.