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Home My WebLink About4902-zFORM NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy ~o. ~997Z Date 17 ~u¢: 7~ THIS CERTIFIES that the building located at ..... : ................... Street Map No ............ Block No ........... Lot No ..... ........................... conforms substantially to the Application for Building Permit heretofore filed in this office dated ] 0 ,~ ~Y~ 1~.~/¢ .................... , .... pursuant to which Building Permit No ......../~/9/) ~ Z~ .......................... , 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 ......................... t '~; '.' '; ...... ~ ....' ..................... . .... .Z'" The certificate is issued tO .... ~..'~.~q{:.~.L.. (OWner, lessee or tenant) of the aforesaid building. Suffolk County Department of ~ealth Approval ....... ........................... Building Inspector FOIL~ NO. ~ TOWN OF SOUTHOLD ~ BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISEB UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is hereby granted to: ............ m.~:,~./.~.....¢ ....... /~.r.£ ..... /..4..!..~*r~:'~, pursuan¢ to application dated ......................... .............................. l/~ J~'/i .... 19...~j and approved by the Building Inspector. TOWN OF soUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Disapproved a/c ..........~ .................. (Building Inspector) APPLICATION FOR BUILDING PERMIT ~ Date ..... . .~..~. g~...8...~.....~..0. ................................. , 19~.0......i.. INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink und 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 property must 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 Depe~ment for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicoble 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 c~ocle, housing code, and regulations. (Signature cf applicant, or name, if a corporatior~) (Address of applicant) State whether applicant is owner, lessee, agent, architect,'en~ineer, g,eneral contractor, electricia,n; plumber or builder. Name of owner of premises ...~'z'~.~l,..D~...~l~cl,..~Q]~..~,~..~,~,~,~.~.e..~ ...................................................................... ~f applicant is a corporate, signature of 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 an~I~umbe~r .~..~L~...~Gi~¢I. ............................................................. ..~...~..~...~..~...~..~..~.. ......................................... Municipality 2. State existing use and occupancy of Premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...... ~.~,~.¢~X).~....-....~,,~.~g,1,.~...~.s~:~l,~. ........................................... b. ntended use and ocauponc`. .......... 3, Nature of wo~'k (check which applicable): New Building .................. Addition .................. Alteration .................. Repair .................. Removal .................. Demolition .................. Other Work (Describe) ..4~.¢t.v..~...g.~..o..u,.n...d. ........ 4. Estimated Cost ............................................................ Fee ~ ......................................................................... ..~..o...o..~. ...... (to be paid on filing this application) 5. IF dwelling, number of dwelling 'units ........ ~ ......... i ......... 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. Dimensions of existing structures, if any: Front ....,'.~.6. ....... .~. ........ Rear .......... .~.(~ ................. Depth ...2..4. .............. Height .-.B, ....... ~ ......... Number of Stories ....... ..],.....;,.~ ................................ .. ................................. ' ........................... Dimensions cf same structure with alterations or additions: Front ...... ~ame .................... Rear ...$.c'~t~...' ............ Depih ............. ~tf~ ......... .~ Height' ,,....~.ga~t.~ ............. Number of Stories ..... ~ ......................... 8. Dimensions of entire new construction: Front ....2D. ............ : .............. Rear ..~-.Q ..................... Depth ...2..0. ............... Height .................... Number of Stories :.......';:rr..-:rr...! ...... : ..................................................................... 9. Size of lot: Front ..... .,1,~,.,~,,9.Q ........ [~ear ....~.~.,.~,Q ................. Depth ....... .~.2...5. ................. 10. Date of Purchase ....~a~'...,1.9,6.~. .............. :...1.:....~ ...... Name of Former Owner ..... .S..~..$.~.e...c!j..e.~S...{..n.~W....h.g..m..e.) 11. Zone or use district in which premise~ are sitoated ........ ,...,Rt~.ai.¢t.~;~i.9.,l, ......... '. ...................................................... 12. Does 'proposed construction viobte any zoning law, ordinance 9~r_r~gulation? ..^.~., ~o ................................. , - · J'~J3~ -re lJOX -zJ.¢O . '"' 13. Name of Owner of premises ~Q,JD.,.~,J,i,lJ.k~' ........ 2.Address ~t.t,~.~.UC~k ...................... Phone No.2~..8.r..4..3..2...3.... Name of Architect .......................... ~ ........................... Address ....... v ................................... Phone No ................. Name of Contractor .................................................... Address ............................................ Phone No ..................... PLOT DIAGRAM Locate clearly ond distinctly oil buildings, whether exi~tJng or proposed, and indicate all set-back dimensions from property ~ines. Give street and block number or description according to deed, and show street names and indicate ,vhether interior or corner Jot. Beginning at a point on a northerly side of Ruth Road distant 175.60 feet westerly as measured along the northerly side of Ruth Road from the westerly end of a curve having a radius of 33.78 feet and a length of 43.05 feet which cu,r~e connects the said northerly side of, Ruth Road with the westerly of Luther's Road running thence along the northerly side of Ruth Road N 87 11.' W 115.90 feet.thence N 2 49' East 125 feet to the southerly line of land shown on Subdivision "Captain Kidd Estate", thence along side last~mentioned land S 87 11' Ea,st 115.90 feet thence S 2 49' West 125 feet to the northerly side of Ruth Road at the point or place of beginning. Please see attached plot plan. Building 24 x 8 x 44 Attached Garage 12 x 22'8" Plot 115.90 x 125 Pool - 15' in diameter in 20' x 20' fence - locked for safety STATE OF NEV~zYO.R,I~, ,,~ ' (Name of individual signing application) above n~med. He is the ....~.t/~.~fft,.,~ .................................................................................................................................. (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. motor'! ruallc, .......... .~..~ ...................... ~ ............... County ~ (Signature of. applicant)