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Home My WebLink About5548-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No.Z~.~. 9 ....... Date ............ 8Opt... ~ ..... , 19.~'~. THIS CERTIFIES that the building located at . DO~tOO~, .l~aO ............ Street Map No..~ ........ Block No. ~'~ ....... Lot No.. ~.. 8~llgl~O].~.. 1[,2, ......... conforms substantially to the Application for Building Permit heretofore filed in this office dated ......... 00~;.. h, ..... , 19.~. pursuant to which Building Permit No. dated ............ 0~tk...l~..., 19.7}., 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~t~;o .o~®..f-~].l.~ -¢l~Ol.l:l~t[ ...................................... The certificate is issued to Y~,. ¢&~lO ..... ~ ................................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .1~oI~, .............................. UNDERWRITERS CERTIFICATE No.l~. ,.It., ............................................. HOUSE NUMBER.. 7.~.~[ ....... Street .....~)[l~fOO~ .}JIt ................................ Building Inspector TOWN OF $OUTHOLD BUILDIHG DEPARTMENT TOWN CLERK'S OFFICE 5OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 5548 Z Permission is hereby granted to: ....... J~..~,~ca....~/.C.....~,...Ca~t~ .............. ............... Se~,~ c;3.~. .............................................. at premises located at ......... ~/~..[.~...~..?..~..~. ................................................................. ' ........... .............................................................. ~t;l~e3~t ........... ~ ......................................................... pursuan¢ to application dated .......................... ~ ....... i~ ................ , 19...~, and approved by the Building Inspector. Building Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWlq CLERK'S OFFICE SOUTHOLD, N. Y. Approved Pemit No. / Application No. Disapproved o/c ............................................................................................ (Bui ding nspector; ~f APPLICATION FOR BUILDING PERMIT Date O0 t br 19~..1. ........ a. This application must be Inspector. b. Plot plan showing location areas, and giving a detailed description c. The work covered by this d. Upon approval of this apl shall be kept on the premises available for e. No building shall be occupied or used in shall have been granted by the Building Inspector. INSTRUCTIONS filled in by typewriter or in ink and submitted in duplicate to the Building buildings on premises, relationship to adjoining premises or public streets or ' must be drawn on the diagram which is part of this application. not be commenced before issuance of Building Permit. [ding Inspector will issue a Building Permit to the applicant. Such permit throughout the progress of the work. or in part for any purpose whatever until a Certificate of Occupancy APPLICATION IS HEREBY MADE to the Building Building Zone Ordinance of the Town of Southold, Regulations, for the construction of buildings, additions The applicant agrees to comply with all applicable laws, ment for the issuance of a Building Permit pursuant to the County, New York, and other applicable Laws, Ordinances or Iterations, or for removal or demolition, as herein described. nonces, building code, housing code, and regulations. oseph Radich (Signature of applicant, or name, if a corporation) Southold (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ..... ~/'.,..i~ar~ ........................................................................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which proposed work will be done. Map No.: ~ ................................. Lot No ...... ~ ........... Street and Number ......... .7.65....D.o,-,wo.a&..Laue., ........ S,c.u.the. l.d ..................................................................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ......... .d..~'...e..1..1.~.~.j[ ..................................................................................................... b. Intended use and occupancy .............................. .~'J-~h..~D-..~l. drl:L:td. Ol3 ........................................................... 3. Nature of work (check which applicable): New Building .................. Addition ~[' Alteration Y'~ Repair .................. Removal .................. Demoliti~ .................. Other Work (Describe) ........................................ 4. Estimated Cost ................................................... Fee .......................................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ........ .?..~..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 tTpe of use ............................ 7. Dimensions of existing structures, Jf 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 ......... .~...b(._..~. ......... Depth ..2..~ .................. Height .................... Number of Stories ......... .~.T~.~ ................................................................................... 9. Size of lot: Front ............................ Rear .................................... Depth ................................ 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 11. Zone or use district in which premises are s tuated".~.'.! ~1.5.,~t ........................................................ 12. Does proposed construction violate any zoning law, ordinance or regulation:> no 13. Name of Owner of premises ..V........C.~.~..d...o. .................... Address ......S...o.~.t...h..o...1..~. .................... Phone No ..................... Name of Architect ...................................................... Address ............................................ Phone No ..................... Name of Contractor ........ .J...,..._R..a:.d...l.~..b. ...................... Address ........ .s..o..~t.b..o..1.~ ................. Phone No ..................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and bpCk number or description according to deed, and show street names and indicate whether interior or corner lot. STAT NEW.YORK, ! ~ ¢ COUNTY Of ...~;t~...~.6.',~ ............ ,~..,..., ........................................... ~T~Sg, l~l~..~a~Ek~,lrA ...................... being duly ~m, d~es and ~ys t~t he is t~ applicant (Name of individual signing application) above named. He is the Contractor (Contractor, agar, co~rate officer, etc.) of said owner or ~ne~, and is duly authorized to perform or h~e perfo~ the said work and to ~ke ~d file this application; that oil statements contained in this appllc~i~ are tree to the best of his knowl~ge and belief; and tha~ the work will be performed in the manner ~t fo~h in the ~plicati~. fil~ therewith. Swam to ~fore me this ................... ~..~gy,of ......... ~...~ ......... :.~..., 19...~.]. _ ~ ~1_'_~.~ / I' .... ~ I .... 17~ ....~.~.~Z.~......~.~ ........... q ppp,ca,t} [] mz~. *,~ ,w~tt~ h ~ .............. ~0~RY PUBLI~ State 0tr N~w~?k