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Home My WebLink About4816-zFORM NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupnncy No. Z3897 ...... Date ............. Jnl7 .... 2~ .... ' 19' ~0 THIS CERTIFIES that the building located at . 8oxtail. Z4eaeh..Re~. ....... Street Map No. Capt..~idcl. · Block No ........... Lot No.. Pal,.t. ~.l~ · · · l~ttt.tuak .... I~oY.. conforms substantially to the Application for Building Permit heretofore filed in this office dated ............ June .... 22 19..70 pursuant to which Building Permit No...~8167. dated ....... June ...... 23"" 19..70 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 .Private. one. £a. mlty ~lwe'l.~'~ng ....................................... The certificate is issued to . Andrew. Cyprus ...... O~rner ........................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Heaith Approvai 'J~uly' ' '9~' '1~)?0' ' 'By' R'.' 'V$3.~a .... Building Inspector FORM NO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT frillS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 4816 Z Permission is hereby gronted to: t ~ Let tk, t ~a~t ~l~d get at premises located a ............... ................................. ~.~..~e~eh.J~l~ ......R~tt~tu~....I.l. ................................... pursuar~t to application dated ............................ .~.J~Jl ....... ~ ......... , 19...~., and approved by the Building Inspector. ~11)~1 J~Jt, &pp~l~ ~1~ J~e JJ~J ~Jl~lJJ ~JJJ~JJJl~ J~ ~J,e JJ~l~e Fee $.~.9..~ ........... S-9 SCHD SUFFOLK COUNTY DEPARTMENT Date Bldg. OF HEALTH TO WHOM IT MAY CONCERN: The sewage disposal facilities for a struct~ locate~ (~ive deed location) J have been inspected by this department and found to be satisfactorY'.' .)~)i." :~ J~7~ Engineer TOWN CLERK'S OFFICE ~ SOUTHOLD, N. Y. Ex. mined ......~. ~ 70 ............... , ~9 ........ Approved ........................................ , 19 ........ Permit No ......~ ....... ~..~.....~ ..... .... u~sapproved a/c .................................. FOR BUILDING PERMIT Date ..~...~ ...................................... , 1'9~g. ........... INSTRUCTIONS .... ~ / ,,: a. -ThJ~ must bqLcpmRletely in by b/pewriter or in ink-and submitted in duplicate to 'the Building.~ Inspector. j~<o.~.~ ~ ~ ~ I~~'- ~ b. Plot plan showing location of lot and of buildings on~remises, relationship to adjoining premises or public streets or areas, ond giving o 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 notbe 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 pa rt for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of o Building Permit pursuant to the ~'~ 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 all applicable laws, ordiFb~ies and ~'egulafions. ,_ ,m _ ( (Signature of applicant, or name, if a corporation) ......................... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ': ............ : ......... 71 ................... ...................................................................................................... If applicant is a corporate, signature of duly authorized officer. ~ ................... ................... ?,.,,* 1. L~ion of land on which proposed work will be done. Map No:~.~t~.t..~..~;.../.~:~ff. ....... ~/~ 7a~ Municipali~ 2. State existing use and ~cuponcy of premises and i ntend~ use and ~cuponcy of pr~os~ c~mction: a. Exlstin~ use and ~cupancy ..~R~..~ ....................................................................................................... b. Intended use and ~u ...... [ E~t[~ ~e[[t~ ~ 3. Nature of work (check which applicable): New Building ..... .~. ........... Addition .................. Alteration .................. Repair .................... Removal .................... Demolition .................... Other Work (Describe) ..... t4~l~l&r...Bome 4. Estimated Cost ...$2D~DDD, DD ..................................... 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 None 6. If business, commercial or mixed occupancy, specify natureand 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 ........................................ 52' 23' 8. Dimensions of entire new construction: Front ................................ Rear 52' Depth Height............1/~' ............ .... Number of Stories.......1'. .......................... 9. Sizeof lot: Front ..... .1..0.~.t. ................... Rear ~-/~9' Depth /~70' 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 1 I. Zone or use district in which premises are situated ......................................................... ' ........................................ 12. Does proposed construction vi61ate amy zoning law, ordinance or regulation? No 13. Name of Owner of premises-~L~'~/..~,~.~e ............... Address,l¥._m~:[.~e,~..}l~ .................. Phone No ..................... Name of Architect Harold Foseer Address l~iverhead~ N.Y. Phone No. 727-3910 Name of Contractor ..... ~Y..e.~.e.~..d.e.....~g..m...e..e~....]:..n.~:.....Address 1~i. verhead, N.Y. Phone No. 727-3395 PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block numbers or description according to deed, and show street names and indicate whether interior or corner lot. STATE-OF NEV(¢'~/~ . ) ¢ ¢ · , couNTY OF .~lr~e~¢J¢6#¢~ ....... ;:) o.o. ....... [ .......... ~~..:.~.f.~ ............. b~ng dsly s*orn,' deBosesCand says that he is the applicant . (~e of individual signing application) ' above named. He is the .................... ~ .......................................................... (Contractor, agent, ~orporate officer, etc.) of said owner or owners, and is duly authorized to perform or have :Perf~ed the said work and to make and file this ~lication; that all statements contained in this applicati~D aFe true t~ the best of his knowledge and belief; and that the work will be performed in the manner set fo~h i'n ~h~li~afiOn filed therewith. Sworn to before me this [LI~B~ ANH NEVILLE ~ _1 ' ~ N~ARY PUBLIC. Stste of N~ ~rk ..... ........ JJ ~_ I ,~/~;~ ~"~ ~o, ~s~.~~~..~ ..... ... ..... - Nota~ Pub i~~.~_~ ........ County~ (Sig~t~e M appli~nt) .............. $- 228100 ANDREW 8~ EVflNGEIINA r MATTITUCK ~,'~ 0 SOUl-HOLD ':'C JUN~ 16~ 1970 ~JUL¥ 14, 1970 CYPRUS MAP OF CAPTAIN KIDD ESTATES FILED JAN. 19, 1949 - FILE N0.1672 ANDREW 8 EVANGELINA CYPRUS INTER-COUNTY TITLE GUARANTY B MORTGAGE CO.