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Home My WebLink About4233-zFOlt~ NO. 4 TOWN OF $OUTHOLD BU~.nlNG DEPARTMENT Towu Clerk's Office Southold, N. Y. Certificate Of Occupancy No..Z. 3~45 .... Date ..........J~l~ .....I~L, ..... ,19.6.9. THIS CERTIFIES that the building located at M~z~atooka. Road ......... Street Map No ............. Block No ...........Lot No. ~l~Lt~.tuck~ .Nm~ .YOrk ........ conforms substantially to the Application for Building Permit heretofore filed in this office dated .......April .....?4.., 19.62 pursuant to which Building Permit No..423~ .~. dated .......Aprl]. ..... 9+..., 1969., was issued, and conforms to all of the require- .ments of the applicable provisions of the law. The occupancy for which this certificate is issued is ..... accassor, y..bu;Lld~ng. {pray. ate. q~rag~l ......................... The certificate is issued to ...... ~T~rt .~T,. NJL~lka. ~.$, .............................. (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .................................... Building Inspector Houso ~, $25 Marra~.oefta Road FOF~I NO. 2 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? 4233 Z Dcrte ....................................... '.~ .......... , Permission is hereby gronted to: ~ ,//'_z? /?// ~./~_~./~.? pursuant to application dated ~/7 /~-- /~ 19... nd approved by the Building Inspector, ~(~. Building Inspector ?OWN OF SOUTHOLD BUILDING DEPARTMENT 'I"OWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY' No.. la .35.02... Date .......... sl. un~....~, .......... 19.6~. THIS CERTIFIES that the building located at ~ltt~l:l~atoo~la .Road ........... Street Map Ho ............. Block No ............. Lot No.. lla~ttt;uck~ .I~..York ........ conforms substantially ~o the ~kpplicat}on for Building Permit heretof, ore filed in this office dated .......... tpIll .... .~.~.., 19.6.9 pursuant to which Building Permit No..4233.1a dated ......... Apl~.il .... 9., ....19.69., was issued, and conforms to all of the require- ments .of the applicable 13rovisions o£ the law. The .occupancy ior which this certificate is issued is . .. accessory, bull. dinp..(privat:e. ~Ja~ape.). ............................. The certificate is issued to .... ~ol~r~ .~'o..N:bflk~r .~'~ ................................ (owner, lessea or tenant) of the aforesaid buildin~. .Suffolk County Department of Health Approval ......................................... · ' Building Inspecto~}r TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. xam,ned ..... ....... ................. Disapproved a/c ........... ~.: .................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ....... ~,.~,~,,~,,.....Z ..................... ,19..,,~..2.. 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 praperty 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, t. he Building Inspector will issue a Building Permit to the applicant. Such permit shall be kept on the premises available for ~nspection 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 pumuant 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, buiJ~ing code, housing code, and regulations. / a corporation) State whether applicant is owner, lessee, agent, archifect, engineer, general contractor, electrician, plumber or builder. ....... ,::2.~/~....~...4~... ........................... : ................................................................................................................................ Name of owner of premises ....~.~.~.~F~..,.~...*......,~...~*.,-~'~.,~....~.,~.: ....................................................................... 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.: ........................................ Lot No.: ........................ Street and Number ...~.....~...~..~'~,~~.~.~.~. ............ ,~...~........~.~..7~..~'~.. ................ 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 .~,,..,.~,,,,,, .............. '~7" ~ ........... 3. Nature of work (check which applicable): New Building.................. Addition .................. Alteration .................. Repair .................. Removal .................. Demolition .................. Ot~rk (Describe) ........................................ 4. Est mated 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 ca.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 ............... L .................... Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front ...... .~..,g~.~.. ........... Rear ,.../.~.~ ........ Depth .......~..X~. Height ./~......~.~/...... Number of Stories ..... ../.. ........................................................................... 9. Size of lot: Front ..... .~.~.... Rear ...... ./..4~...~'..~'~.... ........ Depth ..... ~/.~..~.....~..~..~ ..... , 10. Date of Purchase .......,~..~.~./.~...p~...~..~.. ............. Name of Former Owner .......... ~..~...~/~.~'~..~. ................. 11. Zone or use district in which premises are situated ..................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation.> ....... ,~../~. ........................................... 13. Name of Owner of premises d.....~../.~.~....~,~..,......Address~.~....~.~.~[~..~..~.~.,~.Phone No...~....~...-...?.~..~.7 Name of Architect ...................................................... Address ............................................ phOne No ..................... Name of Contractor ........... ; ......... ~.~ ............................ Address ............................................ Phone No. PLOT DIAGP~M Locate clearly and distinctly all buildings, whether e~O~'ij~l ~tqProposed, and indicate all set-back dimensions from property lines. Give street and block number or descril~t'ibh~according .to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, ~ ¢ e COUNTY OF ................................ $~';' "' '~"~'~'"'~""... '/"/~/','~.~'~..'~..-..J~..' ..................... :..being duty sworn, d~oses and says t~, he is the applicant (Name of individu~g~i?~lication) ~ above named. He is the ....~~~ ......... ~~ ........................................................................... (Contractor, agent, corporate efficer, etc.) of said owner or owners, and is duly authorized to perform ,or have performed the said work and to ~:ke and file this application; that all statements contained in this applidation are true to the best of his knowledge and belief; and that the work will be performed in the manner set fo~h in the application, filed therewith. Swam to be~methis'/'-~'"-~"~"~ 19...~ ~ ~~, .................... ~- day of .......................................... , Nota~ Public, ..= .................... ~~ ...... ' .............................. ......... ~erm ExpiTes March 30, 19~ ~