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Home My WebLink About4836-zTOWN OF $OUTHOLD BUILDING DEPARTMEI~T Town Clerk's Office $outhoht, N. ¥. Certificate Of Occupemcy THIS CERTIFIES that the building located at Cot. ay. Cr. eek. lane ........ Street Map No.CPTgX .Ck... ~S~lock No ........... Lot No...tS.... a~u~ma~,a.. ........ conforms substantially to the Application for Building Permit heretofore filed in this office dated ........ ~ul.Y ..... 2.., lf~0., pursuant to whi,ch Building Permit No. li~36Z.. dated July 2 1977 was issued, an~ conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is . .P~'~-.~.P~.tg..q~?.9. ~a. mi~k.Y..d~,.e.~:Z.~.~}g ........ ~ ............................. The certificate is issued to . .~.i~J,. ~,m$ ...... .0:.~ ............................. (oWner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval UNDERWRITER$ CERTIFICATE No. I~ 838291 0et~ 28 1970 tlOUSE NUMBER.. aq~. ....... Street...99r~.~'. Crick. L.~ ........................... (Subject to completion of front brick work) . . . Building tnspcctor TOWN OF SOUTHOLD BUILDING DEPARTMEN~ 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? fl836 Z Permission is hereby granted to: .......... t)a~cl,e$..a~ ........................................... ............ ~.~...~.a.. .................................................. to ..... ~%~rL.~m~...o~...~a~a~.:t~,..~l.~e.~.~J~ .............................................................................. at premises located at ............ ]d;l~,..~.....~O~...(~}';..~,3.t,~'t'~ ...................................................... ............................................. .~ox e~...~:.tt~.,.~k...]~,~ ............. o~A~o~f[ ............................................ pursuan¢ to application dated ........................... ~q~Y' .......... ~.........., 19.~..~.,., and approved by the Building Inspector. ~ Fee $~...0. ~ ............. S-9 SCHD SUFFOLK COUNTY DEPARTMENT Date Bldg. OF HEALTH MAY 9 ~973 Permit No. TO WHOM IT MAY CONCERN: The sewage disposal facilities at // (Gtqe deed~location)' for a structure located have been inspected by this department and found to be satisfactory. Chi~f of G~r~l Eugineeriug ~ervic~s ~.~AY § 1§73 SOUI'HOLD, N. Y. ........................................ ........ Permit ........... Disapproved ale .................................................... 'rOWN OF ~UTHOLD ~/?! /~.~ ,~ 0,"~ ~ BUILDING DEPARTMENT TOWN CLERK'S OFFICE ~/I~ ~ ~.0' ~ ~ ~ ~ppli~tion ~o ............................. APPLICATION FOR BUILDING PERMIT/") ~L~ ............. ,' . Date ......... ~'/ ~~/~ ~'/'Z'/7'~' · 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 Dremises, relationshio to adiolnina oremirms or public streets or~ ames, and glv'ng a detailed descnptlon of layout of property r;nust be drawn an thud a~r~'~,t~l'c~ i'-I"~:~-~ of thie appllcatton.'~ 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 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 Department for the ssuance of a Building Perm t pumuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Lawl, Ord nantes or Regulations, for the construction of buildings, additions or alterations, or for remove or demolition, as herein delcribed. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations.- (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. ............... ... Name of owner of premises ........ .~...~....~.../..~....(,~..,......L,.... ...... ~.../.....~......~ .................................................... · ..................... If applicant is a corporate, signature of duly authorized officer. (~ ~ ~ 1. Location of land on Which proposed work will be done. Map No.: ~-~ ~'0.._~, . ~ ,. /~c> ..................................... LOt ~: ........................ Street and Number . ~' C-")/~ ~/ ~',~:'~' /~/(,/~-- ~ Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .....................~....~....~.....~. ............................................................................................... b. Intended use and occupancy' ......... ...,~../.T.~.~./. ~..,~....?./....~... ~..~...Z..~'~ . . Nat, ure of wmk (check which applicable): New Building ~ ....... ..'~. '.... Addition .................. Alteration Repair .................. Removal .................. Demolition .................. Other Work (Describe) ........................................ 4. Estimated Cost ............. ~ ......h.~)......~. .................... Fee .......................................................................................... (to be paid on fi!lng 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 each type of use ........................ 7. Dimensions of existing structures, if any: Front ............................ Rear ................................ Depth .................... Height Number 'of Stories % D, imensions of same structure with alterations or additions: Front .................................... Rear ............................ '~'~'l~,ePth._,': ................................ Height ............................ Number of Stories ................................. 11. 12. 13. Zone or use district in which premises are situated ....... .~.r,~....u~...~..~.Q.~,,.~ ............................................................. Does'proposed construct on v p ate any zon ng aw, ordnance or ragu at on? . .,~.O.. ............................................. Nan~e of Owner of premises ~...).~J,, ~ ~DO~ ' ' .......... Name of Architect ........ ~....~ .............. Name of Contractor ..... ~[L.~.....~~]~.A~mss ............................................ P~ne No ..................... PLOT DIAGRAM ~ ' ~ LoCate clearly and distinctly all buildings, whether existing or pi'oposed, and nd cate all set-back d mens ons frern property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or comer lot. STATE OF NEW(~.OJ~,~Y .................. ~r~..~...~'~........~..;.~.~6~.. ....................... being duly sworn, d~o~es ond say~ t~,~t' he I,~ the oppllcant (Nome of Individual 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 sa d work and to make c~nd fi · this .a. ppllcot, ion~..t.hat all. state.m, ents contained in .thts application are true to the be~t of his knowledge and belief; and that me worx win ~e pertormed In the manner set forth In the application filed therewith. Swam to before m· this ~. ~ , _ _ P .... '1 ....... ............................ ELIZABETH ANN NEVILLE NOTARY PUBLIC, State of New York No. 52-8125850, Suffolk CoL~t~ Term bpiraa March 30,