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Home My WebLink About6797-zFORM NO, 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Town Clerk's Ollice Southold, N. Y. Cerlificnte Of Occupnncy No.~..~.~.8.1., ...... Date 0et 18 19 73 THIS CERTIFIES that the building located at .g.l.e.a.?¥;i..e.w.. (...B.r.q .i.t.s.t..a.d.t. ~reet Map No...~.m..i.t! .ff..i9.1~I~ No ........... Lot No. l.O. ....... .S.o.u..t.h.o.l.d....N. ;.Y; ....... conforms substantially to_the Application for Building Permit heretofore filed in this office dated .....Aug...~.t,. ...... 73, 19 ....pursuant to which Buil&ng Permit No.b79.7.Z... ~ay .31~ 1972 dated ....AlZg. :].~...19~3 ..., 19 .... , was issued, and conforms to ali of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is The certificate is issued to Richard Pilles Owner (owner, lessee or tenant) of the aforesaid building. '- Suffolk County Department of Health Approval N oR · HOUSE NU~BER. ?.~. .......... Street..¥.r.e.~.t. ?.t.~.d.t. ............................ 100~ Cloarview Ave 5914Z Deck addition 6797Z ?ool & fence TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PP, EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 6797 Z Permission is hereby granted to: l~.Ev&ns Co~'p JL/C Itichard to erect ney ~.ri~ate ~m:l~g pool & fence ere at premises located at LOt 10 8m'-tlxf~.e].d Paz, k B~e~tetadt Ct $outhol~ pursuant to application dated ........................... ~l),& ......... J.~ ....... , 19...[/-~, and approved by the Building Inspector. ....... :... ,,' Budding Inspector / Approved ........................................ , ~OEM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. 19..~..?.. 19..~..?.. Pemit No....~...?..~.:..?...:~ .... Disapproved o/c ............................................................................................ ................. ................................. APPLICATION FOR BUILDING PERMIT o ~ Dote .......... &~.&:~.#.~,...l:~ ................ , 19..2..~ ..... ,, t-, o,,J , &~dl~l~iieation mustZ~bie0~trfCf~tely .'f'fl~ed rat Bye typ~vi4-i.ter ~o~, irO~k Ja~¢~bt~itted.~n ~i~l~caf¢ to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b,(~?~ L~howing Io~ti~l~aP, fol~t ani:~;f t~u~l~r/gs ~ep,~remi~es ,~r[atioo.sAi~ t~ ad einin~ orP~mises or public streets or areas, and g~wng a detaded description of layout of property must be drawn ~ dmgram w~i~:~h ~s part of tfhs apphcatton. 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 er 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. (.~na~,ure,,o_f applio~iht, or name, ifa co~poraY, on) /'., t jO Yeteraus ~emro~al i~v ....... ~.e.~.~.~.~.,....Ke~...:/.o.r.~ ....................... : .......... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ....... ~.[ht~:~i...l~1.11.aa ....................................................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .......................................................... Plumber's License No ......................................................... E ectrmmn s L cense No .......................................... Other Trade's License No ................................................... 1. Location of land on which proposed work will be done. Map ~'~ ~Smi Lt~ l' ~ e] ~ ~ar~ ~ l: Street and Number LIreitst~d~ Coux' t, ~o~t, uol., · ~ u! f (~ Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: b. Intended use and occupancy ......... ~.~.;.~.,~.,e....~,~./..l..~....~.~...~..~..I..~.~,~.A..l{.°..°..~. ........................................................ Nature of work (check which applicable): New Building ...... ,z .............. Addition ..................... Alteration....,....; ..... Repair ......................... Removal ......................... Demolition ........................ Other Work .............................. ~ .... (Description) .~/ 4. Estimated Cost .......I~, ,5.0~. ......................... 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 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 ..J,~..J;..~6 ...... Rear ............................ Depth ........ ~.-,.7.:~ ................ Height ............................. Number of Stories ......................................................................................... 9. Size of 'l';'~i"'~'~;~'ii....-]'.-~. ........................ Rear .......... .I,.~,..O. ......................... Depth ......... .8..~....(..J:.r...~.,e.~ ~. ................. 10. Date of Purchase ..................................... Name of Former Owner ............................................................................ 11. Zone or use district in which premises are situated ..................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: .......... .n..? .............................................. 13. Will lot be regraded .................................. Will excess fill be removed from premises: ~] Yes [ ] No Richard i es Brietstadt Court. Southold .~6~-10~.~ 14. Name of Owner of premises ........................ .~....1,.~......~ ........................................................................................ (Address) (Phone No.) Name of Architect ~.~'~;~'Y.~.~..~.~.~L~.~.T.~`~.~f.~'''~'~''~''~*~9'~~. .............. .J..[J.~"-'~.~'~'"" (Address) (Phone No.) Name of Contractor .I~I~,e,.~...J~.~.e. IL.,EIZIII...CI0.T.I~.~...~P~5.Q..~a~..~..~O~[~ ............... ~1][[.~.-..~.~,~.. .... (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 NEW YORK, ) COUNTY OF ................ S.~.~ ........... ) PL£AS~ ~"~' '" F .... ~_,~ ~.~.~?i ,"CF, LiP SESAME CONS[RUCTI ~)N SERVICES INC. ............................. ~,[1.].j.~ll..~_.~.~.~1~.$, ................................ being duly sworn, deposes and says that he is the applicant above named. {Name of indil,idual sign b~g con tract) He is the ......................................................... ' : ....b.,l~,.~:.~:~.~'. ...................................................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to ~rform or have performed the said work and to make and file this application; that all :;tatements contained in this application are true to the best of his knowledge and belief; and that the work will be ~rformed in the manner set forth in the application filed therewith. CAROL CARROLL ...........~..~ ........... dayo ~/f ,~ ..................................... ~0TARYPU~LIC, Stae~ ~,,,~,.....'~ .... Notar~ P~....t...~.~.~6~i~iuw[~.~td~ ~nt~ .... ~/..~ ........ ~...~..::~[~ ................................ .... ~ ~ ~' (~ature of apphcant~ 1,5'0.0 ...................... RFN.$$ELAER O. TERRY, 'Ir.- .... AI'fORREY · AT - LaVE ~OU~OLI~ Il, v. 7';,rZ, ,A. 07- /~-.., .... ,'..: 4. -" ~.' /]-'"' .'/: / .( . Wax,; ; 'l