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Home My WebLink About5193-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. I~.~502 .... Date ......... Dee .21 ...... , I9.71. THIS CERTIFIES that the building located at E'/ ~o%I1~1 ¥~.ew.Ave Street Map No...aX .. BlockNo. aX . .. Lot No..XX Mattitu~k N~Y~ ..... conforms substantially to the Application for Building Permit heretofore filed in this office dated .... Mai'. 10. , 19 71 pursuant to which Building Permit No. .519.3Z. dated ........ Ear 3~ 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 . . Prlvat;~ 'swi~Lng 'poo'~ ..................................... The certificate is issued to ' .Robert ~ela~e~' · - Ownex' ..................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval 'N &R-, ........................ Building Inspe~or FOII~ NO. ~ TOWN OF $OUTHOLD BUILDING DEPART/vtENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMP£ETION OF THE WORK AUTHORIZED) 5i93 Z {Dote .............................. .~A{i~_~.~.. :..3.~,,.., I9.~. 'Permission is hereby granted to: -'- :--~t~m~-'~j-'-"A~"~e~--'~e~ ........ ~ ......... ~.~., ............................ to at premises located at ............ ~/t~--.-.~,el~l.--.'~-[-ew-.-A%ql~ .................................................................. ........... : ........................................... ~.~ ~.~*~ .......... ~.,.¥~ ................................................................ pursuan¢ to application dated ............................... ,~1~.~.....~(~ ...... , 19.~.t..., and approved by the Building Inspector. ,, /72, 7__ u Approved ....................... I..~ .............. , 19 ........ Permit No ...... ~ ..................... TOWN OF SOUTHOLD '~ ~ u~ 9.~/'-- ~ BUILDING DEPARTMENT o/ "' ~" -'/ / '/ T~N CLERK'S OFFICE /,~'~/~/ ~ ~ ~ ~ ~ Disapproved a/c ...................................................................... ~....~,,,-~ .......... :'"'"' ...... ................................. APPLICATION FOR BUILDING PERMI'i' Date INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink end submitted in duplicate to the Building Inspector. b. Plot plan showing location of lot and of bu_ildings 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 thie application. c. The work covered by this application may not be commen, Ced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector Will 'issue a Butldiag Permit to the pppllcant. Such permit shall be kept on the premises available for inspection throughout the 1~ragress of the wo~k. e. No building shall be occupied or used in whole or in part for any p~r~ose whatever unt a~Certificate of Occupancy shall have been granted by the Building Inspector. ' APPLICATION IS HEREBY MADE to the Building Depa~'tment ~o~r the issuance 'of a Building Permit pumuont to the Building Zone Ordinance of the Town of Southold, Suff01kt, County, N~(;York, dnd other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions Or 0Iterations, o~ for% remova~r demolition, as herein described. The apPlicant agrees to comply With all applicable laW~.,, ordina .~ -,. '~,uildin ' c~,~,ocl~ ,~/, h~(using code, and regulations. ., (SignaturLe of-a~pllcant, or name, f a ¢o~ on) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. 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.: p~.~..~.,t~.J..~:.i~. ~., Lo; Municipality 2. State existing use a.nd occupancy of pre~ses and intended use and occupancy of proposed construction: a. Existing use and occupancy ....................~.]..Jj~..~.~.~.~?,,, ............................................................................ 3. Nature of work (check which applicable): New Building .................. Addition .................. Alteration .................. Repair .......... L-~'"" _Removal .................. Demolition .................. Other Work (Describe) ..... ~...(~)~....L~ .................. 4. Est mated Cosl~. J .~..~.... ! ..................................... 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 ................................................................................................................. Dimensions of same structure with alterations or additions: Front ....................................Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ · . . I ! ! 8. D,menmo.~ns ~of~,er~t,re new construct,on: Front ...... .~.~.. .................. Rear ..... ..~.....~... ......... Depth ...... ~..~.. .......... Height .'~.....~. ....... Number ~f Stories ...................................................................................................................... 9. Size of lot: Front .!~...~.,..~'...-/ .......... Rear J[~'~'..~.,.~,..'~,./. ............ Depth ...~?....~.. ~7..~./~....~. .... 10. Date of Purchase ........................................................ Nome of Former Owner ........................................................ 11. Zone or use district in which premises are situated ..................................................................................................... 12. Does proposed construction violate any zoning Iow, ordinance or regulation.> .................................................. 13. Name of Owner of premises ._%~.~j~... .7"...~.~/~/,~ddress ...s~..~..L,?. .~/....//.../..~'.....j~/. /~'~e~.'~ ' Name of Arch tect/~.~/-J~.k.~.. Address /..~...~~'~o~.~.'~ .............. Name of Contractor ~.~.~.~.. ................................ ~.~.'~ ........... Address i~.~.'~..'i~.~.' .~...~.~.~. ~.~ ~ ~-'"' ~2~-N~.''~"~'~''' PLOT DIAGRAM Locate clearly and distinctly oil buildings, whether existing or proposed, and indicate all set-back dimensions from property lines· Give street and block number or description according to deed, and show street names and indicate whether interior or corner Jot. o,O 0 STATE Of NEW YORK,.. , COUNTY Of .... .~) Jk)..~..~....~J~..... j' · ............................. ~..1~..~..~..~ ....... .~..~.....~...~....~ ........ being duly sworn, deposes and says that he is the applicant (Name of individual signing application) above named. He is the ........................................... ~...~.-~..~......~...~ ............... . . .. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to peHorm or have performed the said work and to make and file this application; that all statements contained in this opp cat on are true to the best o~,h s knowledge and belief; and that the work will be performed in the manner set forth in the application f~ed ther~wLl~./ :>wom to before me this · . ~ ~ / / [ / / ........ :,.o ...... ....... , Nota~...k~..~ ..~. ............. ~ ............................ ..................................................... ........... County (Signature of applicant) ~-- 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT Robert Lenznen, O~egon ~D., n/end of Elijah Lane, Mattltuck, L.I. Woodcllff Di-~ yeE ~"'"~qm~ ~"~, Mattltuck, L.I. 11952 ~~:. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. POOD SURVEY FOR ROBERT LENZNER ~ dEAN £ENZNER MA T TI TUCK TOWN OF SOUTHOLD SUFFOLK COUNTY. N.Y SC~L E I" = I00' SEPT. 14, 1970