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Home My WebLink About8221-zFO~ NO. 4 TOWN OF SOUTItOLD BUILDING DEPARTMENT Town Clerk's Office South&d, N. Y. Certificnte Of Occupnncy No.. ~,~6b~ ..... Date ............... F~/" · 6 ...... , 19.77. THIS CERTIFIES that the building located at ~/fl' '0ak~l~/~vA' Kff~ ......... Street Map No. ~ ......... Block No. , ~ ...... Lot No, ~ .... ~o~o~' ' '~ ~' .......... conforms substantially to the Application for Building Permit heretofore filed in this office dated ........... 0e~" ~' · , 197~. pursuant to which Building Permit No..82~,~. dated ............ ~t...$ ., 19~.~., was issued, and conforms to ~1 of the requ~e- ments of the applicable prowsions of the law. The occupancy for which this certificate is issued is . PPlva~e 'ae~eaao~' building' with' 'ga~ag~.'~ 'sle~i~g '~oo~ '~e The certificate is issued to ,. ~O~p~ 'Mil~i~h~ ~ '~e' '~ .... . ..... , ~ ......... [owner, lessee or ~en~t) of the aforesaid building. Suffolk County Department of Health Approval ~R., ................................ UNDERWRITERS CERTIFICATE No. ~ ........................................ HOUSE NUMBER .... ] 0~ ~ ..... Street.. '~I~' ~V8 ...... 80~0X~ ........... '"''~ ' Buii~ing~c~ ...... FOI~M ~0o ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE P~REMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 8321 Z Permission is hereby granted to: ~.o.~.~..~.~...¢...;.o..~..t. ~.e... ~$..Z..o.~ .L*.~ ................... ............ · ~ou~c~ld. ................................................ at premises located at ..... .O.~.~...~...AVe. ............................................................................................. ~ SOUthol¢t pursuant to application dated ........................... ..~..~. ......... .1 ........... 19.~..~..., and approved by the Building Inspector. Fee $ .."LQ.,~.(-.~. .......... TOWN OF SOUTHOLD Bulldlng Inspector's Office Town Clerk Building $outhold, N, Y. 765-2660 ORDER TO REMEDY VIOLATION ~Cw · - ~ ~ "- --* ....... v..:~ ............................................ , 19 ........ · o .................. ~ (ownS{ or outhorixed *~ent o~ ow~or) (address of owner or *uthor~zod o~ont o~ ownor) ~ PLEASE TAKE NOTICE there exists a violation of: ZoraingOrdinonce ~'xp~w~,4~ /O[Z Other Applicable Laws, Ordinances or Regulations at premises hereinafter described in tho in viol/arian of% .~..G~. .... (State section or p?agraph of opi law, ordinan6e YOU ARE THEREFORE DIRECTED AND ORDERED to co~ply with the~ law and to remedy the conditions above mentioned forthwith on or before the ~, ..~¢~....~.~....., day of ..... - ~,~ e premises to which this/ORDER TO P~MEDY VIOLATION refers are situated at ~~ .'~,Z.~.~...%,~.ff,,~,~....'Cou ty of Suffolk, New York. Failure to remedy the conditions aforesaid and to comply with the applicable provisions of Iow ,, may constitute an offense punishable by fine or imprisonment or both. I~uitding Inspector oi~,. ~~~/~ ............................................ ~~.~ AP~ BUI~G ~ ~ .............. . & b. Plot pl~ ~ing ~mion. of lot end of ~ildingm ~ premis~, mlation~ip to ~loini~ pm~m ~ ~l~ ~ oa ~ or~s, ~ givi~ a ~oil~ d~npti~ of I~ ofp~ mu~ ~ drown ~ t~ dingmm wh~ is ~ of ~ ~l~at~. ~ 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 wifl issue a Building Permit to the applicant. SUCh permit shall be kept on the premises available for lmt~ction throughout the work. e. No building shall be occupied or used in whole or in part for any purple whateve~ unJil a Certificate of Oocupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Departrnont for the issuance of a Buildir~ Permit Imrmant to the Building Zone Ordtnm~e of the Town of Southold, Suffolk Cou?.ty, New York, and other al~icable ~ ~ or Regulatiom, for the cat,ruction of buildings, addltlOns~or alterahons, or for removal or demolition, m ~in described. The applicant agrees to comply with all applicable laws, ordinances, building code, housln~ code, and re~,llal~, and to admit authorized ir~pecto~ on premises and in bullding~ for necessary In--lone. ' ~ , , 0 o · &~..-~- .......................................... X,~gnah~e of al~plicant, or ~.~me, i{ a ¢o~omtlon) ......... (Address of applican~) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ...................... ~.~..~...e..~.~ .~'~ .......... .; ....................................................................................... : ............ Name of owner of premises ....~.~[k..'.~.~.~J~..~..[~J. ................... ; ......................................................................... 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 Trc~e's License No ............................................... Location of land on which prop~o~:l.~ work will be da~. e.. Mgp No.: ............ :1~[.~..l~at No .......... .~. ............ St. ree, and Number .......... State existing use and occupancy of premises and intended use and occupancy of propor~ construction: O. Exisiting use and occupancy ........ ~II~S..t~...~ ................................................ J ............................................. occupanc, ......... ........... , ......... ,.,,.,.,,. ....... , ......... b. Intended use and Nature of work (check which applicable): New Bu ding.. ................. Addition .................. Alteration ..~.. ........... Repair .................. Removal .................. Dem61iti~,. ................. Other Work ................................................ . .... Estimated Cost ...... ...~......~.~:~ .~. ............... ~i~ .i' f0 ~ (Description) (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, commercial or mixed occupancy, specify nature and extent of each type of use ............................ Dimensions of e~iSting structures, if any: Front ...... ....'.~.~. .......... Rear ,......~l~J.k. ................. Depth ...~...". ........ Height ....... ~.o. ........... Number of Stories .......... .~ ............................. ~ ........................................... ~ ......................... Dimensions of same structure with alterations or additions: Front ii "~. Ree;'~...~..~. '. Depth ......... .~ ................. Height ...... ~ ................ Number of Sj~orie~ .......~..~.. ................... Dimensions of entire new construction: Front ............... ' ..................... Rear ............................ DePth ........................ Height .................... Number of ~Stories ...................... /. ...................... '~....~. .................................................. ! ........... Size of lot: Front ................ %.q~Q ................................ ./Rear ............. J4~.-~. .................... Depth ....... ~...~..~'. Date of Purchase .............-- --~J/k.-lJ..'Z.:~ ...................... ./Name of Forme¢t, Owner~:~.....~.~......~.j~,~.~ .~..l,--'~ ........... / -- 1 1. Zone or use district in which premises are situated ....... ..~. ..................... i2. Does proposed construction.~violate any zoning law, ordinbnce or 13. Wi at be regraded .......... .~...Q ........... Wi I excess fill be 14. Name of Owner of premises .~CJ~.~..~.~J~-k~..g'~'~.~..~ ....... Name of Architect .............................................................. Address ...... Name of Contractor ............................................................ Address PLOT DIAGP~M ( )No Phone No ......... Phone No Lo~Ote clearly and distinctly all buildings, whether existing or proposed, and indicate all set-Jx]ck dimensions from property hnes. 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, ~ c c / COUNTY OF ...... ~jj~j(~ ........ f'~'; · ...-;::~i ..................... ~llllll,J~llJ..J~/~llJ~ ........................ being duly sworn, deposes and says that he is the applicam (Name of individual signing'contracf) above named. ~e is the ........................... J'"'"('~l:~c~,"~'~'~,"~'~'~i~'~i ............................................................. " of said owner or owners, and is duly authorized to perform or hove performed the said work and to make and file this application; that all statements cc~tained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Swam to before me this .............. S~"' day of .-..eelJlm~ .................... , ~ ....... k~ .... ~. \~ ,~ ~,?,l). ~ / Notary Public, . ................................... J~l~lll~COunty .~..,,,~l..%~r~ ................ ./. ............... ANN NEVILLE PUBLIC, Sta~e o'f New Yo~k · 524~25850, Suffolk Cou~ Te~ ExpirJs M3irch 30. ?,6,