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Home My WebLink About3418-zFORM NO. 4. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. EIERTIFIBATE OF OBEIUPANOY ;No. ,~ ZSI,,.,I.... Date THIS CERTIFIES that the building located at I~/S Oak ~ ....... Street Map No. ~So~ Block No. ~ .Lot No. ~ . ~~ ~,~4 ..... conforms substantially to the Application for Building Permit heretofore filed in this office dated . ~. ~ , 19 ~ ~ursuant to which Building Permit No. dated ~Ch 31 , 1967 , 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 ~~ O~ f~ly. o,~e~ ................................ The certificate is issued to ~ed ~e~ ... ~e~ ............................ (owner, lessee or ten~t) of the aforesaid building. Suffolk County Department of Health Approval . ~. .8~ ~. ~.~ .~¢~... Braiding I~pector FOH~ NO. 2 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) 3418 Z Permission is hereby grant~c:Je~: Al~ers &/C Ted ~helton ~utcho~ue ~ to new one family dwelling lyS Oak Drive (~ason's) of premises located at ........................................................................................................................ Cutchoguet pursuant to application dated ......................... ..~....~.~ ....... ,~.0. .......... , 19....67., and approved by the Building Inspector. $-9 SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH Date Bldg. Permit No. ~'~9/~' ~ TO WHOM IT MAY CONCERN: The sewage disposal facilities for a structure located (GiveJdeed locatio~ -- have been inspected by this department and found to be satisfactory. Distriot E~glneer District Engineer FOKM NO. 1 TOWN OF $OUTNOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ~am,ned ~ 3 f , ~ ~7 ~',~o~,o~ ~o. ~/.~ ..... Approved ........................................ , 19 ........ ~erm~t No ............................... .................. .................................. (Buildin~ Insp~tor) ~,to ...... '~ ........... ~.2 .................. , ~..¢.Z.. INSTRUCTIONS a Th~s apphcation must be completely filled in by typewriter or in ink and submitted in duplicate to the Buildin,. Inspector. b. Plot plan showing location of lot and of buildings on premises, relationship to adioimng premises or public streets o areas, and gw~ng a detaded descnption of layout of propertymust be drawn on the diagram which Js part of this application c The work covered by this apphcation may not be commenced before ~ssuance of Building Permit. d. Upon approval of th~s apphcation, the Build~ng Inspector wdl ~ssue a Building Permit to the applicant. Sucl permit shall be kept on the premises available for ~nspection throughout the progress of the work. e No building shall be occupied or used in whole or ~n pa rt For any purpose whatever until a Certificate of Occupanc shall have been granted by the Building Inspector APPLICATION IS HEREBY MADE 1o the Building Department for the issuance of a Building Permit pursuant to th Budding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances c Regulations, for the construction of buddings, additions or alterations, or for removal or demolition, as herein described The apphcant agrees to comply w~th all applicable laws, ordinances, budding code and regulati?~ .......... i~','~'~ '~:~"~'~'~;~;~'~",'f'~';~';~;~;~;~;~;~;i ........ State whether applicant is owner, lessee, age~t~ngineer, general contractor, electrician, plumber or builde. If applicant is a corporate, signature of duly authorized officer. (Nome and title of corporate officer) 1. Location of land on which pro~_osed, j~.ork will be done Map~.~./~: ....................................... I-arNo: ................. ..... ......... ........................ ............................................................... 2. State ex~sting use and occupancy of premises and ~ntended use and occupancy of proposed construction: a. Existing use and occupancy ............................................. ,~ ................................................................................ b. Intended use and occupancy ................................................................. 3. Nature of work (check which applicable): New Budding ~ Addition Alteration Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................................... 4. Estimated Cost ....... /.~...F.~ ..................................... Fee ........................................................................................ (to be prod on filing this application) 5. If dwelhng, number of dwelling units .......... .~. ................ Number of 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. D~mens~ons of ex~sting structures, if any: Front .......................... Rear .......................... Depth .......................... Height ............................ Number of Stories ............................................................................................................. D~mens,ons of same structure w~th alterations or additions' Front ................................ Rear ............................. Depth .............................. Height .............................. Number of Stories ........................................ 8. D,menslons of entire new construct,on' Front ........ .z./~.~.~ .......... Rear ...... .~.~.'...~. ........... Depth .....:~.~..~.~ .......... Height ....... ./.~, ................ Number of Stones ........... ! ................ 9. S,ze of lot Front .............. ~..?~... ....... Rear ............. ~.5..~. ......... Depth .......... '>)~t ................ 10. Date of Purchase ........................................................ Name of Former Owner ..................................................... 11. Zone or use district m which premises are sttuated .............................................................................................. 12. Does proposed construction violate~_ _ /)//Z,'anY~°mng law, ordinance or regulation;~ ...... ~.~ 13 Name of Owner of prem,ses ./..'.~.....'r~.~.~. ............... Address ./..~.~..'..J~....~....~..~..e......~.~..~ ..... Phone No .................. Name of Arch,tect ................. t~,"~'~ ...................... Address ............................................ Phone No .................. Name of Contractor .,~..,...w..~,:..~.w, .......................... Address . ..~.... Phone plo .................. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether ex~sting or praposed, and indicate all set-back dimensions fro property lines. Give street and block numbers or description according to deed, and show street names and indica whether interior or corner lot. STATE OF NEW YORK, 1 ~ S COUNTY OF ..: ....................... "Y;~ ~' ' ....~....~....~ . ...~..~ ................................... be,ng duly sworn, deposes and says that he is the appc .l/Il · ......................................................................................... (Contractor, agent, corporate officer, etc.) of sa~d owner or owners, and ~s duly authorized to perform or have performed the said work end to make and th~s apphcation; that all statements contained m this application are true to the best of his knowledge and be and that the work wdl be performed in the manner set forth in the apphcation filed therewith. Sworn to .before me th~s .............. ..... ........ Notary Public,~.~~~. ~~ounty~) ........ '~'J~i~i'~'~'~'~';;';~":~ii~;'~¥i(~ .......................