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Home My WebLink About3669-zTOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CEETIFICATE OF OCCUPANCY No. ~...3..[~,$. ............. Date ......... ,Iu,Ly,,,.,9., ............................ , 19..5~. THIS CERTIFIES that the building located at ..Kenl~.y.~..s..l~.o~d ....................................... Street Map No....2..~.Q ..........Block No ....................... Lot No..2.5.....~.O.~.t]aQ,],0,,...~T..e.~...Y.9.<.~ ................ conforme substantially to the Application for Building Permit heretofore filed in this office dated ................. ..O.g..~.Q~9.~.~.....~..~., .................... , 19..6..7.... pursuant to which Building Permit No..3.6.6.9..~. dated ....... O.c~co];:iea:'......l."/., ................... , 19..6~.., was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ........ .... ~r.i~ra~a..one...famil~...dw.ell~;~g .......................................................................................... The certificate is issued to ......... l/icl%olaa..S, uc.ic .......................................................................... (owner, lessee or tenant) of the aforesaid building. Health Dept. Approval, July 8, 1968, Robert Villa ....................... ~'~i']~ligg Inspector/ ........ FORM NO. 2 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN GLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE-WORK AUTHORIZED) Permission is hereby granted to: ............ .~3a..~,.~:~tz~..~ ................ ................. Jle~....~.,.~.....: ............ i ............... to .~.S..~..~..~..~ ....... .? ...... ~ ................................................................. at premises located at ..~JL.~i~..J~~ ........................... i: .......................... ':...' ...................... ............................ ~l..s......~..~...~.~ ....... ~.~,...~.,.~., .......... ~ ............................................ pursuan,t to application dated ................................ :J~e.~...~-~l~ ......... , I0.~,.~., and approved by the' Building Inspector. .Fee $ ~D~[I ........... Building tnspectI S-9 SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH Date July 8} 1968 Bldg. Permit No. 3669Z TO WHOM IT MAY CONCERN: The sewage disposal facilities for a structure at Kenny Road 2lb' e/o Sound View Avenue~ Southold (Give deed location) located have been inspected by this department and found to be satisfactory. District Engineer District Engineer FOI~M NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N. Y. Exomined .................................. , 19 ........ Approved ........................................ , 19 ........ Permit No ................................. Application No. 3 ~' ~ ~; D~sapproved a/c ............... APPLICATION FOR BUILDING PERMIT 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 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 comp~ with oll applicable laws, ordinances, building code and regulations. ....... ..... ' (Address of appl~/ant) State whether applicant is owner, lessee, agegt, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ...... ~...:~~ .............................................................................. If applique of duly authorized officer. .................... ................... 1. Location of land ~n which proposed work will be done. Map No: ......~.../.....0....k~.. ....................... Lot No: .......... Street and Number .............~....~ ........... '...] ................................... : .......... J. ....................... ~/ Municipality ........ 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ................................................................................................................................... b. Intended useandoccupancy ........... t(...]'.......'.~...~ ~,4J--~.' , ' 3. Naiure of work (check which applicable): New Building ....~. ............ Addition .................. Alteration Repair .................... Removal .................... Demolition .................... Other Work (Describe) 4. Esti?ated Cost ..... (..~j. ................................................ Fee ......... .~. - ~)' (to be paid on filing this application) 5. If ¢jwelling, 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 7. DiMensions of existing structures, if any: Front .......................... Rear .......................... Depth Height ............................ Number of Stories Dir~ensions of same structure with alterations or additions: Front ................................ Rear De~th .............................. Height .............................. Number of Stories ........................................ 8. Din~ensions'l of entire new construction: Front .......~....~..~ ............ Rear ...... ~...~/....: ......... Depth ...~.. 10. Da~e of Purchase ........................................................ Name of Former Owner 11. Zorfie or use district in which premises are situated 12. Do~s proposed construction violate cl~y zoning law, ordinance or regulation? ....... ~ .............................. Na~e of Contractor .................................................... Address ............................................ Phone No. PLOT DIAGRAM Loca~e clearly and distinctly all buildings, whether existing or proposed, and indicate oil set-back dimensions fr property nes. Give street and block numbers or description according to deed, and show street names and indic whether ir terior or corner lot. ~)~.)~ N S..S COUNTYIOF .._') ....... : ....... .-- ..... IName of indiviaual signing application) ~.~ above narhed. He is the : (Contractor, agent, corporate officer, etc.) of s~=id owner or owners, and is duly authorized to perform or have performed the said work and to make and this applR:ation; that all statements contained in this application are true to the best of his knowledge and be in the manner set forth in the application filed therewith. and that ~he work will be Swirl, me this Notary Pgbhc, (Signature of