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Home My WebLink About160-z~01g~'t ~0. 4 TOWN OF BUiLDiNG DEPARTMENT 'I'OW~ C~ERI~°S OFF~Cg SOUT~OLD, THIS CERTIFIES that the building located at ~.~..~l&~..A:~O, ,.. ~llt~:t;;t,~;ll~:~t;.. Street Map No ............. .~.~.~... Block No ....... ..~.~ .......... Lot No ...... ?,?~. ....................................................... conforms substantially to the Application for Building Permit heretofore filed in this office dated ......0.~g.O...~.~'...~.0.. ................... 19.~7.1. pursuant to which Building Permit No. .................... dated .... ..O.~..O..]?~.~....~.0.. .................... 19..~., was issued, and conforms to all of the require- merits of the applicable provisions of the law. The occupancy for which this certificate is issued is ................................. lt. Uift~ .~IJ~.it~l..O. .................................................. This certificate is issued to . ~.oh,rA.,.~..~.....~J~.~....o..?Jl3.~:~ .......................... (owner, lessee or tenant) of the aforesaid building. TOWH OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT trills PERM,~r Mus'r BE ~<EP~' ON -rile PREMISES ,%P~,~4V~-ti?.~W~,.~k.F~C~L~UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is hereby granted to: Date .......... O~obe~'. '~'0' i ...................... 1 ~?. ~,.. · ,Totm .. L.... K/.e.:Ln, .......................................................... ......... ~.:i..le.iF.....Ave~ ............................................ ............ ~a. ls t.$.tt~ck.s......~.~ .~.~ ............................... to ........... ~,~..V.e... ~x~,~ t,~ug., bn J..l.d ~ng...to..neu.. ~.~e ....................... : ....................................... at premises located at .l~a~..Ave,.....HaC, t-~.t, uck.~...~f,..~., ................................... ' ............................. pursuant to application dated ...........O~'l~o~)e~".~O ............................. 1~,~,....., and approved by the Building Inspector. Fee ~...0..~..0..0. ............ Building Inspector FORI~J~ NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ,~. ~,v ~r~;sa'~'~rove'~ a/c/ ~'~" ...... ~ ' ..... ...................... (Building inspector) Application No ............................ APPLICATION FOR BUILDING PERMIT ua ............................................................ 19..'d...,./,... 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 Building Permit. d. Up~)n 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 Deportment for the issuonce of a Building Permit pursuont to the Building Zone Ordinonce of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinonces or Regulotions, for the construction of buildings, additions or olterotions, or for removol or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinan,c~-~g~ions. ......... ........... - I , ............................. State whether applicant i~er, I~nt, architect, engineer, general contractor, electrican, plumber or builder. (Name and title of corporate officer) Location of land on which proposed work will be done. Map No ................................... Block .................................. State existing use and occupancy of premieses ond intended use and occupancy of proposed construction: o. Existing use and occupancy .... g..~'-... J).~.~./~.. ~../.~. ...Y'... .o....~..'..~(~ ....... .~..~ .... b. Intended use ond occupancy .......... Q...~...J..~J.~ 3. Nature of work (check which applicable): New Bb~ldlng .................... Addition .................... Alter6~ion~ ................. Repair .................... Removal .................... Demolition .................... Other Work (Describe).l~.l.~.OZ¢~.,~]~. 4. Estimated Cost Fee ! 0 '~"-~'-'-- (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 end extent of each type of use ................................ ,f Frnt .~.. ~ /'~"J"" Rear 7. Dimensions of existing structures, ' any: o ....................................................... p h .......................... Height ...... l.C;)x...~.~.f. ........ Number of Stones ................................................................................................... ~ ...... Rear ........ .~. ....... /.../ ...... Dimensions of same structure with alterations or additions: Front ........ Depth ......... ./...,~,..~,..f'. ...... Height .......... .f.~...].~.~..Number of Stories ................................ / 8. Dimensions of entire new construction: Front ............................Rear .. .......................... Depth ............ >~ ............ ~- Height ............................ NumberofStories ............................ ]~ A,O.J.) ITI IM/,~ ¢ l"~ ~. ~ (.~, O^f ~ l 9. Size oF lot: Front ..... ..'~.'.~..~.......'~..(..~.~...~. Rear ...... /..~...~.'....~.'...~'..... Depth ...... ~..~L(..~......~.~...~. 10. Zone or use district in which premises are situated.....i'l~.¢.~...~.,..~~ ..................................................... 11. Does proposed constructiem violate any zoning law, ordinance or regulation? .................. .)~..~ ........................ 12. Name of Owner of premises.....~.O..../~...~...?.J....l(.~..~..-/.L~fAddress .~.~.~...~'..~../...~./l.~..(...~.. ........... Phone NO.¢.]..~..~..~.~... Name of Architect ...................................................... Address ............................................ Phone NO ..................... 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.4~dieote whether interior or corner lot. STATE OF NEW YORK, ) ~OUNT~ ¢F%. ........ , .................. ) ~~.~,~ ................................................ being duly sworn, deposes and says that he is the apphcant / / ~9~e 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 Jn the manner set forth in the application filed therewith. Sworn to before me this ............ ~..~ ..... day of ....... ~f.~ .................... 1 // ~in~ture of applicant) N~y Public ~ me State ~, New York FORH NO. 1 TOWN Or SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OmCE SOUTHOLD, N. Y. xamin a ....... .%~......~.. ~ ..................... 19.. ....... Approved ........................................ 19 ........ Permit No...~..(..?~..~ .......... Disapproveda/c ..... ~'' ,-, (Building Inspector) Application No ( ~' 0 APPLICATION FOR BUILDING PERMIT Date ....... ............................ ,,,....4:.,Z..... 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 all applicable laws, ordinanc,e,s-agd regul,.¢ions. ..... ,,..., ............. ~. ;r r:T...~.. T...'~.. ~ ........................... // ~i~n~ture of o~lic~[~ ~r nome~ if o corporofion)~ ~ [ (Address of a~licant) ........ State whether applicant ixs, ew~er, lessee, agent, architect, engineer, general contractor, electrican, plumber or builder. Name of owner of prem ses ......................................................................................... If applicant is a corporate, signature of duly authorized officer. (Nome and title of corporate officer) 1. Location of land on which proposed work will be done. Map No ................................... Block ................................... 2'7/4 Street and Number ..................................................................................................................... ',':.\':t,::M~.L,~ ~,,,- 2. State existing use and occupancy of premieses and intended use and occupancy of proposed construction: a. Existinguse andoccunancv ~U% J~¢~ (/,~l~.t ¢4 4~ Y I:~ FjcJ: b. Intended use and occupanc 3. Nature of work (check which applicable): New Building .................... Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Descnbe).,~?~..../vj,4//~/~, D 4. Estimated Cost Fe~ / 0 ~ ~"~ ~,,*rr'~ ~. ~ (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 ........................................................................................................................................ If business, commerical or mixed occupancy, specify nature and extent of each type of use ................................ Dimensions of existing structures if any: Front ....... O~...~.....~'..? ...... Rear ......... .?..........~...... Depth ........ /..~...(.,/. ....... Height ......... ~.r~..~'~.'~.i...Number of Stories ............. ./ ................................................................................................ Dimensions of same structure with alterations,or additions' Front ~ .0.. F..f., Rear ~ o .~..f Depth ........ /.~..~..f- Height .......... /..~...~...r~..i...Numb~r of St'o';f'e'~'..'.'...,7.'.'.'.'.'.~.'.'.7.'.'.'.'. ........ ' .............................. 8. Dimensions of entire new construction: Front ............................Rear ............................ Depth ............................ Height ............................ Number of Stories ............................ '/}/~ /'~.~ I'~-/o,'~' ~ ~ ~ IV~I/~' C~N£ ~'~ 9. Size of lot: Front ..... .~..~..~.~.~.-../....'~..~Rear ..... /...<~...~...../.5./'..... Depth ..... /.~..'/.'!...g......./'~../.~" 10. Zone or use district in which premises are situoted...".~.....~..~ ....................................................... 1 1. Does proposed constructio~ violate any zoning law, ordinance or regulation? ................ N./~ ............................. 12. Name of Owner of premised~.~..~L..~...../.~./(.,t~.~"//.~/....Address .~.Z')..~...~./..,/.~.d....c~..,../C. ....... Phone NO. ~...'..~..~.~..~.... Name of Architect ...................................................... Address ............................................ Phone NO ..................... Name of Contractor .................................................... Address ............................................ Phone NO ..................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate oll 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. ,.~,//~ (~/y, Sworn to before me this ............. ~;~.... day of ........ .~2.~ ................... 19..~....~. ..... No. 52.8520600 ~ota~ public i~ the State o~ New Yo~k Residing in Suffolk County Commission E. xp es Iv~alch 30~ 1958 STATE OF NEW RK, ) ; ~ * ........ :.., ,s.. .~~ ............................................... being duly sworn, deposes and says thor he is the applicant / / (N/d'~'r(e of individual signing application) - ( / ~,-~- ~ / "'k ~4 Ne the ~~ (Contractor, agent, cor~rate officer, etc.) of said owner or owners, and is duly autharized to perform or have performed the said work and to make and file this application; that all statements contained in this appHcation 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. ~ FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined....~.~.. .................... .( .......... 19 ........ Approved ...................... !.'. ............... 19 ........ Permit No...~....~....~..~. ......... D,sapproved a/ c .... ~,;~ .......... ~.~.~.,m ........... ;~,.~ ................................ .................... ..................... (Building Inspector) x Application No.......~.....~ ........... APPLICATION FOR BUILDING PERMIT Dote ............ ......... 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 pa~'t of th'is location. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Ul~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 6r in part for any purpose whatever ~ntil 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. ~ ? (S'gno~;~ of applican~o/r nome, if a corporation, (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrican, plumber or builder. ................................................................................... .............. ................... ........................ .i .................... .'"";';", If applicant is a corporate, si~ture of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which proposed work will be d6ne. Map No.............................~'~'~ ...... Block ................ 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 i ~ ~ ~ occupancy ................................................................................................................................ 3. Nature of work (check which applicable): New Building .................... Addition .................... Alterq,ti~n ................... Repair .................... Removal ...~ ...... Demolition .................... Other Work (Describe)/.~':~,,.~..~ 4. Estimated Cost .~:~:r.0.~:O_ ............................................. 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. ~.4~ ...... 7. Dimensions of existing structures, if any: Front ........ ~..¢~. ........... Rear ......... ~,..O ............ Depth ....~....Q .................. 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 ............................ Number of Stories ............................ 9. Size of lot: Front ..~...O..!..~..; ........... Rear .../.~...~. ........... ,... Depth /...~//~;.!.(...O. ...... 10. Zone or use district in which premises are situated ....... i~......Lg~.':.~m*~,.~.~;~,....,~~i ................. 11. Does proposed constructio~ violate any zoning law, ordinance or regulation? ....... /..~.....(~. ................................. 12. Name of Owner of premises .... .~ ~tdress ............................................ Phone NO ..................... Name of Architect ............... .~ ................. .--x ............... Address ............................................ Phone BIO ..................... 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 propert~r/ lines. Give street and block numbers or description according to deed, and show street names and indicate wheiher interior or corner lot. STATE ~F NEW YOR~, ) ......... ~ff~..~.~;¢rT:z:.Z~.,~.y....~ ............... being duly sworn, deposes and says that he is the applicant i~Name of ~fv'Uual signing ~pHcadom 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 applic, emwifh. Sworn to be,~gj'e me this ...¢r~...,~....~.~... day of .:~.t ........ 19.~' ingature icont)