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Home My WebLink About4626-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. Z. ~8..~.$ ..... Date .............. J~tlT. ·..6 .... , 19.?0. THIS CERTIFIES that the building located at .. Se, md. Beaeh .DI,~.v~ ..... S~eet Map No.~P~. ~. ~ck No ........... Lot No.. 1~. ...... co,ores subst~ti~ly to the Application for B~l~g Permit heretofore ffl~ in ~is office dat~ ......... F~. -. ~.~--., 1970. p~su~t to wMch B~ld~g Permit No.. ~2~. dated ......... F~ :- - ~ , 19 70, was issue, ~d conforms to ~1 of the req~ ments of ~e applicable pro~sio~ of the law. The occup~cy for which ~is certifica~ is issued ~ . .~te. ~. ~L~ .~1~ ...................................... The ce~ificate is ~su~ to . George .~ ~. ~ ....... ~e ............... (o~er, lessee or ten~t) of the Mores~d b~dMg. S~olk Co~ty Dep~ment of He~th Approv~ ~..~.~. l~.. ~ .R.. ~ ...... ~.~iter. - , ,8,6~ ...... FORM NO. 2 TOWN OF SOUTH01.D 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) No. 4626 Z Permission is hereby granted to: · ..~,m..~..{h~-ee.-~.....~! eem~e & ~lr ~-~-~ ...~#.....~~..~ ........ ~ .......................... ........ emm~ ...... ~,z,...ts~ ....................... ......... :..:..., .............. ,~/&...lem~..Ze~,e~ .~r~,m ......... It~t,t~L'em~....1[,~. ............................. pursuit ~'~ap~lication ~ted ........................ ~ ......... ~ ............. , 19....~ and approv~ by the 'o ~n ~OUNQ 5EACF~ DD. IVE: f LOT ~8 MAP MATTIT[IC, K. fowl4 oF So'u~i,.~o,uc~, d,¥. S-9 SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH Bldg. Permit No. TO WHOM IT MAY CONCERN: at ~0~ r/~ The sewage disposal facilities for a structure located (Give deed location) have been inspected by this department and found tg be satisfac, tory. District Engineer , ~ BUREAU OF ELECTRICITY ' ~ ~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 ' ~,,,,,.July 1, 1970 ~,~,~,,,,, ..... ~ ....... rm. 418468 ~= fl George ~ Ma~y Lefmone, s/side Sound Beach D~., 251' w/Znlet Dr. Mattituck,~ L.I. ...... ,,,,,, ..... t .... gune ~9. 1970 . .,,,~r,,,,.,~.,~,~, ........ t,~,.., ...... ,~,,~, ...... ~ ...... ,,.,,,.,,r~,,.. ...... F~XTU~ ~ FIX?~kES .... /~ANGES ~~S~--- ~V~S raSH WASHERS EXHAUST FANS ~YE~I FURNACE MOTOR5 F FUTURE APPUANCE FEEDERS ~PEClAL REE'PT~ TIME CLOERS BELL I uN~ H~AT~PS ~ MULTI OUTLET J A,~T K W OIL H P ~ aA~ H ~ A~T' ~- NO A W O AMT ~ A~P ~T AMPS TRANS j AMT H r NO OF FEET AMT WATTS SErViCE DISCONNECT t NO OF~ '~ ~ · ~ R V I C E [ METER T I ~ -- F~ ~ ' ~ ............ ' I I OTHER APPARATUS Unit heater: 1-4.5kw *Furnaces: Oil 1-1/6hp, 1-1/Shp Smitht own, L.I. This cerhficate must not be oJtered in any manner, return to the off,ce of the Board if incorrect Inspectors may be ,dent,fled by lhe,r credent,aJs Examined F.~ ~L.~ ., 1900 Approved . .................... 19 .... Permit No ............... Disapproved a/c ..... .../~.../....~>~--.....~....~..... ~__. ~ . (Building Ins~ecl~r) . '" : Application No. ~ ~7_ ~ 'FORM ,NO. 1 TOWN OF SOo-ri/OLD TOws c x's APPLICATION FOR BUILDING PERMIT a. 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 ~f buildings o n premises, relatim~ship to adjoining premises or public streets or areas, and giving a detailed description of lay out 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 o~ in part f~r any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS I-I~.I~RY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk Oounty, New York, and othor applicable Laws, Ordinances or Regulations, for the construction of build ings, additions or alterations, or for removal or demo- lition, as herein described. The applicant agrees to corn ply with all applicable laws, ordinances, building code, h~using code, arid regulations. (Signature ~f applicant, or, name if a eorporation) (Addresg of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder oilier . ...................... ; ...................................... Hame .of owner of premises . .O.$..o?.g.~..&...N.~l~y...I~.~.~ .$~)la.~. s. ~ ............................................ ,,] If applicant is a oorporate, signature of duly authorize d officer. (Name and title of corporate officer) 1. Location of land on which propos'ed work will be done. M.ap No.~.a~.l;..*. .K..i...d~., .E.~.t~0t No..X..~.......,.. Street and N'dmber .~U...~J~DliI. ~OlJl~. J~l~l,~I;t. D~]~lf~,. ~..~ZY..l~/.~. ~I]C~T. J~I~ ......... MuniCipality 2. State existing use and occupancy ,of premises an d iniended use and occupancy of proposed oonstruction. a. Existing use and occupancy ................................................................. ,.'.. Intended use .and ~ccupancy .. 1 .FANIL~.~ ........................................... ~ property lines.-,Gl~e, s~,,eet and .~lock number · i~iittcate whether interieror'cofner.'lot. 3. Nature of work (check which applicable): New Building .. X .... Addition ........ Alteration ........ Repair ......... Removal ........ Demolition ........ Other Work (Describe) ...................... o o . . 4. Estimated 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 ............ li0 .................................. 6. If business~ commercial or mixed occupancy, specify 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 Slxades ..................... 8. Dimensions of entire new construction: Front' ...~i[.'..~.7.'.'..'..'.'.'. Rear.............37! . Depth ..2.?. ........ Height . .1~ ~. ....... Number of Stories .., ~1. ................. ~. ...................................... 9. Size of lot: Front . .5[1.~ ...... ': ~.'.' R~a~- . ...~0!..~ ...... Depth . .1..50s. ........ ' 10. Date of Purchase ............................... Name of Former Owner ............................. 11. Zone or use district in which premises are situated ...... 4..~1~ ...................................... 12. Does proposed construction violate any ~oning law, ordinance or regulation? . .I~ID. ..................... ~3'..Name. of Ownerofpr~mises'.0e~o. I~:1~o~ .... A(ldressll~-. Lit .Ullion .~ke, Phone NO.r-T4a011b.. Name of Contractor .A~¥,..~I~$..~O~a$,..~O~ddress ~l~t0ke. .IiX ....... Phone No..SA39.a00.. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed~ and indicate all set-back dimensions or descrip$ion according to deed, and show street names and STATE OF NEW YORK, )S.S. coum OF .............. ) "~z5~c'~-~7' ~ m ~q ~)~? ~ "-' ~ ' ... being duly sworn, deposes and says that he is the appli- (Name of individual signing ~a~ap~~ ~.~/k~j ~/e,~ &_ ~,,~/.. ~, cant abege~ named..He is the' .~..~.~i~~ .... (~agent, ._ .. . -~: ~) ~ of.said owner ~' ,~v,,ne~rs/and .i~duly authorized~to perform or .have performed the said work and to make and file this al~pllcatioii; that all statements eontained in this appllcution are true to the beset of his knowledge and belief; and that the work will be pertkwmed in the mann er set fortl/in the application filed therewith. Sworn to before me this Notary Public, ...... ~.~(3ounty 'JOHN W. N011~ -- (Signture of applicant)