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Home My WebLink About5357-zFOI~M NO. 4 TOWN OF SOUTHOLD, BUILDING DEPARTMENT Town Clerk's Office ~ Southold, N. Y. Certificate Of Occupancy THIS CERTIFIES that the building located at . .l~. e~a.r~l. .l~$ye. ........... Street Map No.L~.e.~. aY.cl..A.~. Block No ........... Lot No.. ~3. ..... .~.o.B.~h.o.l.d, .... l~., .Y.o ...... conforms substantially to the Application for Building Permit heretofore filed in this office dated .......... Jurle...1.~.., 19..71 pursuant to which Building Permit No. ~3.~.~.. dated .......... June...t.~..., 19.71., was issued, anal conforms to all of the require- ments of the applicable provisions of the law. The occu~oancy for which this certificate is issued is .P.r.l..v.~.t.~., 9.~.~. f. ~?.i.]ry...d?.~. ~.l.i?.g .......... i ............................. The certificate is issued to ~illiam .A ,. P. faf.t ....... ~ner ........................ (oWner, lessee or tenant) of the aforesaid building. NOTE~(deck to be complete4 yet) Suffolk County Department of Health Approval 8.e.p$. ~..~97.],. ,]~y..IS.:..V.!ll.a ....... ... .'. ..... ........... Building Inspec/or FOI'~I NO. 2 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? 5357 Z Permission is hereby granted to: ...C.~l,~.~...c..~t~..¢,~,,~.¢~.~u...~'~P,...~/f[....~:Li.~.~ A, ?fart ...... .'.5~.~.....~.....~-,~,c.~,.~..~ ...... ~ .................. ........... ~e~,~e~ ....... ~,~. ...... ~,-I.78~.. .................. to ~U~L1 fk..ne.~,.. ,~.~'... 21~i ~ ~,: · · ¢~:~ ~., .;, i.s~ ~ ......................... i .......................................................... at premises located at .......... l,®.~...~ ....... .~e:~a~;*~..,~-c;~G~.-~ .......................................................... ............................................ Lae~a~.d...t';~5.~ ............. ~;za~o,l~ ................................................... pursuant to application doted ............................ Z'~,,~,t~ ....... Jl,.~,.,,,' ...... , 19,,~..~.., and approved by the Building Inspector. Fee $. ..1.. .0. , .~ .......... .... ,~.~j.~,.,, ~..~...~..../.. ,.'..,...~....: ............................. F ~ Building Inspe~or / S-9 S~HD SUFFOLK COUMTY DEPARTMENT O'F REALTR Date Bldg. Permit NO. '~-~'~ ~ ~/~ TO WHOM IT MAY CONCERN: The sewage disposal facilitiles ' (give deed lo~atio~) ~ for a structure located have been inspected by this department and found to be satisfactory. .O;~..$f o~f ~e~eral Engineering Services FOKM NO. 1 xom,nea ..... ~;/ ........................... , ...... 'I~WN OF SOUTHOLD BUILDING DEPARTMENT! TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Application No..(~.~..~,.~..~-.'..~ ........... Approved ........................................ , ........ Disapproved a/c .............. =._~ ............................................... ~.,,~ .............. 2, (Building Inspect~l'r) , APPLICATION FOR BUILDING PERMIT INSTRUCTIONS : a. This application must be completely filled in by typewriter or in i~k and submitted in duplicate to the Building Inspector. b. Plot plan showing location of lot and of buildings on premises, relationship to ad oining premises or public streets or areas, and giving a detailed description of layout of property must be drawn ~n the diagram which is p~rt of this application. c. The work covered by this application may not be commenced befor~ 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 progr~s of the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Ce~ificate of Occupancy shall have been granted by the Building Inspector. APPLI~TION IS HEREBY MADE to the Building Department for the i~suance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New Y~rk, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or fpr removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code and regulations. (Signature o{ appJic~nt, o~"nam~,'i~'~"~'~'/~'A'i ........ ~, . . , · , .................... ...... ........................ ........ ' (Address of a~plicant) 7 ..... State whether applicant is owner, lessee, agent, architect, engineer, general= contractor, electrician, plumber or builder. ................. ~.:~.c,<..4~. ............................................................................ ~ ......................................................... Name of owner o premises .~.~.:.r.,~..,.~...~. ............ ;.~./. ...................... : ......................................................................... if applicant .i~ a corpomtet~signature of du y)authorized off cer. ......... ~,:~:..-,~.~.~.~,~,.,~:~,~ .......... .~., ................ ~ ~ r? ~ ;~ (Name and title of corporate officer) 1. Location of land on which proposed work will be done. Map No; ........... Lot No.: Munici~lJ~ 2. State existing use and occupancy of premises and intended use and] occupancy of propos~ construction: a. Existing use and occupancy / / 3. Nature of work (check which applicable): New Building //' Addition Alteration Repair .................. Removal .................. Demolition .................. Other Work (Describe) ........................................ 4. Estimated Cost .............. ~ ........................................... rea .......................................................................................... (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 ........ ./.:t..~.~....,,¢,-Numbe~ of Stories ....... ~.. ........................................................................................................... 9. Size of lot: Front ...... ../..'~...?. ............ Rear ...... ./..~.../. ...................... Depth ..~.~..~:.. ....................... 10. Date of Purchase ........................................................ Name of Former Owner ...4~,~...~.../~..~.'.~.~::..~...~..~...~.i.~ .............. 11. Zone or use district in which premises are situated ..................................................................................................... ]2. Does proposed construction violate any zoning Iow ordinance or regulation? ...... ~./...o~.. .............................................. 13. Name of Owner of premises ..~./././.:.'~.'?'/...~,././~..~,~'.~'.. ........ Address /.~.~/.~..~b(.~..~...,';¢....~...~. ............ Phone No ................. ' .... ...................................................... -" ........ 6 ,{?..(/.. ..... Name of Architect Address ...~. ~....'..~...../¢..~. Phone No Name of Contractor .~Z~.q..~..~...~x~rk'.~:~..~£/4/~. ........ Address~..?.W.~...~.~-'.~.~.~/~...~.~.~..4'... Phone No. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions frorn property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. COUNTYT,~Y O~ OF ............... .f ~'~' (Name of individual signing application) ' ~Z~ above named. He is the ............................................................. ~..~.~ ............ i....~.~.'L.::.......~ ............ r / (~ntra~or,'~nt, corporate office~etc.) of said owner or owners, and is duly authorized to perform or ~ave performed the said work and to make and file this application; that all statements contained ia this application are true to,he best of his kn~ledge and belief; ~nd tha~ the work will be performed in the manner set forth in the application f~rewith~) Sworn to before me this ~/I ~A~y PUBLID, ~ate 01 New