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Home My WebLink About6599-zFORM NO. 4 TOWN OF SOUTHOLD BUII.I~ING DEPAItTMI~IT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy/ No..Z53.7.6. ...... Date ........... A~g.~s.~. $k~ ..... , 1973.. THIS CERTIFIES that the building locat~ at . Ced. ar. Pt ~ · D.~,ive. East. · · street Map No. Cadar. BeachBlock No. XX ....... Lot. No./79 .............................. Park conforms substantiail¥ to the Application for Building Permit heretofore fried/n this office dated .......... l~iay. 2.3~. ., 19 7-3 · pursuant to which Building Permit No. 6.599Z.. dated .......... F~y. 2-3., ....., 19.7.3., 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.r. iv~te, a~oesso~y, buitd.in~ The certificate is issued to ...P. ete.r..E¢c~ .......................................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .................................... UNDERWRITERS CERTIFICATE No ............................................. HOUSE NUMBER ..... 96.~ ...... Street ....C.e.~a~. P.o.i~.t..D.~l.v.e..~.~ ............ .............................................. 8.o.~thgl.d, ~ N.Y. ....... ~'~'U~'~i~' i~r~' ..... FORM NO. 2 TO~VN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, I~ Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 6599 Z Permission is hereby granted to: ]~,~&ztp...]?~f~:er.....~f.C...~t~em..]~o.Q ........... ................. ~l~tJ~oZL~ ........................................ to .... ,~.~.,e..... ~.r.~.v..~.e.....s..~.o.T.~.e... ~..~.,..z.~ ~...~ ~..e..e..t .s.,.s..o.r~... ~.Z.~.~..) .............................. at premises located at .... //,o.t,.....~9.....~.e,d~.a..~eae:]~..]~,Z']~ ........................................................... ........................................ ~ake..35~cte..~...(]e~a~..._P.¢..~...~ s ~ ......... g, otzt, lzo&& ....................... pursuant to application dated ................... ~,.~ ............ ~.~ ............ , 19...~.~, and approved by the Building Inspector. Fee $ .~1..0..~..0..0. ........... APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This agplication must be completely filled in by typewriter or in ink and submitted in triplicate to the Building Inspector, witl~" 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 ~n~ areas, giving a detailed description of layout of property mu~t be drawn on diagram which is per~ of this application. o. The wo~c 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 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 CertJfJc~ of C)c~upenoy thall have bca~ gs~nted by the Building Inspector. ' APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Butlding Zone Ordinance of the Town of ~outhold, SuffMk County, New York, and other applicable Laws, Ordinances or Ragutaflom, for the coe~truction of buildings, additions or alterations, o~' for removal or demolition, as herein described. The applicant agrees to comply with Iii ag~licable ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for ne~ee~aty inspections. (Signature of applicant, or name, if a corporation) State whether af~plicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder· ....q. ............................................................................. : .................................................................................... Neme of owner of premises .~...~....,~.....~....~....~......~.....'.....~.....~.....?., ........................................................................................... If applicant is a corporate, signature of duly authorized officer. ~ (Name and title of corporate officer) Builder's License No ......................................................... Plumber's License No ................................................. : ....... Electrician's License No ..................................................... Other Trade's License No ................................................... Locat on of lan on i 1. ' d which p[oposed wq[k will be done· Map Noi, ........................................ ,...LOt No ......................... Street end Number .~.~. ..... L.. ~.q~... c~" - "Municipality 2. State existing use and occupancy of premises and intended use and occul~ancy of proposed construction: a. g U aha occupancy ................ :..,t .............................. , ................................. ~,.., .................. ~, .................... b. ntanded use and occu nc ..~...~'..~...~./~....~'....~.... :.....~..~..~..~ .~.....~~ pa y ............. : ,::~...~r..::....~, ...... .................... ,~ ..... Nature of work (check which applicable): New Building ....................... Addition ..................... Alteration ............... Repair ......................... Removal ......................... Demolition ........................ Other Work~. .................................. (Description) c oo Estimeted Cost ............................. F,..Z ............................................................................................ (to be paid on filing this application) if dwelling, number of dwelling units .................Number of dwelling units on each floor ......................................... If garage, number of cars ......................................................................................... If business, commemial or mixed occurmncy, specif~/nature and extent of each type of use ..................................... Dimensions of existing structures, if any: Front ...~.. .............. Rear ..:...~.. ................. Del~th ..... ~.. ...................... Height ..~. ...................................................... r~umoer OT O[One$ ...... t.~;--~ ....... .~ -;~... ? Dimensions of same structure with alterations or a~ditions: Front ...... (...~:.. .............. Rear ....I.....-f=... ............................ nanth /. ~. / . Height ......~.. ........................ Number of Stories ..../. ................................... B. Dimensions of entire new construction: Front....~(...~,.. .............. Rear ...... J...~.. ............ Depth ..../. ............................ Height ........................ Number of Stories ......................................................................................... 9. Size of lot: Front ...................................... Rear .......................................... Depth .................................................. 10. Date of Purchase.. ................... ...... .... . ..... Name of Former Owner....... ......................................................... . ..... .... · · 11. Zone or use district in which premises are situated ................................................. 12. Does proposed construction violate any zon'ng law, oral'hence or regulation: ...~....O.. ................................................ 13. Will lot be re~raeed .......... .p..~..~,~,.~..Will,e~xcessf~Jl .bere~,rnoved from premises:~- ~.~ ~,c~ [] Yes [] No 14. Name of Owner of premises ~,,,,....,,/,, ................. ,,,; ...................................................................................................... (Address) (Phone No.) Name of Architect ...................................................................................................................... ~'~'~;i;' ............. (Address) Name of Contractor .......................................... , ......................................................................... (Address) i~;l~'~:i .............. PLOT DIAGRAM Locate clearly and distinctly all buiJding~, whether existing or proposed, and indicat~ all setPoack dimensions frem property lines. Give street and block number or description according to deed, and show street names and indicate wheth- er interior or corner lot. 7f STATE OF NEW YORI~.~.~/ ~ ) He is the ............................ .~_,,~..~.......~../~..... ~ ...................................................................................................................... (~ntmcmr, a~nt, coyote offi~r, etc.} of said owner or owners, and is duly authorized to ~rform or ha~ ~rfo~d the said work ~nd to make and file ~is appli~tion; ~at all statements contained in this application are true t~ t~ ~st of his knowled~ and ~lief; and that the work will ~ ~or~ in ~ ~r ~t forth in the application filed therewith. TERRI LEE ~ % ~y PUBLIC, State ~ York ....................... ~. d ay of .~- .... ~,, .~g:~).~a~(~. ................................. ~N~.z~.i.i~ -, ,~ --.I,,~:. , _ . , ,. ~t , ~ . ,; LOT NUMBER 7 -~'~ TOWN "OF SOUTHOLD ' - SUFF.~CO.~ N.~. .' 19~ I ~/~ .' ~"u'~' · ]' SEPT. gl, i963 ' ~ :'" .... ~'