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Home My WebLink About4633-zFOF, M NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupnncy No. ~.~1 ...... Date ................ Feb .... 2~.., 19.?1. THIS CERTIFIES that the building located at . Le~g. Creek. D~ ........... Street Map No.~.e..i~..*. P~... Block No ........... Lot No..2.0 .... $~l.t. held....N:~[: ......... conforms substantially to the Application for Building Permit heretofore filed in this office dated .......... l~a~.ch.. 2. , 19..7.0 pursuant to which Building Permit No...I~3]Z. dated .......... Mar. ct,.. 2..., 19.7.0., 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 .... Private..e,~e. ~amil~.. dwalling .................................... The certificate is issued to . Chas. Hall ...... 0~'~er ................................ (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval Sept. 2~ .. ~9.7.0.. by .R...rill& .... ............ ........... FOi~I NO. ~ TOWN O~ SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE ,SOUTHOLD, N. Y. BUILDING PERMIT Cfi-liS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? <1633 Z Permission is hereby granted to: ............ ,~i;~em..{i~t~ ...................................... .............. .am~,~o3.~ ........ .J.~,,. .......................... to ....... ,lha,~..~...~..~..~z~ ............................................................................ at premises located at ................ ~lJJ~..~.....jJ~ ...... ~JJl{~l~{~,.~ ...................................... ; ...... 'pursuant to application doted ............................ ~Jl~jf~lJl~ ......... J[ ....... , 19..~J)., and approved by the Building Inspector. ~e~ ~...!t*~. ........ Building Inspector TOWN OF SOUTHOLD ~// BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Application No ............................ Approved ........................................ , 19 ........ Permit No....'/...~.. ................. Dimpproved a/c ................................................... APPLICATION FOR BUILDING PERMIT ...... ....................... , ,9.2..0.... INSTRUCTIONS 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 of buildings on premises, re at onship 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 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 until a Certificate of~ Occupancy shall have been granted by the'Building Inspector. RB APPLICATION IS HEREBY MADE to the Bud ng Department for the issuance of a Building Permit pursuant to the uild!ng Zone. Or.dinance of the Town of Southold, Suffo k County, New York, and other applicable Laws, Ordinances or egulations, tar the construction of buildings, additions or a terotions, or for removal or demolition, as herein described. The applicant agrees to comply with oil applicable laws, ordinances, building code, housing code, and regulations. t g u e or applicant, or nome, if a corporation) ......... .......... .......... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises .~J~ ~ .~.....~... ,/~, ~.~..~, If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location o~f land_on wh ch. proposed work w be done Map No' .~.~..~"~--~-~.7 ..~...~..- Lot No ,~.. / ....................................... : .................... Street and Number ...~....~....~,: ....................... .~'~/1~.{5,~. .. / Municipality ................ 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...... ~J~'2~....... ~.,~..~,,~, b. Intended use and occupancy .~.~../.R~X~.-Z~.{~ ,~,Z../.~ ~ 3. Nature of work (check which applicable): New Building .................. Addition .................. Alteration .................. Repair .................. Removal .................. Demolition .................. Other Work (Describe) ........................................ 4. Estimated Cost ...~..O.e..~....?. ........................................ Fee /'O ,~---"- (to be paid on filing this application) §. If dwelling, number of dwelling units .../..~../...~:..~....Number of dwelling units on each floor ............................ If garage, number of oars .........~........~'X~ ........................................................................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ............................ 7. Dimensions of existing structures, Jf 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 ........ .<~.7.. .................... Rear ...... ~..'Z.. ............. Depth ..................... Height .~'.....~J~..~..~.'. Number of Stories ...................................................................................................................... 9. Size of lot: Front ...... ~..m~. ........... Rear ......... ~..~...'~... ............... Depth ....... ~..~,,~.'~.. ............. 10. Date of Purchase ....~....~......~'~..~...,/..~.~'. ............. Name of Former Owner ..,~..O~.......-7~...fl~ZT~.~.~,~' ......... 11. Zone or use district in which premises are situated ..... ..~.....~../..,~....~../~.'..~:..~,,. ................................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation? 13. Name of Owner of premises ...~.:...,~,~..../../. ................ Address~',',~v."Z-.-.-.-.-.-.-.'-~e/-~. ........................ Phone No.~..~.~..':d~..~.~./... Name of Architect ...................................................... Address ............................................ Phone No ..................... Name of Contractor ...~...~*J/'~/~......~.Z..~.'. ................. Address ......J_.d..~.~....~...~. ................... Phone No?..E~J~..' ............. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-beck dimensions from property li~es. Give street and block number or description according to deed, and show street names and indicate whether inferior or corner lot. /?j- / STATE OF NEW YORK, ).¢¢ cou N'r;y OF_ ...................... . ........ $'""' .... ~...~..~...~.. ....................................... being duly sworn, deposes and says ,hot he is the applicant (Name of indivi;dual signing application) above named. He is the ...... ~ ............................................................................................................................ (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. Swam to before me this ·~' .~1.1~~' ~ 'g PP '' ......................... ~IOTAF~y PUI~LIC, State 0fV~LelwE York Plo. 52-8125850, Suffolk County Term Expires March 30, 19,~ S-9 SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH Date ~,~/~.~, ~ Bldg. Permit No. TO WHOM IT MAY CONCERN: The sewage disposal facilities for a structure located · (G~ deed location) - have been inspected by this department and found to be satisfactory. ,~EP 2 4 1970 District Engineer