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Home My WebLink About3381-zNO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No...~..330g ........... Date ................ O~.....2,1,~ ........... , 19.~8.. THIS CERTIFIES that the budding located at ...}7~]:~r.. ?.az~ ....................................... Street Map No ....................... Block No ....................... Lot No....Cl~,t.~O~l~..l~i~..::Eork ..................... conforms substantially to the Apphcahon for Building Permit heretofore filed in this office dated .............. ~e~tl~llJ:~r.....22, .................. , 19..~6. pursuant to which Building Permit No ~1~.8~...~.. dated ...... ~.eJ:~tlar~.....l~.~ ................. , 19.67..., was issued, and conforms to all of the requirements of the apphcable prowsions of the law The occupancy for which this cerhficate is issued is ........ . ~riv&t~..on~..fam/~...d~el~ng ............................................................................................. The certificate ~s issued to ...... l~la~.;Ltt,.G.,.~,o~el .......................................................................... (owner, lessee or tenant) of the aforesaid building. Health Dept. Approval, May 29, 1968, Robert V~lla ..... .............. Building Inspector POP~I 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) N? 3381 Z Permission is hereby granted to: ............... .~.....~..~.,......~. ?~,~....u~,X ........... to ~..~.....~.~....~.~J~....~1~.~,~,;~ ..................................................................................... at premises located at .~./.~.........1~1~.~..../~,]I~ ..................................................................................... .............................................. g~tcho~uat....]~.~. ............................................................................ , . Se~,t 22 , 19...~..., pursuan,t to application aatea ................................. ;'. ............................... and approved by the Building Inspector. Fee $...~....e....O~.. ........... / Building Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD. N. ¥. CERTIFICATE rlF OCCUPANCY NO. ~. 31.18 .... Date .............. ~.!!.m~.,. 19 ...... , 19.68 THIS CEI~TIFI~,S that the building located at Wi). Jl~alr. bol~..I~13e ........... Street Map No..:~i~ ......... Block No. ~ ......... Lot No.X~ .. ~l~tchogl~O .... N,~., ........ conforms substantially to the Apphcati, on for Building Permit heretofore filed in this office dated ............. [~e~;...~.., 19. ~ pursuant to which Building Permit No. -'~3~.].~... dated ........... l~b,. 27 ..... 19~8., was issued, and conforms to all of the require- ments ,of the applicable provisions of the law. The occupancy for which this certi£~cate is issued is .Prtvat;e. one..family..dwellSng ..................................... The certificate is issued to . .D..aV.:~...&..~T.e..all,e.~.t.e..][t.oJ~...~1 ............ 0WlleI'ttt ........ (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Appr. oval. .l~t~ l~c).~ $~ . . b~r ~ F.~.iLI~ .. Building Inspector S-9 SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH Date '~/,~_~ ~ ~ Bldg. Permit No. TO WHOM IT MAY CONCERN: The sewage disposal facilities for a structure located (Oiv~ deed location~ have been inspected by this department and found to be satisfactory. Owner-David and Jeanette Hommel and Builder Elmtriot Emg~ueer District Engineer NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Applicot,on No..~..3.....~,..! ........... ,, ', :33 cF/ :z Approved ........................................ , 39 ........ Permit No ............................. Disapproved APPLICATION FOR BUILDING PERM/~ Date ..~:...,.,~.,,...~T.. ......................... , 19..~?'..,,. INSTRUCTIONS a. This application must be completely filled in by typewriter or mmk and submitted m duplicate to the Buddin Inspector. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets · areas, and giving a detailed description of layout of property must be drown on the diagram wMch is part of th~s apphcatio, c. The work covered by this application may not be commenced before ~ssuance of Building Permit. d Upon approval of this application, the Building Inspector wdl issue a Budding Permit to the applicant. Such perm 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 untdo Certificate of Occupan, shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to tl Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Lows, Ordinances , Regulations, for the construction of buildings, additions or alterations, or for rem_oval or demolition,~as herein describe, The appl,cant agrees to comply with all apphcable laws, ord/i;n, gnF, es, build,n~~tion~'~_ ~ (Signature of apj~icont, or name,..[~ a corpqratlon) (Address of applicant) ~ Stote whether apphcant ~s owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or budde Nome of owner of premises ..................... ~..~..~.../~..,..S...'~.~..//:./.~...d...~..~./2~./:~...~.Z ................................ if applicant is o corporate, signature of duly authorized officer (Name and title of corporate officer) 1. Location of land on which proposed work w~ll be done Map No.' ........................................ Lot No '. ................... Street and Number . ~.~..~..~.~ ..~....~. Z~..~ .~ ~..~.~....~...~../~.....~..~...~..~.'.~..~. ...... Munic~p~ity .......... 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction. a Existing use and occupancy ................................................ ¥ ........................................................................... Intended use and occupancy ........................ ~......1'~..~.././/.. Z~. (.. ....................................................................... b. 3. Nature of work (check which applicaNe): New Building .Z~..~..k~.. ...... Addition .................. Alteration ............... Repair .................. f~emoval .................. Demohtion .................. Other Work (Describe) ...................................... 4 Estimated Cost ........ '~ .~.,r~.~.~..: .f~... ........................... Fee ........................................................................................ (to be paid on filing this application) 5. If dwelling, number of dwelling units ...... ../., .................. Number of dwelling umts on each floor .......................... If garage, number of cars ........................................................................................................................................... 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 ..... j. ............................. Rear ......................... Depth ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front .... .~-...~, ..................... Rear ............................ Depth ...... ~.~ ......... Height .../...~..~. ........ Number of Stories ............. ~..~..~*-~ .......................................................................... 9. Size of lot: Front .... /....~...o..~ ............ / ..... .~..(',',~¢ ~' Rear ....... ,Z..~..~ .................. Depth ......................... - .~..c~ ,~,...: ........... 10. Date of Purchase ...................................................... Nome of Former Owner ~,.~.J/.~..~..~.../~..... 11 Zone or use district in which premises are situated ................................................................................................. 12~ Does proposed construction violate any zoning law, ordinance or regulation> ........... Z~..~ ....................................... 13. Name of Owner of premises~,~.~t~...~.,.../Z~,z~..¢/. ..... Address ~..~.~.~,~A~.4~'.b.,~....~.~.f'.~.¢ ..... Phone No. ~'~4.,~.z.~..,~ Name of Architect ...................................................... Address ............................................ Phone No .................. Nome of Contractor .................................................... Address ........................................... Phone No ................ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate .~1 set-back dimensions fro property lines. Give street and block number or description according to deed, and show street names and indica whether interior or corner lot. says t~at he is the appli~ STATE OF NDv~ ORK, · ~ '( Z .......... .X.z.~~~...X~.~ .................... being duly sworn, d~oses and (Name of individual signing application) above named. He is the .................................................................................................................................................. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or hove performed the said work and to make and this application; that all statements contained in this apphcat~on are true to the best of his knowledge and belief; that the work will be performed in the manner set fo~h in the application file~therewith. ~ _ Sworn to before me this ~ '~ /~'/ . ~ '/~ ~ ........... ..... .... ......................... . _ ~}:~ ~. ~ j ~7 , /,.~~~ ............. Noto~ Public, :,.~~.~.~~Co~ /~ (Signature of appli~nt)