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Home My WebLink About3700-zFOI~ NO. 4 TOWN OF SOUTHOLD BUILDING D~EPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No...Z...32.68 ............ Date ................ Sep.tem~er~..9., ............ , 19.6.J~.. THIS CERTIFIES that the building located at .l~/.S...Sound...V.~,e~..Avenue .................. Street Map No ....................... Block No ....................... Lot No...M&ttituck,...New...1~.clrk ..................... conforms substantially to the Application for Building Permit heretofore filed in this office dated ........................ Nov-m~er.....3.~ ............. , 19..6.7... pursuant to which Building Permit No...~.7..QQ...Z. dated ............. tco~.ember.....~, ............ , 19.6.7..., was issued, and conforms to all of the requirements of the applicable provisions of the Iow. The occupancy for which this certificate is issued is ........ .... p~' ~.~.ate.. one.. f~.l¥..d~e~l.tztg ........................................................................................... The certificate is issued to ........... DQtlall~..J.,...J~l~ ..................................................................... (owner, lessee or tenont) of the aforesaid building. Health Dept. Approval, August 21, 1968, Robert Vz~lla ........ ........... .................... i L ii i ng Inspector { FOI~ NO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN GLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION' OF TIlE WORK AuTHORIzED) 'N? 3700 ,Z Permission is hereby granted to: ~ ......... .~..o.~.~.....~....¢r~:,....,......:: ........................... ............ ;t~....,~.~...~ ................................. : ....... ..... : :..~.~.~ ..: .............................. to ..~.~..~e~..~..~..ct~e~ ................ ~. ................. ~ .............................................. at premises located at ....~.~Z~.:~..~.~..~,~L~.:[,~...?.~.~...~.~ .......................................................................... ........................ i .................~.~..~L~.¢~.~¢ ............ ~.,~:~..;: ............................................................................... pursuan¢ 'to application d~ted ............................ ~..~.'[. ......... & ............ , ]9...~2., and approved by the Building Inspector. FORI~ NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. E×amined ....... ............ ., Approved ........................................ , 19..~!... Permit No. 3......_....................7F--) C~)~~'- ~7~-~' o Application No..~....¢;..T.,,.' ............ APPLICATION FOR BUILDING PERMIT Date November 3 19 67 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 part of thie 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 tS HEREBY MADE to the Building Department for the issuance of a Building Permit pureuant 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, oral,Nonces, building,~ode, housing code, and regulations. .................. .-. ................ .................................... (Signature ~applicont, or name, if a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ....................................................... .O.~e.n...-... ~ull~l~ ~. ..................................................................................................... Name of owner of premises D.o..n.,a..!d....J..:....B...11.9,1t~ ......................................................................................................... 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 ............ ...................................................................... Municipality State existing use and occupancy of premises and intended use dnd occupancy of proposed construction: a. Existing use and occupancy .....?.~..~..~. ................................................................................................................ b. Intended use and occupancy ..... ..o.~.e.....f....a~..i..]:~.....d...~..e...]z..]:.i...~.j[ ............................................................................. 3. Nature of work (check which applicable): New Building ...... ~.. Addition .................. Alteration .................. Repair .................. Removal .................. Demolition .................. Other Work (Describe) ........................................ 4. Estimated Cost .... ~,~',0.0.0....+.. .................................... Fee ....~..0.. .................................................................................. (to be paid on filing this application) 5. If dwelling, number of dwelling units ............ .O..~..?. ......... Number of dwelling units on each floor. ........................... If garage, number of cars ............................................................................................................................................. 6. If business, commercial or mixed occupancy, specify natuke 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 ..... ~[2 ........................... Rear .......... ~'2 ............. Depth .....~/....16 ..... Height .................... Number of Stories ..... .~fl .......................................................................................................... 9. Size of lot: Front ...... ,1,],.0. .............. Rear ....... ],10 ...................... Depth ..,.~.~...~ ................. 10. Date of Purchase ..........~c~.~..~. .................................... Name of Former Owner ........................................................ 1 1., Zone or use d strict in which premises are situated ......... !!At.~...eli~.t~ ......................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? ...... ~,O ................................................. 13. Name of Owner of premises~..O..~...8,..~...~.,..~...~..O.~· ............. Address .....[l.~l.'~.l~l~El.~. ................... Phone No ..................... Name of Architect ...................................................... Address ............................................ Phone No ..................... Name of Contractor ........ ~.e ................................... Address ............................................ Phone No ..................... PLOT DIAGRAM Locate dearly 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. See filed plan STATE OF NEW,,Y(~gK,, · ~'1"O -~.-,. COUNTY OF ................ Donald Brown ................................................................................................. being dilly sworn, deposes and says that he is the appJicant (Name of individual signing application) above named. He is the ....................... ,O.~.e...~.....-...~.~...~..~.~.~ ............................................................................................. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make a.nd 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 application filed therewith. to before me this .s..w..T ........... - .da of .............. ........... ~ - ~,, ,~ ~ .... ( ...... ~. ................ ]~ ................... ~.~ .............................. Notary Publ ic~~... ~.... ~~..~0~Countyu~ ~c~c (Sign~ure' of applicant) N0 r I oF''/'..::: THIS PLAN SHALL,~OT BE FILE~ WITHOUT THE,~RCHITECT'S S~L, AFFIXED H~O.' r THIS P~N SHALL NOT BE'EILE~WITH'ANY BUI~ING D~PAR~MENT ,W,I~O~T THE ARCHITECI~' SEAL AFFIXED HERETO~ .','/' ~ I I I ' ' [ :' THIS'PL N SHA L NOT B I IW.ITH ANY ,BU ED NG DEPARTMENt: U~ hr SCALE:. THIS PLaN ! ' ':-?'.' ', cHEC~<~O BY .=:-:' ....... ,DATE ~0~ ~ TI':...t~ ~'l'. , NOT BE F L~ W ~H A~ BUILD NG iDEPAR~EN~ ' ~cH~TECT~S S~ AgEIX~'HE~E~O: ,'," ~ J,:', A~CH iTI='CTr' WANTAGH,,N£W YORK SU 1-2797 ,i ARCHITECT' it/ \, PLAN NO, ~,~,~,; THIS PLAN SHALL NOT BE FILED WITH ANY BUILDING WITHOUT Tile ARCH TECT'S SEAL AFFIXED HERETO. 4 ARCHITECT L - PLAN'. NO.,~*: {u..~,'l ~ OFT .,': DATE t~ ¢~c7 , TH~$ PLAN SHALL NoT 8E FILED W~TH ANY BUILDING DEPARTMENT} WlTHO,UT THE ARCHITECT'S, SEAL AFFIXEDTHE~ETO~