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Home My WebLink About407-zTOWN OF SOUTHOLD BUILDING DEPARTMENT TOWI~ CL'~-RK'S OFFICE $OUTHOLD. N, Y, CERTIFICATE OF OCCUPANCY TH~S CERTIFIES that the building located at n/~.8.....~.~...~..~.~.8., D..~..*....~,~,.~.~ol~reet Map No ............ :.~.~... Block No ........~ .......... Lot No .......~ ....................................................... conforms ~ubsiantially to the Application for Building Permit heretofore filed in this office dated .................. ~.~...~. ........... 1~ ..... pursuant to which Building Permit No. .................... aatea ................ ~.g...a ............ , 1~..~., wa~ issuea, aua conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is ~ssued is ........................... ~ ~ .~. ~..~.~.~ .................... This certificate is issued to A~h~l~ ~C,, o~er /~iova~c~o (owner, lessee or tenant) of the aforesaid building. Building Inspektor FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTNOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST DE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 107 Z Permission is hereby granted to: .~, p~.~.:...~. ~ ?.'... ~. :: ..................................................... ~,)!:Z~ ': ~r ................................... ............... ~:~a.~%z.rc~Ck~...-. ~ ~ ~. .................... at premises located at ...~f,~.%.....,.,;~.3,L~,~,.~..,,Zt.,.t,.~.~ .... ~;,~ ~'. f. ~ ~'t~Ok ~ ~,'S . ................. pursuant to application dated .... ~.~t~,~.. ......... ~ ........... 19..~?.~., and approved by the Building Inspector Fee $....~.Q~.~.0.. Building Inspector TOWN OF SOUTHOLD BUILDING DEPAR'TMEHT TOWN CLERK'S OFFICE SOUTHOLD', N. Y. Approved ................... ~. .................... 19 ........ Perm,t No.~_,,.~......L.?.....F. ..... (Building Inspector)' Application No.....~...~;...2 ............ APPLICATION FOR BLIILDING PERMIT Date ................. .......... ..................... I9......¢. .... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building Inspector. b. Plot plon showing Iocetion of lot and of buildings on premises, reletionship to .edjoining premises or public streets or areas, and giving o 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 p art for any purpose whatever until a Certificat, e 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 SouChold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the c'onstruction of buildings, additions or a Iterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applioable laws, ordinances and regulations. ...... ........................................ (Signature of applicant, or name, if a corporation) (//t,, :/..: C /..L ........ ..6.c.Z;. ............. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ..... 2 (-~ x/[~ ........................................... ~'"'-J~) ~B ~ ~ ........................ ~"'"~ ............. ; ........................................................................................... Name of owner of premises....~Y.~?~...~.;.~.~..g.*..~.....~.~ -..-..,~?~,%..¢t*-~..' ................................................................................... 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: .................. ~ ......................... at No: .................... ....... ............ ~vtumc~pa u[y 2. State existing use and occupancy of IRr. emises and inten,cLe~d use and occupancy of proposed construction: b. intended use and occupancy ....................... .~.~..'..¢.~..~...~..%~k..~.':....¢ ........................................................................... 3. Nature of work (check which applicable): New Building .................... ddition .................... Alteration .................... Repair ............. ~....Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost...~'LL~..~.~ .............................................. Fee J...~.~ ......................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ................................ Number of dwelling units on each floor ............................ If garage, number of cars ............................................................................................................................................. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use...~.~...._*r~.,~.-gr.. 7. Dimensions of existing structures, if any: Front.~.g.;.~.....~. ~.~.,L.: ~ ............... '""'"'""~-~,~, ~'/.zD~pth ......... ~, ................. Height ............................ Number of Stories J..~..~.~.~.~..~...~.....~'...~.,.~...:r.'..~...'.~...~..~?..fl..~.~.~.; ........ 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 J..~....~.'~.,~ A '~"~ ~(~ }~T,~'-- --' t~'0BO~,,,.gq.~ 9. Size of iot: Front ..... .~-~!~...2¢r...,.~.~)... Rear ............................ Depth ..;?.....~...'1 .............. 10. Date of Purchase ........................................................ Name of Fgrmer Owner ........................................................ 11. Zone or use district in which prem.ses are situated ......... ...":~:..........'F~....F..~..-:~¢.....--:~ ......................................... 12. Does proposed construction ~lateL,,,~.,~n~:~jz~l~,aw, ordinance or regulation? ....... .J...~..~. ................................... 13. Name of Owner o premises.....=.~;..~; ........................ Address ............................................ hone NO ..................... Name of Architect ......................... '.'.t ............. ~/. ............ Address ............................................ Phone NO ..................... Name of Contractor ...................... .~.k ............ ~.~. ........... 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 lot. STAT[[ OF NE~O~ ~/Z ) S S r~ ~ COUNTY OF .~}.~L..~..)~ ' , ~~[~1 ........................... ,~ ............ ~ ............ ~.q: .......................... g Y , P Y PP (Nam~dividual signing apphcatio~ above named. He is the ......................................... ~......~.m ............. = .................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or hove performed t~e said work and to make and file this a)plication; ~ ~at all statements contained in this application are true to ~the~est of hi--ledge and~Jief; and that the war will be performed in the m.a~er ~/~orth in the applicatio~ find there~J~. ~/ 7/ //J Sworn tobeforen this ~gP" ~ ~ ~~~X ~OtO~ ~ublict ............. , ......................... ~u~c - ' NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved ........................................ ]9 ........ Permit No .............................. Application No ..... ..~.. I..~..:7~. ........... 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 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 port of th]s location. c. The work covered by this application may not be commenced before issu.ance 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 a Iterations, or for removal or demolition, as herein described. The applicant agrees to comply with ail applicable laws, ordinances and regulations. ..~.;~' .................................. /./..~ ................................................ (Signature of applicant, or name, if a corporation) ~>~;( .F ~ ~ ~ )>~ ,~'1 h : "? , -7' . c .~. ./~, /' (Address of applicant) State wheth.er applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. , G N~ ?¢ o~.~ ~ ~,,~ .... .:~.~L~:~'t ...... ~=;.~., ................................................................................... If ~ppltc~nt is ~ corporate, signeture of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which proposed work will be done._ Map No: ....;?¢..,. .................................. Lot No: .................... · , :: .,./L- ............ Street and Number .~..,.~.~/x~/......./.~...~ ........ ~......4~¢ ........................ Municipality 2. State existing use and occupancy of g, remises and intencJ~d use ahd occupancy of proposed construction: a. Existing use and occupancy ...... ~.~.~[:.Lj./.~...~.~.....L.'~..¢~.~f.~.~;:.~'~....~...j~.)~....?..:~...~.?...~...~i~`~.:.....~:.~.~ ........ b. Intended use and occupancy ........................t~,~..~:.?..'~..~.~..: ........................................................................... 3. Nature of work (check which applicable): New Building .................... ddition .................... Alteration .................... Repair ............ ...~....Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost...~.l.J~..Q~ .............................................. Fee ../..~.~ .................................................................. '.~.ii .... (to be paid on filing this application) 5. If dwelling, number of dwelling units ................................ Number of dwelling units on each floor ............................ If garage, number of cars ............................................................................................................................................ 6. If business, commercial or mixed occupancy specify nature and ~nt of ea~ type of use...~~.~ 7. Dimensions of existing structures, if any: Front..~.~9....~..~.~..... ~ ..................... ~.. D~th ......... .~ ................ ~e ght ............................ Number of ~tores L.....:: ...... :.. ................. .~ ................. ': ........................ .~ ......... ~. .............. 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 ...l..~.~.fi..~.~ ~ ~ ~ - ~ J~ ' ;~'~ 9. Size of lot: Front ...... .~.>~.~....~.. Rear ............................ Depth ....~..~..~ ............. 10. Date of Purchase ........................................................ Na~e ~(,F~er Qwner ...... , .................................................. 11. Zone or use district in which premises are situated ~ 12. Does proposed construction violate any zoning law, ordinance or regulation? .................................................... 13. Name of Owner of premises..~*~at~...~.~.Address ............................................ 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 indicate whethbr interior or corner lot. STATE! OF NE~.~.,E?'L- ) SS ......... /j ........................................................... De ng duly sworn, deposes .and says that he is the applicant (Name of individual signing opplication~m'~ above named. He is the ............................................................................................................................................................. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or hove performed the said work and to make and file this a~pl cation; that all statements contai~ i~js application are true to the best of his knowledge and belief; and that the work will be performed in the~e~th in the application file¢ therewith~