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Home My WebLink About447-zNO. 4 TOWN OF SOU'i'HOLD [~UILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. (;ERTI~ICATE OF OCCUPANCY Date June 7 19..~.0... THIS CERTIFIES that the building located at .~hr.e~...Wa~z~s...L,~,n~,,...~r.J.e~t~..~S~reet Orient By the Sea~ Map No ......................... Block No..~..e. 9.?....'.I. ........ Lot No .....~..0. ......................................................... conforms substantially to the Application for Building Permit heretofore filed in this office dated ..................... ..S..e...p..~.~'.b..?.~...~.]: ....... 19...5.~.., pursuant to which Building Permit No ......... .~...4..~.7. ....... dated Septjem'bcz 19 58 ...................................................... 19 ........ , was issued, and conforms to oil of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ................ PR~VAT~ O~q~ FAMIL~ DWELLING This certificate is issued to~['~.&D.~,D~.~k.J~zZ,...[~$.t, Ck~.],~...QWAI~. .................................................. (awne. r, lessee or tenant) of the aforesaid, building. Building Inspector FORM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is hereby granted to: ............. ~u~ae..l/&t,m,z .. ZAzm .......................... pursuoi~t to applicotion doted ................. 8~p.~;~.~F ....... ~ ............. ]~...., ond opproYed by the Building Inspector Fee $..~,~ O0 ............. ......................... ]'A pector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. q (Budding Inspector) / Application No ...... ~ji~..]. ]7. .......... APPLICATION FOR BUILDING PERMIT Date ~/. ~- 195~p 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. 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 pui'pose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuanoe of a Building Permit pursuant to the Building Zone Ordinance of the Town of Sou, hold, 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 all applicable laws, ordinances and regulations. ~Signature of applicant, or name, if a corporation) (Address of applicant) State wheth,er applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises.~~ ............................................................................................................................ If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Municipality 2. State existing use and occupancy~2 ' ,, ,/) - ~°f p~.emises and intended use and occupancy of proposed construction: a. Existing use and occupancy~..].~..~'.~~-~?~ ........................................................................... ..,¢ .. b. Intended use,and occupancy ........... ~.......~...~r~w~...~.~ ............................................................................... 3. Nature of work (check which applicable): New Building .................... Addition .................... Alteration ..... ?..~,¢~ ........ Repair ............. ..~...Removal .................... Demolition........~ ......... Other Work (Describe) .................... 4. Estimated Cost...?~,.O....O.'~ .............................................. Fee/~.~'~"' .................................................................................... (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 .............................. 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 ...... ../~1 ................ Rear ...... /..O.. ................. Depth ...~.0. .................. Height ............................ Number of Stories ............................ 9. Size of lot: Front .../.~...O. ............... Rear ...... /...~...O. ............. Depth ...../...O.....~. ............. 10. Date of Purchose,~.,/,~.¢.~.../'.~'......../..~.~..~.~:~"'~' .............. Name of Former Owner L,f. //. 11. Zone or use distr'rC't in /(vhich premises are situated ................................................................................................. 12. Does proposed construction violate any zoning law,,,z~linance or regulation? .................................................... 13. Name of Owner of premises. '~./~:~s .-,~'~:,~.,.~,,.:,Q~.Phone NO.~,.?~2~ Name of Architect .......~ .......... : .................................. Address ................ .~ .......... .,~ ....... ~Phone NO ..................... Name of Contractor..~:~L../~...f....~'......[~.~, ......... 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 end block numbers or description according to deed, and show street names and indicate whether interior or corner lot. STATE: OF NEV~Y, ORK, ) S S. COUNTY OF .../~.~....) ~ (Name of individual signing application) above named.-~-le is the ............................................................................................................................................................. (Contrnctor~ agent, corporate officer, etc.) of seid 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; end that the work will be performed in the manner set forth in the application filed therewith. Sworn t~ before me this ...... /..k~.] .......... day of ....~.~,.!...: .............. ~[~P]~[~,.Stc,to o[ N~ ¥~'~ x,7'~(Signature of applicant) Notary Pub[ic~ ............ ~....~r/~-.. ~ FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. NOTICE OF DISAPPROVAL PLEASE TAKE NOTICE that your application dated ................... ~e~'l~,ttl]:~e:~......]..~... 19..~.. for permit to construct ~,..,~,~,~ta.~e ....................... at th9 premises located at "~/8'"¢J~t~!'~e ..........':'" .... .~¢a,.l~e ~.$.. :£~ t ~.~.e ....................................... Street Map .0.~..~ef)¢...~.'Z:..¢.',,.,~e...Se, e, BIock ......... ~d;e ......... ~i ................ Lot ~¢...~O .................................. is returned herewith and disapproved on the following g[ounds[.....~'~e..~tp..,~.:[..98.,t;.~.¢~..~,.~. ......... .... ~et,...t~ee~...~e.~.~&.sed-~...-a~eL....¢.be,,.z~...w[~...~ ,e...~¢~.~O.. ~ee-. tcJ:~,,c, s.~o ~Z .~¢e.~.~e~,z .... ~uiloing inspector