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Home My WebLink About8874-ZNO. 4 TOWN OF SOUTHOLD BUH~ING DEPARTI~,NT Town Clerk'~ Office $outhold, N. ¥. Certificate Of Occupancy No..Z?£.~ ..... Date ............. AUg.. 2~ ...... , 197.7.. THIS CERTIFIES tha~ Map No.. ~ ....... Block No...~ .... Lot No.. ~ .... 1J~.~gg~...~..~ ...... co,ores substanti~y ~ ~e Applica~on for Bulldog Permit heretofore ffl~ ~ ~ office dated .......... ~ep~..20 .... , 1~6.. p~su~t to whi~ B~d~g Pe~t No..[~.~. dated ............ ~?~.. ments of the apphcable pro,ions of ~e law. ~e occup~cy for w~ch ~su~ ~. 1~.44i~a~. ~..~X!~t!~a. ~9Vll~K .~$~.~ ............................. ~e certificate is i~ued to .. l':~l~k. ~li~.t .1~?~..~ ........ ~. ........ (o~er, less~ or ~n~t ) of ~e ~ores~d building. S~o~ Co~ty Dep~tment of Hed~ Approval I~ ~ ~.~. (S ~.~ ~ ~ ~ D.g. ~y~.~9~} .......... U~EEWE~ERS CERTIFICA~ No.. &9~owA .~y. ~.,. E~baqk~ .~/~77 ....... HOUSE NUMBER ... 9~0 ...... Strut .... ~!.a~ .~:oe.~ .... Jla~$~c~ ........... by ~n~r at later date -fee paid perm,,~t 88~Z Building Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTH'OLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHOR]ZED) N? 887] Z Permission is hereby granted to: pursuant to application doted ...................... ......... ~=2.t.....~.~..-..,~] '- 19..~.,. and approved by the Building Inspector. Fee $..~]J.,£~0 ....... l~'Oll~ NO. 1 ~ ~"! TOWN· OF, $OUTHOLD/e~ ~~,. ' ' "' BUILDING DEPARTMENT .~/z7 TO~ 'CLERK'c OFFICE ~: ~UTHOLD, 'N~ Y; ~/ - ,, , ~ ~ ~ ~ . 19_ ~ ,,~ ~ ~prov~~. ........................................ , 19 ........ ~rm~t ~o ...................................... D!sOpproved o/c .... ...... ' ...... :.: ...... 2'.... .... ' . ............. ~'~ ............................................................................... ~ ..... /~ ........... ' ' ,' "' ' '/ · APPUCAT~ON FO~ BUILDI PERMIT · NG ,.. ,., ~.,. ,.~.~.~,..~:~., ................... , ~.2.~...~ . - INST~U~ION$ a. This application must 'be completely filled.in .by.typewriter o~ in. ink_and submitted in triplicate to th~ Building~ .., Inspector, with ~ s~ts of plans, accurate plot plan to ~ale. Fe. according to schedule., . b. Plot plan showing location of lot and of buildings on p~emises, relationship fo adjoining premises or public streets o~. areas, and giving a detailed,, description of layout ofproperty must be drawn on the diagram Which is-pa~ 0f this application, c. The Work covered by this a~pJicati°n may not be commenced before issuanc~ of Building p~rmit] .... :'. dj'. U%nr ~pProvai o.f mis~aP~lic,tiOn;?the. Bui~dina .Insp~c~or will issu~ a ~uildi~a ~P~rmi~' to shall be kept on the premises available for inspection throughout t~e wo~k. ' .. ~ e. No building shall b~ Occupied or used in whole or in par~ for any purpose what,vet unfil a. C~ificate of OccuPancy sh'all',Have been. granted by.the Building Inspector; APPLICATION IS HEREBY MADE to' the Building Department for th~ issuance Building Zone Ordinance' of the Town of SouthOId, Suffolk 'County, New York, and other appli~abld"Law~, Ordinances Or Re~'ul.at~ons,, for the construmion of buildings, additions or altera~i'ons,' 0r' for removal' or demolitionS' a~ Herein. described. qh~ applicant agrees to comply with all applicable taws, ordinances, building code, h~using' c6~e, and regulatidns, and too admit au.thorized'inspectors on premis~s'a'nd i~ buildings for n~essa~ ink,triads. ' ..... ....... .~.~.~c;~:.~ ~ .... ~.~.~ ,.~.~...~.~,~[?~: ..... ' . ... .... (Signature of applicant, or nam~. if a corporation) ..~,~.:L ~ ..... ~.~ ......... H.~,~.c.~U.~.~ ......... ~..~i. ....... (Address of applicant)' State whether applicant is.owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ................ '~ ........... ~ ...... ~..~.~.L~.~.~ ............................................. _ ...................... ~ .................................................. ~ .................. Name of'owner of'premises ' ' ~ ~ ~ ~ ~ ~ ~ I/~ If applicant i,s,a 'ico'rporote,, signature of duly authorized officer. .i ............. ....... .......... (Nam9 and title of. cdrj~orate officer) Builder's LiCense No ....... ~ ............ Plumber's License No ....................... ~ ......................... ',.Electrician's License No ............................................. Other Trade's License No ............................................... Location of land on which proposed w°rk will be done. Mop No.: ......... ~...:~.../.' ........ i .......... LOt No ......................... Street ond NUmber ...i...'..;~.,.~,./.~.~.~...].~..~ ........ ].~ ....................... i ............. .'~...~..~...f.~...~.~.{.~.: ................ : ....... 'i .... ].. ' ,'-' Municipality ' State existing use and Occupa~ncy of pre*raises a, nd' ir~Te'nded use and 'occupancy of proposed const[uction: a..... Exisiting use and occupancy ......................... b. Intended use and occupancy ..... :.i..i .... "..J']]j,..1.~....~..'~.~:~..'/'-~-/....~.. ....... ...~..'..~....~/k~.~...~....~..~....i 3. Nature of work (check which applicable): New Building. ................. Addition .... ~...'~-... ...... Alteration .............. Repair .................. Removal .................. Demolitior .................... Other Work .................................................. .~ / [ ~ (Description) 000, cO ......................................................................................... Estimated Cost ................ ~/.~2..i .................................... Fee ~ - L , (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 .................................................................................................................... ~.~.j~...; .......... 6. If business, commercial or mixed occupancy, sperry nature and extent of each type of use 7. Dimensions of e. xisting structures, if any: Front ....... ,J.~..~ ............. Rear ......... ~..~. ................ Depth ...Z..¢...0. ........ Height ...... /.( ............... Number of Stories ...... ~....,f~'..~ ............................................................................................... Dimensions of same structure with alterations or additions: Front ..... ,¢...~....f. ................... Rear ..... ~...~....~ ............ Depth ....... /~....~...~..~../...~..~..'Height .......... ./../...i ........... Number of Stories ...~../~..%~....A...Iff?.....~.A I~,T- 7-vv'O 8 Dimensions of entire new construction: Front .......... .~.....~/..: ............... Rear ..... .~....~...~ ............. Depth ./..~..¢..Z..~.~.'~... He,ght ...~.~...: ......... Number of Stories .......... ~..~/~..../A-.~.J..~.....~9...R.-.~.......7~-.%T~..~ ..................................................... 9. Size of lot: Front ....... ,f.~.../..!....~...~....~.i ..................... Rear ./..~../..~...~...~. ................... Depth .~4%....¢...J'...:...~/~ ...... ~0. Date of Purchase ........................ ¢f..~...~...~.. ............... Nome of Former Owner .,~.¢...~..'-{~....~....a..o...~..~..L...~,-.... 11. Zone or use district in which premises are situated ..................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ............. !~..O. .................................... 13. Will lot be regraded .......... ~J..~' ........... Will excess fill be removed from premises: ( ) Yes ( l/~r~.¢.CK, ~'/4Nc..~ l'~6 ..[t~../J.l.t~.~,J~. ......... Phone No 14. Name of Owner of premises ..~ ............ ,~...,~ ...... t.[.. Address ....................... Name of Architect ~...d..f~.~.LJl....~...~ ....... ~..~/~'..~ ......... Address ..~,~.¢..~O.z/~..t.. Phone No. ~.$,~.?..~...5.~..// Name of Contractor ..C-..H. ...... ..... Address ..... Phone 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 whether inferior or corner lot. I- I I _. ___ ............................... ,....' ............................................................ being duly sworn, deposes end s~ys thor he is the ogphc~n~ (N~me o~ individuol ~ionin~ ~bove homed. ,, ........................................................... E ............ .... , ................... ............ ............... . ........................ (6ontrector, agent, corporete officer, etc.) of seid owner or owners, and is duly authorized fo perEorm or Nave per¢ormed the said work and to m~ke ~nd file th~s application; that ell statements contained in this application ore true to the best of h~s knowledge and belief; end thor the work will be perEormed in the m~nner set foRh in the application filed therewith. 5worn to beEore me this * ~~ Noto~ Cublic, . ....... ~~.~....?. ............ Coun~ .~...r~.~ .................. ~~ ............................. ~ .ri (S'¢ffire of ~plicant) ~ ~' ' ' ~~~% NoIsW Public Stsfe of ~w , ¢ ~, ¢ . ~ M~CI ;LAUS WINIARZ /~'//~__ No. 52-97C'3725 Suffolk County ~ Comm. Expires March 30. W/ 5~4~ Oo~4T, /' / ~C~LE ~/4" = I LC>' APPROVED AS NOTED DATE:~ 7~5.1660 "lAM TO 4PM FOR REQUIR- BefORE ~ACK~ILLING FoUNDA' ALL ALL . ,&LL e~'T~-~-L LtdTC-L5 6-KTC---M [:2 uTu-rr-,f ~l ~ I X d'J'~:"X'4'" 7 DCINALD A. DB;Nm;; AJ.A., P-,C, ARCH1 TECT AL a/v,,., ~uT ~ To T'(yIC, A L ¢~TT~z- WooED L 1\¢03F Ik.bL) LATIO~J- I ALL. KL.'6L., :~M. e. Li, ~_To ~¢E T° ~& v¢~1~1~2 wr]'~ ~Xl~T f~L~L~ G, oh.J~lZld~r'~l y¢l, l~'¢Woo u~ LL~M CEA\ ? F LL/.t.. ?,.71oo ~ h- It i II II $o ~TI4 i~,oT. oF FT'~'' A i I I W I:::: rST \ ;I AR~iHI'rEC'T' '~