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Home My WebLink About7322-zlrOltM NO. ,I TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. ZT~.~.O... Date Oct 19 19. 76 THIS CERTIFIES that the building located at . .l~a~l .Bd. ~. $.t.e.r.l. $.n~ ..~.. Street Map No.. ;~X ........ Block No .... .x.x .... Lot No, . .x.~..x .... .C¥.t.e.h.o.g~. ?....N...Y.: ....... conforms substantially to the Application for Building Permit heretofore filed in this office dated ................. l~ar., :tg..7.~ pursuant to which Building Permit No... ~.~ dated ........... .A.l~r..~.~...~..~., 19..7..1~, 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 ...l~r. sery .witR .new. g~?..e .~t~.o.u.s.e. ..................................... The certificate is issued to . .WJ.~-~-~m. B....8..t.e.r.]:.J...ng. .... . .0v~n..e.r. ..................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . .N ~.R.. .............................. UNDERWRITERS CERTIFICATE No..N.: ~., ....................................... HOUSE NUMBER ...... 3.1.Q~.. Street Main Rd Cutchogue ......... B~t~c~i~g' h~spector / FO~M NO. ~ 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) 7322 Z Permission is hereby granted to: · ~..~'t~]:~.~g ..................................................... ............... ¢~t~hogue ........................................... to ..................................... erect (accessor .~........greenhouse ......................... [..Sf.t..X...1.0f.t~ ............................................. at premises located at ......... ]J/~..~il~l,.~l~&d,...~,...S...t..e..~,l.,i.l~.~....L...a. ................................................. ..................................................... g.uf, e. ho~ue ......... 1%,.¥.,. .................................................................. pursuant to application dated .................... J~IZ~....,:J2, ................ , 1~....., and approved by the Building InspectOr. INSTRUCTIONS .~ a. This application must be completely filled in by t~Aoewriter ~ in ink and subm tted in triplicate, to the Bu Ic~i~l~ Inspector, with 3 set~ 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 pub c streets areas, and giving a detailed description of layout ofpraflerty must be drawn on the 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 Inspectoi' will ssue a Bud ng Permit to the annlJcant Such rm~ shall be kept on the premises available for inspection throughout the work. .-r · "' i~' e. No building shall be occupi..ec~, or used in whole or in pa rt for any purpose whatever until a Certificate of OCCUl~ ~ shall have been granted by the Budding Inspector. APPLICATION IS HEREBY MADE to the Building Department for the ssuance of a Bu Iding Perm t pursuant to i~uildln.g' Zon,e O~inance of ~he T, .o~vn..o.f. Sout~.l.d., Suffolk Cou.n. ty, New York, and other applicable Laws, Ordi~ .,.egu ati.o, ns, ?r the construct,.on O~ ou~aings, additions or alterations, or for removal or demolition, as herein descrlE ~ne applicant agrees to comp,y with a. applicable laws, ordinances, building c.ode, housing code, and regulations, and admit authorized inspectors on premises and in buikiings for necessmy ir",,pact~ons. ~,~ C'c~ ~ ~ / ........ iS,gnoture ~"~'~i'icant, or name,,j~'a¥~'~j~ ........ ............................ State whether applicant is owner, le.~q~e, agent, amhitect, engineer, g~neral contrector, el~:tricion, plumber or builder. Name of OWner of premises ....... ¥~Z,1..~,a~.:..e,.~l~l,~l~ ................. '..d ......... !. ............................................... 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 ............................................... Location of land on which proposed work will be done. Map No.: ........................................ Lot No ......................... Street and Number ..... ~,l[~l~.~liB~,~l~..~411~.~t.#ll~llt.~lt..~ ......................................... Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy "~lllll~lllll~ .......................................................................................................... b. Intended 3. Nature of work (check which applicable): New Building ..~ .............. Addition .................. Alte~atiC~ .................. Repairr. ................. Removal .................. Demolition .................... Other Work ...................................................... (Description) 4. Estimated Cost ........... .~.~.p.~)~. ............................... 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 ....... .8..~ .............. 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 ....... 'IQ~....~.". ............ Rear ........ ~,n~. .......... Depth ..... 8.!....~!! ..... Height ........ .~.!.fi~i~lumber of Stories ............... ~, ........................................................................................... I 9. Size of lot: Front .......... .],.~.! ..................................... Rear ....{~,~.q ............................. Depth ...~.~ ................... 10. Date of Purchase ..... .3'..~.]:.~.....]:.,.]...~.~..~. ........................ Name of Former Owner ,l~..~.~...9..l'.....~.~,~....~.~....~..~..e.~././~g 11. Zone or use district in which premises are situated ....~.u....~.~l~..e..5...~. ............................................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation: ...P,P ................................................. 13.~ Will lot be regraded ....~..O. ..................... Will excess fill be removed from premises: ( ) Yes ( ) No 14. Name of Owner of premises .~..~...~.~..~.~.....~..s...~...~..e...~.~.fl....~.& ..... Address .~.U,.'9.9..~.9~.~. ...... Phone No..'Z.~.~..-..~..'~.~... Name of Architect · Address ................................ Phone No ....................... Name of Contractor ............................................................ Address ................................ Phone No ....................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-bock dimensions from property lines. Give street and block number or description ac~rc~rding to deed, and show street names and indicate r whether interior or comer lot. COUNTY O~.... f~''~ ................................................................................................. being duly sworn, deposes and says that he is the applicant (Name of individual signing contracf) above named. He is the ............................................................................................................................................................................. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly'authorized to perform or have performed the said work and to make and file this application; that ail statements contained in this application are true to the be~t 6f his knowledge and belief; and that'the work will be performed in the manner set forth in the application filed therewith. Swam to, Azef~Ee me this ~, ......... ............ ....... , - ,o Nota ....... ........................... ('/ - JUDITH T. BOKEN (Signature of applica~' Nataty Public, State of New Yo¢~ iN~ 5~-0344963 Suffolk County.,,~