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Home My WebLink About499-zFOE~ N,O. 4 TOWN OF SOUTNOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N, Y. C~-RTIFICA'I~E OF' OCCUPANCY No .......... ~,...7.4.9.. Date .............................. ~llly...~21 ............ 19.~..~.. THIS CEITI']FIES that the building located at ..W.~.~:~,...C.~.e~...~..v..e...n..u..e.~.....C.u..t...~...hg..g~..,eStreet ~orae Fleet ESt-1 . *** 200 & 201 ~m~ ....................... n oe~ No ..................... Lot No .... conforms substantially to the Application for Building Permit heretofore filed in this office dated ............. .Q.~..~.~,b..~. ~? ........ 19~..8,.... pursuant to which Building Permit No ....... ~....4.~9. ..... ~lated ............. .0ctoBe~:...2.7 .........19,~8.., w,as issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is PRIVATE O~ F~L¥ DWELLL~G This certiflcale is issued to ......... J' ~r .O~,.b,~'.i..~..,~!.:~.~.B~q~..0..w~..e..r.... (owner, lessee or tenant) of the aforesaid building. Building Inspector FOI~M NO. 2 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.o 499' Z Date ................. .0C.~,Oh~:~'..... 2~. .............. 19~J.... Permission is hereby granted to: ll~r~ld B...~..~.e..y.e....~...~9..~.s........~...~.....~.,....~.,....~.~:~]~ .... ......... ~f~;.t..~,.t...UC.k.. ~ ......~.,~'~ ................................. to ... ~.l~.ld ..n~...d.~elil.ug ............................................................................................................. at premises located at .~..~.....~.~..fi.~...~,~.~.~.k...A~e .............................................................................. ........................................................ /~.1.~. JUt ...~k .............................................................................. .................................................................... .~Cth~ at~.~......N,X, ...................................................... pursuant to application dated ......................... 0P.~O.lQe~'.....~)~ ............. 19..~..., and approved by the Building Inspector Fee $...~...0., ~ .......... Building Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN Ct.E~.[('S OFFICE SOUTHOLD, N. Y. Ex°mm ...... Disapproved a/c ...q:.;.~.~.. ............ (Building Inspector) Application No ...... .~. ~/.-.. ~..'../? ......... APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely f!lled 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 co~ered 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 I~ept on the premises available for inspection throughout the progress of the work. e. No building .shall be occupied or used in whale or in part for any pu?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 issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Sotzthold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of 'b~iildings, additions or a Iterations, or for removal or demolition, as herein described. The applicant agrees to comply with. all applicable laws, ordinonces and regulations. (Signature of applicant, or name, if a corporation) (Address of applicant~ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of prem~ses.....~ ..... .Z('....,~L..~:.~;.f* .... ¢...,~.~,/..,~ ...... 4.," ~" .................................... If applicant is a corporate, signature of duly authorized officer. (Nam~ and title of corporate officer) '~"; ...... ..~.~ ~',~..i/~ 1. Location of land on which proposed work will be d6ne. Map No: ~:.~..~....~ .... ~ ot No: .................. Street and Number ...... :..~.~ ... ~.;¥~'~F?.~ ..... ~'4~¢~¢:~'~? .......... ~ ....................... ' ........................ ~Municipality 2. State existing use and occupancy of p~emises and intenSed use and oc~updncy 6f proposed construction: a. Existing use and occupancy ....... ~<~:.~? ~. ~.x~..:.....~.~;.,~.... ............................................................................ ...~g ~ ............................................................................. b. Intended use *hd occup~ncy...,/:.i~<.~:.,.~.~ ~ 3. Nature of work (check which applicable): New Building.....Lg.............Addifion ....................Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... Estimated Cost ....... .....~../. ,~a~.., ,..-z~.. ........................ Fee ....... .~. ~, .~ .................................................................. 4. (to be paid on fiJing this application) 5. If dwelling, number of dwelling units ............ .~. ............... Number of dwelling units on each floor ........ .~... .............. If garage, number of cars ............ '.Z~ ......................................................................................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use......'] ......... 'i ............. 7. Dimensions of existing structures, Jf any: Front ....... .' .................... Rear ............................ Depth ............................ Height ....~.. ..................... Number of Stories ............................................................................................................. Dimensions of same structure with alterations or additions: Front .................. ..-T.~:', ........ Rear ................................ Depth ....... ....................... Height .............................. Number of Stories ................................ 8. Dimensions of entire new construction: Front....<~'..~...Z~..... Rear ...~.~..~.~:~.,.~. Depth .... ..~.... Height ...~.~. ~,:. ....... Number of Stories ...... ~.. ................ 9. Size of lot: Front ....2,./,2..ZA...,~. ....Rear ..... .~..~..~ ...... Depth ......... /'..~..~ ',..,~. __ -- ~.~/~ 10. Date of Purchase ........................................................ Name of Former Owner ..~.~f.~..z~.~.~/~3~'..~... 1 1. Zone or use district in which premises are situated ......... ; ................................................................................ 12. Does proposed construction violate any zoning law, ordinance or regulation? ...~.~. ...................................... Name of Architect ........................................................ Address ...................... ;.. .................... Phone NO ..................... Name of Contractor,~.~'~,~...,~... ,~.,~-*'.~/'~l~tess .~,~.~z~..~.....Phone NO..~..~,.t~.~ PLOT DIAGRAM Locate clearly and distinctly alllbuildings, whether existing or proposed, and indicate all set-back dimensions from street and blocklnumbers or description according to deed, and show street names and indicate property lines. Give corner lot. I whether interior or k ,1 STATE OF NEW/YQR,K, · ) ,|¢ , ,, . COUNTRY OF ,.-,J.~'.<~.,/...~;...) J'~'~ ~ ~ ~ ~ ~ j (Name of t~ividual~igning~ ~~a~licati°n)i (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 al)plJcation; 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 applicat~n filed there~th. Sworn t bef ,re me this / ~ ~s ~,~/ [I ~ ~ / ~. ~ ,~ /' , ~ su~ ..~ so, 1~ Notary Pub lc, . ........ ~,~.~,~$[~...}~.:~.~2~i~.Z,~¢~(....~~s ~"" TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLDL N. Y. .......... ,9.:? Approved ........................................ I9 ........ Permit No. ~sopproveda~e ..... :'5 .......... ~ ............ ~ ......... .................................... .~ .~... .............. .'.~:.::~..: .............................................. ~-~-~- . ................... ....... ............... (Building Inspector) / APPLICATION FOR BUILDING PERMIT ~.,., Application No..7.::~...(...../ .............. INSTRUCTIONS o. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building Inspector. b. PJot 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 dlogram which is port 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 k, ept on the premises available for inspection throughout the progress of the work. e. No building shall be occupied or used in whole or in port for any purpose whatever until o 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, os herein described. The applicant agrees to comply with.oil appliceble laws, ordinances and regulations. ........................ (Address of~applicont) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ....................................................................................................... Name o{ owner o{ premises .......... ~.~ ~ ..... ~; ...................................... I{ applicant is a corporate, signature o{ duly autkorized o¢ficer. ' ' (Name and title of corporate officer) ~,~/~ 1. Location of land on which proposed work will be done. Map No: ~.~?.~..,....~.~.~/~¢~..~.. ~kot No: .................. 2. State existing use and occupancy of premises and intended use and 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) .................... 4. Estimated Cost ....... ....~./~...~ ........................ Fee ....... IO,,.~. ................................................................. (to be paid on filing this application) 5. If dwelling, number of dwelling units ............ Z ............... 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 ....... :; ...... x:;. ........ Rear ............................ Depth ............................ Height ...~ ........... Number of Stories ............................................................................................................. Dimensions of same structure with alterations or additions: Front ......-~..mm;.~.:;:.: ............Rear ................................ Depth ....;~ ......... Height .............................. Number of Stories ................................ · ,, 8. Dimensions of entire new construction: Front..~:~[%,../~ ..... Rear .~.~/~.fC... Depth ......... Height ..~./..~/~ ........ Number of Stories ..... ~ ................. 9. Size of lot: Front ...~,Z,~.~..Z ..... Rear .....~..~t~..~ .......Depth ........ /..~..~,~... t~_.~.~./~,__ .~,.~. 10. Date of Purchase ........................................................ Name of Former Owner ..~.~d~.~ .... 1 1. Zone or use district in which premises are situated .......... A ................................................................................ 12. Does proposed construction violate any zoning law, ordinance or regulation? ...~..~. ......................... i ............. 13. Name of Owner of premises..~..-.....~r...~..¥.~'~..Address ....~..'~.Z~..(.,C:..4~'.d~... ....... Phone NO. Name of Architect ........................................................ Address ................................... ~,.....Phone NO. Name of Contractor,/~/'~..~...~e,~.~/~,~ress...~.~.~,~.~.z~.:.~:~........Phone NO. ! PLOT DIAGRAM Locat~ clearly and distinctly all [buildings, whether existing or proposed, and indicate all set-back di.mensions from proper~y lines. Give street and block [numbers or description according to deed, and show street names 'and indicate whether interior or corner lot. / k ,1 STATE OF (Name of above named. He is the ........ gnmg g duly sworn, deposes and says that he is the applicant , 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 tahnic~ ~h~aPtli?~etiOv~rtkhaw[llal, leStpaet,~omremnet~l ~nOn~l~ienemdar~etrhisSeta~oplr,(;~a:i~Or~h[~:prl~a~gnt~le~e~. knowledge and belief; .;L..i. '. 2 ...... :.:.: ., .............. '