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Home My WebLink About7622-zTOWN OF SOUTHOLD BU~.DING DEPARTla~'T Town Clerk's Ol~ice $outhold, N. Y. Certificete Of Occupency No. z636~. ..... Date .............. ~aP ..... lk..., 19. ~.~ THIS CERTIFIES that the building located at ~ast. Nil1. ltnad ........... Street Map No.~ .......... Block No...:~ ...... Lot No.. ~1~... ]~l~t;L~4ck,..N. ,.Y... ....... conforms substantially to the Application for Building Permit heretofore fried in thi~ office dated ......... Nov.. · 0 .... , 19.~4. pursuant to which Building Permit No..7622Z · dated ......... Now.../~ ..... , 19.7~., was issued, and conforms to all o! the requiz~ ments of the applicable previsions of the law. The occupancy for which thi~ certificate is issued is . .Pr£vate..one. f~mi~ .dwalling. with. an. &ddttian ................. The certificate is issued to Hemr~..Drum ....... ?wrier ............................. (owner, lessee or tenant ) of the aforesaid building. Suffolk County Depa~-Lment of Health Approval ...N41/, ............................ UNDERWEITEES CERTIFICATE No. p.q.n.d:}.p,..~ .................................... HOUSE NUMBER. 261 ~; ........ Street .E&at .~4LL1 .Road ........................ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL cOMPLETION OF THE WORK AUTHORIZED) N? 7622 Z Date ....................... ~.~ ....... 6. ............... , 19..~.~.. Permission is hereby granted to: J.,... r~.~a~lc~.~fi .....~Zu..].~.~r~'~..~.~ ............ ................. ~ ~.ti.t.~ek ......................................... to .~.~.$.,~...~¢~..,~.¢l ftl~,'Lcm...~n ..~:~ ~,~ .~; ~,..ch~t tzLn~ ...................................................... ~ ......... at premises located at ....J~..~'.L1-~L..~,..J~.O-~L~.on..~,d-..~ ...................... ] ....................................... ........................................... ~e,:~.~.~, .%.~k.....~ .,.~., ................. .. .............................................................. pursuant to application dated ...................... t'~.Q~'.~ ....... ~. ............... 19.~..~ .... and approved by the Building Inspector. Fee' ~[ ~...ClO. ............. APPLICATION FOR BUILDING PERMIT Date Nov. 6 19....7..~......~ IN$i KUCTIONS a. This application must be completely fi led in by typewriter or, in ink and submitted in triplicate to the Building~ Inspector, with 3 sets of plans, accurate plat plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relotionsh p to adjoining premises or public streets areas, and giving a detailed deSCription of layout ofproparty must be drawn on the diagram which is part of this application. c. The work covered by this application may nat be commenced before issuance of Building Permit. d. Upon approval of this application, t~e Building Inspector will issue a Building Permit to the applicant. Such permit shall be kept on the premises availaMe 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. ~ .A,~PLI ~CATIO~N .IS HEREB. Y MADE to the Bud ng Department for the issuance of a Buildi~, ou,alng Lone ura,nance at the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of build ngs, add tons or alterations, or for removal or. demolition, as herei.n described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing cede, end regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. Joseph Deerkoski (Signature of applicant, or name, if a corporation) Mattituck (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. builder Name of owner of premises ......H..e...n..r.y ..D. rumm 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 ............................................... 1 Location of land on which proposed work will be done. Map No.: · - ....................................... Lot No. Street and Number ........ ~)~.¢t~g.~..~Q.~~.~,~,. I'Y)4~ .......... ~.4~.~;i,..~..'o..~.~.~ .{,NcTL~. ................. ~d ]~ns~ ........... Municipali~ 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy .....D'~.~.~.~.~.~..g ........................................................................................................... b. Intended use and occupancy ........ S~......~[~,.t;.]p,...~[i,~...~l,~...~.io[t 3. Nature of work (check which applicable): New Building.. ................. Addition ...... ~ ..... Alteration ................. Repair .................. Removal .................. DemOlition .................... Other Work ................................................ . .... (Description) 4. Estimated Cost ................... ..Lt:.,~...O..O...'1' ..................... ;.Fee ..1t..~'......0..0...; .......................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ..O..~..e. ..................... 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 ................................ B. Dimensions of entire new construction: Front ........... 20 ..................... Rear ......... ~.~. .............. Depth ....1...2..-...6..+.. ........ Height .................... Number of Stories . .: ........ g~,e ................................................................................................. 9. Size of .lot: Fro? ........................................................ Rear ....................................... 7~Deptl~x .............................. 10. Date Of Purchase ........................................................ Name of Former OWner ..... ...~.~......~~i... 11. Zon.e or use district in which premises are situated ...... ~A~...~.~..~..t. ....................................................................... ~ .... 12. Does proposed.construction violate any zoning law, ordinance or regulation: ~ ................................................... 13. Will lot be regraded ..;;~Q ................... Will excess fill be removed from premises: ( ) Yes ( ) No 14. Name of OWner of premises ..~3~3;1~.~..13~.~mm ........ ; ............. Address .....~.1;;.~./. ............... Phone No ....................... · Na~e of Architect. ......... ~ ................................................... Address ................................ Phone No ....................... ' Name of Contractor ,..~T.e.s;....~).e.e~;g.~.. ....................... Address ........ ..~.....~...? ............. Phone No ....................... PLOT DIAGRAM Locate cleorly and distinctly all buildings, whether existing or proposed, and indicate all set-b~ck dimensions from property lines. Give street and block number or description according to deed, ond show street names ond indicote whether interior or cornel' lot. ~1I~. ~F- '~°~ (~,,~ I STATE OF NEW y_O~l,~ .. ~ ~ ¢ c COUN~ OF ....... ~-~.~...~....~ ~'~ ' Jos Deer~oski -- ................................................................... ~ ............................. ~e n~ duly sworn, d~oses and soys t~t he is the .(N~me of i~ividual signing contrac~ above He is the .' ...... '. ................. .~.~.~ ......................... ~.....~ ................................................................................................... (Contractor, age,t, co,orate officer, etc.) of soid owner or owners, and is duly aut~rized to perform o~ h~e performed the said wor~ and to ~ke ~nd file this application; t~t all statements contained in this application are true to the best of his knowledge and belief; end tha~ the work will be performed in the manner set fo~h in the application filed therewith. Sworn to before me this 6 =yo~ Nov ~ ~ ~ JUDITH T. BOKEN o~ Public, Slole of New ' ~2-03~4963 Su[Fo]k Commi~ion ~xplres March 30,