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Home My WebLink About5883-zFORM TOW'N OF $OUTHOLD BUr[,F)INC. DEPARTM~.NT Town Clerk's Office $outhold, N. Y. Certificate Of Occupancy No. Z6079. ...... Date ..............A..u~ .... .2.~. .... , 19 ..~.. THIS CERTIFIES that the building located at . .Se~th. VIew. 1)1'1~ ....... Street Map NoBz, mm. ILtll· Block No ...........Lot No .... 01~e~l; .... .!i :.~.,. .............. conforms substantially to the Application for Building Permit heretofore filed in t. hl, office dated ...........Apt. tX. · t~., 19.72 pursuant to which Building Permit No.... dated ......... l~ay...17 ...... , 1972., 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. aeees~a'y, bxtild~n~ .~th .an. adal.t;~Q~ ................... The certificate is issued to . Rob®l~l; &.E~I®I~. llelga~la .... .~.~er~. ................ (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval ll.,R, ............................... UNDERWRITERS CERTIFICATE No...N.:R.: ...................................... HOUSE NUMBER ....%~. ..... Street ... Smtth. Y~,ev. ~.r.~ .................... ' Building Inspector J FORM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N~ Y. BUILDING PERMIT fi.HiS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 5883 Z Date .~1~' ......... .e~ ................................ , 19.~F~.. Permission is hereby granted to: pursuant to application dated .................... &~...~ ................... 19~..., and approved by the Building Inspector. Fee $1'~'~(~ ............ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. NOTICE OF DISAPPROVAL File No .................................................................. Date ............................................................... 19.. PLEASE TAKE NOTICE that your application dated ~ ~ ~9~ ' i't const .~D~ -~OD~f) at th rml ....... i''''''''''I''''I''''"~'~''~'~ ........ ~: ~rm~ ~/C~i~. ..................................... e pe___._~ses oca~ec a~ .,...r .......................... ~ap .......................................... Block ......~..?..: ........................... Lot ...~....~....~...! .................... is returne~ he~'e~.an.d disapl~roved on the~ followin, ground~ ~ ~ ~'~ '"'w"~:'2"~ ....... '~0 ......... '"' '";~'"'"; ........ 2~'"":"~.'"'~ ........................................................................ '~' ......... .... ~..~.....!~.~.~...~.......~....,..o.: ........ .. ................................................................................ Building Inspector~ Examined l FOIr~M NO. 1 TOWN OF $OUTNOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N. Y. 19 ........ - ...... 1~ ........ Pemif No. Disapproved o/c ............................................................................................ Application No. ~.~ APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely 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. Plot 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 have 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 Southold, Suffolk 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, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. (Signature of applicant, or name, if a corporation) ..B.=o~na..I~ill.s.,...Orie[~,...~Y...ll.951 .... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. owner Name of owner of premises Robert and Ellen DeMaria 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.: .................... Lot No .............................................. Streetand Number South View Drive, Orient, NY Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occ..nanc,, residence . b. Intended use and occupancy tool shed NatUre of work (check which applicable): New Building ....................... Addition ...x.. ................ Alteration.........~. .... Repair ......................... Removal ......................... Demolition ........................ Other Work .................................... (Description) 4. Estimated Cost .......... ~.3:..5..0.,...,0..0.. .................... Fee ................................................................................................. (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 end extent of each type of u~e ..................................... 7. Dimensions of existing structures, if any: Front ..... 2~, ........... Rear ,.,;~,Q ................... Depth ..... ~,,3,,~ ........................ Height .,.1.2.~ .................................................. Number of Stories ........... o,,,n,,e, ........................................................... Dimensions of same structure with alterations or addltlons: Front ,,,.~,Q,'. ............... Rear ,,,,2.?. ................................ 21' 12' Depth ............................................. Height ......................................... Number of Storlea ........ .o.,n.,e. ......................... 8. Dlmenslong of entire new construction: Front 8 ......................... Rear ............................ Depth ................................. Height ........... {~.s. .................................. Number of $torleg ....... p.n,f~ ........................................................................... 9. Slzeof lot= Front ..... ................................. Rear .......................................... Depth .................................................. Height .................................................... Number of $torlel ...................................................................................... 10, Date of Purehe. ..................................... Name of Former Owner ..................................... ,,,,,.,,.,,,,,,,,,, .................. 11. Zone or 12, Do# prepaid construction vlol,t~ any aching law, ordinance or mguletlom ..... ,,,,,,,,,,,,,,,,.,,,,,,...,.,,,,.,,,. ....... ,,,, 13, Will lot be m~raded ...... ~t(~, ........................ Will exam fill be remowd from pmmla~1 [ I Yea [ ] No 14, Name of Owner of pmmlm ..... Name of Architect .................................................................. ~t~a~f~~..~i~i~1~`~`~ Name of Contractor ....... .......... ....... ...... . ........ . ....... 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