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Home My WebLink About4438-zTOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office $outhold, N. Y. Certificate Of Occupancy No. ~. ~ .... Date .............. P.e.e.. ~. ......, 19.61~ THIS CERTIFIES that the building located at .. l~l~' C~eIr' I)~ ......... Street Map No.l[~t;~. Block No ........... Lot No. ~ ...... Sel~ellm],& · 'l~'~e ....... conforms substantially to the Application for Buildln~ Permit heretofore fried in this office dated ......... &~ .... ~..., 19.69. pursuant to which Building Permit No .... I~ dated ............ ~,~...~][[., 19./~, was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is ... ~t~l'a~'$ '&' ~o~],' ~1~ .............................................. The certificate is issued to .... i~lll~. 14OSl~l' ...... ~ ....................... (owner, Y~ssee or tenant) of the aforesaid building. Suffolk County Department of Health Approval ...... I[,R',' ......................... FOF~ NO. :~ 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) 4438 Z Permission is hereby granted to: ............ ~.illla~..[~o~he~' .................................. ................... $.o~thol~ ......................................... B d aa z ed - Acce~,s..o.Tl' B~dg~ to .............. ..q;~l.....L.k...~ ......... .( ............ , ........................................................................... at premises located at .................. .~G'(,..,~.....~&r~v:e4)Gt, t....);e,~¥. .................................................... ...................................................... · Lo~g..C~<,e~...l)~$~,e ......... ~o~thetA ...................................... pursuan/c to application dated ......................... ~u~t ....... ,i~, ....... , 19..~9., and approved by the Building Inspector. F~ $...f.,.QD. ........... Building Inspector Approved ........................................ , 19 ........ Permit No .... Disapproved a/c ......... ~ .................................................................................... ^,',L,C*,',ON ,0, JO,LUNa ,,,~r, . ~ ~ '"~ ;~ ,9..~...9.... ° INSTRUCTIONS a. This application must be completely filled in by t~ewritor or in ink and submitted in duplicate to the Building Inspector. ' b. Plot plon showing location of lot and of buiklin~s~ .an p~.m. ~es,, relationship to adjoining premises or public streets or areas, and giving a detailed description of lal~ut of profg~ty, must ae~'awn on the diagram which isport of thle appllcotion. c. The work.covered by.this application may not be commencod be. fore is~e of Building Permit. d., U?~rap~r.~l a~;.this..appllcati .o~, Ihe B~ld~..1~ will iss~m a Building Permit to the applicant. Such permit shaft ~e Kept on the premises available TOt Inepection throughout the pragrem of the work. e. No building shall be occupied or used In whole or in part for any purpose whatever until a Certlficote of Occapancv shall have been granted by the Building Iml~ector. ~ .A. ,P. PU~T~O~N.!S ~R£B~,MA_D£ to th. ,.,~*.~ ~-~*~t ~ n..i~-~~ of a Bu,d~ng Pormit ~-~ont to th. ~u,,a~n.,. ~o~. u?,nce, o* ? ,.oX,. ~..S0"th~...S,eo,~ C..oum?.., N*w York. ~ .other ~"cobb U~, 9,~r~'~es or Kegwatl,o.ns, tor me construction o~ ~u.amgs, aaa,tuns or alrara,ons, or tot mmovm or demolition/aa herein described. The apphcont agrees to comply w,th all applicable laws, ordinances, building code, housing code, ond regulations. ................ .................... (Signature of applicant, or na_me, If a corporation) ............. Zr. .......... ~..-..........~.~..~iic_~:.,.,..~.~ .............. State whether applicant is owner, lessee, agent, architect, engtn~r, genaml contractor, electrician, plumber or builder. If applicant Is a corporate, signature of duly authorized officer. which praposed ~mrk will be done_. Map No' ... '. · Street and Number /'~ ~ '~i;~'i~" ............ 2. State existing use and occupancy of premism and Intended use and occupancy of proposed comtmction: a. Existing use and - ' occuIxIn~/ .............. ~ ........................... .. ...................................................................................... 3. Nature of work (check which applicable): Hew .B,ui!dL.ng~.?. .~.;.~g..... Addition .................. Alteration .................. Repair .................. ~[' ~/. ,,,,.~Rem°Val .................. ~ .D~.~61:i;tiOn, .... ~:....:i;~.r,.J~ ~'~her Work (Describe) ........................................ 4. Estimated Cost ..... ..r....'~....y..~. ........................... t'"""' "~.ee"~'"'~t"?"'""~?""~ ...................................................... ' ' (to be paid on filing this application) 5. IF dwelling, number of~ d?elling units ............................ Number of dwel.ling.;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 ...... ....... L ...... : ........... Depth .................... Height ........................ Number of Stori~ ..~ .............................................................................................................. Dimensions of same structure with alterations or additions: Front .................................... Rear ............................ Depth ................................ Height .......... ~.:r: ...... ~ ...... Number of Stories ................................ 8. Dimensions of entire new construction: Front ~..~...~.;; ............ Rear I ...................... ~/...4.. ........... Depth ..... .?...../. ........... Height ....... ~...! ....... Number of Stories ...................................................................................................................... ~ / / 9. Size of lot: Front .......~...,~...."~...i... I~,r ......... L...~...~' .............. Depth ........ ./....~....~... ........ 10. Date of Purchase ........... .~...C~.....,....~...~. ................ Name of Former Owner ........................................................ 11. Zone or use district in which premise~ are situated ........... .~ ...................................................................................... 12. Does proposed construction violate any zoning.~aw, ordinance or regulation? ...... ~.~. .............................................. 'ti. ' 13. Name of Owner of premises ..~).¢. Name of Architect ...................................................... Address ............................................ Phone No ..................... Name of Contractor ................................... ~ ............ ~...Address ............................................ Phone No ..................... 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 show street' narrm~ and indicate whether Interior or corner lot. STATEOF NL=W~)'(::)~;~ (e.S ' : ' ' " ......................... being duly ~tom, ~ and ~ ~ h~ i~ ~ ~ican~ a~v~ nom~. ~ i~ t~ ...................... ~; ................. ~.,.~..., ................................................. ; .................................. ~ (~tm, ~t,. co~e offi~r, Mc.) of ~id~ner or ~ne~, a~ is duly ~z~ to ~rm or ~ ~ the ~)d work a~ ~ ~ ~ file this a~lication; ~at all stote~nts con~ in this ~lic~l~ am t~ to ~e ~ of his ~1~ a~ ~lief; and · at the work will ~ ~ormed in the ~n~ ~ ~h in ~e ~lic~l~ fil~ ~. Swam t~ ~- ~ ~is ~ ~ ' , _~ ~ ~ .... ......... ................... N~ ~lic,~~J.~-~~ (Sl~ d .~llcant)