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Home My WebLink About3634-zFORM NO. 4 TOWN OF SOUTItOLD BUILDING DEPARTMENT Town Clerk's Office Sonthold, N. Y. Certificate Of Occupancy THIS CERTIFIES that the building Map No..l~idds. 0.D~l~ck No .... xx. Date ........... August .... 2?. ·., 19.70 tocated at l~d~a. Road ................ Street ... Lot No. :X~ .... 8outhold. - ]~;~,Y, ......... conforms substantially to the Application for Building Permit heretofore filed in this office dated ......... Sept; ....2i.., 19 6~. pursuant to which Building Permit No. 363.~Z . dated ............ ~¢P~..2].., 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 ... P.l'i~'a~;e .one .£am~kty-dwel~king ..................................... The certificate is issued to . .~l%~.al~ir~ .ttewl~;~; ...... 0~nelt, ....................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval ...1~¥. 1t~..'/ilia .................... ..... .......... ~' ' - Building Inspector ~, FOEM 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? 3634 Z Permission is hereby granted to: ..... .~ea..Ahle r~..A~ .~l~,..l~e~clat !~ ...... to ~,~ .~e~..~ru~..£~...d~,~l.~ ..................................................................................... at premises located at ..~.[t...~,...e..~ ......... (,l~,f~l~L~...t~.,,IJ.,.a,,.,L ............................................... .................................... GGGt, ho~..~,~, .......................................................................................... pursuo~t to opplicotion doted ............................. ~G]p~, ...... ~ ......... , 19~,~7..., and approved by the Building Inspector. FOB~ ~0. 4 TOWN OF SOUTHOLD I~UILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD. 1%1. TE~PORAR¥ CERTIFICATE DF OCCUPANCY THIS CERTIFIEs that the building 10eated at .~/.~....~.d..*.~.R. 9.a.d. ............. Street Map No..~ ....... Block No. ~ ....... Lot No. ~(~.....~.q.~.~t0~,d....~..~.~.~ ......... conforms substantially to the Applicati, on for Building Permit heretof, o~'e filed in this office dated .......... : ..... .~..ep.~....~.? 19..67 pu.rsuant to which Building Permit No. dated ......... · .,.~..p.t. ..... 2] , 19...~.~ was issued, and conforms to all of the require- ments ,of the .ap~iicable provisions of the law. The .occupancy for which this certificate is issued is . P]2iTM The certificate js of the afore.said, ] .Suffolk County i ;e, .ona. £anity. ~wel.ling .......................................... issued t.o .B.O~ ,..~OW~o.t$ ..... ~)~1,~0~ .............................. (owner, lessee or tenant) uilding. mrtment of Health Ap1~,oval . .}~gg .8~..19.68..BZ ~t~..V. ilJ. a ........ ...[ -, ....... B~ilding Inspector { ~WNER TOWN OF SOUTHOLD PROPERTY RECORD CARD STREET ,~/~k~ VILLAGE SUB. LO~" ACR.. · 258 TYPE OF BUILD]NG S~ / ~ SEAS. VL. FARM COMM. CB. MIC$. Mkt. Value LAND IMP. TOTAL DATE REMARKS JEW ARM AGE liable oodland eadowlond ~use Plot >roi NORMAL Acre BUILDING CONDITION BELOW ABOVE Value Per V~lue Acre FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH BULKHEAD DOCK M. Bldg. Extension Extension COLOR TRIM W,~//TZ Extension Porch Porch Foundation ,/,~, ¢. Casement JExt. Walls Both Floors Interior Finish 64/< K. J [ jDR. iBR. Breezeway Garage Patio O.B. Total Fire Place Type Roof Recreation Room 'or er Rooms 1st Floor Rooms 2nd Floor Driveway S-9 SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH Date May 8~ 1968 Bldg. Permit No. 363hZ TO WHOM IT MAY CONCERN: The sewage disposal facilities for a structure located at Eds Road~ gOt w/o Sur~mit~ Southold (Give deed location) have been inspected by this department and found to be satisfactory. District Engineer Owner - Ben Hewlett Builder - Geo. Ahlers NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved ........................................ , 19 ........ Permit No ....................... Disapproved a~ _ ~ ~ APPLICATION FOR BUILDING PERMIT Date ..... ~. ...... .~./. ............................. , ~9...~../.... LJ INSTRUCTIONS a. This application 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 propertymust 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 Jar 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. ......... '{'~i'~'~;;~;;;~'j ';'; '~;';;';;' '~'¢'~ '~;;~;~;;;';i;;~i ......... ............ · ............... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which proposed work willAbe done. Map No: ...~...~..~e ............................. Lot No: .................... Stre and Number ............ ............ ................. ................................................................. Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .................. ~~ ......................................................................................... b. Intended use and occupancy ........................... ~u ........................................................................................ property lines. Give street and block whether interior or corner lot. numbers or description according 3. Nature of work (check which applicable): New Building ~' Addition Alteration Repair .................... Removal .................... Demolition .................... Other Work (Describe) ...................................... 4. Estimated Cost ..... ?...O..}.l?..q..~. ............................. Fee .......................................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ............... ~ .......... Number o~,dwelling units 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 ................................ Rear ................................ Depth .............................. Height .............................. Number of Stories ........................................ 8. Dimensions of entire new construction: Front ......... ..z~.~.;.'.~.~ .... Rear ......... ~...~ ............ Depth ....... .Z~.....'~.. ............ Height .......... /..~.. ............ Number of Stories ............/. ............... 9. Size of lot: Front .......... ~..~.~. .......... Rear ........... .~..~.~ ......... Depth ........... /...~.~.g ........... 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 1 1. Zone or use district in which premises are situated .............. ~ ................................................................... 12. Does proposed construction,-, .~' ~//'vi°late any zonine law, ordinance or_ _- ~ ~, ,- ~-. ~'~,~'/'~yregulati°n';) ......... ~ .......... ,;2.17 .................... 13. Name of Owner of premises .~.....i~. ,..~..~ ......... Address ....~..~....~..'7,...~'~ph°neNb. .................... Name of Architect ................................................... ~ .~.;j.}~._...., AddressAddress ........................... ~ ~one NO.No ' ................... Name of Contractor .~],R~.....~ ....................... ..~.....~......_._._.._.__~/.....one .................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from 'o deed, and show street names and indicate I _ _ STATE OF NEW YORK, ~ S S COUNTY OF ....................... ¢..~.../ ' ' ~ .~ ........................................ being duly sworn, deposes and says that he is the applicant .............. '(-l~l'~'~'~::~!- !~¢,individual signing application) (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. .S..w..~ i~. t..%.b..~ i.~ i.~. r~;ythoifS~~.;..., ~ 9 /~0. 52-0618100 Su([olk CouP~Y~' ~ ........... Corr~tss~on Expires March 30, lC~x~ /