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Home My WebLink About4248-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No..Z..3.6.9.9 .... Date ..... December ..... ll, ..... , 19.69. THIS CERTIFIES that the building located at . .Glen .¢ou~t .............. Street Map No. V~.~. B.l. uf~31ock No ........... Lot No. ll.. Cutchogue,. iqew. York ..... conforms substantially to the Application for Building Permit heretofore filed in this office dated ...... gpzil .... 16,..., 19.. 6.gpursuant to which Building Permit No..4248 .Z dated ...... Agr$$ .... 3,6,... , 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 .. private, one. £amil¥. d~e~]..ln.~ ..................................... The certificate is issued to ....... Harold..~,. Kr.oner .............................. (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval Dg.c.e..m[o. 9~:..3~ .1 ~..3:. ~.9.,..Rg.b~g. V.~]:..~ ....... House % 700 Glen Court FO~,~J 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) 4248 Z Permission is hereby granted to: ........... 2~......,,t~..~.t .......................................... ............. ~..J~*~ ......... Jl.,.~,. ........................... to .......... ..~. ~:.~...~.~.1.....Zl. ~..~....9..~.?.....~....g~...~ ~:...~..V.~ ~, ~J~ ......................................................................... at premises located at ................. ..~..O..~..~.! ....... '~.:~.f"...~...~.~,.~. .......................................................... ......................................... ~ .~........g.~,~.~r~...q.~mqt.~ ......... .~teimame.....! ,~'.~ .................................. pursuantc to application dated ............................. ..~..~...~.~.~.. ......... ~..~....., 19..~..~..., and approved by the Building Inspector. Fee $...~.!.).?...(~... .......... $-9 $CHD SUFFOLK COUNTY DEPARTMENT Date Bldg. OF HEALTH TO WHOM IT MAY CONCERN: The sewage disposal facilities for a structure located (Give deed location) have been inspected by this department and found to be satisfactory. TOWN OF SOUTI~OLD /~/~.~,J,~' ~t ~,'~ BUILDING D~PA~T TOWN .CL~:RK'S OFFICE SOUTHOLD, N. Y. (Building Inspect) ' APPLICATION FOR BUILDING PERMIT Date ........ i ........... ]I~STRUijr~ONs This application must be completely filled in by typewriter or in ink and submitted in duplicate to the ~ b. Intended use and .occupancy · · . ............ .~.~ ..~ ~... ~ Building Inspeclx~. b. Plot plan showing location of lot and of buildings o n premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of lay out of property must be drawn on the diag~m 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 pdemises available for inspection throughout the progress of the work. e. No building shall be occupied or used in whole o~ in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspeetlor. APPLICATION IS 14p_ae~l~RY 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, andlother applicable Laws, Ordinances or Regulations, for the construction of build lugs, additions or alterations, or for removal or demo- ' lition, as herein described. The applicant agrees te corn ply with all applicable laws, ordinances, building code, housing cede, and regulations. (Signature of applicant, or name ~f a State whether applicant j~ owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or Name .of owner of premises ..... ~....7~....~. ................................ If applicant is a oorporate, signature of duly authorize d officer. (Name ~nd title of corporate officer) land on which proposed ~'~i~. M.ap No., .%,~.~....~..%_ Lot No,.~ .Xc'Z ...... 1. Location of Stree~.~{ 7 47 O ~L/y/V' ~r ~/~ d eT' ~[~lunic~pality~ 2. State existing use and occupancy of premises and intended use and occupancy of I~-r~p~sed c~tr~ction; 3. Nature of work (check which applicable): New Building . .~A~..... Addition ........ Alteration ........ Repair ........ ~,Removal,,~ t~ C~ ........ ?emolition ........ Other Work (Describe) ...................... 4. Estimated Cos'ff..~,.~,.,~.: .... ~ ........... Fee ................................................ (to be paid on filing this application) 5. If .dwelling, number of dwelling~~t~,,.. Number of dwelling units on each floor ............. ,If ~ar~ge. number of cars ............................................... ~ ................. 6. If bu~s{l~s~,~commercial or mixed occupancy, specify nature and ex~f~ of eao~klrpe~3... :v.: .... 7. Dimensions of existing structures, if a~:i~ ............ Rear .. ....... :..... Deplh ............. Height ................ Number of Stories ........................................................ Dimensions of same structure with alterations or additions: Front .............. Rear ............... Depth ................ Height ................ Numbe~ of- Stdries ......... ~ ..... ; .... ~, 8. Dimensions of entire new construction: Front ..,.. ~ ....... Rear ... '.~.~.' ...... Depth . .~. ........ Height ... ,. Number Vf Stori~,. a.~ ,.,~'~,'.,.k~ ,.,~.,.,.,~,/~ .......... ~ .................. ...--~ .../,, : Fr nt ~...t?.~ . Rear ,~e/,,~ . De th ~ .~...~'.~.~7., Size of iot o ............... 4~,: ......... p .~, .. · ~, Dat~ of Purchase. ...... /..~-...~.. ...... ..V. .... Name of Former Owner . ..~. ............ Zone ar use district in which premises are situated...l~%t.'.. ~...'~....' .................................. Does proposed conztmction lrjolate any ~ning law, ordinance or regulatigep?...~.~ ....... Name ........ ~ ..... · .... PLOT DIAGRAM Locate clearly and distinctly all buildings, whet~r existing or proposed, and indicat.e all eet-back dimensions from property linee. Give si~eet and block n~kWdl~Yor]description according to dee~l,, aha show street names and indicate whether interior or co~'ner iot. ~/~ -{ _ STATE OF NEW YORK, )S.S. COUNTY OF .............. ) ~~l~t'~'~'~l'~ ' i~iof '~ ............... being duly sworn, deposes and says that he is the appli- ual stgning(Name application) __ cant .above, named. He is file ;:.. ~'; ~i ........... ~ ..................... .................... · ,: , · ~ , (,.(~mtractor~agent, oarporate officer, etc.) of said ownm- ~ owners, and is d~tly' autliorized l~0 perfo'rm or. have .perf~ni~d the said work and to make and file tltis api~Iication,, that all statements~oontained in this application ~ lrue to the best of his .l.m.?wledge and belief; and ~hat the work will be perfm'med in the mann er set forttg in the application filed therewith. Sworn to before me this .... .... aay of .: . '..;:..':' ' N tm P bli , ..... eo nty_ ' ';,i,i, ii i> ................ ' ~tlZ~BET~ i~IIN"ItEVILLE ~T~RY PUBLIC, State of New Yo~ J~o. 52-8125850, S~ffol~ Count}' ~rm ~pir~s M~ra ~0, ,[