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Home My WebLink About5129-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No..Z~12a. Date ....... l~y . 3 ,19.73 THIS CERTIFIES that the building located at P~t R~- .Ooray C~'eek P~t Street Map No. l~Oke Block No...~. . .Lot No. :~ So~t~ol~ N ,Y, .. conforms substantially to the Application for Building Permit heretofore filed m this office dated Ja~l 28 · · , 19 7~ pursuant to which Building Permit No. 51'29Z dated FeD. 2. ,., 197.~., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is (owner, lessee or tenant) issued is . Private one family.dwalling The certificate is issued to Wilb%u~ Boily of the aforesaid building. Suffolk County Department of Health Approval l~ay. UNDERWRITERS CERTIFICATE No l~e~di~g . ttOUSt~ NUMBER 12~0 Street ~oI'ey {]~eek Road 97-3 · b;y R.. Vitl~. (vvt) Braiding Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTNOLD, N. Y. BUILDING FERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Ne 5129 z ~e ............................ ~.~.~ ....... a .......... , ~9~.S.... Per~nission is hereby granted to: ..~,.~~..P...e..,~..~..~..~. ..................................... bn~ ......... ~,X~ .................................................................................... pJrsucmt to application dated ............................ ~ ......... ~ .......... , 19..~.~[., and approved by the Building Inspector. ~JO,O0 'Fee $ ........................ Building l~spector I S-9 SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH MAY 1 1973 Date Bldg. Permit No. TO WHOM IT MAY CONCERN: The sewage disposal facilities for a structure located ~ ' Y (Give a~ea location) have been inspected by thip department and found to be satisfactory. MAY 1 1973 S-9 SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH MAY 1 1973 Date Bldg. Permit No. TO WHOM IT MAY CONCERN: at The sewage disposal facilities for a structure located (Give d~e'~ location) have been inspected by thip department and found to be satisfactory. MAY :[ 1973 THE NEW YORKi IRE: UNDERWRITERs ak BUREAU OF ELECTRICITY [~ 85 JOHN STREET. NEW YORK. NEW YORK 10038 o.,,, December 28 1971 4..~o,io,,.~'o...S.~ ~834~4~ N Wilbur Boily, Pvt. Rd., W/o Main Ba~view, s/0 Ceda~ Drive, Sout hold in the.folhnring I~a~on ~ Ba~n~e~t ~ I~t Fl. ~ 2nd FI. O~t Z lde ~ctfl,n Bl~,k Lot '~ ~"'~d"~ec emb e ~ 27,1971 ~ndf°undt°beinco"~lH~n~'e~cifhtl~erequlrements°f~hlsB~rd' FIXTURE [ CEPTA ~ ] RXTU~ ~ RANGES C~KING DECKS 111.5 2 F DEYE~ OTHER APPARATUS: *Furnaces: 011 1-1/8hp~ 2Z1/12hp Motor/s: 1-1/2hp Charles M. Hall, Box Southold, %.'I. 11971' This certificate must not:be altered in ~ny manner; return Jo the Board credentials, Approved ........................................ 10 ........ Permit No ......................... Disapproved a/c ......... ~, ...~':. ...................... TOWN CLERK'S OFFICE SOUTHOLD, N.Y. ~l.~ ~/~ C.o ~,~(R'/' Application No. ~./...'~...~.. ............. ~ APPLICATION FOR BUILDING PERMIT Date....~'.,~/~......~....~.. ............................... 19.?.~.. ..... INSTRUCTIONS q.. This ~application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building l e tor. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed.description of layout of property muSt be drawn on the diagram which is part of this location. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspeetor will issue a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection thraug, haut the progress of the work. e. No building shall be occupied or used in whole or In pad '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 ~be issuance of c Building Permit pursuant to the/~ Building Zone Ordinance of the Town of Southold, Suffolk County, Flew York, and other appli.c, able Laws, Ordinances orl~ Regulations, for the construction of buildings, additions or a .Iterations, or for removal or demohtion, as herein described. The applicant agrees to comply with all applicable laws, ord~nences and r~Julations. (Signature of applicant, or name, if a corporation) (Address of applTcant) State whether aPPlicant is owner, lessee, agent, architect,, engineer, general contractor, electrician, plumber or builder. Name of owner of premise~.....~.~/.,~:Z~t~.-- "' ........ ~.~.~..~...- ' ................................................ J: ................. 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 dene; Mai> No: ............................................ Lot No: .................. ~"''' ~ J~, unici ity ~ st~et and Numar ~?..~...-~.~/,,~.~i~........_z~.~.~/~z~d....~......'~.. ....... ~...~:~,~'~"xf~7.....~ ....... i 2. State existing use and occupancy of premi~,-and' i ntenaed use' aha occupancy of pr6posed construction: a. Existing use and occupancy ....... ~..iL~-~..~,.~..... ....................................................................................................... b. Intended use and occupancy.. ....... ..~........~..~'...~..~..~--~,~ ................................................................... 3. Nature of work (check which applicable): New Building......~'.~.... Repair .................... Removal .................... Demolition ............... ,~Oth~r vt 4. Estimated Cost .............................................................. Fee ,.....~..:. ................................. (to be paid on filing this 5. If dwelling, number of dwelling units .... ......................../....Number of dwelling units on each floor ............ 'i- ....~. ..... If garage, number of cars ....................... .J. ..................................................................... 6. If business, commercia or mixed occupan,cy 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 ......,~.O...~... ....... Number of Stories ............................ 9. Size of lot: Front,~,.~.....~he~,..~. .... Rear ...,/~....~.~....'~...... Depth ./~...'~'.. ............. 10. Date of P~rchase ..C~..t~'.,~,~.erl~......-~. .................... Name of Former Owner ,~,9~.,,*J~2~7.... ..................................... 11., ~Zone or use district in w~hJch pr_em!ses are situated .....,~'(:~affa~.~,~."~ ........................................................ 12. Does proposed construc;don .x .- , wolate any zoning law, ordinance or regulation.> ....-:~'.. ...................................... 13. Name of Owner of premises.~..,.e~'~/.'~... ............. Address ..Z~.~¢..~. ....... · .~.~.....~.Phone NO~.~.;~.~...~.,~ Name of Architect ........................................................ Address ............................................ Phone NO ..................... Name of Contractor.~...~..t,,-~},~'~'~..~C~....~...Address .~'~r/,~.~ ................. Phone NO. ~..6...*~..-..~.~ PLOT DIAGRAM Locate clearly and distinctly all buildings,, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block numbers or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW~._I~(,.~ ) S'S~ COUNTY OF ..~]~48~ ....... ) ' , ............................. .~/.~/C,R.~['...,.'~.....: ........................ being duly sworn, deposes and ~s that ~ is the applicant (Nbme'of ind 9idua signing app ication) -' ' ' ' - above named. He is the...~ ....... ~/~.~.~ ............................................................................................................. (Contractor, agent, co~orate officer, etc.) of said owner or owne~, and is duly authorized to perform 6r ~q peff~d the said work and to make and file this application; that all statements contained in this a~plication are tree 'to the ~st of his ~l~ge and belief; and that the work will be performed in theater set torth, in. t~e ~[ication filed the~ith. ~ Sworn to before me this ...... ~ , ~ ~ ~- ~ ~ . ~./ ...~ ....... d~ of ..... g.~~....;... 19.a.1. ..... ~ ~ ~ign~re of a~licant) ,-- ' ru~B~H ANN NE~LLE Nota~ Pubhc,. ' ~ .. [ t~- ,~ .; O I. .CounW~- ~ .OTA~. .PUBLIC' StBte of New_ Yo~