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Home My WebLink About3590-zTOWN OF ~OUTHOLD BUILDING DEPARTMENT ,TOWN GLERK~S OFFICE' SOUTHOLD, N. Y. N.o 3590 BUILDING PERMIT CrH~S PER/~IT MUST BE KEPT ON ~H~ pREMISES UNTIL FULL COMPLETION oF THE -WORK ~AUTHORIZED)' Permission is hereby granted to:' at prem~ses located at ~.g.~...~..~. ......... .C:~.,~l..&..~:!~.~...~...~.T4~.~.~.~ .............................................. ....... .,'. ...................... ..~..~ ~.e.~e.e.,r~. ~ ..................... ~9~.~'.,.....~ ....... -.~...~...~ .............................................. , ,. . . pursu~n¢ to app cat on doted ....~ ............... ~T,l~G~.~..~.:~8 ......... : ...... , JgJ~...'., and. approved by the Building Inspector. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Temporally CERTIFICATE OF OCCUPANCY No..Z..3288 ............ Oate ....................... ~.~.t~.~.....~.~. ............. , 19..~..8... THIS CERTIFIES that the building located at ....~.l~.~.(~l%~t~...~.~J~.~ ................................... Street Map j~?...~.....A.?..~.~.. Block No ....................... Lot No...~0. ....... ~17.:~.~ ....... .~]:J.~...~ ........................ conforms substantially to the Application for Building Permit heretofore filed in this office dated ................................... .~§.....2J~ ............. , 19..~. pursuant to which Building Permit No...~.~..~..0...~... doted .................... ~1~ ....... ~ .............. , 1 9...~?., was issued, and conforms to oil of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ........ ............. ?.:~i~zat;e...one..£amil~..~al3tn~ ................................................................................. The certificate is issued to ..... ..G..~...e..e.,.~..~.~....~.,e...~..~..~.~.....~..~..~. ............ ..(~..M~...e.?..~.. ...................................... (owner, lessee or tenant) of 'the aforesaid building. H,D,Approval Jul~ 8~ 1968 by R, Vl't~La FORM NO. ! BUILDING DEPARTMENT ~WN CLERK'S OFFICE SOUTHOLD, N. Y. Ico. c, 0 ......... ............ ........... ......... .......................................................................... ~ ................................. APPLICATION FOR BUILDING PERMIT Date ............................ .~..~...~...st ........................... 28., 19....6.~ ..... INSTRUCTIONS o. ~his opplicotion 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 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 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 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 Regulat ons, for the construction of bui dings, 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. Martin Gramlich (Signature of applicant, or name, if a corporation) Orient (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. 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.: ...G...r.?..e...n....A.c.?...e..s.....~.....O..r. ~.~1~o.: 5..0. ................... Street and Number Greenway. East Orient j~! ~ // 5 0 Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy vacant land b. Intended use and occupancy ...o_r~e...£~il~...&~ellJ.ng ............................................................................... 3. Nature of work (ch~eck which applicable): New Building ..~.~... Addition .................. Alteration .................. Repair .................. Removal .................. Demolition .................. Other Work (Describe) ........................................ 4. Estimated Cost ..,~,Q.~...Q.QQ..~.Z~ ............................... Fee ...~L0.~.0.Q ........................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ..... .o..~...e. ................ Number of dwelling units on each floor ............................ If garage, number of cars ..... .o...TLe. ................................................................................................................................. 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 .................................... Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front .......... ~...~. ...................... Rear ....... ~...~. ................ Depth ....... 2.0. ............. Height .................... Number of Stories ........ QTJ,~. ....................................................................................................... 9. Size of lot: Front ............................ Rear .................................... Depth ................................ 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ ] ]. Zone or use district in which premises are situated .t!~,!! cl, J~S~; ............................................................. 12. Does proposed construction violate any zoning Iow, ordinance or regulation? ......... T~Q .............................................. ]3. Name of Owner of premises ..~..?..e...e..~-.~?'.~.....R..e..~.l...~.~....~,:~ress ..... 9.~.~-..e..n...~. ........................ Phone No ..................... Nome of Architect ...................................................... Address ............................................ Phone No ..................... Name of Contractor .....s..~...~.,e. ....................................... Address ............................................ Phone No ..................... PLOT DIAGRAM Locate clearly and distinctly oil buildings, whether existing or proposed, and indicate all set-1~3ck 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. STATE OF NEV~ Y,.ORI(. ~ c ¢ COUNTY OF .~..'.t~....z...o..&.'~ .............. ,f...,.,~. Martin Gramlich ................................................................................................. being duly sworn, deposes and says that he is the applicant (Name of individual signing application) above named. He is the ................. .C...°..~.~g...O..~.~..i..c..e..~....~......~....~.~..e.T..s...?..~..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 and 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. Sworn to before me this Notory Public, . ........................................................... County ' ' ........... ' ................... S-9 SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH Bldg. Permit No. TO WHOM IT MAY CONCERN: The sewage disposal facilities for a structure located (ai~e deed location) have been inspected by this department and found to be satisfactory. pistrlot Mnginssr District Engineer