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Home My WebLink About144-zFOJ~i~I NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CE~,TIFICATE OF OCCUPANCY THIS CERTIFIES that the, building located at ,.~O~.~,..~l;~el~,..~,~K;~r.t ............... Street Map No. e** Block No. e**e Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated ~O~o~e~ ~ 19.~.~..,, pursu~ant to which Building Permit No. doted ................. ,~g~O~e~.,.~,~ ............19~...., was isled, and conforms to oil of the requirements of the applicable previsions of the Iow. The occupancy for which this certificate is issued is ................ (owner, lessee or tenant) of the aforesaid building. 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*~,~*X~*~tMt~,~J~¢ UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No...~.. ~ .............. Dat~ .............. O~.to~e~..... Z?. ................. 19~2.... Permission is hereby granted to' 8outhold Sales .~,nd...S~ic~..A/.C....~id...D~o~]. .... ~.t. ~.. ~.~...e..e. ~ ...................................................... .................... ~o..~o. ~.~ ,..... ~.,. ~. ......................... to ..... ~$.~...ftc..~o~.. ~a.. ~¢~.. ~.uee~..ao¢.~e ............................................... ............................................................................... ....................................................... at premises located at .~../..~......~.Q.~...~.~....~.O.~.~......~..~L~.....~.o.~* ........................................... pursuant to application dated ................. 0.(~.~O.~. ......... '1~ ................ 19~'~...., and approved by the Building Inspector. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ......... ~....../....~.7..... 19...~..Z Approved ........................................ 19 ........ Permit No ................................. Disapproved a/c ................................... ~ y~,..~7.::~.~..~.:~....~2~.,~.~...~i (Building Inspector) Application No......(....6'.~.6./. .......... APPLICATION FOR BUILDING PERMIT f Date (~:~. '~ .0 .~. frY. ~,.?. .............. 19..~.7. ..... 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 lo'cation 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 applicbtion 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 th, roughout the progress of the work. e~ No building shall be occupied or used in whole or in part for any p,urpo~e 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 corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrican, plumber or builder. ............................ ~.e.n.a~a3...~.ozzt r~a.t.o~...&...PI.~her. ................................................................................................ Name of owner of premises ............. D~.V.l.~..E.....~l.8.O.O.l~ ............................................................................................... 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 N,,mh~r North Roacl.~ O~*,~* ¢~ ~,- 2. State existing use and occupancy of premieses and intended use and occupancy of proposed construction: a. Existing use and occupancy ..................~.~.$~ ................................................................................. b. Intended use and occuoancv . B~t~o~m exte~sion 3. Nature of work (check which applicable): New Building .................... Addition ....X .............. Alteration .................... Repair .................... Removal .................... Demolition. ................... Other Work (Describe) .................... 4. Estimated Cost .~.~.~..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 ............................ If garage, number of cars ........................................................................................................................................ 6. If business, commericel or mixed occupancy, specify nature and extent of each type of use ................................ 7. Dimensions of existing structures, if any: Front ...... ],~...I. ............... Rear ...... .~.~.! ............... Depth ....],.0..! ................... Height ...... .]:.~.1. ............... Number of Stories ....... ..0.~.~. ............................................................................................... Dimensions of same structure with alterations or additions: Front ..... ~.~ .................... Rear ....... ~.~.t. .................. Depth ....... .],0.? ................ Height ......... 1]..I. .............. Number of Stories ......... One ................ 8. Dimensions of entire new construction: Front ...... .8..! .................. Rear .......... f~..I .............. Depth ...],~.! ................... Height ....... ~,.~.~. .............. Number of Stories ..... .0.~. ............... 9. Size of lot: Front ......... ..~.~.! ............ Rear .......... .5..0.~. ........... Depth ........ ~.],...0..! ........... 10. Zone or use district in which premises are situated ...... A....~.! ..................................................................... 11. Does proposed construction violate any zoning law, ordinance or regulation?...~.C).~i ....... ,, .......................... 12. Name of Owner of prem ses .D.~.~.~...~. ~..~.~ 8..q.o...]..~ Address ..~..o..z'...¢..~....~..~.... ,.~....Phone Nc~.O.~.],.~.~.... Name of Architect ...................................................... Address ............................................ Phone NO ..................... Name of Contractor.~.o.]A~.O..]:.~...8...e.T..?..e....&.....8..~..~.e..~/~ddress .~.~,.$..~.....R.~,.a....B..o..~.z..C..~.q~.~l..Phone NO.Sf),.SmD.~¢.4-,~ .... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate oil set-back dimensions from property lines. Give street end block numbers or description according to deed, and show street names and indicate whether interior or corner lot. STATF OF NEW YO/~K,, ~ ~) S S ......... ~~ ................... belng duly sworn deposes end says that he ~s the app cant '~ (Name of individual signing application) above' named. He is the ............................. ~~.~i~~ ............................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work wilt be performed in the manner set forth in the application filed therewith, Sworn to before me this .......... L..'~, ........ day of ..... ~.: ....................... 19...'~.~,?,. Notary Public ........... ELOt$~ BOWDEN J~taE Public, State of New York Residing in Suffolk County No, 52-0367800 My COillraisslon Expires Ma(ch 30, 19 re of ~j FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined.....~....?..i.7.. ......... 19..~..~ Approved ........................................ 1 9 ........ Permit No .............. Disapproved a,/c ..... Application No....../...°..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 I(~cation o~ 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 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. .f~o?a~hf~ld...',]r~,.o ~..&...~=~l ~.~ +...~nO.. ....................... (Signature of applicant, or name, if a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrican, plumber or bu IderJ ........................... ~e.n~mal...O.on~.rao~or..&..Rlu~he~ ................................................................................................ Name of owner of premises ............ /}&.v.~.d...E.o...Dr.~.90o. ll ............................................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of and on which proposed work will be dane. Map No .................... B ack ............................. ..... Street and Number .............. ~..O..~...~.}..~..~.{..O...~.~.~ .................................................................................................... 2. State existing use and occupancy of premieses and intended use and occupancy of proposed construction: a. Existing use and occupancy ..................]l~.¢~].~1,~.~¢~ ............................................................................................. b. Intended use and occupancy ................ ]B~t~z'o~Q"'e:~te~l~&'o~ ..................................................................... Nature of work (check which applicable): New Building .................... Addition ...~ .............. Alteration .................... Repair ....................Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost ....... .~.~.(~.~.0.0 .................................... Fe~X ................................................................... (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 ...... ~..l~.! ................ Rear ...... ..~.6..? ............... Depth ..~.0.! ................... Height ...... ~..]-..~. ............... Number of Stories ....... .{.)..~..¢. ............................................................................................... Dimensions of same structure with alterations or additions: Front ..... .~...~.~. .................... Rear ...... ..4..4,..! ................... Depth ....... ].0..I ................ Height ......... ~.'t.! .............. Number of Stories ......... ~,¢1 ................ 8. Dimensions of entire new construction: Front ...... .8..! .................. Rear .......... .8.? .............. Depth' ....~..0..! ................... Height ...... .~,..]..! ............... Number of Stories ..... ..0..~.~. ............... 9. Size of lot: Front ......... ...~...! ............ Rear ...........~..0..! ............ Depth ........ ~..O..I. ........... stuated ..~.. ~ ' 10. Zone or use district in which premises are ............................................................................................ 1 1. Does proposed constructio.n violate any zoning law, ordinance or regulation? ........ /~'...0.. .................................. 12. Name of Owner of premlses..DJ~..~.. ~....~...~.8..o..O.~.~ ...... Address ......~..O..~..~'.~....[..t~.'..t....O.~..~.'.....Phone No~.O...~t....~.~.~.~..... Name of Architect ...................................................... Address ............................................ Phone NO ..................... Name of Contractor.~.q.t~..~.O.,.]....~...!}.~..~..*.....&....fl.~..].~.~..g~ddress i~.~..~..~...~f.]-.:.,...~..O~..t.~f.)]..~..Phone NO~..O...~..~.~..~.~.... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-bock 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. ~-~'--..~ .......... .~'i'~'' /;"" STATE OF NEW~O~K, ~_ ) SS -' COUNT~ O~ ~ ~ " ............... ,e,n, d.,, .worn. (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 manne~ set forth in the application filed therewith, Sworn to before me this ....... I,.i.? .......... day of ............ ~ .................. 1 9..~.,.~,. Notary Public, .. .. I~R Public State of New York esid ng in Suffolk County No, §2-0367800 My Commission Expires March 30, 19 (Singature of appli~.~