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Home My WebLink About4807-zFORM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupnncy No. Z. 4~4 ..... Date ....... ~.~r ..... l, ....., 19..70 THIS CERTIFIES that the building located atl[Z~. Mal~le. AVe,..O~[. ~.. Street Brand Ars.. aattLtuck, Map No.. ~ ....... Block No..m ..... Lot No...m ............................ conforms substantially to the Application for Building Permit heretofore filed in this office dated.. June .... 1,7, ...... , 19.70 pursuant to which Building Pemit No. 480-7..Z. dated ...~na .... XT., ...... , 19..7.0, was issued, and conforms to ail of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued'is . .pr~yate. o~a. £~m~.1¥..5~elXlnq ..................................... The certificate is issued to Con, rent,the..V.~,ou~r~l~,..' .............................. (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approvai . H~. 30.,.. 19.7Oo. l~olmrt. Building Inspector House #'~ 605 MapLe Ave. FOP, MI NO. 2 TOWN OF $OUTHOLD BUILDING DI:PARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y, BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N9 4807 Permission is hereby granted to: ................. ~.v.~,~, ....................... : ................. to ..... ~- .~...~et~. · e~e .. ~e~$ ~y · .6~e-~A.~,g ........................................ ; ...................................... at premises located at ................ ~/.~..~,~,~;~.e..~.'//~.,~f..~..~t~13~.,~.~ ................................. .............. ~'~l.~c~ ~.~. ........................... pursuan¢ to applicotJon doted ................................. ~.13~1 ....... .'t-~....., 19......~Oond approved by the Building Inspector. Fee $ .,.,'~O.~OQ ........ S-9 SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH Date TO WHOM IT MAY CONCERN: at The sewa$,e disposal facilities for a s~ructure located - (Give de~ lo%ak~io~) have been inspected by partment and found to be satisfactory. I~OV $~0 1970 ~tef of General Engineerina Services District EnEineer BUILDING DEPARTMENT TOWN CLERK'S OFFICE Examined ..... :...[~. .......... , 19 ........ Ilcation No. /-~.~O Approved ........................................ , 19.'.~ ..... Permit No.....~......~....O...~......,~-. ............................ Disapproved ale ........................................................... (Building Inspectdr) f APPLICATION FOp, BUILDING PEP, Mr/ Date ' 3'zLne 17 19 ?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, relationship to adjoining premiee~ or pub c streets or areas, and giving a de,ailed description of layout of preperty must be drawn an the diagram whlch Is part of thle 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. APPLICATION IS HEREBY MADE to the Building Depprtment for the Issuance of a Buld ng Perm t pureuant to the Building Zone Ordinance of the Town of Southald, Suffolk County, New York, and other app cab e Lawl, Ordinances or: Regulations, for the construction of buildings, additions or alterations, or for removal or demo It on, al herein deecrlbed. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations. Candle light homes (Signature of applicant, or name, if e corparatlon) ......... .................................... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber ar builder. ......................................... ............................................................................................................................... Name of owner of premises ....~:lz~t~n.Y,:LD~...l'!eazt~!~-. ............................................................................................... If applicant Is a corporate, signature of duly authorized officer. (Name and title 'of corporate officer) . ~- 1, Location of land an Which proposed wark will be done. ~ap No,', '~'" .L ': '"7'?" k?t N?, ~ ................ ~ 2. State exl~lng u~ and ~cu~ncy of promises and Intended use and occupancy of pmpm~ comtm~lon: a. ~istlng u~ a~ ~cupancy ........ ~g.~ ............................................................... . % 3. Nature of work (check which applicable): New Building..................~ Addition .................. Alteration .................. Repair .................. Removal .................. Demolition .................. Other Work (Describe) 4. Estimated Cost ...........~21~)00...-h.1, ........................... Fee ..1.!.0..~00 (to be paid on fi~ing this application) 5. If dwelling, number of dwelling units ..~l.e. ................... Number of dwelling units on each floor ............................ If garage, number of cars ............................................................................................................................................. 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 Stories ................................ 8. Dimensions of entire new construction: Front ............ ~.~. .................. Rear ........... ~.~. ............ Depth .......... ~..~. ......... Height .................... Number of Stories .............~ ................................................ 9. Size of lot: Front ..... .1~(~ ............... Rear .1.~ .... Depth ......... .~...0.~. /.. b,; 6 10. Date of Purchase ............~.~.8. ................................... Nome of Former Owner ...... ~'.~..~.OX~I), ................................. ] 1. Zone or use district in which premises are situated .....e..¥. ........................... 12. Does proposed constr6ction va ate any zoning law, ordinance or regulation? .......... 11,O, ........................................... 13. Name of Owner of premises ..~.~...T.~.~3.t~¢~. ........... Address ......~;L~.~.~.~.~.4. ............... Phone No ..................... Name of Architect ...................................................... Address ............................................ Phone No ..................... Nome of Contractor ....~.........~....a.~..&..~...8.. ......................... Address ?cLYez'he~ct ............................................ Phone No ..................... PLOT DIAGRAM Locate clearly and distinctly oil buildings, whether existing or proposed, and indicate all ~et-back dimensions from property lines. Give street and block number or description according to deed, and show street names and Indicat'e whether interior or corner lot. ~ STATE Of NEW~__CLR~,, ~S.$. COUNTY O~ .......~..1~...R.9..~... ........... ....................... J..~..~..~ ................................... being duly sworn, d~s and says t~t he Is the applicant (Nameof ~ividual~ignlng ~plicati~n) above named. He is the ....................~[:~Q~. ............................ ' ............................................ (~ntmctor, agar, co~orate officer, e~.) of said ~ner or owners, and is duly authorized to pe~orm or have performed the said work and to ~ke ~d file this application; that all statements contained in this application are true td the best of h s ~owl~ge and ~lief; and that the work will be performed in the manner set fo~h in the oppllcatl~ filed therewith. Swam to before ~ ~is · 17 70 ...... . .... ,oto .................... ~ [LIZAB~H ~N NEVILLE/ ~ ~ ' H~A~Y PUBLIC, S~te of H.w York Term ~p~r~