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Home My WebLink About4599-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No2. Date THIS CERTIFIES that the building located at Map No. Nasa. Fa~aBlock No. Lot No. J~ ~ , 19 70 P.~e Tre~ Road Street Pt 58 & 59. C~tchog~e N,Y, conforms substantially to the Application for Building Permit heretofore filed in this office dated · Ja,la 3. , 19 ~r~ pursuant to which Building Permit dated .Jal~ 2 , 19 ~, 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~'l,~t.to .Olde fa~li~,y..dW.elli-~g ..................... The certificate is issued to Anthany lz~o ... Gw~er ....... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval I~,R, ....... Building Inspector 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) N°. 4599 Z Permission is hereby gronted to: e.,,..~,;~l~L. A~.....~..~....Z..~....~. ........... ........... :. ........ ~.,~.,~ ................................................. ,o ........... ............................. at premises located at ..~........~...~......~.....~..,~..,~..~..~...~..~.....~..~..~.~, ............................................................. ......... ~..~...~...~.~..~...~,...~..e..e...~ ..... .~.,.~.o..~....~ ....... ~.~:.i ............................ ,... pursuc~t to application dated ....................... ..~ ......... ~ ................. , 19.....~..., and approved by the Buil~ding Inspector. TOWN OF SOUTHOLD BUILDING DEPARTMENT Examined .............. 19.2_9 ........................................ , Disapproved o/c ........................................................................................ APPLICATION FOR BUILDING PERMIT 19.~, ~.~. Date INSTRUCTIONS o. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building, Inspector, b. Plot plan showing location of lot and of buildings on premises, relahonshlp to adloimng premises or public streets o areas, and giving o detmled description of layout of property must be drawn on the d~ogram which is part of this opplico tion. c. The work covered by this opphcohon m~y not be commenced before msuonce of Building Permit. d Upon approval of this application, the Building Inspector will issue a Building Permit to the opplico,nt. Sucl permit shall be kept on the premises available for inspection throughout the progress of the work. e. No budding shall be occupied or used in whale or m part for any purpose whatever untd a Certificate of Occupanc,. shall have been granted by the Budding Inspector APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to thr Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances oF Regulations for the construchon of buddings, add,hans, alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances and regulahons (Signature of applicant, or name, if o corporation) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Nome of owner of premises::.~::~:e~. '-' ............................................................................... If applicant ~s a corporate, ,~ ' ' (Name and tttle of corporate offtcer) 1. Location of land on which proposed work w;ll be done. Mop No.' ~./.:~....::~.~.~.:.?.~...~...~.....:...:.:.,. Lot No.: ........ '/ ~"¥'~'..~. ......... Mt~hicipahty State exmting use and occupancy of premises and intended use and occupancy of proposed construction, b Intended use and occuponc¥ .......... 3 Nature of work (check which applicable). New Budding .................. Addition .................. Alteration ...~X.. .......... Repair ................. Remova! ............ Demolition .......... Other Work (Describe) .............. 4. Estimated Cost ............ j...~..-Z...-~.. ............................... Fee ...... .'..X..-'.:....~.~Z.. ........................................................... (to be pa~d on filing this apphcation) 5 If dwelling, number of dwelhng un,ts ............................Number of dwelhng umts on each floor ......................... If garage, number of cars ............................................. 6. If business, commeraal or mixed occupa~ncy, specify nature and extent of each type of use .................................. 7 D,mensions of ex,st,ng structures, ,f any: Front ........ .~... ~. ......... Rear ..... .~.....(¢~. ......... Depth ...?...~ .................. Height .~,...~...~ .......... Number of Stones .... ¢..~ Dimensions of same structure w~th alterations or addmons. Front .............................. Rear .............................. Depth ............................... Height ................................ Number of Stories ................................ 8. D~mens~ons of entire new construct,on Front .......................... Rear .............................. Depth ............................ Hmght ............................ Number of Stories ............................. 9. Size of lot Front ......... ..~..~. ........... Rear ....... '~. &.~.. .......... Depth ....... ~/....'~...~.. .......... 10. Date of Purchase .................. ~ .................................... Name of Former Owner ...... ..--:.. ............................................ 1 1. Zone or use d~strict in which premises are situated ......... ---- ~ ' '.f~.~t-~~ ................................................. Does proposed construchon viol.ate any zomng ]aw, ordinance or ~egulat,on~ ..... .../2w..'......~. .......................................... 12. Name of Owner of premises C~'..~..~-~m...-. ........ Address. ~.~..~......~...~..'.:Phone No ................. 13. Name of Architect .......... ("~(~ ~. ~'~. ¢ [2: ................................ i' ...... Address ii~i~iL..~iiiiiiii~iii~/~hh~: No ................ Name of Contractor..,,~Z'....~,,~.~.~.x: .... Address No. PLOT DIAGRAM Locate clearly and d~stmctly a]i buddings, whether exist~ng or proposed, and indicate all set-back d~mens~ons fro property lines. Give street and block numbers or description .according to deed, and show street names and mdica whether ~ntenor or corner lot. ........ ....................... oo o , ~ame of mH~v~dual' 1 -s~gning~ffcat~on) / above named He is the ........................................................ ~ ...... ~ .............................................................. (Contractor, agent, corporate officer, etc.) of said owner or owners, and ~s duly authorized to perform or have performed the sa~d work and to make and file thi apphcat~on, that all statements contained in th~s application are true to the best of his knowledge and belief; that the work wdl be performed ~n~he manner set forth m the apphcat~n filed therewith. Sworn to before me this ( ~ ~ /~ ~ ~- ................ ~day of ......... ~; .., 19~.. [ ~ / .' ~ ~ '. /. ~ r' , ...................... Notary Public~~~.,.~~ .......... Y0rR (S,gnature of applicant) '~rn~ ~xp,rcs ~rch 30,