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Home My WebLink About4459-zNO. 4 TOWN OF $OUTHOLD BUH.I~I~IG DEPARTM~IT Town Clerlr'n Office $outbold, 1~1. ¥. Certificate Of Occupancy THIS CERTIFIES that the building located at $~1 .g~l~ ./~ ............. Street Map No... Jl~ .......Block No ....~X .... Lot No ....11~... Matt£tlack ............ conforms substantially to the Application for Building Permit heretofore filed in thl.q office dated .............&~l~. · .~t~, 19.69 pursuant to which Building Permit No....~.~. dated ........~ept=..12 .... , 19..69, 'was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is ...... P~$v&:~ .aocesoo~/.ira&~a~ng ................................... The certificate is issued to ... ,~S. ~l,t~ ............ {}~rl~.ll~ .. ................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . ...N?.R., ............................ FOBI~ 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) N? 4459 Z Permission is hereby granted to: ............ .c. ~..~.~.~ .. ~,f..v.~:L~a, ............................... .............. ~.....~.a ~-~..A~-e .......... : ............................ .............. I,]~,.....~lO04& ....................................... to .............. ~u~d...a~ ..~ ¢ G ~-,~G~'~ ..~;L.],d.2;~g..&..4~em~eelm...1~eAee. ...................................... ........ .(~sl..~..~i~.Jl~La..&e~t...1.t,...l~69~ .......................................... '. ................. at premises located at ......................... ,,~0~O.....O.TL~..,]'~..Z~ ......................................................... .......................................................... ..W...a.~..i.~.V~k ...... .~.,]~ ............................................................... pursuene to application dated .................................. ..A.~ ....... .1..lt......, 19..F~.., and approved by the Building Inspector. Fee $.....~, .................. Building Inspector ~ NO. I TOWN OF ~OUTHOLD BUILDING DIPA~,TMENT TOWN CLi~.K~S OFFICE ~OUTHOLD, N. Y. ¸:0 Examined ........................................ , 19 ........ PP ..... ~ ................ , ''.....Z Permit No..~....~....~'... ............ O, ppr a,c ............. ....... . . ...... . Ct Application No ............... Z .......... APPLICATION FOR IUILDINg PERMI'T ~ ........ ~I/Y ,~.~.f.. .... INSTRUCTIONS a. This application must be completely filled in by typewriter or 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 port 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 been 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 c~~e,~Gl:~regulations. (Signature of applicant, or name, if a corporation) ................... ..?...£.~..,.~ ~.~.,.:..~..~../.<~./..~ (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contrac, tor, electrician, plumber or builder. Name of owner of premises .~..' 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../Vlap No.: ........................................ Lot No.: ........................ ,,~o ~ o O ~.-~' ~i u~.~,'-' z./~¥~-' /'"3 ,~ 7-r~ z-~,~.~< . Street and Number ................................................................................................. ..~.....~. ........................................ Municipulity 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 occupancy ..................................................... /. ................................... 3. Nature of work (check which applicable): New Building .................. Addition .................. Alteration .............. ,... Repair .................. Removal .................. Demolition .................. Other Work (Des~cribe) ........................................ 4. Estimated Cost ............................................................ 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 c~rs ............................................................................................................................................. 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 ............................ Depth ........................ Height Number of Stories O/~J ~" , , 9. Size of lot: Front ...... ~...'~.~.,./, ............ Rear ...... ./../....O. ................... Depth / ~ o 10. Date of Purchase ....... ./.,~,~..~,...../..~..~..?. ...................... Name of Former Owner ,...~..../~.'/~..~...,~..!.?. .............................. 11. Zone or use district in which premises are situated ...~.:..~;.-~....(.~.~...-~...?..(..~...c. ........................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation;) 13. Name of Owner of premises ..~.;........~.?..I...~..o....c;...'~... .......... Address ...~....~?~..~.../.~..i.~..'i.~.'?.'.'i~i~?~'~.i~?.'.ii~.i~ 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 names and indicate whether interior or corner lot. STATE OF N ~E-'y~YORI(xJ _ COUNTY OF .'~_..~......,1'"'""' ................................................................................... ~ ............. being duly sworn, deposes and says that he is the applicant (Name of individual signing applicationl; above n~med. He is the .......................................... ~,.r~...~...,,~,. ................................................................................................ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to m~ke ond 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 forth in the applJcatic~ filed ........................ day ....... Notary Public_z, ....... ~;~~.. ...... 4~miliimL~t.~%~3~ "~t~' (Signature of op~ant) FORM NO. 5 TOWN OF SOUTHOLD BUILDING DEPARTMenT TOWN CLERK'S OFFICE SOD-z-~OLD, N. Y. ORDER TO RF..~EDY VIOLATION Lowner or au~;nqrlzeu agent ox owner) ...... ?..Pa~k. &Ye ~: .][e~. ][o:ek..I ,~.,. (address of owner or authorized agent of owne[r~ PLEASE TAKE NOTICE there exists a violation of: Zoning Ordinance l[~ ...................... Other Applicable Laws, Ordinances or Regulations .................... at premises hereinafter described in that "'&l~ '&~$~[[~[~~i'o~[ '~;~,~ Su- .t~e. f~',e~t, .yawl. e~ ......................................................... in violation of AFt-ZI.]~. ~,8~ .3~00 · ..~,'.~t~'.~ '~O, ld~n~; ,~,e~' ~aa~aee (State section or paragraph or applicable law, ~-mnance or reguzauon) YOU ARE THEREFORE DIRECTED AND ORDERED to comply with the law and to remedy the conditi, ons above mentioned forthwith in or before the ........... ]$.. ~ ....... day of ............ ~11,~ ............ 19.~. The premises to which this ORDER TO REMEDY VIOLATION refers are situated at ~'1~ .~'~S. '~l~ · · [~[~]['~' .......... County of Suffolk, New York. Failure to remedy the conditions aforesaid .and to comply with the applicable provisions of law may constitute an offense punishable by fine or imprisonment or both. ....... Building Inspe~or I~J <,l NOTE: 1. Fence and Garage addition use vertical ~xg" ~ Cypress Plank£n8 to match house and existins, sarase 2. Fence and garage addition are b' hiih on street & sarase addition p~¢hes ~o 7' ht~h on Uent aide. 3. Garage add~t~on~o be ~nsXeai o~ roof to ma~¢h