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Home My WebLink About168-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No. ...Z... 2.6.......... Date ............................Z.itl1.x..5...............19158.... THIS CERTIFIES that the building located atm.ly-Ati.Q...R904..�...R.CXCQI1-ft.1110 Street Map No. Y.I.E.&AVt............ Block No. .....X=...................... 1-Z110M ...:ZWtLhol.d......N.Y. conforms substantially to the Application for Building Permit heretofore filed in this office dated Nogember IF„.,,,,,,,1gJr'j.,., pursuant to which Building Permit No .... ...7�=:.g............. dated .....................KfQV.aXh6r...7..........195`j..... 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 ............ ............................................Y.A.IHATZ..;11a r. LI2113.............................................................................. This certificate is issued to Jr.ak—HallbAueT........(.-wdAer).................................................... (owner, lessee or tenant) of the aforesaid building. AAAA ......11kA ..... ..�.. .......... Building Inspector t _ FOI~M NO. 2 TOWN OF $OUTHOLD BUiLDIHG DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES %%~*OF4~D~* ~RO~'[E~*~N~I~[~B:~4~4~UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is hereby granted Robert Hyat~....A~.....~....~h~r ...................... ........ ..................................... pursuant to application dated ..............~_o.v..e.~.b...e.?. ............ .br.. ................ 19..~.~..., and approved by the Building Inspector. Fee $ ~. ,..0.0. .............. FOl~ ~TO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILD~NG PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES OF THE WORK AUTHORIZED) No ..... ~r..168 ........ Date ............... l~oVeill~:~:10......~i' ................. 19~7 .... Permission is hereby granted to: Robert Hyat t;.....;JC.....F.~.a~k.....Hal~ba.~e~ ...................... ....... 8o~ho1¢] r....[~..~.. ..................................... at premises located at ....I~l,,¢8.....kqollr~...~'ie.w..A.ve, ......................................................................... pursuant to application dated .............. t~,l/re~b,~la ........... -1,I' ................. 19.~.'~.., and approved by the Building Inspector. Fee $5"*'00 .............. .......... B~iiding Inspector /" FOR~I NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Exam ............. Approved ....................... :'. ............... 19.,.~.'....Permit No ~ / ~' Disapproved a/c .... ~ ~ '" . ........... i.. ~.'.'.0~.-:.~..-~J....~..x.~..aL ....... I...¢1k. ....... L,.,.~4,~,~ .................. (Building Inspector) / Application No ............................ APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely fiiIed in by typewriter or in ink and submitted in dupiicate to the BuiIding Inspector. b. Plot plan~ sF;owing Ibcatio~ 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 appllcation 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 ar in part for 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 a~n~regulations. (Signature of applican~,/~ name, if a corporation) Southold N. ~. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrican, plumber or builder. contractor rem ses Mr. Frank Hallbauer Name of owner of p 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. Map No ................................... Block .................................. ~ight of way oSf of Sound View ave. Southold, N. Y. 2. State existing use and occupancy of premieses and intended use and occupancy of proposed construction: a. Existing use and ,~cu~eno, $llramer residence b. Intended use and occupancy .......................................... .................................................................... i ................. 3. Nature of work (check which applicable): New Building .................... Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost .~/~-.. ............ .~..~..~...0..~..0..0. ............................ Fee ....~'...~J ........................................................................... (to be paid on filing this applicat~ion) FEES: ~ : one ' ~ne If dwelling, number of dwelling units ............................ Number of dwelling units on each floor ........ ~"1 .................. tf garage, number of cars ............................................................................... '. 6. If business, commerical or mixed occupancy, specify nature and extent of each type of use ................................ ~0t f~Ot ~ 7. Dimensions of existing structures, if any: Front ............................ Rear ............................ uepth ............................ Heinht 8~ o~e ............................. Number of Star es ............. ~ ............................ ...... 20t Dimensions of same structure with alterations or additions: Front ................................ Rear ................................ 8~ Depth 26! Height .............................. Number of Stories one . ~O~ l~5~ ~6~ 8. Dimensions of entire new construction: Front ............................Rear ............................ Depth ............................ 8 t one Height ............................ Number of Stories ............................ 9. Size of lot: FrontS.~.~. ................ ' ....... Rear 85' Depth I80~ ]0. 7one or use district in which premises are stuoted .......... ~ ............. .~: ................................................ 11. 12. Does proposed construction violate any zoning law, ordinance or regulation? ...... ~.O. ......................................... . . Frank Hallbauer _.. ~4b E. ~ st. Name of Owner or premises ........................................ ~aaress ......................................................................... Name of Architect ...................................................... Address ............................................ Phone NO ..................... ~ . . Robert L. Hyatt ... Southold ~- NO So 5-b~90 Name of ~onTracror .................................................... ~aaress ............................................ mane ..................... PLOT DIAGRAM Locate clearly and distinctly oil 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. - ..... Sworn to before me this .......... ~ .......... day of ....... ~..'~.....: ............. 19..~Z .... Notary Pub I lc,.. L<.f~.L/.~.~.~ ................. County ELOiSE BOWDEN ~o~st~ Public, State of New York Residing iii Suffolk County No. 52,03§7800 I~ Commissml~ Expires M,~rcll 30, 1~ (Singature of applicant) STATE OF NEW YORK, ) ~ ~ -- COUNTY OF~..~......) S S.: ~ ___.~_~_.~------~ . ,~ Robert L. Hyatt , '-- , '-~ , ~ ................................................................................................ be,ng duly sworn deposes and soys that he is the app ,ca~t (Name of individual signing application) ~ / above named He's the oontraoto~ , (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 hls knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith,