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Home My WebLink About460-zNO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the, building located at ..~.~..~;'.~F,t,l~..~g&~,,,.~D.t~.~,~ ....... Street Map No. ~* Block No. W~ Leot No. ~*w conforms substantially to the Application for Building Permit heretofore filed in this office dated Sep~:et~e~ 24 19...~.8., pursu,a'nt to which Building Permit No. ~ 460 dated .................. ~l~._~_m~e~Z'...~ ....... 19..,~.1~., 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 ................ ................................................................ ~.V~L~.. o~lJ~ .. ~ ~T~'.. D~B,T~Z~3~1'~ ................................. This certificate is issued to ..~,...~.~..,,~.¢~.~,~0.~....~ ............................................................. (owner, lessee or tenant) of the aforesaid building. Building I~spector 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) N? 460 Z Date ............... ,geto~;ember.....~l, ........... mg8..- Permission is hereby granted to: Helmut ..H~ss......~/¢.--.A~S.~...~. ~ug.h-~on .................. .... 6x~ee~tpo.zTM~'f''''''N; '~ ~' ..................................... to .. Bu.t.t~l...ez~...actd .i.t .i ~n., ~n.,.~.. ~.l~ ~L. nf.. ¢~.~¢e.1 ;Li-n6. ....................................................... et premises located at ..N/$...,.~.~.~..};4~P4;t ....................................................................................... ...................................................... .~O~:~hold~.....Lz,Y* ...................................................................... pursuant to application doted ....................... ~e~te~beT..-..~l, ......... 1~]....., end approved by the Building Inspector F.e $.-~. O0 .............. .......... · '"v Building Inspecto~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ...... ~ ........ ~.. 19...¢..~. Approved ........................................ 19 ........ Permit No ............................... Disapproved a/c ......................................................... ~ .................................... (Building InspectS) Application No.......~....~..?,. ............ APPLICATION FOR BUILDING PERMIT Date ............................... 19....5. .... 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 Iayout 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 pu~'pose whatever until c Certificat, e of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the ~ssuanoe 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 all applicable laws, ordinances and regulations. ....... ........ .............................. (Signature of applicant, or name, if a corporation) ........... .................. (Address of applicant) State whether applicant is owner, lessee, a~g~nt, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ......... .~5.... ~...! ............................· ................................................................................ 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 do~e. Map No: ............................................Lot No: .................... & . Street and Number ................ .~?. ................. ./.......:'..(~..i ...... Municipality 2. State existing use and occupancy of premises~ , .~~c~dl i. ~d~ ~7:~nd occupancy of proposed construction: b. Intended use and ~ ~ occupancy ................................................................................................................................ 3. Nature of work (check which applicable): New Building .................... Addition ......... ..~.........Alteration Repair ............... ~.Removal .................... Demolition .................... Other Work (Describe) .................... · O O Fee ~ ' 4. Estimated Cost.....~. ............................................................................................................................................... (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 ............ ~....,~.. ....... Rear ........ /..l[~. ............. Depth ....~.. ..................... Height ............................ Number of Stories ....~ ..... 9. Size of lot: Front ............................ Rear ............................ Depth ............................ 10. Date of Purchase ........................................................ Name of Former Owner ....................................................... 1 1. Zone or use district in which premises ore situated ......................... ~. .................................... 12. Does proposed construction violate any zoning Iow, ordinance or regulation? _.~ ....... ,~ ......................................... 13. Name of Owner of premise-~.~.~.!...~~ddress~'--~ ~ ~ ~- ^, ./~# o ~,-, --./..V.~../..~...~_...~...~,..,..Phone NO ..................... Name of Architect......~.......I.~..~: ........................... 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-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. STATE OF NE ~0.~_,.~_.~ ) S S COUNTY OF ..~.~ ...... ) ' , ............................. ~~.....~.~..~ ............... being duly sworn, depl~s .a~d says that h~ [s the applicant (Name of ,ndivldual signing application)p~ -J~l ~/t~'~ '~" above named He is the ......................................... ~~..~..~..=...~..;..~.~.,~.,.~,,~.~ ....... -..~.~,.: ...... (Contractor, agent, corporate o~icer, 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 m,anne~et ~th in the application filed therewith· Sworn to before me this .~ '~'~ %~?, ~0~ ........ ~:..~.... day of ........ ~...... 19p...~ 'zt~ ~ r~,* (S.gnature of apphcant) Nota~ Pubhc, .~.~~ ...................... uoun~y. -, "~brcb ~0 ~ ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Exam.ned ......~ ........ .~.. ....... 19....~. Approved ..................... !.~ ................ 19..~!....Permit No...~......~..,~....~.. ............ Application No....~.?..?. .............. (Building Inspector)/,' APPLICATION FOR BUILDING PERMIT Date ................. :':::..~.'.: ::~:::. ~:~.,, ...... ~.~.f..i.':,! ....... 19..~.~ .... INSTRUCTIONS a. This application must be complet, ely 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 stre.ets or areas, and giving a detailed description of layout of property must be drown 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 Certificafe 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 all applicable laws, ordinances and regulations. (Signature of applicant, or name, if a corporation) ........... .................. (Address of applicant) :t State whether applicant is owner, lessee, a/~.~nt, architect, engineer, general contractor, electrician, plumber or builder. Nome of owner of ~,=,,,,=== ............... , ..................................... . ~ ......................................................................................... If opplicont is ~ corporote, si~noture of duly ~uthorized officer. (Name and title of corporate officer) Location of land on which proposed work will be do~e. Map No: ............................................ Lot ix!o: .................... Municipality State existing use and occupancy of p~emises ~d intended use and occupancy of proposed construction: o. cxisting use ana occupancy ............................ ;.~.....;:;.2~.k...; .................. ~ ................................................................. b. Intended use and occupancy ................................ ~ ~ 3. Nature of work (check which applicable): New Building .................... Addition ......... ~lteratJon ...~... Repair ............... ~,.~.Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost......~,...:~ ................................................ Fee ...,,) ..................................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling umts ................................ 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, Jf any: Front ............................ Rear ............................ Depth ............................ Height ............................ Number of Stories ............................................................................................................. Dimensions of same structure wlth alterations or additions: Front ................................ Rear ................................ Depth .............................. Height .............................. Number of Stories ................................ 8. Dimensions of entire new construction: Front ............. ./.....L~.. ....... Rear ........ ./.....O. ............. Depth ~ Height ............................ Number of Stories ....~ ..... 9. Size of lot: Front ............................ Rear ............................ Depth ............................ 10. Date of Purchase ........................................................ Name of Former Owner ....................................................... ~ /}.>., /,/ J, 11. Zone or use district in which premises are situoted ........... .~..~, ........ /..S;,,..~. ........ :v:;~M~,~,Z, ...................................... ]2. Does proposed construction viobte ~ny ~onin~ ~, ordinance orre~ul~tion? ......... ~ ......................................... ]3.N~me of Owner of prem~ses,.,~,,' .................... ~ ...... :~,,,,Address ............................................ Phone NO ..................... ~ o~ ~,,~....~z,....~.~:::.:.: ...... ~. ................... ~,~ ...; ........................................ ~o~ ~o ..................... 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. STATE OF NEW¢~O~[~, ,~,/, ) S S COUNTY OF ..:..~..~?~:~:.'~.::...~.2L.) ' . ?.. ~ ~ J'.:'!::.'.;.Z: ' .....)L..]~'.t.~ .............. be ng du y sworn, depgses and says that h~ is the applicant (Name of md~wdual s~gmng apphcat~on) ~ ~ ~H~ , , . ~' ~-~ :~~-~(~ a~ove named me is the ................................................ ~,.....'.:: ..... L',,,,',,,~.,'. ........ 4 '~.~ 1 .v..~ ...... ~ ...... ~...~.~.~.z~.~ ........ (Contractor, agent, corporate ~r~ of said owner ar owners, and is duly authorized to perform or have performed the said work and to make and file this application; that aH statements contained in this applicafian are true to the best af his knowledge and belief; and that the work will be performed in the mann~ ~set~F~ j~the application filed therewith, Sworn to before me this ~ _ ~ ~_,, .. ~ '~ ~ s,,~ t~'~°~ Yor~ ~-~ ~/ da~ of ~--'(~ ' ~'~ ~,19 ~(~ ~".0-, · ..?,,ty (Sgnature of app cant) ~o~a~ P.b,c,~~ ........... ~oan,~ ' "" -'