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Home My WebLink About3376-zFOI~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at ~/~...]J~.~ll~lqjG~..J~ ........................... Street M~~...~...~.t.~...~cl~ .~. ............ Lot No 9~ "J~']J~etII,''jjOOk ....... ~At, llho~... conforms substantially to the Apphcation for Building Permit heretofore filed m thru office dated ........................... J/~illb ........ ~ .... , 19..j~. pursuant to whmh Bu,ld,ng Perm,t No.. ~7~1 .Z dated ......................... J~Jlb ....... ~0 , 19...1~., was issued, and conforms to all of the requirements of the apphcable prows~ons of the law. The occupancy for which th~s cerhficate ~s ~ssued ~s ........ J~lvate.. eme. · fe~,,~-~' dwe-lt..L~J ........................................................................... The certificate is issued to '-'~'Z~J...DO~' ............ ,..-~¢JI~.F ...................... : .............................. Lowner, ~essee o~' tenant) of the aforesaid building 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? 3,376' 'Z Permission is her&by granted to: ............... to .1~1,3,~,..~ ..~...~...~ ~ ................................................................................... ...'. ............. L....~b~...~ ....... .~3~t~l~,...t~.,.~.,. .................. , ....................... : .............. ...... " 19.{~..., and approved by the pursO~rut' to application ,doted ............... ; ............. ~lt~. ~0. ........... , S-9 SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH Date Bldg. Permit No. JUN 5 1967 TO WHOM IT MAY CONCERN: The sewage disposal facilities for a structure located (Give dee~ location) have been inspected by this department and found to be satisfactory. DiStriot Enginee~ ~', .~ ~ District Engineer FO]?,~ NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Exam,ned ..... .~.~.....~......~ .............. 19.~..?.. Approved .............. .t.] ....................... , 19.~..~..Permit No. ~.~.~..?.....(-?. D~sapproved a/c ~'g~'~~ ~ ' - Application No. -~ 3 ~ APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a Th~s ~pplicat~on must be completely filled ~n by typewriter or in ink and submitted in duplicate to the Buildin_~ Inspector. b Plot plan showing location of lot and of buildings on premises, relationship to adjoimng premises or public streets o areas, and gwmg a detailed description of layout of propertymust be drawn on the d,agram which is part of th~s applicatior c. The work covered by this application may not be commenced before issuance of Budding Permit. d. Upon approval of th~s application, the Building Inspector will issue a Building Permit to the applicant. Sucl permit shall be kept on the premises avmlable for ~nspect~on throughout the progress of the work. e. No building shall be occupied or used in whole or ~n part For any purpose whatever until a Certificate of Occupanc shall have been granted by the Budding Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Budding Permit pursuant to th Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances c Regulahons, for the construction of buddings, additions or alterahons, or for removal or demolition, as herein describe~ The apphcant agrees to comply with all apphcable laws, ordinances, building code and regulations A. Reilly & Sons Inc (Signature of apphcant, or name, ~f a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electncian, plumber or builde Contractor Name of owner of premises .... ~.¢..o.~'.c]...~.~/~ .................................................................................................................. If applicant is a corporate, signature of duly authorized officer. (Name and t~tle of corporate officer) 1 Location of land on which proposed work will be done Map No' .~..~..~.~.o...o.~...~.S...~. ............... Lot No: 9 Street and Number E~tw~ood Drive Cutcho~ue~ N.Y. Mumcipality 2. State existing use and occupancy of premises and ~ntended use and occupancy of proposed construction: a. Existing use and occupancy ....~.9,P.~.~.~...~.~,~ .................................................................................................. b Intended use and occupancy .... .o...~..e....~.~...~.~..~..~.....cl:.~.e..$..]:..~...~.~ .......................................................................... 3. Nature of work (check which applicable). New Building .................. Ad&tion .................. Alterahon ................ Repair .................... Removal .................... Demohtion .................. Other Work (Describe) .................................... 4. Eshmated Cost ]_~.tO00^ P/H Fee lO (to be pa~d on fihng this application) .5 If dwelhng, number of dwelling umts ....o..~...e. .................. Number of dwelling units on each floor .......................... If garage, number of cars ............................................................................................... · .......................................... 6. If bus~ness, commercial or mixed occupancy, specify nature and extent of each type of use .............................. 7. D~mensions of ex~sting structures, if any: Front .......................... Rear .......................... Depth .......................... Height ........................... Number of Stories ............................................................................................................. D~mens~ons of same structure with alterations or additions: Front ................................ Rear .............................. Depth .............................. Height .............................. Number of Stories ........................................ 8. Dimensions of entire new construcbon: Front .......... .~,~ ........ Rear ..... ~.c~, ............. Depth .....26~,6 ............ Hmght ........................... Number of Stones ....o.~¢. .................. 9 S,ze of lot: Front ..... 1.~ ................ Rear ........... 1..~ .......... Depth ........... .'L~O .............. ~0 Date of Purchase . . 1~..0. ~. ................................ Name of Former Owner ...... ?.~¢..~.1:;...~.~.$. .......................... "A" dist 1 1, Zone or use distr~ct m which premises are s~tuated 12. Does proposed construction violate any zoning law, ordinance or regulabon;~ ........... ~.0. ................................... 736 W.Snct Ave 13. Name of Owner of prem~ses~e,D,12.8~'.c]...~szq~ ........... Address ............................................ Phone No .................. Name of Architect ...................................................... Address ............................................ Phone No .................. Name of Contractor ...A.i~....~..e...J:.~..~.~....~...~ ................... Address ........... .~..a...%.2..J:.~..~,.c.~ ........... Phone No .................. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions fro property hnes. G~ve street and block numbers or description according to deed, and show street names and in&ca whether interior or corner lot. STATE OF NEW YORK, ~ S.S. COUNTY OF ...~uf. fo.lk ......... f ]~oz'~tart ~eitly be na duly sworn, deposes and says that he is the applic (Name of indwidual sigmng application) above named. He ,s the ........ .C..o...~.?...~..a:.?..%...o.~ ................................................................................................................... (Contractor, agent, corporate officer, etc ) of sa,d owner or owners, and is duly authorized to perform or have performed the said work and to make and th~s opphcot~on, that oil statements canto,ned ~n this applicobon are true to the best of his knowledge and bel and that the work wdl be performed in the manner set forth ,n the application filed therewith. Sworn to before me this Feburary 67 - ................. .2...0. .... day of ......................................... , 19 ....... ~. ,~./ /1' ¢ :' - ', .... . O:. . .X:'.. . .). . ...... . .4../. .. .(.L, . . .:. . .. '.<.., Notary Public, ~~unt~~ / (S,gnature of apphcant) / ~ow,~~' b,~%'~',':: ~'' ~ -,',' ~:~'~n~.:7 --/2/