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Home My WebLink About5530-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupnncy No .... .Z~'~6.7.. Date ...... $.ep.t.e.m.bp?...l~ ....... , 19. ?3. THIS CERTIFIES that the building located at .. I/t, ttl~ .Neck .Road ...... Street Map No...XX ....... Block No. XX ....... Lot No. XX...Cutchogue .......... ~ ....... conforms substantially to the Application for Building Permit heretofore filed in this office dated ........ Sept,. 28~ ..., 19.?].. pursuant to which Building Permit No.. ~30Z. dated ........ Sept,. 28~ .... , 19.?1., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is .. P~&vata .one. £a~.. dwelling ...................................... The certificate is issued to . .Frank. T,. ~Stetmoak~ ................................. (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval N,:, ~&t ug UNDERWRITERS CERTIFICATE No .................................................. ItOUSE NUMBER ..... '10~....Street .... L~t'le. I~e¢~;. I~I, ........................... ...................................................... gutchogue ................. Building Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 5530 Z Permission is hereby granted to: to ..... ll~,l.6..nn..~1,~4~..m..~,.~.~..4w:~.~.t,~j ......................................................... at premises located at ........... Ji/~,.~L~J.4J.-II~JoIII--J~ ........................ '- ............................................ ............................................. : .............. C~~ ....... X..~, .............................................................. pursuan¢ to application dated ........................................ ~J~jjJ....,~J, 19...~.$, and approved by the Building Inspector. ]Zee $'~--~eJJ~ .......... FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. Ztr~2$. Date . . A~ag~$t t , 19 72 THIS CERTIFIES that the building located at · ':topaa:k'l. 6' Leewarct Ext Street Map No. ~a~ Ae~k No .... Lot ~o. ~¢. · .Sonthela N,~, conforms substantially to the Application for Building Permit heretofore filed in this off, ce dated .. 0c~ 29, 19 71 pursuant to which Building Permit No. ~62~ dated .. [~ .... J].. , 19 .~., was issued, and confoms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is prt~ate. ~e family ~e~Ing ........................ The certificate is issued to ~aee & keg~za ~.~as&~ .. · ~sneea (owner, lessee or tenant) ~f the aforesaid building. Suffolk County Department of Health Approval g~.3~..~.97~ ~ R, ~&~a UNDERWRITERS CERTIFICATE No.~pS,~o,te~ ~;~ 2~., .1972 by ~, · · Street T~paail La Leeward Drive HOUSE NUMBER . ~9~ ao65 · Btuldlng Inspector S-9 SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH JUL 3 Date Bldg. Permit No. TO WHOM IT MAY CONCERN: The sewage disposal facilities for a structure located (Give deed locat~o~n) ''~' .-/ have been inspected by this department and found to be satisfactory. Chief of General Engineer~C Services JUL 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE ~U~HOLD, ~. Y. ~c Examined ..........~ ....... /.~ ....... 19..~[. Approved ........................................ , 19..~.~... Pemit No .................................. Disapproved O/C ..................................................... ...,.~ APPLIGATION FOR BUILDING PERMIT 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 premises or public streets areas, and giving a detailed description of layout ofproperty must be drawn on the diagram which is part of this 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 Department for the issuance of a 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, 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. 0wne~' ................................................................ ; ....... .. ............................ .~ If applicant is o corporate, signature of duly authorized officer. ~ .................. ......... ]; 5 2,9 1. Location of land on which p~,Er~,osed work will~b,e done. Map No.: .~..~.~..W~J..~..~....~.J,,~.. Lot No ....... ~..~.. ........... Street and Number~ ...... ;.~.?~...~'~..../~....~........~....~....:....~.....~'.....~........~......~.. .......... .,~...~...~.....'Z~..~(7~..{~./,,.) ......... ~ .................... ~q.~ ~D--~ t ~, ~.O ~ Municipality ~ 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ................................................................................................................................. b. Intended use and occupancy ...........................~ ......... ~..S,-..S.I..~..[..~'...c....~ ....................................................... 3. Nature of work (check which applicable): New Building ............... Addition .................. Aiterotion .................. Repair .................. Removal .................. Demolition .................. Other Work (Describe) ........................................ 4. Estimated Cost ..........~,.0.~)fJ...O. ................................ Fee ............................................................................... I (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 ................ ...~.. ............................................................ 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 ......I..')m. ........ Num~ber of Stories ....... ~ .j~ ..c~.... 9. Size of lot: Front ........~.~. .............. Rear ........... L~..D. i i . Dept~'iiiiiiiiiii.~.~"~,~ .............................................. 10. Date of Purchase .................. -~.~...~..I .......................... Name of Former Owner .................................... (.%E~ n(~Y) ..~. ................ 11. Zone or use district in which premises are situated ........ .~.. ~ ~ , 12. Does proposed construction violate any zoning law, ordinance or regulation.;> .................. 4~/...0. .................................. 13. Name of Owner of premises .B.r.14.~..q....S..4;.e..~.j.t4k. ......... ^ddress~lem,n~;e.e~..D[,.,....C.e~..am Phone No.?.3g..-..[.6.3~... Name of Architect ...................................................... Address ............................................ Phone No ..................... Name of Contractor ...C..!..a..u...s..e..n.....C..9..n....a~......C..o.., .......... No.7.3..2..-..8.].55... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lihes. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YOlk, K, COUNTY OF ......... ~° .~...~..V~....t. ~.~.., $ °'? ................................................................................................ ~---u duly swam, d~oses and says t~t he is the applicant (Name of individual signing a~lication) above named. He is the (~ntmctor, agar, co~orate officer, etc.) of said owner or ~ners, and is duly authorized to perform or h~e performed the said work and to ~ke and file this application; that all statements contoin~ in this applicati~ am tree to the best of his knowledge and belief; and tha~ the wore will be per~rmed in the manner set fo~h in the ~plic~i~. fil~ themw~ Swam to before me th~ II ........ I.J ............ ....... Nota~ Public, ..-.~.~..~ ...... Coun~ ~ '[~f~[~'~r; ............................. Clausen Construction CUSTOM BUILDERS 516 - 732.8755 Co1 . 340 NO. BICYCLE PATH SELDEN, NEW YORK 11784 July 31, 1972 Suffolk County Board of Health Riverhoad, New York Ret Cesspools, looated on Aeree, Southold, To ~ghol it may Conoern! Please be advised that the underli4nM, had mleaned and removed ~d rrm ~o t~e mSove mention~ propertY, prier to Xngo M. Clausen