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Home My WebLink About7463-zTO]~N OF SOUTHOLD BI~.r~l~qG DEPARTm~T Town Cl~rk', $ou~ld, N. Y. Certificete Of Occupency No..Z7921 ..... Date ..............~.ep.t.... ~...., 19..~.7 THIS CERTIFIES that the building located at ~t~..l~Qall..~.. I~p.c. B8~. AYe. Street Map No... xz ....... Block No..lac ......Lot No,cz... l~outhold .... Ig,~f., ........ conforms substanUally to the AppUcation for Building Permit heretofore fled in this office dated ............July...~0, 19. ~, pursuant to which Building Permit No..~..6j~Z..& others dated ..........Aug...? ...... , 19~.., 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. b.u.~ lkn.e.s.~..b.u.!ll~n~.. I~.e.e.~ ~.ol~..bt~p;i.n.q~..I~i[;LI! .hi..c.q~p;l,e.x ...... The certificate is issued to. i3.herSsm'l. ?fail...to. lJ,bet'tsola .I~at&... o~ners.... (owner, lessee or tenant) of the aforesaid building. Suffolk CoUnty Department of Health Approval p~P.-.~Xlls.~g ...................... UNDERWRITERS CERTIFICATE No.. p~..m!...~, g...{ .~..s..~ .e.n...~..sp.e.9.t.e.d.). ........ HOUSE NUMBEI~ .~63.~. ....... Street . .si, .B.,. :C,. D., .g." .... ~.l~oad.. ~cmthold - .~,~.,,. N. ~'. .............. ................ , · ~'~ ............ :"~ ......... :'~ ........... , '*'~"t' ~=" ~...~..~..~..L.Z ......... ~,~./~..~ ........ ~ "~ .............................. ................................ .......................... APPLI~TI~ ~ BUI~ING PE~IT ~e ' J~7 30 ~. This a~lication m~ ~ c~le~iy f i ~ n ~ ~w~ter oK in i~ a~ ~i~ in triplic~e ~ ~ Bui~i~ In~r, wi~ 3 ~ ~ p~, ~u~ ~ ~ ~ ~le, F~ ~i~ ~ ~u~. b. Plot plan shying I~ation 0f lot and of buildi~s ~ premix, mJation~ip to ~joining premiss or p~lic str~ areas, and givi~ a ~tail~ ~ripti~ of I~ut of~ must ~ drown on the di~mm which is ~ of ~is ~licati~. c. The work c~er~ ~ th~ a~licati~ ~ n~ ~ comme~ before issuance of Buildi~ Permit. d. U~ a~al of ~is a~lic~i~, ~e Buildi~ Ins~tor will issue a Building Permit to the ~licant. Such shall ~ k~t ~ t~ premi~ ~ail~le for i~ti~ theft ~e ~k. e. No buildi~ shall ~ ~cupi~ or ~ in whole or in pa~ for any pu~e whirr until a Ce~ific~ of l~u~n~ shall h~e ~en gmnt~ ~ ~e Buildi~ In~or. APPLI~TION IS HERE~Y ~DE to the ~ildi~ ~ment f~ ~e i~ua~e of a ~lldi~ Pe~it pu~nt a.m~; amnonz~ ~n~ ~ pmm~ ~d in ~1~1~ ~ n~a~ i~ti~s; ........ · ;~.; .................................................................................. (~g~tum of a~licont, or ~me, if a co~mti~) .....~...:~....~..o...a..d...~. Locust Lane Southold (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electric!an, plumber or builder. Owners Name of owner of orem ses ..A~_.bertson & l~X&e If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. own. er 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 Main Road & Locust Lane 8outhold /~icipali~ State existing use and occupancy of premises and intended use and occupancy of preposed construction: ~,~.~.9.~p. tln~ buildin s -converted to business a. Exisiting use and occupancy ..................................... ~. ................................................................... b. Intended use and occupancy s.a. me with replaced accessory (business) building ~yo ~ ......................... Nature of work (check which applicable): New Building-...~ ...... Addition .................. Alter~ion ...: ............. .. relocate & reb~i~ . Repair .................. Removal Demoht,o~. .................... Other Work ............................................. .................. eXlS~lZi~.~D~La~ g · 4. Estimated Cost ~ ........................................................... Fee ..~..e....O~.. ............................................................................ (to be paid on filing this application) 5. If dwelling, number of dwelling unitS ...... (~ .................... Number of dwelling units on each floo~r ............................ 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 .................................... Rear ............................ Depth ........................ Height .................... Number of Stories ...................................................................................................................... 9. Size of lot: Front ........................................................ Rear .......................................... Depth ................................ 10. Date of Purchase ........................................................ Name of Former Owner ....................................................... 1 1. Zone or use district in which premises are situated ...... ."..~..-..1.~ ................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ......... ~.~ .......................................... 13. Will lot be regraded .., .......... ~.e.~l ....... Will excess fill be removed from premises: (X) Yes ( ) No 14. Name of Owner of premises .~L~.13~,1:~.~.~033..-.~'1~ ..............Address ...~.~.ll,~,~D~,,~ .......... Phone No.'~.(~.~.~.~..~..U..U.... Name Of Architect .............................................................. Address ................................ .Phone No..... ................... Name of Contractor ............................................................ Address ................................ Phone No ....................... PLOT DIAGRAM Locate clearly and distinctly oil 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 whether interior or corner lot. STATE OF NEW YORK, COUNTY OF ..:..~t.Cf.~lk. ......... ................................................................................................. being duly sworn, deposes and says that he is the applicant (Name of individual signing contracf) above named. He is the ...................... .O~3,e.:~ ............................................................................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed {he said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and tha~ the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this .................. ..... ........................ Nota Pub,'c.. ................................................ .... ............ FORM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE*PI~EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 7463 Z Date ........................................ ~ .......... , 19~..~..... Permission is hereby granted to: ...... 5nuthol~ ...................................................... at premises located at ..... ..~...~....-..J~....~...~...~..&.J,~IU.~:I;,..L& ......... ,~OU. tJl.0~l. ............................. .............................. {g~l. mlJml...~ ~z~c~). ............................................................................ pursuant to application dated ........................... ~1~,~. ....... 3.Q ...... , 19.~...~..., and approved by the Building Insp~tor. Fee $..1~..D~ .......... .ran K~, A,W,AlbertsGu Scathold, Last Jvme ( June 1976) you were go~_~g to ge~ ¥~n~l to the Plar. nl~g ~a~d for review, To date I have not ~eee~ved ~a~eo nor h,$ the Plannil~oaz~ received any ~o~ Th~ Pl~mlng ,~oard ~ust review and approve the plot plan before I can leaue a ee~tif~ea~e of ~ce~rane,V for the ~re~s~e ~ill you please take oare of this imaediatelys es we ean clear th~s matter up. ZoGr8 t~uly ~xilding Inspector P S JOHN WlCKHAM. Chairm~ FRANK S. COYLE HENRY E. RAYNOR, Jr. FREDERICK E. GORDON JAMES WALL $outhold, N.Y. 11971 September 6, 1977 Mr. Albert W. Albertson Colonial Corners Southold, New York 11971 Dear Mr. Albertson: An inspection has been made of Colonial Corners and it was noted by the Board that the parking seems inadequate. Yours truly, TELEPHONE 765- 1938 Copy to Building Inspector Muriel Brush, Secretary Southold Town Planning Board AT' ,,.~OUTNDL D,