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Home My WebLink About5808-zNO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupnncy THIS CERTIFIES that the building located at , .~...s.e.t..W..a~/ .............. Street .--Map., No....9.0. ....... Block No....~. ...... Lot No ..... 1.6.1 .......................... --' ~onforms substantially to the Application for Building Permit heretofore filed in this office ments of the applicable provisions of the law. The occupancy for which this certificate is Private one f~mtly dwelling issued is .................. :. ~ ................................................... The certificate is issued to . .~.~.~.~.P..H;...P~.?.f.f.e.~. ................................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .................................... Pending UNDERWRITERS CERTIFICATE No ............................................. HOUSE NUMBER .. 3?0 Street Sunset Way $outhold Building Inspector I FO~M 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. 5808 Z Permission is hereby granted to: Philip P~f£e~TM ............... ~2~....O.u~a o.~ ..~.~. ............................ .................... II~t~, ........................................ ~o ..... ~A..~....a.~.t. kt.p...n....o..~....e.~.~.~..~.e...z..z.....t~. ........................................................... at premises located at .......... ~.~....~..6.~. ........ .~..~..~.~...~,e. ~.~.~...~....~.~t~ ................................................... ......................................... ~.....e.~..~.~. .............. a...o..u..~e~.~ ....... ~.,.~.,. .......................................... pursuant to application dated ...................... ,A.~,?..~..]:.....~.~.. ........... , 19.,,~..., and approved by the Building Inspector. ~ Building Inspector Examined ...... ~..../....~.. ...... , Approved t ~ '~ TOWN OF SOUTHOLD /~.~' BUILDING DEPARTMENT ~/~*_ SOUTHOLD, N. Y. 7L-- 'to 19 ........ Pem N ..................................... Application No.....'~....~.......~..... ........... Disapproved a~ APPLICATION FOR BUILDING PERMIT Date ........ ~..~./.~......../~ ............. , 19.~ ..... INSTRUCTIONS a. This application must be ¢ompleteEy filled in by typewriter or in ink and submitted in triplicate to the Building Inspector, with_~ 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Pict 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 diagram which is part of this application. ~. 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 permit shall be kept on "< 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 Certificate of Occupancy shall havi been; granted by the Building Inspector. 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 ~outhold, Suffotk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinancaa, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necassarv inspections. State whether applicant is owner, lame, agent, architect, engineer, general contractor, electrician, plumber or builder. If apphcant is a corporate, signature of duly authorized officer. ~, 1. Location of land on which proposed work will be done. Map No.: ....~.~'~ .......... Lot No ......... /~. ............................. Street and Number .~',-~.....~.~.~.,~:'~........~...~...~.....~- ................... ~::~).~...~...~..~....L~.,..../~'...' .,Z'.... ................... / Municipality 2. State existing use and occupancy of prem,~cs and,intended use and occupancy of proposed construction: a. Existing use and occupancy ............ ..~....E~.../..~....~:..~.~. ....... 7~'"" ..................... b. Intended use and occupancy ............................................. ~...~...~. ........................................................ 3. Nature of work (check which applicable): New Building ....................... Addition ...~..... ........... Alteration ............... Repair ......................... Removal ......................... Demolition ........................ Other Work .................................... (Description) 4. Estimated Cost ..~....~..'..~..~. ....................... / ~:~o~- (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 usa ..................................... 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 ................................................. Number of Stories ......................................................................................... Rear ........ ~/~.~.. ......................... ~ Depth ....... /..~..~. ........... ~ ~ ..................... 9. Size of lot: Front .......~.~,.,..- .................... Height .................................................... Number of Stories ............~.. ...................................................................... 10. Date of Purchasa '~..~.(L/~.r./.~..~.~.~ ......Name of Former Owner ..... ~..~..-......~..~.../..J.~ ................................... 11. Zone or usa district in which premises are situated ..... ~.1[?.~../~...~,4~./.-~/.~.. ............................................................. 12. Does proposad construction violate any zoning law, ordinance or regulation: ...... ~..~.. ............................................... 13. Will lot be regraded ._ ~..C~ ........ ~. .......... Will excesa fill be removed from premises: [ ] Yes . 14. Named, Owner of premises .~:.~.: ........... '..~..~..~. .................... ~. ........ ~../r~..,v..~.'./~... ......... (Address) Name of Architect ..................................................................................................................................................... (Address) (Phons No.) Name of Contractor .................................................................................. (Address) (Phons No.) PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all mt-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 NEW Y~ .K/~ coUNTY OF .~ ............. ) He is the ................... ~ ................................................................................................................................................................. { Con~ctor, ~nt, coyote offi~r, etc.} of said own*r or own*rs, and is duly authoriz~ to ~orm or hays ~dor~d ths said work and ~o ~ks and fils this a~licationl that all sta~ments ~ntainad in this a9~limfion ars trus to t~ ~st of his knowlad~ and ~lisf; and ~at tbs work will ~ ~dor~ in Ihs ~n~r