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Home My WebLink About6087-zFOP-M NO. 4 TOWN OF SOUTHOLD BUTf.I)ING DEPARTMENT Town Clerk's Office $outhold, N. Y. Certificate Of Occupancy THIS CERTIFIES that the building located at .R..°~. k.Y...P.o..t~.t...R.o.a.d. ........ Street Map No..x.x. ......... Block No. ~ ........ Lot No...:F.X~;..Ea.s.l; .1~.{,0~1 ............ conforms substantially to the Application for Building Permit heretofore fried in this office dated ..... ... .......A. Ug...2.9., 19.7.2.. pursuant to which Building Permit No. 6..0.87.Z... dated ....... ~t~g.. ~. ....... , 19.7.2.., 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 Private one rabidly dwelling vith addition The certificate is issued to .~..e..~..e.1.. L.a..z.a..r.o.s.....&..0~..s....0~..e.l*. ..... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval N,R, UNDERWRITERS CERTIFICATE No... P.e..n~..~.nil ................................. HOUSE NUMBER .... .2.7.~0 .....Street ...R.o..c.ky..?p.i.n.t...Rp.a.d. ....... .E.a.s.t...lVi.a.r. 2..o.n FO~ 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) No. 6087 Z Permission is hereby granted to: .~l~t..l~t,~,es .......................................... ......... ~.~..Na~,~:~ ............................................ to .~l~..~.~dd~t~a.~..ex~at ~.. ~al.t~ .............................................................. at premises located at ...~,~..~...I~3;~D.~;..~I~ ........................................................................ ................................................... .~,~U ~..:l~rSeAt ....... 11,,~;o ............................................................... pursuant to application dated .......................~,llJ.....~t]l ............... , 19~..., and approved by the Building Inspector. Fee $.~.~.a.(~ ............ Building Inspector ~A$'T MAI"~ ~. ON TOV~N OF ~O~JTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE ............. ~r~d .................... ~ .......... ~ ....... , 1~ ........ Pemit No. ~..~.~...J. ................... ~i~ro~ed ~/c ........................................... ~.~ ...... Date ' ~ ........ ............. INSTRUCTIONS ~ a. This application must be completely filled in by typewriter or in ink and submitted in triplicete to the Building Inspector, wit~ 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premise~ or public streets or areas, and giving a detailed description of layout of property must be drawn on diagram which is part of this application. ¢. The work ~overed by this application may not be commenced before issuance of Building Permit. d. Upon approval of this applicetion, the Building Inspector will issue a Building Permit to the applicant. Such permit shell be kept o'~ the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificete of Occupancy shall have beeJ~, granted by the Building Inspector. q APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction c~ buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws(~ ordinances, building code, housing code, and regulations~ and to admit authorized inspectors on premises and in buildings for necessary inspections.~ U State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder~ If a~plicant is a corporate, dgnature of duly authorized officer. (Name and title of corporate officer) (~ 1. Location of land on which proposed ~vork wilLbe done. Map No.: .................... Lot No .............................................. Street and Number ......... ,,,~,,,~.... ,,,~,,~..,,,~,,,~:~., ........................ ~,, .~.~~ / Murflcipality 2. State existing use and occupancy of premi.~.~and..~x.. _~ ~intended use a~oc~ ~cu~pLn/c~ _o~ =pTposed construction:__ a. Existing useand occupancy .......... ,,,:C,~'~.,........ ......... ,....,,~Z ................................ b. ,ntended use and occupancy .......... ,~.~......~.~~'~ ....~/~.~..~" ' ' .............. ~ 3. Na[ure of work (check which applicable): New Building ....................... Addition ........... Alterat~on.....;.~ ....... Repair ......................... Removal ......................... Demolition ........................ Other Work .................................... (Description) 4. Estimated Cost ...... ..~.....~./...~....¢~.. ..................... Fee .......... ..2~.../..~..,.....~.... ..................................................................... (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 ........... ~ ..................... Rear ...... ~.....~...'7....~.. ...... Depth .............. ~. ............ 7. Dimensions of existing structures, if any: Front ................ ..... Height ................. . .~...-./...~....~ ........................... Number of Stories ............... ..~...~.~. .................................................. Dimensions of same structure with alterations or additions: Front .....~...~..T~..~./.... Rear ......... ~..~..~..~.. ................ Depth .................. .~..~..~..~...~.f. ......... Height ............. ~...'...&~.. ................. Number of Stories ............~.....~....~.. ................. ~ . . ....... 8. Dimensions of entire new construction: Front ......................... Rear .......... ./.~....'~. ..... Depth Height ............... ..~....-./...~..~. .................. Number of Stories ..........,.....~...~..~... ............................................................... 9. Size of lot: Front ...... ./..' ............................ Rear ................. ~ ...... .~.. .......... Depth ............ ~..../...~.....~..~..../~....~..~ Height ........................... ~ ................... Number of Stories ................... ~ .............................................................. 10. Date of Purchase ...... ~...~.~....../.,~....~'~... Name of Former Owner ....... ~..~...~....~.~.....a~.~--,,~'~. ..................... 11. Zone or use district in which premises are situated ..................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: .............. ..~'...~.. ...................................... 13. Will lot be regraded .... ...~...4~.. ................... Will excess fill be removed from premises: [ ] Yes [ ] No~.~,,~ 14. Name of Owner of premises Z~.~'~...~¢~".~.........~......~...~..~'.~...'..~....~..'....~......~.-~..~. .~.~'.~.X~/~...:...~..,~'...?..~,,~..~.,~7~/ (Phone moJ (Address) Name of Architect ..................................................................................................................................................... (Address) (Phone No.) Name of Contractor ................................................................................................................................................... (Address) (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 block number or description according to deed, and show street names and indicate wheth- er interior or corner lot. STATE OF NEJ~,,,~RK.t.~,~,,.~, J)/,~ ) SS COUNTY OF )~...~....v..~ .~j_~__..,~ ........... ) / [Name of indiv~ ~i~ con~acJJ H~isth~ .............................. ............. ..................................................................................................................................... [Contractor, agent, coyote officer, etc.] of said owner or owners, and is duly authorized to ~rform or have ~rformed the said work and to make and file this appli~tion; that all statements contained in this application are true to t~ ~st of his knowled~ and belief; and that the work will ~ ~ormed in the ~nner set fo~h in the application filed therewith. ~, ~ ..........~ ~ t.~ ........ ~~2 ......... ~'~'~"~ m ~u~' ~ ..... .......................