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Home My WebLink About71-zFORI~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No...~...~. ............. Date .................... ~T~1tti,~t.~.... B .............. 19..~.~.. THIS CERTIFIES that the building located at ~/.~..,JYJ~t.~Tl..J{oad ................................... Street Map No. **** Block No. ***** conforms substantially to the Application for Building Permit heretofore filed in this office dated .................. /i,11g~S~,....l~ .............. 19...~Z., pursuant to which Building Permit No ..Z...~.I ................ , dated ................. A~I~U,~.'~,..,].~ ................. 1c~.~....., was issued, and conforms to all of the requirements of the applicable provisions of the Iow. The occupancy for which this certificate is issued is ............ This certificate is issued to ...~.~.e~e...l~.,...tR.].ee~ ............. .(..o.~.e.~.,} ............................................ (owner, lessee or tenant) of the aforesaid building. Building Inspector FOP~FI NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF No ......... '~'""~'1 .... Dote .......................... ~uL~t'~'"'"l ~'"'" t 9.5.~'... Permission is hereby gronted to: '~M, D e, eb e...--A/~...r~ ~.~*m~ee...F:~-e ¢% ........................... ....... ~'i'e~¢" ~t'~i:T-ei~'' .Av~, ~, .................................. ................. '~.~C~o~'~'-' ~,'Y'* ............................ to ' '~.~.'t'~'' 'ad;d J.%' fo'oh's' '~'o' "ez]:st~n~" ~'~,~:'~ ]:~Zf ....................... : ............................................ at premises located at .¢-/~..~1.~..;F~,¢:'~ ..................................................... [ ...................................... .........................~'~e}~e~,ei '~'~'~'Y:'* ....................... pursuant to application doted .......................... ~Z,~"'""}~ .............. 19.~.., and approved by the Building Inspector. Fee $"5~ ....... ~J'f't~'L 'k FOI~NI NO. 1 TOWN OF Sbu'THO~.D BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUT,O .D, N. *. Exom in ed. ·...CC¢..~_,~.....~.. ??...~. ......... 19...~.~ ? Approved .................... ~.] ................. 19....~.~...Permit No....~....~..~ ............ Disapproved a/c ....................................... : ................................................... ................. ........... ..... ............. (Buildino Inspector) 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 adioining 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 available 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 oil applicable laws, ordinances and regulations. .......... ................... ............. ...................... State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrican, ,plumber or builder. General Oontractor r Clarence O. Fleet Nome of owner of p em ses ..................................................................................................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Location of land on which proposed work will be done. Mop No ...... ~. ......... i .................. Block .................................. ' ~a~n Road~. Outeho e Street and, Number ...... :...:: ................................. .~..0:. ..................................................................................... State existing use and occupancy of premieses and intended use and occupancy of proposed construction: o. Existing use and occunoncv b. Intended use and Private Ho~e occupancy ................................................................................................................................ 3. Nature of work (check which applicable): New Building .................... Addition ~ ................. AIteration..~ ................. Repair .................... Removal .................... DemolitiOn ~...'....~'. ........... Other Work (Describe) .................... 4. Estimated Cost ....~.~.~...0~)....0.~0.0. .................................. Fee .?,~... ...................................................... ......................... (to be paid on filing this application) FEES: 5. If dwelling, number of dwelling units......]'. ..................... Number of dwelling units on each floor..~...~..?..O....l~.. ......... 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 ........ .~.f)....~..~..* ...... Rear ....~..~.....f'.~.* .......... Depth ....~.~.....~.~ ......... Height ......~...O.....~..t,..~. ........ Number of Stories ....... .~. ..................................................................................................... Dimensions of same structure with alterations or additions: Front .0..~.....~.~ .................. Rear .....~..~.....f'..~...'. .............. Depth ...4..0... ~.l~..,~ .............. Height . ~.O.....~..~..~ .............. Number of Stories ...~ .......................... 8. Dimensions of entire new construction: Front....~...5....~..~..~ ........... Rear ~.5....~.~ .............. Depth ...~...0.?..;..0..~. ............ Height ..]r.~..~.~..~. ............ Number of Stories ..... .)r. ..................... 9. Size of lot: Front ..4..9.0.....~.~ .......... Rear ...4..0..O...~.~..? .......... Depth ~,00 ~,. 10. Zone or use district in which premises are situated......~..~ .............. A...~..\ ................................................ 11. 12. Does proposed constructio~ violate any zoning law, ordinance or regulation?....~.O. ........................................... C F e~ ~atn t~d, Outcho~ue NO 1~ 4 6739 Name of Owner of premise~]-.I),~'.~.q.~......~,.....~.....,.iAAddress ............................................ Phone ..................... Name of Architect ...................................................... Address ............................................ Phone NO ..................... Name of Contracto ..r~...:...~.'...~.b..~.. ....................... Address ....~.t;.~..h..O.~ ................... Phone NO. ~ ...4...~.0...~..],. 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. (Name of individuel signing opplication) duly swo deposes and says that he is the applicant 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. (Singature of applicant) FORi~I NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N. Y. Disapproved a/c ........................ :~.. ............................. . ...... ................................ ~; ....................... :~,~ ..................................... , ....................... (Building Inspector) Application No..~i.~....! ........... APPLICATION FOR BUILDING PERMIT 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 B~ilding 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 available for inspection throughout the progress of the work. e. iqo 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 corporc~tion) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrican, plumber or builder. ~eneral Con'~ractor Name of owner of prem ses C~al~e]~ce C. ~]~ee, t 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. Mop No ................................... Block .................................. Street and Number f.L~.'[Tl zload, U~'boho~tle 2. State existing use and occupancy of premieses and intended use and occupancy of proposed construction: o. Existing use and 1)rivate [[Iorae occupancy ...................................................................................... b. Intended use and occunanm* ])~±va~e Home 3. Nature of work (check which applicable): New Building .................... Addition ..~. ................. Alteration .................... Repair ....................Removal .................... Demolition ..:....i ............Other Work (Describe) .................... 4. Estimated Cost . ~6,000.00 F~ (to be paid on filing this application) FEES: ~, ~ ~o0~ If dwelling, number of dwelling units......]`. ..................... Number of dwelling units on each T~oor ............................ 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 ........ ~...~.~..q ...... Rear ....~...~.t,..* .......... Depth ..... ~.~...~.: .......... Height ..... ~..0.....~.~.: ......... Number of Stories Dimensions of same structure with alterations or additions: Front ~...~.~..: .................. Rear ....~.8....~.~..~..: .............. Depth ...~.~..;~.t~., ..............Height ...~..0....~.:. .............. Number of Stories ....~ .......................... 8. Dimensions of entire new construction: Front...~..~....z??...'. ........... Rear ~...~..~..: .............. Depth ...~...0..!...~.~! ............ Height .~ .8....~.~., .............Number of Stories ..... ~ ..................... 9. Size of lot: Front ..~...0..O....~..: .......... Rear ..4.0..0.....f.~.: .......... Depth 400 10. Zone or use district in which premises are situoted.....~.~.~.. ..................... /~....~..~.: ............................................. 11. 12. Does proposed constructio~ violate any zoning Jaw, ordinance or regulation?.....n...©. ..................... ...................... · C C ~.,' l¥~a:~,n Ltd. Cu~cho£~e NO PE 4 6739 Name of' Owner of prem ses..~L.~.~'.~q.g.~. ...... ~.....~.~.~.~Address ........................................... Phone ...................... Name of Architect ...................................................... Address ............................................ Phone NO ..................... Nome of Contractor¥.f.m..:...M.,...J.B..e..9..b..e.. ....................... Address .....C..~..°.h.°.~;;.u..e. ................... Phone NO..P[.E.....4.....6..6. g.]. 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 Jot. STATE OF NF)~ YOI~K~ /~ J s.. . COUNTY ............. ...... being duly swa eposes end says that he is the opp,cont (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 to before me this ............. .~.. ...... day of ............... ~,'~'" ......... f~.g w Notary ~ -~~m~. ~ ~ :~' s,~9 ,~ . (Singature of applicant)