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Home My WebLink About181-zTOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No Z 8~. Date .................... ,~.~.~.'1.... '1~t' ......... 19.. ~. THIS CERTIFIES that the building located at ~l.~.OO~..ROl~e (,~i~.B,t,e.) ...... Street conforms substantially to the Apphcation for Building Permit heretofore filed m th~s office dated ...................... ~O'g'~-mt'~e~'.....~'...19 ~, pursuant to which Budding Permit No ...'Z,...*Le~] ............ , dated ................l~'o~i/'~m~er.....~.~ ..... 19 .~.., was ~ssued, and conforms to all of the requirements of the apphcabte prows~ons of the law. The occupancy for which this certificate ~s ~ssued is ............ .................................................. · ~rR.I.~'A.T.E. · DW. ELD!.NG- ................................................................. This cert~f,cate Is issued to ....~.~..L~....]~C~' .......... (...~Otd~e~-.) .............................................. (owner, lessee or tenant) of the aforesaid budding Budding Inspector FOP~M NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES q,~~,9~,&~l~f~,[~ib~, UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No ~- 181 . Date ............... Novembe.~.....2.~ ......... 19.~... Permission is hereby granted to AReily &. $o~....k/.O.. F~tf~ttuc~ ..................... to ...~u. tld.. new.. d~ellAmg ............................................. ct premises located ct ,R~O011 ro, B,d ................................... ..................................................... ]L~deaw~y...es~ate~ ................................................................. ............................... ~tt.~Ltuck~...N, 2'. ................................. pursuant to applicatmn dated ............ ~'o.~/e~be:F.....2~' ........... 19.~1..., and approved by the Budding Inspector Fee $..l.O.,.p..O. ......... Budding Inspector 8~ A 007 N 7'1°,5Z'~°''£ I0 06 6~4,46 YOUNG & YOUNG 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK ALDEN W. YOUNG HOWARD W. Y SURVEY FOR: FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. E×om ned ^pproYad ........................................ ~ 9 ........ Permit ................................. Disapproved a/c .... - ........... ............. (Building Inspector) APPLICATION FOR BUILDING PERMIT Dote ............ ......................... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building Inspector. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this location. 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 will issue a Building Permit to the applicant. Such permit shall be kept on the premises availabl~ for inspection throughout the progress of 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. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances and regulations. (Signature of applicant, or name, if a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrican, plumber or builder. Name of owner of f~'~/(~"~-~ If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which proposed work will be done. Map No. !~...at~.....~. ~ B ack ........... Street and Number ....~.L.~.......~....~..~.. ~...~.....~.....--. L~ ~..~-.. ............................. 2. State existing use and occupancy of premieses and intended use and occupancy of prOposed construction: a Exist ng use and occupancy l.~..~ ~ ~ ...~... .................................................. b. Intended use and occupancy ................ ., ...................................................................... 3. Nature of work (check which applicable): New Building ...... '...,~.. ........ Addition .................... Alteration .................... " Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... ~ ~00 4. Estimated Cost ....¢:~...?~.._.,....-~........... ................................. Fee .../...u.....~. ............................................................ (to be paid on filing this application) FEES: If dwelling, number of dwelling units ............................ J Number of dwelling units on each floor ............................ If garage, number of cars ............. '~......~...~ ...................................................................................................... 6. If business, commerical 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 ......... .7.....~.. ......... Rear ........ ?...?... ........... Depth ......~'.....7.. ............... Height ............................ Number of Stories ..~ .......... 10. Zone or use district in which premises are s tuated ................................................................... 11. Does proposed construction violate any zoning law, ordinance or regulation? ...... ..~......D.. ................................... Name of Architect ..................................................... -- ,,~ _~ (/ Address ............... ~.~....~ ...........Phone NO ..................... Cant ractor../~...~.....x~.~ ............ Address ....... "~,~....~f ........... Phone NO. Name of PLOT DIAGRAM Locate clearly and distinctly all buildings, whether exist)nc or proposed, and indicate all set-back dimensions from property lines. Give street and block numbers or description rding to deed, and show street names and indicate whether interior or corner lot. 'JO' .......... ~....~..~ .................................................. being duly sworn deposes and says that he is rhea )cant '(Name of indiviclu~l signing~ --appli'~ti°n) ~ ~ PP 'above named. He is the .................. ~...c5..~..~...;...~. ............................ (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 all statements contained 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. Sworn to before me this No, 52-0357800 Jjy Commission ~xpires March (Singature of applicant)