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Home My WebLink About4446-zNO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupnncy No. Z389~ ...... Date ........... July ..... 23 ..... , 1970' THIS CERTIFIES that the building located at .... Inlet. Drive ........... Street Map No. Cap~ .K:tdd. Block No ........... Lot No..99 ....... 14attituck.. No¥. ..... conforms substantially to the Application for Building Permit heretofore filed in this office dated ............. Sept. · 1~, 19.69 pursuant to which Building Permit No. dated ............ Sept.. ~., 196.9., 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 .. Prtvo~te. one. £am~.ly. dwelltr~ ..................................... The certificate is issued to ... Harry. Cens.ta~t-~.ne ......... 0~nel, ................. (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . by. I~....Vii:La ....... Building Inspector Ho~se ~10~0 TOWN OF SOUTHOLD BUILDING DEFARTMENT TOWN CLERK'S OFFICE 5OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is hereby granted to: ........ ]S,..C4ms**e~.t,~o ...................................... ................. 31~t~k ......................................... at premises located at ................ Jdl~t...~.....~&p.~,..Jr,,~.~...~.tl.~ ......................................................... .................................................. l~....Za~et ..1)ad, ye ............ ~l~t~tt~ek ..................................... pursuan¢ to application dated .......................... ~ ....... ~. .............. , 19~1~.., and approved by the Building Inspector. ..... (Building InspeCtor? ~ APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by tl~ewriter or in ink and submittc~d in duplicate to the Building Inspector. b. Plot plan showinp, location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detoded 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 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 or in part for any purpose whatever until a Certificate of Occupancy shall have be.eh granted by the Building inspector. 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 Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations 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, housing code, and regulations. (Signq~ure of applicant, or name, if a corporati°n) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ..... .~.8..~.~...g..o..~....s..~...a.~.~.~...e. ..................................................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which proposed work will be done. Map No.: ........ .~.ip,~.~..~c~ .......... Lot No.:'....~[I .............. ,ri' ~- / o S ~ ~/.8 [z~3.el: Dz'lve Street and Number ................................................................................................................................................... MunicipplJty 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .............. ...V..&..9.~[t...~. ..................................................................................................... b. Intended use and occupancy ........................... D~g...£~L..~,I/.e.~L;tJ~ ............................................................... 3. Nature of work (check which applicable): New Building . ~.. ::. Addition .................. Alteration .................. Repair .................. Removal .................. Dem°lition..; ....... ;.~..L Other Work (Describe) ........................................ 4. Estimated Cost ..... .1. 5.. e.Q~.. ..+. . .............. ...~:.'..?....:.:;..fiee i].~e.~.=-~ .......................................................................... :~' 'r : ~ ,~ bepaid on filing this application) 5. If dwelling, number of dwelhng umts ..... D~.;~; ~,..., ;:,l~u~lwellingunits on each f oar If garage, number of cars .................. DZ),e .......... .:.~'..~...:..:'! ................. , ........... : .............................. ~ ............. 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 Stories ................................ 8. Dimensions of entire new construction: Front .......... ~.~ ....... .............. Rear .....bc~. ................... Depth ..... 2,6 .............. Height .................... Number of Stories ................ .~..~...O. .............................................................................................. 9. Size of lot: Front ........ c~.1. ........... Rear ...... .1..1,0. ..................... Depth ..... 1.~.Q~.1.~.../....1.:~0 10. Date of Purchase ...........:[.~.6~ ................................... Name of Former Owner ...... ~c,,a,]~.~,~..~2'.Q~ ........................ 1 1. ZOne or use district in which premises are situated "A" dist 12. Does proposed construction violate any zOning law, ordinanCe or regulation.;> ....... ~. ............................................... 13. Name of Owner of premises ..~,~...~.O~,%t~D.~:L.l~e....Address ........... ~&.~.~'l ~,~LC.I[ ........... Phone No ..................... Name of Architect ....~.~...~so33.:l~a~cLs ..................... Address ............................................ Phone No ..................... Name of COntractor H. Cohsta~t~u~e Address t~att ....................................................................... · ....................... Phone No ..................... PLOT DIAGRAA4 Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensior~ from property lines. Give street and block number or description according to deed, and show street names and Indicate whether interior or comer lot. ltO STATE OF NEW' yORK, COUNTY Oe ........... S' · 'Co s an e ................................................................................................. being duly sworn, deposes and soys that he is the applicont (Name .of individual signing application) above named. He is the ....................... ~.e.~...-....~.l~;[.,~.d....~.~. ........................ ~.. .................................................................. ..... ~ (Contractor, agent, corporate officer, etc.) of said owner or .o~vners~ and iS duly a~horized to perform or have performed the said work and to make and file this application; that all statements contained in thiS' application are frue 'to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Swam to before me this ". .................... ?.of .......................... , S-9 SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH TO WHOM IT MAY CONCERN: at The sewage disposal facilities for ~a structure located (Gl'ye dee~ location) have been inspected by this department and found to be satisfac, tory. District Engineer 4 ,4¢:o ' I d ~ I1 ,/e,'L 0 ' 4!0