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Home My WebLink About4920-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupaacy No..Zt~!'8~ ..... Date . A~l~. .... 8 ..... , 19 TH~S CERTIFIES that the building located at B~ig~n¢ine .Dr .......... Street Map No'br.,..L~... Block No ........... Lot No. ~.: ...... 8~t~l~... ~,~ ..... conforms substantially to the Application for Building Permit heretofore filed in this office dated ....... ~;~qgP'~! ....~ , 19 7~ pursuant to which Building Permit No. b~ ~0~ .. 2 , 7Q, issued, and conforms to all of the require- dated ......... 6~g~.a~ . .~ 19 was merits of the applicable provisions of the law. The occupancy for which this certificate is issued is . .P~ i~.te, eric. ~ a~a.~ly..6welling The certificate is issued to .Jaaas. G~var~y ...... 0wn~r .......................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . .A~i~. ~..19~1 .. b~ .~,. ~llla Unaerwrittrs Cert # N863268 Heuse ~116~ ..... ~¢~ ~?..~ Building Inspector FORM NO. ~ TOWN OF soU~rHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT CFHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 4920 Z Permission is hergby granted to: ........... .~. ~t~.L .~..~ .. ~ :L~'~. ......... ~ .................. ......... ~ ..t~6.....~+~-~l~,...~t ....: ................. .............. · o~..~ ....... ~.2~..-.~ ................ to .............. ~B~t~..~d...~..~.-~. ~.~ -.~eg~.i.~ ............ i ......................................................... L at premises Jocated at ............. ~.,.~t~...,.}~;~t~.,~J~..~..~.~ ....................................... ........................... iJ/~,.~a~-~e-.~ ........... ~'~o~'~a-' :-'"-~J~:~ ....................................... pursuan¢ to application ,fiated ...... ~ ............. ~ ....... ~tg~ .............. !...., 19.....~ and approved by the Building Inspector. ~' Fee $...'J!~J.s.L~. ......... i~ailaing Ii !$pector S-9 SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH TO WHOM IT MAY CONCERN: at Date Bldg. April 8, 1971 East side Brigantine Drive -- 1500' North of Bayvi~w Road have been inspected by this department The sewage disposal facilities for a structure located Map of Harbor Lights Estates-- Ses. ~ .... Lot 75 (Give deed location) ~ .... SouthoXd APR 8 1971 and f,)und to be satisfactory. ~hief o£ ~d~n~ '.~I En~zn~orln~ S~,¥ZoO~ Dis~rtc~ Engineer BUILDING DEPARTMENT.,/~ ~ · c~.~,'~ - TOWN GLIIUC'S OFFIG! -- SOUTHOLD, N. Y, % .............. , 19 00 Application No Examined ......... ~ '~' 1~...~.)... ~ermit No. ~'/'~i~'~0 '~ ^pproved ........................................ , ............................ D sapproved a/c ...................................................... ~_. APPLICATION FOR BUILDING PERMrT -. Date ....../~....u..~...~.t..Zw.;..~,2 ........................... , 197..d,~ ..... INSTRUC'FIONS ' a. This application mUst be completely filled in by typewriter or in ink and submiffed 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 dingr~m, which is port 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 Untlla Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Dep~rtment for the issuance of a Building Permit pursuant to the Bui!din~.' Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Lows, 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 lows, ordinances, building code, housing code, and regulations. ' ..... State.whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ..... kPl :Lcaz :l;.. s...bu:L:Lder ......................................................................................................................................... Name of owner of premises ........~p..,,..~4M~&..]e~..(].~l,~-.T.~,~]r.., ....................................................... : ............................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) /~//6(,~j,~::~/~ ~/-~/~3r~' ~.~ ~-~-7~-4 - ~'~ 1. L~ation of land on ~lch p~ ~rk will ~ done. Mop No.: .~.~..~...~... .................. Lot No.: ........... .[~.~.....~ ~ . Str~ and Number .. ~.~.~. ~.~.~.~ ................. ~0~ ~ 2. State exi~ing u~ a~ ~cu~n~ of pmmi~ Qnd intended use and ~cu~ncy of pr~ con~tim: q a. ~iffing me and KcupQn~ ................................................................................................................................... & s&e 3. Nature of work (check which applicable): New Building X' Addition Alteration " Repair .................. Removal .................. Demo it on ..... Other Work (Describe) ........................................ 4. Estimated Cost ..~.tO00... .................... ..., ................. 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 ...........O...~:.?. .......................................................... 6. If business, commercial or mixed occupancy, spec/fy nature and extent of each type of use ............................ 7. Dimensions of existing structures, if any: Front ............................ Rear ................................ Depth .................... Height ........................ Number of Stories ................................................................................................................. Dimensions of same structure with alterations or additions: Front ....................................Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front ........ ~.Q ....................... Rear ...~.~. ................... Depth Height ....... ~.~..?. ...... Nun'S)er af Staries ...... ~.~O~ Size of lot: Fror~t ....... ~-...0..0...I. ........... Rear ........ .]'...0..0...I. .................. Depth ....... .~..0..~.'. ................ ~ -- ~-- .r ' 9. Date of Purchase ...O.~.t~l~.e.:~...]~.~.....~,9.~) ............ Name of Former Owner ...l~..e...d~..~.olr ~ 11. Zone use district in which premises are situated ..]~,~J~'J,e:~..~Ol(l~...~'...~.~.g,.~.~.~. .......... .~_..~i.;~....' ........ 12. Does proposed construction violate any zoning law, ordinance o~,e~r~ ~L~.~.~. ..................... ~, ~/.I~F..._....9~F~. 13~ Name of Owner of premises .J/.~...~..e..~....?..:.....G.~.]-...v..s'...~..~..~Address ..~..~ea~ls ............... Phone NoJ~. ................... Eugens Cuthogue , . 73 -- 010 Name of Contractor ...] r la..3.toltz .................... Address F S.L..H p. Phone No ..... PLOT DIAGRAM ~ 'oo ~z. ~,,,~_.. ~..07, ~ ~ :tly all buildings, whethm~existing or pr~osed, ~nd indicate ~11 ~t~k di ~d block number or } ~ccording to de~, and sh~ street n~ Locate clearly and disti property lines. Give street whether interior or,corner lot ;ensions from and indicate COUNTY OF ..~...I,~..:...,f~,l~ 0 _ , .............. ~,.:.. .......... ~....~~ ........ being duly sworn, deposes o/nd soys that he is the applicon, oboYe named. He l~,i~e ................................................................................................ (Contractor, agent, corporate officer, etc.) of saJ~ owner or owoers, and is duly authorized to perform or have performed the said work and to ~ke a~ file this application; that all statements contained in this application are true to the best of his knowledge and belief; and thru the ~ork will be performed in the manner set forth in the application filed ther~ith. Sworn to before ,me this ~ da of ~ ~ ~ ~ ~' ' ............... ......... [ .............. ~10~ · ~ ' ' ' .............................. N~ PUBLIC, State of New ~ ~o, 52-3233120 Suffolk Term ~pires ~arch 30, ~OT 76 ~' ~ LOT 74 O MAP OF PLOT LOT JAMES _~ JUSTINE GIL.VAPJL)Y "I...-tA~BOIm-.. LIGHTS ESTATE,S- SECTION 3" (,SUFFOLK I,~0. FILE. TO~NN O~ $OUTMOLD 75 Z06.9"; Co, VAN TuYu i~ ,SON T CLoS~ l ' w.c~o~ :,0! '~.2. L o, ......... I ................... 4sk