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Home My WebLink About108-zFOR~ ~0. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at Map No ..................................... Block No ..................................... , Lot No....F.~..S..h..e.?...~.....I..s...I_.a~.....~..~ conforms substantially to the Application for Building Permit heretofore filed in this office dated .............. ~.e. lq.~,.e...~J$.~.~...~ ............. 19...~[~., pursuant to which Building Permit No dated .................. .J~.~.p~;.e.l~l]~...]..~.~ ...... 19,.~., wgs .issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this cerfificate is issued is ............ ................................................... ~IFATE....DWELLI/~O ..................................................................... This certificate is issued to ...... .We.8~..~nd...Ls~d...(~o~j;t~...~'Jc, ............... .(...o..~.~.?.....). ........... (owner, lessee or tenant) of the aforesaid building. Building Inspector FOEi~ 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 APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) ,o...,~..t.0..~.. Permission is hereby granted to: ,,~ .~, ¢~ __ ~.o~..,~L,f.,~,.,.,~,,~.,.&.~,... ~.,~., .......... , ........ ~ ........... .................................................... f::.~:~.,.,~:,~:~. ......... ~:&~:~....&..--.... ................................ .......................................................... ~./..~....i:~.~: ................................................... pursuant to application dated ...... .~.-~'.~'~;~--.~..~'Z~ } (,q 19.~. ~ and approved by the Building Inspector. ~ee / FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. , ,, Approved ........................................ 19 ........ Perm t Disapproved a/c ................ ~...~.~i....¢,.,:,.~... ........ :-: .... ,.,.¥.- ' f~- ,.~ .... ;~:,. ........... ,~,~ · ........ ~.t,~-~ , .. ...... .................... (Building Inspector) 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 p[emises, 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 aT 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 ~hall 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 Coanty, 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. ~I,FR~ L. FERGUSON, P?F~SIDENT ......... ..................... (Signcf(ture of applicant, orlname, 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 prem'ses West, End L~n~ g?.~]ga.~....];..~.~? .......................................................................... If applicant is a corporate, signature of duly authorized officer. ?RF£IDENT (Nome and title of corporate officer) l. Location of land on which proposed work will be done. Map No. Street and k~umber ¥'Ce~%ra~ .,Avbt!.qe, and Mtmnatawket State existing use and occupancy of premieses and intended use and occupancy of proposed cor)strucfion: a. Existing use and occupancy .~.~¢..a.~..~ ,~..~.~ .................. b. Intended use and o~cunono/ One 1-fami)y~ residence 3. Nature of work (check which applicable): New Building ....... .~. ........... Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... $42 000o00 F~ ~10.00 4. Estimated Cost ....... ~ ............................................................................................................................................... (to be paid on filing this application) FEES: 5. If dwelling, number of dwelling units ........ .1. .................. Number of dwelling units on each floor ...... .'.. ................... If garage, number of cars ............... ..-. ...................................................................................................................... 6. If business, commerJcal 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........~......~..~. .......... Rear ...... ..~.~...~..-. ......... Depth ......~../*...~..~.... .......... Height ...... .1...4:!.'..?.t.~. ......... Number of Stories ...... .1 ..................... ,.. ,, ,belot~ ae ou%).~.ned :l.n 9. Size of lot: Front _.°.e.e....c!:~.a.g~....a~Z... Rear ............................ Depth ............................ 10. Zone or use district in which premises are situated ...... .A..[(~..~..~flfi.~;I,.¢,'],..'..:.: ...................................................... 11. 12. Does proposed constructiot~ violate any zoning Iow, Name of Owner of premises...~? En~ ~.nd Co. Name of Architect.....~A~h..¢.~.~.6 ....... Name of Contractor..~ PL Locate clearly and distinctly all buildings, property lines. Give street and block numbers or de whether interior or corner lot. ordinance or regulation? .............. .~.9. .................................. ~....Phone NO..2.~..1. .............. Address dAGRAM ~'~v~ or proposed, tion according to and indicate STATE OF NEW YORK, ) COUNTY OF .~?,~.o...]~., ............. ) S S,' Alfred L. Fer~..s.o,n being dui that he is the (Name of individual signing application) abow; named. He is the~P~r.~e~d~e~n~-~e~.E~.~d~9[t~.~?~ ....... (Contractor, agent, corporate of said owner or owners, and is duly authorized to perform or have performed/t~e said work and to make and file this application; that all statements, contained in this application are true to-}he 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 Notary Public, ' :,. ~ ~ ........... County (Singature of applicant) FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT ~OWN CLERK'S OFFICE SOUTHOLD, N.Y. Approved ........................................ ]9 ........ Permit ....................... Disapproved a/c '~' ' ............................. - (Building Inspecto/) Application N o... ~./....0....~. _ ....... APPLICATION F, OR BUILDING PERMIT Date.....~ .qR~9.m'qe..zT....'I.~ ............................... 19..5..?. ....... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building tnspector. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or area% 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 c~f 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 o~cupied 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 applicab(e 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. WEST END TL~D 00~ANY~TN0o ALFRED L. FERGUSON, PBESIDENT ............... '.~ .~ ~..~.....~ ....... ~..~..~ .~..~.~... ........... (SignatureVof a[~plicant, or nome, if~a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrican, plumber or builder. Owner ..... ;~ West End Land Company.~ Inc. Nome of owner of ~. ............................................................................................................................................................. If applicant is a corporate, signature of duly authorized officer. PRESIDENT (Name and title of corporate officer) 1. Location of land on which proposed work will be done. Map No..F..i..s.,h..e.~.s....I..s..1.,a..n.,d. ..... Block .................................. Street and Number .q.e,.n.,%.~,a.,~ ,A,,v.g..n,.u..e, .~.n..d. ,~.,q~,..n.,a,~,,¢..k~ ,R_d.~ : 2. State existing use and occupancy of premieses and intended use and occupancy of proposed construction: a. Existing use and occupancy...,..,V.~g,~,n..~...:~%,n,~1, ........................... ~ ......... b. Intended use and occupancy ....... :,..0,,~,f~ .~r~_a~..~j. re~.%dence 3. Nature of work (check which applicable): New Building ....... .~ ........... Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .....i .............. Other Work (Describe) .................... 4. Estimated Cost . ~.~.2. ~ .0. .0. .0. .:.0. .0. . ...................................... Fee ....~.1.0..~..0..O. .......................................................................... (to be paid on filing this application) 10. 11. FEES: 5. If dwelling, number of dwelling units ........ .1. .................. Number of dwelling units on each floor ...... .,'. ................... If garage, number of cars .................-. ...................................................................................................................... 6. If business, commericol 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 ...... O.~..~'~r~ .......... Rear ....... 68..£.~.* ......... Depth ......5~*..~'.~., .......... ' I ~ " Height ......... .~...-.~. ........... Number of Stories ...... :1. .................... ~e~e~,W as outlined inl~epthed Size of lot: Front ..f~e~..~iag~'~... ar ........................................................ Zone or use district in which premises are situated ...... ,~..=..~e~;l,c]e~t,'l~,[ ........................................................... Does proposed construction violate any zoning Name of Owner of premises....~:...~rt~....]~./~....0.o..~. Name of Architect......~u~h..J~naa Name of Contractor..~.'...~.*...~..z~..~...~.e..: ......... law, ordinance or regulation? .............. ~f~ .................................. i~.~...Phone NO. R~iJ .............. 251 ~ocate clearly and distinctly all buildings, prop~,rty lines. Give street and block numbers or de whether interior or corner lot. STATE OF NEW YORK, ) COUNTy OF ..S.~.o...]~:.. ............. ) S S.' ............................... ,A..1.~.~..~..~.~g~ pn ............................. bei,ng duly (Name of individual signing application) above named. He is the...~.e.9.$~.e.~.....-...~'~.e, fl~..~gft,...~.c!..~P.~/t~'..~..]/i.q.~ ....... ~.. (Contractor, agent, corporate 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 ......... .1.~]~ ....... day of ...$.e.pt~e~e~. ................... 19...5.7. ..... ....... (Singature of applicant)