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Home My WebLink About100-z FORM NO. 4 TbbVPI AF SGUTIi®L® BUIL®ING ®EPARThAENT TOYdN CLERIC'S ®FFICE S®UTH®L®, N. Y. CERTIFICATE ®F ®CCUPANCY Z 597 No Date ...............................`T~nc"...~..........., 19.... ifs Y'~un~~n lsvenuc, U:aient, N Y.'• THIS CERTIFIES that the building located at Street ,~*dr Map No Block No......................... Lot No................................................................... conforms substantially to the Application for Building Permit heretofore filed in this office dated ..................~ept~mber 9 57 7,1{3G 19........, pursu'a'nt to which Building Permit No.....,....:................. 5eptembcr 9 c"'7 dated 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 1PRI~7,lyTF ONF 5'AP~STC,7Z l~t'1B~:GI,:CIYG Joeu~h ~'a~~ar~eki, oGVner This certificate is issued to iowner, lessee or tenant) of the aforesaid building. Building Inspector FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES J,~~IgtC~t~~~gp ~~j~,y~/~j~,~~~I~~,f~,~p~~~J.'~~t$ UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No. ..2...~.()I~.......... Date ........~~.~3~:C,.ECG.1N~'x'............~.a.......1~~.... Permission is hereby granted to: J~ue~ks.. Jaare~~~r,?x3 ............9r~~,e;,ra~,..... TAT.:~:. to ..T~~s1~1,ct...n+,*ra..e~,vtc~2.1.2re~~ at premises located at ..~~a~.....JCL?P:S(.;~?......G§V~3« pursuant to application dated ...............~~a~}{,~~I.~;T'.•••~••!~••••••••• ~•••••~•.l~`~...., and approved by the Building Inspector. Fee $.7.1?...17~J............ Building Inspector . ~ 4 FORM NO. 1 Y' 6 TOWN OF SOUTIiOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE ~y SOUTHOLD, N. Y. Examined......`~?~.:.......1..........19°~~..~.. Appiicatian No.....~~..~.~.~.~.......... Approved ~~..................19........Permit No...~..~ ~,U Disapproved a/c ~J. (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ...................~..................19.. 5..~ 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 detoiled 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 o Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HERESY 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 Yorl<, 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 /J ~'f (Signa re o apps ant, or name, if a corporation) (Address of a lican ) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrican, plumber or builder. Name of owner of premises......~J~~,^. ...........................1`°2....'................................................................ If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which roposed work will be done. Map No Block J , Street and Number ~...5...~ ..............,.....~...../..:°....~,1.. 2. State existing use and occup y of premieses and intended use and occupancy of proposed construction: . a. Existing use and occupancy b. Intended use and occupancy ........:`J.:-t4~`:~..1".`.'.:'..~................................,......................,,. 3. Nature of work (check which applicable): New Building ~......Addirion ....................Alte ration........... Repair ....................Removal ....................Demolition ....................Other Work (Describe).................... p~,,OU_ l7J ,~,i 4. Estimated Cost F..~ ..................................................Fee ...~..Q................................................................................ (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 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 r - 8. Dimensions of entire new construction: Front.....,7`~... V Rear ...~.v................. Depth Height Number of Stories 9. Size of lot: Front Rear DCepth .~r..'.~.~/.~.„./~~/ 10. Zone or use district in which premises are situated..........ter......1/..~`-°...........rJ'":'.'",-{,~- 11. hoes proposed construction Qviol~pte zany zoning law, ordinance or regulation?......1.!!...~ 12. Name of Owner of premises~J17.°:'7j''~+~^"~''~'"~r^Address .~A.`."~-..~'.'.t"..'. ~ .'~'L.......Phone NO. / Name of Architect ......................................................Address ............................................Phone NO..................... to Name of Contractor ....................................................Address .............:..'............................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 I ~y~~rr~ h ~ ~~1~5 ~ ~ ~t ~ ~ ~ s~ 1 - Ka ~ 05 ~ ytyuNGs qv~ STATE OF NE YORK, ) x ......................L'.,."....................being duly sworn, deposes and says that he is the applicant (N e of indi ual 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 mole 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.>0-0.. ~ (Singature of applicant) U d ...................Count ~ i Notary Public,..-~1 CPsi+R..,il.:.....:`.^.'cer1~^~ y ~l!~~~ ~ a 1r101SE BOWDEN ~ - N'otary Public, State of New YofR Residing in Suffolk County No. 52-036%ECO hYy Commissimi fxinres March 30, 1$5"~ FORM NO. i TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERIC'S OFFICE SOUTHOLD, N. Y. Examined......."'.:~'' ~.......19........ A lication No.......r.l..p f)........ pp ' Approved P t~ tJ .................19........Permit No................................. Disapproved a/c Cam, . , (Building Inspector) APPLICATION FOR BUILDING PERMIT Date .....................~..................................19............ INSTRUCTIONS a. This application must be completely Filled in by typewriter or in inl< 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 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 o Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New Yorl<, 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. ~ ~ t., (Signature o~p~cant, or name, if a corporation) r"-i._..__. v (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrican, plumber or builder. ~ l~ r Name of owner of premises...........`)..'';:':: ~7. ff applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which oposed worl<will be done. Mop No Blocl<^......,...,...,,......,.,.,.,..., ..r,........ Street and Number I;?..!-f6•...,......:~.......~,.st............... 2. State existing use and occup y of premieses and intended use and occupancy of proposed construction: a. Existing use and occupancy r b. Intended use and occu anc ~ / r , 3. Nature of work (check which applicable): New Building .....1%•••.......Addition ....................Alteration.................... Repair ....................Removal ....................Demolition ....................Other Worlc (Describe).................... •,~~::•«d 4. Estimated Cost ....,r.~. ...............................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 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.....a Rear ...,,R...+.?................. Depth Height Nummber of Stories 9. Size of lot: Front Rear Depth ..~.`y..~.,,.~...'.... ~ 1~'J 10. Zone or use district in which premises are situated......,.~ .......,.y.~...............:..................................................... G/ u-~.-Qr ~-.7~....~.. 11. Does proposed construction violate any zoning law, ordinance or regulation?....~..v 12. Name of Owner of premises. ....Este.~.~.p'.u.;~,~4ddress~~,.C•.•--~••d1.»r.:!~••••••.Phon NO Name of Architect ....................................................Address ............................................Phan NO..................... Name of Contractor Address r...........................Phan NO..................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-ba I< dimensions from property lines. Give street and block numbers or description according to deed, and show street ames and indicate whether interior or corner lek P' r~'~ ~ of ~ t 5 S k ~ " K~ ~ . ~a Ha lv5 COUNTYF ~EVV YORK, ) 5 S. ~,R.~" , t d t r•" ~ ...............being duly sworn, deposes and says that he is the applicant (I~~ne of indiv ual signing application) above named. He is the J..~,,,.........t......,......... (Contr or, 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 i a day of ~a~.~...,............. 19.s5..~... (Singature of applicant) a , "7"~' Notar Public,......~'.........~..: Q-.-..LC1::4.-s~.!za0.,?„r!~..........County " ' ~ I Rotary P~u6lcegta~DENew YoN( ~r. rJ/,/ Residing in Su/folk Coutlty My Commis on E?p0 E67March 30. 19 i~ r