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Home My WebLink About4840-zNO. 4, TOWN OF SOUTHOLD BUILI)ING DEPARTME, N-T Town Clerk's Office Southold, N. Y. Certificnte Of Occupnncy No. a63.~ ...... Date ..........F. eb .... 27 ........ , 19.?~. THIS CERTIFIES that the building leeated at .Bl~omiwaters- l~oad ........Street Map No. l~am,,o, l~t.. Block No ........... Lot No, .187....Cutehogue....N.Y~ ...... conforms substantially to the Application for Building Permit heretofore filed in this office dated ............July.. 6., 1970 · pursuant to which Building Permit No. !+8~+01~. . dated .......July. ....6 ..... , 19.~O., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is . P,'iva.i~e. ona .family. dwell lng .with .an. &ddi.tion .................. The certificate is issued to John .Tantillo .... Owlae~. ............................. of the aforesaid building. Suffolk County Department of Health Approval (owner, lessee or tenant) · 26.. ................... UNDERWRITERS CERTIFICATE No. Ii. 91.0~1.~.... 9/.t3/7~ ...................... HOUSE NUMBER .... 700 ......Street ...l~l'o~vat$~m. [load .................... Building Inspector TOWN O~ SOUTHOLD 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? ~840 Z Permission is hereby granted to: ........ .~ai~.A...~aa~L3.~ ................................ ........... y~-...~s~ ............................................... to ........ ,~,,,,_m,,, ..a~r..~e...~m~Ir..~sral3A~ ........................................................................... at premises located at .......... ~..'l~..~..~..Ol~..~l;)t~....~ll~ll~..~l~t~..~'~,l~..~.~ ............................... ;Bnen4SSL~.~ ...... J41tsse~.~&, ...... ~ ......... it,Z, .......... pursuarvt to application dated ........................ ~'~ ..........~ ............. , 19.~.~., and approved by the Building Inspector. $CHD SUFFOLK COUNTY DEPARTMENT OF HEALTH Date Feb. 26, 1975 Eldg. Permit No. 4840 Z TO WHOM IT MAY CONCERN: The sewage disposal facilities for a structure at BroadwatersRoad, Outch0gue, New York located (Give deed location) have bzen inspected by this department and found to be satisfactory. ~isf of Gsneral ]~gh~eer~'~g ServiCS~ TOWN OF SOUTHOLD ,, ! BUILDING DEPARTMENT '~"~.~ '~,-- TOWN CLERK'S OFFICE ~ ~/,' ~TH~D, N. Y. ~/~/7 / ~~4 ~" ~ . ~, ~ ..: ................. . ~,,~.o~ ~o....~.P ......... Dimpp~ed o/c ...................................................... ........................................................................................... ~ ........... ........................... ~'"~;F'"'~ .............. ~ ~ / -,/- - ..........~ ~ ......... I NSTRUGTIONS a. Thl~ ~ll~tlon must b~ ~1~1~ {lll~ In b~ ~writm or In Ink und In~r. b. PI~ plan sh~wlng I~ation of lot ~ of bu]lding~ on premlaeh mlatlon~lp to adJalnl~ ~mmlm or~s, e~ glvl~ a d~aU~ ~rl~l~ of I~ut at pm~ must ~ drawn on the dl~mm c. ~e work c~er~ by this application may not be commenced bafom issuance of Building Permit, d. Upon ~pr~ol of this application, the Building In~ctor will I~ue ~ Building Pe~lt shall be k~t on the promises ~llable for impection throughout the p~ml~ of the work. e. No building ~11 ~ occupl~ or used In whole or In port for uny pu~e whaler u~tll shall h~ been~mnt~ by t~e Bulldlng In~r . APPLI~TION 15 ~REBY ~DE ~ the Building DocUment for the I.uunce ~uild~ Zon~ OMinonce of the T~ of S~thold, Suf~lk County, New York, and other ~pll~eble ~ ~1~ or ~ulatlons, tar the construction of buildings, ~ddltlonl or altemtlo~l, or for ~m~l er demolition, e~ ~1~ ~rl~. · applicant ~rees to comply with all applicable law~, o~l~a~c~, building c~e~ Hauling c~e, o~d ~uletl~l. /(~lgnature of applicant, or name, If · corporation) .~.7.~..:..~ _~,_~__ ~,, ,~ ........ <,--..,-.~d,,,, o, op,,,~,~....~.~..~.~;;.,.7~.:~.~. ........... State whether applicant Is owner, lessee, agent, architect, engineer, general contractor, electrician, l=lumber or builder. ,~ '.~.~. ........................... Name of owner of prlmllll ........ ~.~.(;('.~...~.; ................................................................. I~.applicant Is a corporate, signature of duly authorized officer. ................. :i'~:~;';;;;~';';;;':;;'g~;;;;;;'"o;;;~;;; ................... / ~-'7 ~- 1. Locatlon of land on which proposed work will be done. Map Nq .......................................... ' /~-'~' Lot No.'~.....~ s,r.. and 2. State existing use and occupancy of premlles and Intended use and occupancy of propoled conltructlon:' o. ",,st,,0u, ar~occupanc~ ...... 2~.~L.~..~.~....ff.. ................................................................... Intended use and occul:,~n,:', ,~/~...~...{./~,/.../~,.~',. ~:~,,~,,~ ............ 3. Nature of wo, k (check which applicable): New Building ,....,~,....: ..... Addition ...~ ...... Alteration .'..,,~./. ......... Repair .................. ~3~noval{--=.~, ............... Demolition .................. Other Work (Describe) ..'...~ .................................. 4. ~timot,dCost ..... ~ ........ ~,.....~.,.~.. ~.. ~.~ .~ .......................................... (to be paid on fi~ing this OPplic~ion) 5. If dwelling, number of dwelling units ............ ~ .............. Number of dwelling units on ~ch flor ............................ If garage, number of cars 6. If business, comme~ial or mixed ~cupancy~ speci~ nature and extent of ~ch ~pe of u~ ............................ 7. D,mens~ons of existing structures, ~f any Front ~.~..~ ....... Rear ~ ~ ~*~ Height ........ /.~.T.~.... Number of Stori~ .......... ~... ............. ; ................................. ; ................................................. D~mensions of same structure with alterations or additions: Front ....................................Rear Depth ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front ........ ~ ...................... Rear ~ D~th ..~..~. ....... Height ....... ~ ........Number of S~ries 9. Size of lot: Front ..... ~.~.Z ......... Rear ........ ~.~ ............. Depth ...... ~.~...~.~.... 10. ~te of Purchase ............ 7~/~.~ ............................. No~fe For~er ~er ~.~...~,.~.~.~ ..... l 1. Zone or use dj:strict in which premises are situated ..............~. ....... ~.~...~...~. ..................... 12. ~es proposed construction ~ol~te any zoning law, ordinance or regulation? ..... ~Q ......... ' ............... 13. Name of ~ner of premises ~~..~Z~.Address ~'~ ~ ~, ~ P ....... :..~ .......... ~....~ ho...~...~.~.:~ Name of Archit~t ...................................................... A~ress ............................................ Phone No ..................... Name of C~tractor ~ ~ .................................................... A~ress ............................................ P~ne No ..................... -' PLOT DIAG~M ~ate clearly and distinctly all buildings, whether existing or pr~o~, a~ indicate all ~t~k dimensions from ~. p~e~ lines. Give street and bilk number or description according to de~, and show st~ nam~ and indicate whether interior or corner lot. STATE OF N~ YORK, J S.S. ' ~ - ~~* ~o~ D ~'~ COUN~ 0~....~,...~ ............ ~~ ~-:__ ~~.,.. _..__~ __ ~ / ................. ~.~.::~:..~.,....~.....~=.~~.~,,~ ~,,~ ,~or~, ~, ~, ~, ~. ~e at inalvlau~l signing appll~Ot ~1 above nam He s the ~ ....... · ~He is t ....................................................................................... (~ntroctor, agar, co~orate officer, ~c.) of said owner or owners, and Is duly authorized to perform or havl perfo~ed the said work and to ~ke ~d file this application; that all statements contained in this applicotion are true to the best of his knowledge and belief; and that the work will ~ perfor~ in th~ manner set fo~h in the applicotlon fll~ therew th. Swo~ ~ore me ~ls //~ ~ ....... ~..~... ~ o~ .~.. ~ , ~9~ ~ ~ ~/, ~ ...... 7~~;"'~ ....... _";'~.~.~....~ ............. ~.~~ ........... iiLG" ~ COUNTE'I~ O-ElL ITX' _f P,.M, 0, -OF '