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Home My WebLink About98-zFOEi~ NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. No ...... Z...~k ......... Date ............... Decem'be~......23. ............. 19...~. THIS CERTIFIES that the building located at "'E/S'""S'h~%0~'~l'd'"~n~ ................... Street Map No ............ .~.~..e .................. Block No ......~...~*.~. ................... , conforms substantially to the Application for Building Permit heretofore filed in this office dated ....................... · ~e. pt_~l~.l~e~'...~)......1 9....~., pursuant to which Building Permit No ...... ~....C)~ ............ , dated ........... ,~e~t-et~]:)e.~. ............ 9. ........ 19~'.~. .... was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ............ .................................... PIqI.V. ATE..~WELLIN~ .................................................................................... This certificate is issued to ..M~ehee.l.-...Bo~et~ ..... :...(o%~e~')....:~ ................................................. %owner, lessee OF ~enan~) of the aforesaid building. Building Inspector FOI~M NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No... ~.....9.~ .......... Date .................. ~%.~.~]).eZ'....9.:~. ........... 19..~.. Permission is hereby granted to: Do~I~,B }legend. ·... ~/G ·... ;;~ ~h ~,~ ~...~t~ ................... ........ ~,..~,~ ............................................. .................................. · ~.~ .................................... to .. ~u.~.~c~...n~.. ~w~i~ .............................................................................................................. at premises located at ~"'"~{~9~?~'~c]"'~f']l~ ................................................................................. .......................................................... ~,z¢...~,~,~i.~ ............................................................................ ...................................................................... ................................................................................. pursuant to application dated ............~e~%f)~b~.....9.t ..................... ]9~..., and approved by the Building Inspector. Fee $..I,Ct.~ ~0 ........... FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved ........................................ 19 ........ Permit No ................................. Disapproved a/c ~ ..... , /~ ............................................... Ziii Zi ii ................ (Building Inspector) ! Application No '~ '~ APPLICATION FOR BUILDING PERMIT Date ........ ~:? .t ........ ..,~,.. ....................... 19.L~...../... INSTRUCTIONS a. This epplicetion 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 arees, 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 E~uilding 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. ........ ::::::::::::::::::::::::::::::::::::::::::::::::::::: ........ (Address of ~pplicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrican, plumber or builder. .............. ............................................................................................................. Name of.owner of prem ses /~rC/f/~/~'-/ ~ ~/_~ A./, If applicant is'a corporate, signature of duly Quthorized officer. (Name and title of corporate officer) 1. Location of land on which proposed work will be done. Map No ................................... Block .................................. Street and Number ~ ..... 2. State existing use and occupancy of premieses and intended use and occupancy of proposed construction: o. Existing use and occup~ncy .J ,/../~.... ,C~-. ,~-/)/7-~ ....... b. Intended use and occupancy '~.~///;~ ~ 3. Nature of work (check which applicable): New Building ..... (.'.'~.. .......... Addition .................... Alteration .................... Repair .................... Removal .................... Der~olition .................... Other Work (Describe) .................... 4 Est mated Cost ............. :.../..f ............................ Fee ./..~ ............................................................. (to be paid on filing this application) FEES: If dwelling, number of dwelling umts ........ ~ ........ Number of dwel}ing units on eoch floor .......................... If garage, number of cars ............ ./..~.L;././.~.4,.r ........................................................................................................... 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 eatire new construction: Front ........ .'~..~,] ............. Rear ............ ..~.,~..]..~ ..... Depth ........~m..-~'....~ .......... Height /J'~ / Number of Stories 9. Size of rot: Front ~_c~o' / Rear '~-O~ / ........................................................ Depth ...... ~.,~'.,.~, .... i0. Zone or use district in which premises are situated ........ Z~...' .... ~./. ....................................... 1 1. Does proposed construction violate any zoning law, ordinance or regulation? .......................... .-. ........................ 12. Name of Owner of premises /.~./.?7.~.~.~'/--~../..~.~?.',.~-Address ..~..~'~...~.~z~....~'..~...~",../7~.....Phone NO ..................... Architect...~...~. ..... ..... Name of ......... ........ /,~.. ......Address .....,zz'~ __ '~" ..'~....~..~..~.Z.v./.~.tZ .~...&..:...Phone NO ..................... Name of Contractor..~..~...~...~Z~.-5...~_.~.~.~..'T.dS,~,.Address ..~'~..,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. STATE OF NE~,)YORK,~v ~' ~//-~ ) S S .].~.' ........ i~.'].~~~7'~r~ ......................... being duly sworn, deposes and says that he is the applicant f (Name of individual s~ning application) above named. He is the C',~./.V ~.d~..~C ~ · (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; end that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ........ ~ ............ day of ................................... Notory Publi¢,~..l~. ~.~.. .............. County ELOISE BOWDEN I'/otary Public, State of NeW York Residing in Suffolk County ~0. 52-0367800 .~2~C/ ~¥ Comrniss.0n Expires March 30, 19 FO~ NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined......~L.;Z.'..~:..~.'.. f........~. ......... 19... 2.'i. ' Approved ........................................ 19 ........ Permit No ................................. Application No ............................ APPLICATION FOR BUILDING PERMIT Dote ............................................................ ] 9.:,~.. ....... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building Inspector. b. Plot pbn showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or a~reas, 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. Up,on 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 far any p.urpose 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. (Signatf~re of,~plicant, or nafne, if a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, orchitect, engineer, general contractor, electrican, plumber or builder. is a corporate, signature of duly authorized officer. (Name and title of corporate officer) land on which p,roposed work will be done. Map No ................................... Block .................................. existing use and occupancy of premieses end intended use ~nd occupancy of proposed construction: Existing use ahd occupancy .............. ~.:~ ............... , ................................................................................................ b.Intended use and occupancy /,x Addition ~ ' ' 3. Nature of work (check which applicable): New Building ........................................ Alteration .................... Repair ....................Removal ..: ........... ~:....Demolition . ................... Othe~jWork (~Describe) .................... 4. Estimated Cost ............................................................ Fee .......... ~ ............................................................................... (to be paid on filing this application) FEES: 5. If dwelling, number of dwelling units ......... :?. :. .¢;~.~. ........ Number of dwelling units on each floor ............................ If garage, number of cars ............ u'~'./.~.~.~'~ ...................... 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 allerations or additions: Front ................................ Rear ................................ Depth ..............................Height .............................. Number of Stories ................................ 8. Dimensions of entire new construction: Front ......... ~,'~ ............ Rear .............,~.'M.'. .... Depth ....... Z;~..~...] .......... Height ....... ./.~:..:i ............ Number of Stories ......... :??.~..'~. ......... 9. Size of lot: Front . ' Rear ' ~.,' , ~ ,/~,Z~,¢¢ · ........ :~..~,,,~ ..................~.;,:~: ............ Depth ............. ,., ...... 10. Zone or use district in which premises are sffuated ....... ~......~..'.Zl..,.4.;../.-;'.T.:.'.;¥:..r.:~ ,,./ ....................................... i 1. Does proposed construction viotate any zoning law, ordinance or regulation? ........ /.,".~,2,,.~,~f'.~.Z ............ , ................ 12. Name of Owner of prem.ses. Z'..~../.(.,~./..-./.../~?,~/.j~.~/,~'..Address L~,./..;.,~,~..;4,;,7~H.;%~. ....... Phone NO Name of Architect.:;~¢. ..................... ~ ...................Address . ..,~.. ....... .~,....,/. ....... .~...~ Phone NO. /7~-/'~e '/~,~ L' /~ /~' ~"" ~' ~-' ~ /~ ~;~>'"~'" ......... Name of Contracto~.:9.'~ ......... 4~. ......... .:'~...~.../.f~ ........ Address ................... ,~ ....................... Phone NO .......... ........... PLOT DIAGRAM Locate clearly and distinctly ali 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. STATE OF COUNTY \ being duly sworn, deposes and says that he is the applicant of gning application) above named. He is the ........(~¥~/.//..~..~'.C.~J~.......... ...................................................................................................... (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 ....... ,.:~, .: ............... 19,~,~,-.Z... Notary Pub I lc', · .~.'..A~..~-~......~ou~n ty~= ELOISE BOWDEN I~0taB, Publ~, State ot New York Lxp:rcs ~,Im"ch 30, 19 ~ingafure of opplicont) ~' *