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Home My WebLink About4818-zNO. 4 i ~WN OF SOUTHOLD B~ IILDING DEPARTMENT TOWN CLERK'S OFFICE / SOUTHOLD, N. Y. CERTIFICATE: OF OCCUPANCY No. Z ~(~.,,~ Dote lib ~.I~V 19'70 THIS CERTIFIES that the building I~ated at ~ 5 ~ Z A ~ I ~ ~DA ~ Street MapNo. ~53 BI~kNo. Lot No. /~ conforms substantially to the Application for Building Permit heretofore fil~ in this office dated ................................. .~..~.....~.~..~.~..., 19.~.~ pursuant to which Building Permit No. ~.~.~.~..~ dated ........................ ~..~".....~.~.~.~....., 19.~.~, was issued, and conforms to ~11 of t~ r~uirements of the applicable p~isions of the law. ~e occupancy for ~ich this certificate is issued is ........ (owner, les~ or te~t) of the aforesaid building. Building Inspector FO~M NO. ~ TOWN OF $OUTSOLD 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? J818 Z Permission is hereby granted to: .............. ~.~ ..~j,.t;.~ ............................................ pursuant to application dated ....................... -Tl~T.~e..~k ................... , 19...7.0., and approved by the Building Inspector. SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH Date November 9, 1970 Bldg. Permit No. 48182 TO WHOM IT MAY CONCERN: The sewage disposal facilities for a structure located at North side Azalea Road, ~O01 East of Carolina Drive (Give deed location) Mattituck have been inspected by this department and found to be satisfactory. District Engineer 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 premise~ or public streets o1~~ areas, and giving a detailed description of layout of property must be drawn on the diagram which Is part of thio application, r 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 in4pection throughout the progress of the work. :~ e. No building shall be occupied or used Jn whole or Jn 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 Department for the issuance of a Bu Iding Perm t pureuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Lav~, Oral nonces or Regulations, for the construction of buildings, additions or alterations, or for removal or demo It on, as here n descr bed The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations. E4v Abltz (Signature cf applicant, or name, if a corporation) Nattituek N.Y. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber ar builder. Name of owner of premises ~'nh~ ....... LtlIO~'~'I .................................................................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title 'of corporate officer) ~m~'-/'//~/'''G~3 ~ 1. Location of land on which proposed work will be dane. Map No.: ..... ]J~.~..l:...~..~..~ ................ Lot No.: ...J.~ ............... Stre. and Num~.l.~...~,..a~ .............................. ~:~a*~, ~.,,~,, .................................. .. Munlcl~ll~ 2. State exi~lng u~ and ~cu~ncy of promises and Intended use and ~cu~ncy of pmpm~ constmctl~: Existing use and occupancy ...... ,~,.e..p,.~ ................................................................ Intended use and occupancy' . ................. ,CI~..~'AIG~...~14'e;'L],~Lz~& ............................ 3. Nature of work (check which applicable): New Building ~..~1~. ...... Addition .................. Alteration .................. Repair .................. Removal .................. Demolition .................. Other Work (Describe) ........................................ 4. Estimated Cost .............. ~.~..~.l~. ............................... Fee .......... .1.0. .......................................................................... (to be paid on fi!lng this application) 5. If dwelling, number of dwelling units ..... O~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 s~cructures, if any: Front ............................ Rear ................................ Depth .................... Height ........................ Number of Stories ................................................................................................................. Dimensions of same structure with alterations or additions: Front ....................................Rear ............................ Depth ................................ Height ............................ Number of StaPles ................................ 8. Dimensions of entire new construction: Front .............. ~.~. ................ Rear .......... ~.~'. ............ Depth ......~. .............. Height .................... Number of Stories ................. ~ ............................................................................................ 9. Size of lot: Front ............................ Rear .................................... Depth ................................ 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ ] 1. Zone dr use district in which premises are situated ................~,.....~,I, I1.~. ................................................................... 12. Does proposed construction viol~t.e c~r~ing~aw, ordinance or regulation? ........... J~ ........................................... 13. Name of Owner of premises ....*I'.,~..Z,O~'e~I, .............. Address ...... ~.~. ............................ Phone No ..................... Name of Architect ................... ; .................................. Address ............................................ Phone No ..................... Name of Contractor ....~.~....~..1~,1~. ............................ Address ........ ~&.~:l;.~ ....................... Phone No ..................... PLOT DIAGRAM locate clearly end distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, ................. ;.~.. .......... ;......;:.......z~.IR...A,~.4~,~..,.......;....:...........-.-~em , deposes and says 'that he is the applicant tr~ame or ~na.~vhaual s~gmng apptmahon~ . . above named. He is the ............................. 4)~me~..-b~1~.~6e~ ................................ 'iL ....................................................... (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. .............. ....... ELIZABETH ANH HEY1 L~ york