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Home My WebLink About4465-zFORM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office $outhold, N. Y. Certificate Of Occupancy No. ~1~92[J ...... Date ............ .D. eD...~' ........, 19 THIS CERTIFIES that the building located at . .L~,tt,~e · Psoon~¢ .Bay..Ro~treet Map No. Nas.. l~t... Block No ........... Lot No. L~I. & .pt. ~.2.. ~tchogtle .... conforms substantially to the Application for Building Permit heretofore filed in this office dated .... Sept .¶~J~3~, 19.~ pursuant to which Building Permit No.~b~Z... dated ....... ~ept...~7 ...... , 1969., 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 .... l~,lvete, one. family, ctw®t.lSng .................................... The certificate is issued to . Stephen &. L-~nda. Ha~tmaz~ ..... 0~rsers ................ (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Heaith Approvai .. Ne.I{. ............................. UNDERWRITERS CERTIFICATE No.. HeRe ........................................... HOUSE NUMBER..7.~0 ........ Street .......L~t.t~e · Peeon~c..Bay. Soad ............... Building Inspector FOK~ NO. :g 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? ~65 Z Permission is hereby granted to: ~ ..... :::~::::~i .... '""'~'"' ~ ¢~~-. at premises located at .......... Z...~.....~.. ........... ,~./...~.:~.~. ........ .~.~...~.:.~...A..:.!..~...........~....'~..Z. ........ ..,~....~..v~D .............. t~.....~.~.~.~......~.~...~..~.....=.~.z...~.~.t.,..~:....~...~.~ Buildi~ Ins~tor. / F~ $ ...~ ......... AI~LICATION FOR BUILDING PERMn' ~D/AI / ""' ................... .......... INSTRUC~rlONS a. This application mUst be con~d~ly filled in by tYpawritm' or in ink and submitted in duplicate to the Building inspector. b. Plat plan showing location of lat and of buildings on premiss, relationship to adjoining pmm~ or public streets or areas, and giving a detailed description of layout of propm~.must be drown 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.. U?m app..roval of .this application., .the Building Inspector will Issue a Building Permit to the applicant. Such permit shall ~e Kept on me premmes available tar ;nspection throughout the pragre~ of the work. e. No building shall be occupied or used in whole or In part for any purpaee whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. r~ ~ APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Bullet}ha Permit aursuant to th~ ~.eg . , c ct on o buildings, additions or al.terations, or for removal or demolition, as herein descr bed /ne apphcant agrees to comply with all applicuble laws, ordlnances~//~b,j~ilding c.~b__,~ousing ,~/o,o~ls/~/a~d regulations. .......... .................. (Signature of "applican~ or rl~;~,. If a,e~rpora, t. ion) ...~i~.¢.~...=..~'~...£~.~.,..£~.~./.g ....... (Acldrms of applicant) State whather applicant is owner, I~ssee, agent, architect, engtr~r, gm,mi contractor, electrician, plumber or builder. ,.,an,, ,:,, ow,,r of p,'.m,,, ...... :cr.~,..~. ......~..,....,t....~.~..~....~.:....rt.,a .~r:..~.~.,~ .............................. ,..~ :~ If applicant is a corporate, slgno~re of dub/muthorized offi~or. (Nan~ and title of corporate officer) ,..ocation~ ~ on wh,ch p.~.~ work ,,,, be du... ~No.: ... 1.£~ .................... - ,~/'- ?~0 - ....~.~,~l~ ~, .......... 2 State existing use and occupancy of premim and intended use ahd occupancy of prap,~ed comtruction: ' a. ~,',,~,,and,=,',p.,,,.,. ......... ~ :.:..,,,...,ca.r. ..... .,,',.0..¢.. ........................................ b. .nt,,~ ~ and ~,,.~ ......... ~.~? ..... Ea..~.~.. .0..~ ~ .... : ................................... 3. Nature of work (check which applicable): New.Buitd ~g.~,~..: ........... Addition .... ,~ ......... Alteration ....~.. ........... Repair .....~...~... Removal .~.¢~,'t'...~. ..... [~rrtc~l~;cio~..:..-.; .......... Other Work (Describe) ........................................ 4. Estimated Cost ..I..~../ ~. .~....... .~..~'....~H~..I~.~.' ......... Fee ...;.'...;,..~ ............................................................................. (to be paid on filing this application) $. If dwelling, nt~mbe!'.of O~.¢elling units ....,.....(~..(r).~ ............ Number of dwell!ng,,units on each floor ............................ If garage, number of cars ............... ~-,~...(KI~L~. ....... I~J.~,....~.r.:....~..~..~...~.#.~. .................................................... 6. if business, commercial or mixed occupancy, specify nature and extent of each type of use ......................... ~.. · . ! i/ 7. Dimensions of existing structures, ff any. Front ....... ~.~..r..~...~.?.~Rear :...;.~./../n.l~.~.,.~~. ...... Depth .....,~/../.:T.~.~-) Height ./..~../::..~..~.~'~) Number of Stories .........~..~1.1~ ................................................................................................ -, ~),mensio,s o~ some struct,,re w,th ,,,,.rations or add,t,ons: ~root ..~.=~....~P....S..).. Rear .r.~....~..ES~....3) / ~ / ~, ~th ~.=~.~..s~...2-.') H.~ht .../..r....~...~'.~..)..~um~r o~ Sto,es ...~.~.~ ..................... -- ' ' ' I' ~/ ! ~ ,.. I 1/ 8. ,)imon, ions o,.e,tire n~ co,stru~,on.' ~ront ..:Z.~,.-..6..~:~Z..l'~.r..~.),ear .~-'..~,.~..,~.)~th ,~.~..:-..4...~_L'S',~) Height .....L.r/[.,~'r,,).. Number of Stories ..... (~.~,~....C,[.g.L'~......b..~..~'~-,,/'kl.~,,l¢.~...~ ............................ ; ........................... ~. S~e o~ ,at: ~ront..../;..r~=~...~.)Reor.../.-~.q~..=~..../:~.) ...... D*~th..~..~.~ ........ ~..k~ZU~ ~. Date o~ Purchase ............. /.~/~S..'. .......... ................... N~o~ ~a~er O~er.....Z~.J.~....?.~r.~O~ ................ ~. ~0ne or u, dtstr,ct in wh,~,rem,~ are si~ated ...... Z~...~....~.~.~( ......................................................... 1:2. Does proposed construction ¥iolate any zoning law, ordinance or regulation? ..... ~.~...~ .............................................. 13. Name of Owner of prem/~s~t~..~....~..~.~f, Jg.~.~l~ddress/~ ~.~.~~..~:~hona No. ~..~...~. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or' proposed, and indicate all setJoock dimensions from property lines. Give whether I~terior or comer block number or description according to' deed, and show street names ancl indicate LoT. OI _pLOT r-aT 2~r2 ...................... ~,:.~.[~:;'..~.~./:?~,~:~.. ............... being duly swam, deposes and say~ that he is the ~pplica~t a~ve name. He is the ............. F~~ ......... ~ ................................................................................................... ........ (Cc~tractor, agent, 'corPorate officer, etc:) Of said owner or owners, and is duly authorized to perform or have performed t~.he ~aid work and to make and file this application; thbf bll"~t'otemehts c~i~t~iri~l in' 'this'oppliCati6n a'h~'true to'the be~t of his knowledge and'belief; and that the work will be performed in the manner let forth in the aPPlication filed therewith~,, ; ,~ Swom to before me this ~ .. , ~/-) I.-~ - ~"~ //. . ............ .................. .. ..... ~orory ~o, c, ~.~. ................ ~.~ ....... .~ _-~i~.~:.~.~. ~u ~0T~g~i~Ur4 S~,?.-~, ,-,~,,,,~-