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Home My WebLink About3518-zFORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y, P. ERTIFICATE OF E]E:GUPANP. Y No...Z. 28.27,.. Date .......... Sepgember .11 ..... , 19.67 THIS CERTIFIES that the building located at .... Ettrick. St:reek ....... Street Map No. .XX;~.. Block No ..... ~... Lot No.. ~ .... P. ieher~ .:[sT, and,. !'~, Y. conforms substantially to the Application for Building Permit heretofore filed in this office dated ........ June. 114 .... , 19.67. pursuant to which Building Permit No..3518~ ~ dated ........ June. ~%9 ....... ,19 6?., 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 ........ 'One. fam~111y..dwel,l, incj ...................................... :. The certificate is issued to .... Ellmore .C. · al~cl,/o~c. Anne. ~l,. l~a~t:ereon- · .-owne~ (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .... NZ~ ............................ Building Inspeq~,6r FOIk~ NO. 2 TOWN OF SOUTNOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTNOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHQRIZED) ,N? 3518 Z Permission is hereby grcnted to: . .... ~ ............. ~-~..~,...~....: ................ :. at premises located at ....~..~..~..~..~J~..~ ................... : ................................................................... ............................. ~,m...~:a~.--~. ~ ,-~ ............. ~ .................................................................. pursuant to application dated ........ : ...................... ~ ......... ~,J~...., 19.~11.., and approved by the Building lnsp?ctor. FOEM NO. 1 TOWN OF $OUT~OLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE Examined .. ~....~ ......... , 19. . . Approved ........................................ , 19 ........ Permit ~o ................... .~....... Disopproved o/c .................................. .............................. ........................... APPLICATION FOR BUILDING PERMIT Date .................. .J...u. ~.e.....!..4. ~ ....................... , 19..07. ....... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink ond submitted in duplicate to the Building Inspector. b. Plot plan showing location of Jot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of propertymust be drown on the diagrom which is part of this application. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector wi. II issue a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the progress of the work. e. No building shall be occupied or used in whole or in pa rt For any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code and regulations. (Signature of applicant, or name, if a corporation) Fishee$ Island, New Yot-k 06390 (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. (;enera I Con'crack:or' Nome of owner of premises EI Imo~'e 0. andJor Anne H. Pa~;~;erson f applic~a~t)is a .co~rpgra~e;-~.,~gnat~re of A~,~ly authorized officer. ....... ............................. f/ (Name and/lCt~ of corpor~tj~ officer) Ar, ea #S 1. Location of land~/on which proposed~' work will be done. Map No: ...S..~.e...e.~....~..4.. ...................... Lot No: .................... Street and Number .................................................................................................................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: Residen'c iai a. Existing use and occupancy ................................................................... ..:..; .......................................................... b. Inter~ded use and occupancy Res iden~; i al , Loca property whether 3. Nature of work (check which applicable): New Building .................. Addition ......~ ......... Alteration Repair .................... Removal .................... Demolition .................... Other Work (Describe) 9.000 · O0 4. Estimated Cost ..~. ....................................................... tee ~' (to be paid on filing this application) 5. If ~weIling, number of dwelling units .......... ! ................. Number of dwelling units on each floor '''- If ~arage, number of cars 6. If ~usiness, commercial or mixed occupancy, specify nature and extent of each type of use ' ' 5 ' 71' 7. Din~ensions of existing structures, if any: Front ........ [3 .............. Rear ............ ~. ............ Depth Height 30 · Number of Stories . 53' 53' Dirpensions of same structure with alterations or additions: Front ................................ Rear ~ -- $8! N,~,,h* 30' Nlumher of Stories 2-~ uel?rn .................................. ~ .............................................................................. 8. Dir~ensions of entire new construction: Front ............................ Rear ....... !..9..'. ............... Depth I Height ......... I..0..*. ............. Number of Stories ........ [ ................... 9. Siz of lot: Front .......... I..5.~ ............ Rear ............. [.~ ........... Depth .......... ~.~'. ................. 10. Da{e of Purchase ..... ~p...p.~..o..x..:....!.?..5...O. ...................... Name of Former Owner A.D. 11. Zone or use district in which premises are situated. 12. Do~s proposed construction violate any zoning law, ~? No 13. Na~ne of Owner of premises E.O.P~t:~:terson !.:..Y.t~hone No. 234-?8 Hugh NoK, Jones AHH,~:- Phone No. No[ne of Architect ............................................................. ^_~ ...... F.l,Ut:ilit~. Co. Address Fishers Island, N.Y.~- 788-72 Na e of C ......................................................................................................... mane No. i PLOT DIAGRAM :e clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions f ines. Give street and block numbers or description according to deed, and show street names and indi. ~terior or corner lot. Sworn t9~el~e me this '" rr ' :' "' of ......... r ~ ~' 52'9509185 '~. J~ ? ~alJfle~ In Suffo k Ceunty ~r~ E~lres March 30. [968 (Sign, of app mt) STATE O(: NEW YORK, } S.S. ~"-["r'/~l c.~.~, ,~ COUNTY! OF ................................ Robert B · Egelhoff be na duly sworn, deposes and says that he is the appli (Name of individua signing app cat on) above naCed. He is the Vice-President: of the Cant:rooting Co. (Contractor, agent, corporate officer, etc.) o~ said owner or owners, and is duly authorized to perform or have performed the said work and to make and this application; that all statements contained in this application ore true to the best of his knowledge and and that ~he work will be performed in the manner set forth in the aI ~lication filed therewith.