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Home My WebLink About196-zFORi~I NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TO~VN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY 'FHIS CER'FIFIES that the building located atHEtt~.~, &..St~I,~/&~,~:F.&¥~ ......... Street Map No ...........~L~J[X ........ Block No ................ ~ ", ~" ~e~Ogtle't ........ ~I~Y, conforms substantially to the Apphcat~on for Building Permit heretofore filed m this office dated .................... .D~e~t.....~D ..... 19....~, pursuant to which Building Permit No .. ~... ]~f~> ............ , dated ............ ~t'~2~1.....~ ................. 19....~., was issued, and conforms to all of the requirements of the apphcable prows~ons of the law The occupancy for which this certificate is issued is ............ ........................... PR~./~ .. ~.MI~LLI. N(~ .. ~. ~ ~'.~nag~ .) ................................................ This certificate is ~ssued to C~,~,lO~..~,,~¢lo~l.~st,..Ch~:~.~l...~o~l~w ..................................... (owner, lessee or tenant) of the aforesaid bu,ld,ng Building Inspector FOE~[ NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES V~T~c-,~,~.~F_,iT~,~)$ ,~PP~O~VeF~¢~J~,,~,~,P~,~F~C~,iT~Od~UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is hereby granted to .......... tf~..~ultfo.lk..~ ............. ........... ~~ ..1t,.~, .............. to .... 'Btt~"an ~d~t~o~ '~o ex~s%~n~ l~ra~L:[~:~t~g ....................................... at premises located at ~Jli~_~. JJO~ ~J: J~tt%']. ~ll,~,,e:~ .ARe ......................... ........................................................ ~~e~, ....~,,~'.,. ................................................................. pursuant to apphcation dated ............. J~J~I~:J~F ""~) ............. 19..~'~., and approved by the Building Inspector Fee $....J~]~j~ ........ .... /i~f'/" ':") .... Budd,ng Inspector t ,. ....... I .~ .... '~' ': ........ ;'i ..... FOR. M NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. NOTICE OF DISAPPROVAL F,le No ... 2~...:lS:~ ...................................... Date ...........De¢e~be~.....~3 ............... 19~.... ToW~,. ~eebe....~C..~t~og~..Me~o~ist Ch~ch, (Parsonage Job) .... New. ~fo~ Ave ........................ ........... ~teh~ue~ .N.~.Y~ ...................... PLEASE TAKE NOTICE thu~ your application doted .............. De=em~=...2Q ........ 19..~. for perm,t to construct ~ '~d~tien ......... at the prem,ses located at Nmi~..Read ............... ~B~ .~.t~.~..~a~er ~ ................ Street Cuteho ue, Map .................................. Block ......................................... Lot ........................................ is returned herewith and d,sapproved on the folJowing grounds ......................................................... FO/tM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. [×om~ned.....~...~.~ .......... Approved ........................................ 19 ........ ............ II ....... ....... ............................. (Buildin~ Inspector) ~ Application i~o ............................ APPLICATION FOR BUILDING PERMIT Dote ....... .................. .... INSTRUCTIONS o. 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 odjoinin~ premises or public streets or areas, and giving o detailed description of layout of property must be drown on the diagram which is port of ~his 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 o Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the progress of the work. e. No building shall be occupied or used in whole or in port for any purpose whatever until o Certificate of Occupancy shall hove been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Deportment for the issuance of o Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Lows, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, os herein described. The applicant agrees to comply with oll applicable lows, ordinances and regulations. (Signature of applicant, or nome, if a corporation) .................... .................................. (A~,~ress of appl~ant) State w~icont is owner, lessee, agent, architect, engineer, general contractor, electricon, plumber or builder. iNf ° am;p ,~i a°~ ;:r a° fc oP:peomr i :: i ' '~: '~ 'n'~'~~y ' '~c ~'~:~' '~'~' ' '' '~' '' '~' .................................................................. (Name and title of corporate officer) 1. Location of land on which proposed work will be done. Map No ................................... 13lock .................................. Street and Number ...~-~....~.'.../~..:....~...~...~ ................................... ~.~~ ........ ..7....k~..?..~..~: .............................. State existing use and occupancy of premieses and intended use and occupancy of proposed construction: a. Existing use and occupancy......~..~..~.../~/...~.... .................................................................................................. b. Intended use and occupancy....~..,~.~.~¢.~..~// .................................................................................................. 3. Nature of work (check which applicable): New Building .................... Addition ............. Altera on ................. Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost ........... .~...~.'.?~ ..................................... Fee .......................................................................................... (to be paid on filing this application) FEES: If dwelling, number of dwelling units..!_ ....................... Nuttier 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 ................................ L~J / /' ,,::.~ ~ /a/t 7. Dimensions of existing structures, if any: Front ....... ~..~ ............... Rear ...... ,~..~..7...q .......... Depth - I tL Height ....~...~...-..~ ........... Number of Stories .............~ ............................................................................................. Dimensions of some structure with alterations or additions: Front ........ ..,~...~_Z..° ........... Rear ............................... Depth .....~..~.Z..°. ............. Height ...,~.~....?....~..../../'...~l'~umber of Stories ......... ,~.....~..../ ...... 8.Dimensions of entire new construction: Front ........... ...~...:. ......... Rear .....~..~..' ................. Depth ¢:~/ ~ Height ...~.fi~ ......... Number of Stories ...... ~ .................... U t ! 9. Size of lot: Front ....... /...~.~..t. .......... Rear ....... ~.~.~ ............. Depth ....c~.../..~ .............. 10. Zone or use district in which premises ore situated ....... /~....~:~....~.......~.....~..~ ............................................... 1 1. Does proposed construction violate any zoning law, ordinance or regulation? ............... ~ .......................... 12. Name of Owner of premises~...~..~.~.,~.~...~..~.-~dress }~ ~i...~... ~hh~2:~0© il Nome of Contractor..~....:...~.... ...................... Address ....~'~.7].:.F:.....Phone NO.~.'....~...../.~.~../.. 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 numbers or description according to deed, and show street names and indicate whether interior or corner lot. /Y/t / N OA D STATE OF ¥OR , S S.' COUNTY 0 F .~,,~,0~ .......... ) .............~ "' "' '- ~'...tfs..~:....~~ ............................. b~ing duly (Name of individual signing application) 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 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, deposes and soys that he is the applicant Sworn to before me this .... ~,~,,,,~. .......... day of ~ ...-,~r~-~ .................. 19.~..,.... WALTER t LUCII \~\ ~,~L ~ ~ ' i ~ Public, State of Ne~'11fl~l ture of applicant) \\\ ,~ \ ~ ~ ~ . ~' Residing in Suffolk County ~mmission Expires ~Mrch 30,