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Home My WebLink About3415-z --- FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No. Z 2e2fJ. Date. .. . September .1. . .,19 61. THIS CERTIFIES that the building located at . Munnata'o,I"':"!lt Road Street Map No. XXX Block N~ . .Lot No. XXX :r~he+~. .J;~1-j::l.1l4c .~. Y. . . conforms substantially to the Application for BUIlding Permit heretofore filed in this office dated . March 28 , 19 61 pursuant to which Building Permit No. 34:1.:5 .z dated March 30- . , 19 6.7, 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.llfi\. tMUY. .4w~l.Jttg . . . . . . ...................... . * The certificate is issued to .. .... ~.~!I. .~.. .~. ~.~;!*. .q~. .~;~;L.1:C?I,l.:",. .~~~.1: .., ... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval ' sIR. . ...................... ~~tth.l~H Building Ins ector FORM NO. Z TOVVNOFSOUTHOLD 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) N9 3415 Z Dote ..........................JIpeh.....30......., 19.67... Permission is hereby granted to: ..r.ft.'I*..J.~~<<..~~U~.t7...~..w.~...~.. Dillon ................ .,........1..1ud.............................. .......................................~.............................................. to ~..an....M1UOll..on...ara....x1..t1na..d.walJ..1n&....................................................... ..............~........ ....... ........................... ......... .~.......... ..... ... ...... ................... ......... .... ......... ........ .......... .......... ..... .. at premises located at .Jr)a..~...l..I4.........................................................................:..... . .........:..............!... ~..........r1ilhe~.s..18ludf"" .J(.%..... ...... ................... ..... .......... ..... ................. ..... .... ~..."'... ..............~:............. ....... ..... .............................. .. ... ........................... ........ .................................. ... ..... . PUrSUOflt to application dated ..........................~~~.........'-~........, 1~1...., and approved by the , I." ,-, - r-, ,,_,{ ,-"~- ~-1.j~~\1.~.. -,. _ <- ;" " _:: ,'~y:{fdi,;g Inspec:tor. __, -" '.....' ~:,':~:. 'f' ~) _ _ ~ ~.F ,.. - : , ,<' Fee $;.,"'OtJ......,:.... .. , r "- " , . . · . ..:J.~~i\~~''''''''.'' , " .\ , , ' ,I. ',I, " ' , . . 1 . ~ , ' , , :,\ . FORM NO.1 TOWN OF SOUTH OLD V~ ~ BUILDING DEPARTMENT ( TOWN CLERK'S OFFICE Examined ............~~...~, 19.~.7. SOUTH OLD, N. Y. Application No. .?~(,~..~ II f1. 3l.jISZ- Approved ........................................, 19........Permlt No. ................................ ..................................................................iit.......:.:.....:.:....:...::.................................... .J (Budding Inspector) APPLICATION FOR BUILDING PERMIT Date ..............j~.Qr.~h........~~_.................., 19.9.7..... INSTRUCTIONS a. This application must be completely fdled 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 detailed deSCription of layout of property must be drown on the diagram which is part of this applicatio c The work covered by this application may not be commenced before Issuance of Building Permit. d. Upon approval af this application, the Building Inspector will issue a Building Permit to the applicant. Suo 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 Occupan, shall have been granted by the Building Inspector. I APPLICATION IS HEREBY MADE 10 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 buildings, additions or alterations, or for removal or demolition, as herein describe, The applicant agrees to comply with all applicable laws, ordinances, building cade and regulations. t:J."h~~!L. h.!. ~.I;\~t. .lJ~.'..l..,.t. Y... ~.<?~A... .t~~.!................... (Signature of applicant, or nome, If a corporation) ,.f. .i.tfb.tl~... ..1.".1 ..n.g,... .N~.w.. .Y.g~k....... 9,Q3.9.9................ (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builde .................. .Ge.ne.r.a.I.. .c.on:tr..act.or................................................ .................................................................................. Name of owner of premises ...T.h.9.!I.l~~...p..'!...~!:'.4...;~J:~r. ..!;U.!?~...l?.u..l.~.~..................................................................... .X..... u ~:.. ~~~.~:,:OfflW corporate f' er) Southold Tax Map 1. Location of land on which proposed work will be done. Map No' ......Shee.t:..#....I................. Lot No: ................. Street and Number .. .Munnat...wk.e.t...R d,... f1 ".h~.r.".. J.G 1 Ami,... Ig).!n...9. f...?~.\!~~~.! .4......... ..................... Municipality 2. State eXisting use and occupancy of premises and intended use and occupancy of proposed construction: a Existing use and occupancy .......p..t:'.4.y.~:t;;,~...t:'.~;I!5J~.~~.~!!:.....................................................:........~................... .. .. b. Intended use and occupancy . ............................................................................................................................ 3 Nature of work (check which applicable): New Budding .................. AdditIon ...~x...l(........ Alteration ................. Repair .................... Removal.................... DemolitIon.................... Other Work (Describe) ..................................... 4. . $ 26 000.00 $ 5.00 Estl mated Cost .................. .,........................................ Fee ....................................................... ................................., (to be paid on filing this application) 5. If dwelling, number of dwelling units ..........!.................Number of dwelling units on each floor .........:':::-.:':.':'........ If garage, number of cars ...........~..~~r...9.I!H:.~.Q!'?...~~t~~b.!!-.~..........................................................................., 6. If business, commercial or mixed occupancy, specify nature and extent af each type of use .........':'.':".:':............... 7. . . . 68' 68' S4 ' DimenSions of eXisting structures, If any: Front .......................... ReClr .......................... Depth .......................... H~i9ht :1 .nc.l.~~n 1iiitit!!'yNumber of Stories ....... .....~...:..:...................... ....I06.;..................................06.~............. Dimensions of some structure With alterations or additions: Front ................................ Rear .......J.................... 59' . 18' . I Depth .............................. Height ..............................Number of Stones ........................................ 8. Dimensions of entire new construction: Front .......~~.~.............. Rear ..............3.?.~....... Depth .......s..~............... Height .......J.?.~............. Number af Stories .........J................. 9. Size of lot: Front .........~.~,$.~.......... Rear ..........~~.~......... Depth ......4.9..S.~................. 10. Date of Purchase ~.~~.~....;?.c....t9.~~........................Name of Former Owner .~~~~...~~~...~~~.~..~~.!............. ] 1. Z d't' . h' h . . d Residential ane or use IS nct rn w IC premises are situate ............................................................................................... 12. Does proposed constructian violate any zoning law, ordinance ~ ~g~latiqn? ........N.9.l'Ir................................... 13. . totl.M Tholl" 0"'1 ~/ ~ ndla~ Leite ~.d. 9,69,-309 Name of Owner of premises .... ................ft. ......L.. .Q"ddress.. ,.f. ft~a.. ..... ....... Phone No. . ........ .. ; , tie d St. Name of Architect .~~.Qn...~~.~.'!.~~!.'.~~....................Address ...~\.I.i.r.i~r.d".... su\O....... Phone No. ~J..3:':5.~1: Name of Contractor .f..d.~.~:t:.LU:~l'..S.~.~.I....!.~!?l':Address ...f.J.~"'.~~~..J.".I.ft!.'.9........ Phone No. l.~a.:,:7..~s. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions frol property lines. Give street and block numbers or description according to deed, and show street names and indica' whether interior or corner lot. 90;),' \ ~ ;1)1 t,.,~ - ,---- l ., 1 <1..\" \ ,;.. ~~ -e~ ~ s' 0 ~ (V () ('" -\ $).-r \\ o-fi''oo \}..) 0- 4- v-'os. 21tlJ,.$F O~~..:?~~:..... ..........1 S.S f3~.k..... .. .. .............. . ..............................belng duly sworn, deposes and says that he is the applic (Nome of indlvid I Signing a plication) . above named. He is the ~.~.~~.~~~ffi~~~:..~t~:.i......................... of 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 are true to the best of his knawledge and bel ood <hot <h. wo,k will b, perla"""d io <h, mooo" ,,' forth ~'''O''OO flied <h.rewlth. S.~:::.:2:kf~ ::~' '~:"W'Ll' 19.(,] uJfH ;:J~ E OF NEW~~ :I... .... .......... ..... :..... ~J?. ..... ...................... Notary PubliC, ............................ ....Mo:. .!l':\0918!S.... ty (Slgnat of appllc / uahfied In Suffolk Coun~ . _I../' c.. NIlG~L iDUm Expires March 30, 1 68 Y J U- f' A:./!"S I/) e .v r 'I- ~AJ 'I- M 11-