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Home My WebLink About5230-zFO]~M NO. $ TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. zg33. ... Date .Au.gtmt;. ]] , ~9 ?] THIS CERTIFIES that the building located at Leewa~,d Drive Street Map No. Leeward Acl~lock No. Lot No. 29& 30 Sottthold E.Y. conforms substantially to the Application for Building Permit heretofore filed in this office dated April .12 19 ?l pursuant to which Building Permit No. dated algri.q. ~h- , 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 issued is . P~ivat. e · ~ne. family al%ceiling The certificate is issued to . Leeward -aere,s · Inc. of the aforesaid building. · ~me~ ......... (owner, lessee or tenant) Suffolk County Department of Health Approval ,~ug · '6 }97t "by t% Villa .... q ~'~i ...... 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) NV 5230 Z Permission is hereby granted to: ............. Z, ee~..~e~..O..Jel~n~ ........... .................. ~..... ~ebeirj..~,~e ......................... to . ~&.~n~..~je..~'aJi~..~re~;t~t .................................................................................. at premises located at ..... .~....3~..~O....J~ell~m3~..&eJ~el[ ..................................................... .................. : ........................... i,m~..:D~ .............. ~e~ ......... tte~t~ ...................... pursuan¢ to application dated ........................... ~......J~J[ .......... , 19..~..1.., and approved by the Building Inspector. Building Inspector SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH Date ~la¥ 6,1971 Bldg. Permit No. 5230 TO WHOM IT HAY CONCERN: at The sewage disposal facilities for a structure located Lots 29 ~ ~0 Leeward Drive, Leeward Acres, 3ayview, Southold, (Give deed location) have been inspected by this department and found to be satisfactory. Chief of General Engineeri~ Service$ District Engineer I~WN OF sOUTHOLD BUILDIHG DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Application No, ~',Z__~ O Disapproved o/c ...... ~... ............. (Bu ...................... APPLICATION FOR BUILDING PERMFI' O.te .......................... , ...... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Buildir Inspector. b. Plot plan showing location of lot and of bu_Jldings on premises, relationship to adjoining premises or public streets. areas, and giving a detailed description of layout of property must be drawn on the diagram which Is part of this appllcatio 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 pern- 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 Occupan, shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pumuant to ti Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describe The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and j~gulations, (Signature of applicant, or name, if a corl~ratlon) ..... ..... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build- ................... L;~wn ~....Bu.i.l.de~. ........................................................................................................................................... Leeward Acres Name of owner of premises ................................................................................................................................................. If applicant is a corporate, stgna~re of duly authorized officer. ........ (N~me on[J'ti~' f corporate officer) 1. Location of land on which proposed work will be done, Map No,: ..,L..~..~.~..a.E.~.,,R.,.c.,c..e.,s. ....... Lot No.: ...~....~'....3..,0.. ~ou~c Street and Number ....... .L, fL~.~.a..c~...~.i..v...e. ................................................................... h..o..!..d. ................................ ~ Municipality State existing use and occupancy of premises and Intended use and occupancy of proposed construction: a. Existing use and occupancy ............................................................................................................................... b. Intended use and , ~,ew ,tone occupancy, ............................................................................................................................. 3. Nature of walk (check whici~ aoplicable): New Building ..... ¥.e,s. ...... Add,t,on .................. Alteration ............... Repair ................. Removal .................. Demolition .................. Other Work (Describe) .................. 4 Estimated Cost ~.~c 000.00 Fen' ....................................................................... (to be pa~d on fi'~ng this apphca,on) 5 If dwelling, number of dwelhng umts ...~13.~ ..................Number of dwelling units on each floor ............................ If garage, number of cars ...... .Z..Lv..°. ................................................................................................................................ 6. If bus~ness, commercial or mixed occupancy, specify nature and extent of each type of use 7. Dmnenmens of exist,ng sC:ructures, if any: Front ............................ Rear ~ Depth ................... Height -" Number al~ Stories - . ..... Dimensions of same structure with alteranons or odd,t~ons: Front .................................. Rear ............... Depth .............................. Height ......................... Number of Stories .............................. 8 D~mcnmons of entire new construction: Front ..~.C.~....C.~. ....................... Rear .... ~ ...... :.k ........... Depth ............... Height ..~.0. .............. Number of Stories ....... '.F.!.? .......................................................................................... 9 Size of lot. Front .~.0...0. ................... Rear...~0. q ...................Depth ../:~.0.... I q4o ~ayview ~o. 10. Date of Purch:se ..... :.f..M'. .......................................... Name of Former Owner . 11. Zone or use d~strict in ~h~ch premises are situated ............. ~...~..~.[d.e..0.%[.a..[ ........................................................ 12 Does proposed construction ~iol~te any zoning law, ordinance or regulation;) ........... Ut.,v~f4~.~..[ ....................... 13 Name of Owner of premises .~,~.¢:,~..~.J .:Xg.~.f~$. ........ Address g.j.~...~.;..~Jh~.~?.:l.~.../.:.y..e. ........ Phone No. ................ Name of Architect ................................................. Address ....................................... Phone No ................. Nome of Contractor .................................................... Address ............................................ Phone No ................ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back d~menmons fron property hnes. Give street and block number or descriphon according to deed, and show street names and indica~ ~vhether interior or corner lot. COUNTY OF ..~~ ~STATE OF NEW,.~(OP.4~ /% ~S.S. """'"'"'".'"".."~~'...~ ....... being duly sworn, deposes and says that he ,s the apphcan (Name of individual signing apphcation)/r~. above named He ts the ........................................ ~,..u..~....--z~...--cczz......~c.....'~.....I ......................................................................... (Co'- r~tractor, agent, corporate officer, etc.) of sa~d owner or o~ners, and is duly authorized to perform or have performed the sa~d work and to make and thru applica,on, that all statements contained m th~s application are true to the best of his knowledge and behef; an, ti,or the work will be performed m the manner set forth in the application filed therewith Swam to before me this ................ · o, .......... /_./ ...... ................. Notary Public,. ........................................................... Count~, < r- (Sig/(a~ure/'of hppficant)