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Home My WebLink About4743-zTOWN OF SOUTIrIOLD BUILDING DEPARTMENT Town Clerk's Office Sonthold, N. Y. Certificate Occupancy No.. z..384.5 .... Date ........ June ...... 19., .... , 19.70. THIS CERTIFIES that the building located at .. So. undviaw, axrenue ..... Street Map No ............ Block No ........ Lot No... Sonthol.d,.. Nex~. York ........ conforms substantially to the Application for Building Pc[mit heretofore filed in this office dated .... ~la.y .....~L.q, ..... , 19 :/0 pursuant to which Building Permit No. 4743 dated .... ~la.y .... II, ...... , 19 70 , was issued, and conforms to all of the require- merits of the applicable provisions of the law. The occupancy for which this certificate is issued is ..... ]~z. ivate .one .fam;b~Ly. ~N~el.lit~g ................................... The certificate is issued to .... ~'{ro. & .J~tza...Benecle~;t~ aGes~ ................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .................................... Building Inspect6r House ~ 10225 Soundview Avenue FO~M NO. ~ TOWN OP ~OUTHOLD 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? 4743 Z Permission is hereby granted to: ............... g.~zt~.J~e ........................................... at premises located at ................. I,,J~....~LV,~..~.~,~r....A..~I~ ............................................................. ................................................................. ~e~lim:~ ......... ~ogo ........................................................ pursuant to application doted ........................... ff4~. ......... .I.S ........... , 19....~, and approved by the Building Inspector. .Fa, $..{i,,,~ ............ SUF:IVEY FOR ~3ENEDETTO Wi ROSARtA $OUTHOLD TOWN OF $OUTHOLD SUFFOLK COUNTy, hi y ~CALE : t. "-- iE~T 25, 1968 (;UARAN TEED TO: 6uAR~,NTEED TITLE TITLE INSURANCE CO .4 SURVEY FOR B£NEDETTO g~ ROSARi~ $OUTHOLD TOWN OF SOUTHOL~' SUFFOLK COUNTY, ~ Y ~F~T 25, A :.'; 5 F?'A · · MONU,MENT G~:ARANTEED TO: GUARANTEED T~,TLE DiVt$;ON, A~'~." ~ ~(: TITLE INSURANCE cO FORM NO. ! TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ...................................... , 19 ..... Approved It 19...t~..!.. Permit No. ~ 7q-~ ~ Disapproved a/cc '"'~ ........................................... APPLICATION FOR BUILDING PERMI"~ INSTRUCTIONS 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, 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 pa:rt of this application. ~' c. The work covered by this application may not be commenced before issuance of Building Permit. tt1 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. ~> ^PPLIC~TION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the rli Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable 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 oil applicable laws, ordinances, building code, hou~.~ng code, and regulations. (Signature of aPRIicant, or name, if a corporation) (Ac~ess of applicant)v State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ..~~....~...~'?C/-..'~--.....~-..~--6--~..-.~.u~...~..~.~.~ ................. If 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 and, Number ......~..~..~.~....~. ................ ~ .................................... /'"~/ --/0 ~-_~ ~/ ~ ~,~ Municipality 2. State existing use and occupancy of premises and intended u~ and occupancy of propas~ construction: a. Existing use and occupancy ........... ~~....~ ..................................................... / I /1 b. Intended use and occupancy ................................................................................................................................. 3. Nature of work (check which applicable): New Building Addition .................. Alteration Repair .................. .~¢;nova I .................. Demolition .................. O hJLb~r Work (Describe) ........................................ 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 ............................................................................................................................................. 6. If business, commercial or mixed occupancy, specify nature and extent of f~ach type of use ........ ~....;...'~?.~? ...... ~.t -~,, ?j.~ ,-~ ,, 7. Dimensions of existing structures, if any: Front ....~.. ........ .o.. ........... Rear ....-,Z.......?_ ............... Depth ..~.....~....~.. ...... Height ....~/__~..../......~..... Number of Stories ............ ./.. ............................................................................. i ........ ; .......... Dimensions of same structure with a.lterations or additions: Front .....'~....~...f....~....:.~ .............. Rear ..~....~...[...~......~. ........ Depth ......~.~....../..~.. ............. Height .....~'....~......~.. ........ Number of Stories ............... F'"")~ ........ 8. Dimensions of entire new construction: Front ........ :..~... ...................... Rear ..../..Z..Z ........... Depth ./...,~...I...~...~.~. ...... / Height ...../~....~..... Number of Stories , ../.. ................................................................................ '/' ....... 9. S ze of lot: ront ..... ..... Reor .................. Depth 10. Date of Purchase .~;~..~ ....................................... ~~ x/~c~- Name of Former Owner ..................... ~ ................................ 11. Zone or use district in which premises are situoted ............................................................ .~ ....................................... 12. ~l~ePro~P~~prrUeCmti~e:~n~/~,,~nc~law, or~:s~°rregulat'°n>' '~'~:~'~ ~e/~_~./y./~..;~ 3. h'o Name of Architect ...................... ~-~...-,,? ..... :;, ............ Address ......~....~ ...................... Phone No ..................... Nome of Contractor ............ Address .......... Phone No~...~...~.~.~..~... ·~- PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate oil set-back dimensions from property lines. Give street and block number or description according to deed, ond show street names and indicate whether interior or corner lot. STATE OF NEV~'~FO~Ig// t c c ' COUNTY OF .~ .............. 7 ' ............ ~.~....~.~,.Z~. ............................. being duly sworn, deposes and says that he is the applicant abow~ (Name of individual signing application) __ named. He is the ....................................... ~ ..................................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized ~o perform or have performed the said work and to make and file ' this opplication; that all statements cont'a.ined in this app!ic~tion are true to the best of his knowledge and belief; and that the work will be performed Jn the manner set forth in the application filed therewith. Sworn to before me this . ..... Z~ ........ doy o{ ....... ~.~...... ~ ............ , ~ ~ ~ F1 ~'] I ~ .... ~.~xx....~.:...~~ ......................... ~otory Public~~i~.... County~ (Si~n*ture of oppl}cant) U NOTARY PUBLI~, ~Dt(~f N~ York ' ~ I' - . ' NO. 52'8~25850, StfflolR ~t