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Home My WebLink About3410-z FORM NO. >I TOWN OF SOUTH OLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE sOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No ~1...3.t~,-............. Date ......,...... .........~141.....J.9.......,..., 19..~.~. THIS CERTIFIES that the building located at ..IAl....S.Qlmd..:v.;l..~W....~~l.~L................... Street Map No. ..~............... Black No. .~..,...,........, Lot No .~.........~,~~~~~~~...~~.~.~.~.......,....,.....,.. conforms substantially to the Application for Buil ding Permit heretofore filed In this office dated .......................,.....r.~~h.......Z.7............., 19.~?.. pursuant to which Building Permit No. ...3~IJQ...~ dated ..........,. .... .~:r.~h ........2.7.. ", 19..67.., was Issued, and conforms to all of the requirements of the appltcable provIsions of the law The occupancy for which this certificate is issued is ........ ....,..~~y.~~.~...9.~~..;+.~U:.Y...~)(~.4:~...~lt ..... ....... ,............ .........,............................,................... The certificate is issued to ..A:U..~~...P..,...9~r."e.....................Rw.n~.r...,..,..,..........................,........... (owner, lessee or tenant) of the aforesaid buildmg. R.D.A~proval July 11 1968 by R.Villa ...~.~"i;~~idi;~;~'t~r-r................... - --~- - - - --~- --- - ~~-~~ - = --- - ------- - --~ --~ - ------ ------ --- - ~~------ FORM NO. Z TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTH OLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON' THE PREMISES UNTIL FULL. COMPLETION OF THE WORK AUTHORIZED) Nt! 3410 Z Dote ......................lfI,......If............,' 19.11I.. . Permission is hereby granted to: .....~,.".>>.1f...~t.........................,...........,. .........ll...r..,..Ml'*..at.....................,........".. - ......,.a11.e,..ft~.........X*..,.....,.................... to ~~...""..mlt.tu.....J.U,q..~..~....1.Q_t1on.,..Mk........aJld1...a1t.nts:U! ~.......................................~............u..................... ......... ................................................,................................... ./J 'tl' ' . at premises located at ....,. .........~.... _,..11........................................................................;.. ,.,.....,.........,...........,......_~14......I.X.............................'...'.........................:....'...................... ..................... ........... .... ........ ..... ....... ............... ............................... .............................................. ............~..... ............. ................. ........ , . pursuant to application dated ............................If.aah....,..t7........, 196.7..., and approved by the r , Building Inspector. . '/ ,Fee $~~!9.9............. -' , ~ ' , . ... .. ~.J.;.......... .., .. ........,~... .......... Building InsPeCto~_ , , . . . . . . S-9 SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH Date jUt 11 1968 Bldg. Permit No. TO WHOM IT MAY CONCERN: The sewage disposal facilities for a structure located at his Soundview Avenue, Soatho' d (Give deed location) have been inspected by this department and found to be satisfactory. /?~O..O'~ Distriot Engi~ee~ District Engineer Builder-Owner - Laurence Currie -- - ---- FORM NO.1 TOWN OF SOUTH OLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE Examined .........1Y(~...~.J.., 19.4..J. SOUTH OLD, N. Y. Application No. .:!!..~f..o........... Approved .........................!.~..........., 19...~.~..Permit No. ....9..'1..!.9...'b... .. ......................................................................................................................... ............... APPLICATION FOR BUILDING PERMIT Date ................?JJ.~...;?-;..]............., 19~.Z.. INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Buildir Inspector. b Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets. areas, and giVing a detaded deSCription of layout of property must be drawn on the diagram which is part of this applicatlo c The work covered by this applicatIOn may not be commenced before Issuance of Building Permit. d. Upon approval of thiS applicatian, the Building Inspector will issue a Budding Permit to the applicant. Su, permit sholl be kept on the premises available for inspection throughout the progress of the work. e. No building sholl be occupied or used in whole or in part for any purpose whatever until a Certificate af Occupan. shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Budding Department for the issuance of a Building Permit pursuant to t: Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of buddings, additions or alterations, or for removal or demolition, as herein describe Th. oppl"oo' 0'"'' ro =~Iy wi'" 011 oppll,obl. low,. O':':::'~::~~;l':~. Signature of applicant, or name, If a corporation) ...........b.f.t.Jd:..~~J.?rt../h...a.. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractar, electrician, plumber or build, ...............................(J.................~..................................................................................................................................... Nom. of~" of P,.'!.f'!1Jz:..e.iE....p;..e()RmE.~J.-ffi:~frt~.1}. If applicant IS a corp,?rate, signature O/dUly authOrized officer ) ... ................................................................................................. (Name and title of corporate officer) 1. Location of land on which proposed work will be done. Map No' ............................................ Lot No: ................ Street and N~~J3ii/AijjviiiU;>>i/L..~)Y./~t;rU/..4.;::.JC#NNi5..7?p.~............. 2. State eXisting use and occupancy of premises and intended use and occupan~~sott="c~~O-l a. Existing use and occupancy ....tI/1.<::hNT................................................................................................. b. Intended use and occupancy. . ...~(;I-MMJ.!3:;f(.....-R1!L"StP:E;tl'e:E............................................... \ , , , , 1 3 . Nature of work (C0:"WhICh applicable). New Budding .................. Addition .................. ff'gr~C!);..1"''it-..Jf), . Repair ...................:- e~va~.tfi!r........ Demolitlan.......$A...;.~ther Work (Describe) .....K.JEM.OtJEt::..... ,', 4. Estimated Cost ........... .~........................................Fee .....I?................................................................................. (to be paid on filing this application) 5 If dwelling, number of dwelling units ......a.~Jf:...........Number of dwelling unrts on each floor ........=-......... ............. If garage, number of cars .......................................................................................................................................... - 6. If business, commercial or mixed accupancy, specify nature and extent of fach type of use ........::::..)"..........'1. 7. Dimensions of eXisting structures, If any: Front .......H..~.......... Rear .?':/..J!.f.f::?..~T Depth ~1...~.?:.S..... H~lght ..../(p..;,..~...... ... Numbe~ of Stone~ . ...........:...~.,yrf:.:.................5-;;.1........................'32J.It;,Fp.'t'iif'. Dimensions of some ftructure With altera~s or aadltlons: Front ............. .................. Rear ............................... I t. 16 I GJN'~ Depth .:~.1...':1.-:A ........ Height ..... ... ...~............Number of Stories .....T.......... .................... ( ( 8. Dimensions ~tlre new construction: Front ........2.1...:.......... Rear ..Z:r...tf.EE.$.&,:7[);pth ..?.'!...~.~..... Height ....It ..;1...'.......... Number of Stones ........plk:~..... /:5'" I 9. Size of lot. Front ......IIJ.a..~.......... Rear ......!..t1!P............... Depth ..........~................... J 10 Dote of Purchase .....I?~'(!.::i......J'tftit;..................Name of Former Owner .../?dt.I"'M'S" ...C.I.IA.~.tlii;... 11. Zone or use dlstnct n which premises are sltuated..........7';::...j(./f..;.f.jJlfi.,v:J:.;.,r}I-................................... 12 Does proposed construction violate any zoning law, ordinance or regulation? ............gr:'&.................................. 13 Name of Owner of premises 19t:.jClE...Jl...et7l(m~dress .JJjf;#~ffsf~;rPhone No. ~.~.~?_ Name of Architect ......................................................Address ...... ..................................... Phone No. ................... Name of Contractor ....................................................Address ............................................ Phone No. ................... I lOb PLOT DIAI3RA~ Locat. I doocly 0"" d"fI""1 oil bulldm9', wh.th" .. "',og 0' pt"""'. 0"" '",,"0" 011 ",-boo' dlm'MI.", froo property IIn s Give street and bock numbers or deSCriptIOn acca(din to deed, and show street names and indicat: whether Int rior or corner lot. I I 1,? . I . ?~Ol I ~~-;;;k~ ~ i~ J::; ~C!tj'1 R..~ I '~~~,1~: I I ~ -;t;; /.rt, It!- ~ sco'. . . J ,II I I'~ t~~JA t .. _ .''1 J; '>-{-- Iq --- i! ' %;" ~ ~ ../~ I I .J, ,) ., ~ r I~ ,-. .. ((::0 rt- t l~ I' If I ;;;:> ,.~' I I ~ ~ l~ '\ ' <E-- '1'" ..... I 'of'> ('I I ...'" I ~.. I ~6'0TJ-r$F tr= ~..~~~~:.. .... .......J S.S I . ~' '" ji.ornVOVle'W ..,.""~ ....r2~..../Ji.....".. "".~........................................belng duly sworn, deposes and says that he is the applican (Nome of indIvidual sIgning application) above named.::.He is the . ........ ..(J;';':tM::t:~....... ........... ...... ......................... ....................................... ............................. (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 fil, thiS application, that all statements contained in this application are true to the best of his knowledge and belief and that the work wdl be performed in the manner set forth in the application filed therewith. Sworn to before me this , 7JJ ~ ~7) ~^' ,[' I' . .........<<..7......... day of.. ...IM ..............., 19....... h/, ~ . /. I / / '/)/,.-/.:, 'Ll4oI~~C ~" ~^'. "~ ... ...t..."..,a.. ....!:/.!f.v...". ...!....V:,.....!-...~................. Notary PubliC, .... '. -t., C _J....... ...... County ~'II (Signature of applicant) No 52.CG1GIO~ M;~;; 3 ,'Jj~ commission E.xplres ..