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Home My WebLink About3368-zFOl~I 1~o, ti TOWN OF SOUTHOLD BUILDING DEPARTMENT 'FOWN CL~RK'S OFFICE SOUTHOLD, N. Y. I~I~I~TIF'Ir. ATI~ OF' oI~r. UPANr.¥ THIS CERTIFIES that the building located at . .~../t.~..p~.O.O..d..D.~..i?.o. ....... Street Map No. ~' Block No.. ~ ........ Lot No..X:J~... .... .~.o3~.t.h.o..~.cl.s..~t.:~: .......... conforms substantially to the Applicati. on for Building Permit heretofore filed in this office dated ........... .S._n:~:..~.7 ......19..6~. pursuant to which Building Permit No. 3368 Z dated ....... ~.~... ~0 ......... 19.6'~., was issued, and conforms to all of the require- ments ,of the ,applicable provisions of the la w. The ,occupancy for which this certificate is issued is ?..~.V..a.~.~.. 9.~.9..f..~..i.~.y..~..~.e.J,].;~'~g ........................................ The certificate is issued t.o . .~.~.?.h.o.~.a. 8...&..A..~?.]:~.....~..o.,~..~.r.d. ........ ..Cftc..o..l'.s. ........ (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Appeoval ..Ha~...~.2..~. ~.c).6.~....~r..~.., V.:[~.~.~. ..... Building Inspeetbr FORM 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? 3368 Z Permission is hereby granted to: Nicholas ~eonard & Wife .............. 6~.O.....E£g.th..Awa ................................ ......... ~.,,.. llo~,tl~po,~...N-,l[.,, ........................... to ..~.X...a....a..~:~...o.~...f.a..~..X.Y.....a.~..e. !! ~ .................................................................................. at premises located at ...m/.~..J~oo~..D~l.ll'a ................................................................................ ................................................. ~o~th~ld ~..~1~., ............................................................................. pursuan,t to application dated .............................. ~T41~l~a,~Jr.....~,7..., 19..~.., and approved by the Building Inspector. Fee $~.0.~ ............ s-9 SUFFOLK COUNTY DEPAR2~ENT OF M~ALTH Date Bldg. Permit No. TO WHOM IT MAY CONCE~: The sewage disposal facilities for a structure located at have been inspected by this Department and found to be satisfactory. District Engineer Distric~ Engineer iii FO~ NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE Approved ........................................ , 19 ........ Permit ~o ................................. ...... : ..................... ............................ ~ {Buildin~ Inspector) ~ ^pp ,cat,o No. APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. Th~s application must be completely filled, in by typewriter or in ink and submitted ,n duplicate to the Buildin~ Inspector. b. Plot plan showing location of lot and of buddings on premises, relationship to adjoining premises or public streets o areas, and glwng a detailed description of layout of propertymust be drawn on the diagram which is port of this opplicatior c. The work covered by this application may not be commenced before ~ssuance of Budding Permit. d Upon approval of thru application, the Building Inspector will issue a Building Permit to the applicant. Sucl permit shall be kept on the premmes available for mspect~o~ throughout the progress of the work. e. No budding shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupanc' shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Budding Department for the issuance of a Building Permit pursuant to th. Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances o Regulat,ons, for the construction of buildings, add,hans or alterations, or for removal or demolition, as herein described The apphcant agrees to comply w~th all apphcable laws, ordinances, building code and regulations. (S~gnature of apphcant, or name, if a corporahon) .... .............. (Address of applicant) State whether apphcant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises ..... ~$~-,~014%~..~....~l,.~e]8,..G,..T~i~3a,;~:L ........................................................................... If applicant is a corporate, signature of duly authorized officer. North by Pledger, Eas~ by Lurer, .................... .................. by Nosh West, by Oakwood Drive 1. Location of land on which proposed work will be done. Mop No Item No, 190~ Lot No' · ................. Street and Number 0a]~tood Dz~e Municipality 2. State ex~sting use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ................... h~?ldZ~g..lo+,, ...................................................................................... b. Intended use and occupancy ............... ~*J,l~]r~e...clz3a..a~;~..i~,13d,.~l~l~'..l~lt~ ....................................... 3 Nature of work (check which applicable): New Building ...... .x.. ........ Addmon .................. Alteration ................ Repair .................... Removal .................... Demoht~on ....... ~ .......... Other Work (Describe) .................................... 4 Est,mated Cost ...... ~..2. ~. ~ .0..0..~., ...................................... Fee .... ./...?. .............................................................................. (to be paid on filing this application) 5. if dwelhng, number of dwelling units ..... .S?.....v~... ............. Number of dwell,ng un,ts on each floor ~.....a~....~....2. ........... if garage, number of cars ...............$~q ..................................................................................................................... 6. If bus,ness, commerc,al or mixed occupancy, spec,fy nature and extent of each type of use .............................. 7 D,mens,ons of ex,st~ng structures, Jf any: Front .......................... Rear .......................... Depth .......................... Height ............................ Number of Stones ............~...e...~..~J:..~,~,..ll~,~' ................................................................ ~ D~mens,ons of same structure w,th alterat,ons or addit,ons: Front ................................ Rear .............................. ~ Depth .............................. Height .............................. Number of Stories ........................................ 8 Dimensions of entire new construction' Front ...... ..6~.......f~..e. ......... Rear ....6.~...~l~ ............ Depth .... Height ............................ Number of Stories ...... 1~ ................. 9. S,ze of lot' Front ..... 10.Q! ............... Rear .... 100.~. ................ Depth ......1.~O1. .................. 10. Date of Purchase ........................................................ Nar~e of Former Owner ....~;~fl~..~.$.~1'.¢',i~,l.~. ............. 11. Zone or use d,str,ct' ,n wh,ch' prem,ses are s,tuated ...... ~r.~.....~.. ....... r~ .'( .................................................................. 12. Does proposed construct,on,,,_,___,_.. -- __= ,___,_v'°late any zoning law, ord,nance or regulation> ........... ~ .................. .~ ............... 13 Name of Owner of prem,ses '.~.~L~ot~a~....~...~.....~....g~..~'~dress .....6~...0....E..i~.h..t..h....A...v~.., ........... Phone No.A~...'~...8. Z.6..... E, Northport, NY Name of Architect ....I~tlliam. J~,,..Smi~H .................. AddressNo~.~}t..Road~,..$~u¢h~lcl ..... Phone No..~.....'.3...~... .... Name of Contractor ...P..a...~......~...s...s~..~. ............................ Address 3...~,~1~..~ ............. Phone No ................... St. James, I~.Y. PLOT DIAGRAM Locate clearly and d~stinctly all build,ngs, whether ex,sting or proposed, and indicate all set-back dimensions fro, property hnes. G,ve street and block numbers or descript,on accord,ng to deed, and show street names and indica~ whether interior or corner lot. See Attached Survey,, STATE OF NEW YORK, '(S.S COUNTY OF ................................ f . ................................................................................................. being duly sworn, deposes and says that he is the applio (Name of individual s~gn,ng apphcat,on) above named. He ~s the .................................................................................................................................................... (Contractor, agent, corporate officer, eta ) of said owner or owners, and is duly authorized to perform or have performed the sa~d work and to make and th,s application, that all statements contained in th,s appli.cat,on ar~.~true to the best of his knowledge and and that the work will be performed in the manner set forth in th/e~a~pl,cation filed therewith. /-q Sworn to before me this ~ r / - ,/ ~ r ....... ............ ..... .................. .........