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Home My WebLink About517-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCGUPANCY No...~..~2'1 ......... Date ........................... ~.tu~e..19 ............... 19..~.~. THIS CERTIFIES that the bui}ding located Marion Manor Map No ....... 2~8. ....... Block No ..... .~.~..~. ............ Lot No ....... (;~ ......................................................... conforms substantially to the Application for Building Permit heretofore filed in this office dated ........................ ~O'~.eItt.he~...l~....., 19.~J.., pursuant to which Building Permit No. Z...~.,~. ............... dated ......................... ~o.~.e~o~...~..., 19.~'~.., was issued, and conforms to all of the requirements of the app[icoble provisions of the Iow. The occupancy for which this certificate is issued is .............. ................................................ P.t~.A~E..(~NE...FSI..];D. Lr..DWMLDZN~ ............................................... This certificate is issued to ...~..*.....~..~...~..~..$..e.$.Q.~..t....~...~.e.~.. ................................................................ (owner, lessee or tenant) of the aforesaid building. Building Inspector FOI~M ~TO. 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) ,o....~.~ ....... .~.v..'....~ ......... ~..~:,....~ ............................................................. .................................................................. ~ ................ ~...~ ........................... :.... ....................................... ~, ~,~,, ,~o,~ o, .~:~....~.~..~..~.~..._.:.~.:~:.~:~ ...... L~.c.~:..~.: ................. .............................................................. ~ ......... :a.~.;..t ........... ; ........................................................ ............................................................... .~..: ...... ../;.~.~...~.:~.~ ............................. Building Inspector Building Inspector Greenport 7-1774 BUILDER East Gillette Drive East Marion, L. I., N. ¥. June 18, 1959 Mr. Howard M. Terry, Building Inspector Town of Southold Southold, L. Io, N. Y. Dear Mr° Terry: Complying with instructions, I am en- closing Building Permit Notice, which was posted during construction of residence on ~illette Drive, East Marion, L. I. I am also enclosing copy of survey, showing location of building. It will be appreciated if you will kind- ly issue Certificate of Occupancy as soon as possible, at the same time returning copy of survey. Thanking you, I am EnG. J. Burgess Jamieson FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUT,OLO,, a. 'r. Approved ........................................ 19 ........ Permit No .............. D sepprovedarc ...... ........... . ................ .............. ............ _ _ .... k " ~ ............ ........~zr....:2 .............. (Building Inspector) ~" Application No....<-~...~...Z .............. APPLICATION FOR BUILDING PERMIT Date ............... N~.~. f~b.e.r. ....... ~/. ~ ......... 19.,~8 ...... 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 ~djoining 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 p art 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 alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all opplic.able laws, ordinances and regulations. !~ ~'J.':z'~,D,. ~'~' c ~1 .: ;~.,'~,'7'~ ~,-:)-.~'~'~ .......... ~.~ .................. ;, .........: ....................................... : .............. r(Signature ofbeppJic0nt, or name, if a corporation) . Ea~.t,...C~ ~&e.i,~ ~...Dm., .,...E~,s~..I~ar&om,...L, ...I ........ (Address of applicant) State wheth,er applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .................................................................... O~rzem..~...~ ~,r. s,l ...~.~r~t, ~.~ c.~.Q r. ............................................................... Name of owner of premJses....,,T..,....];~U~.g.~.fl~...,J'~l~tJ,.~.l~.~2.~..~t~.~...~,ft':.:L.O. Lrl.~...~.,...~.,. .................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) ~r~o~ ~oZ' 1. Location of land on which proposed work will be done. Map No: .............. ~.O.~ ..................... Lot No: .....~.TL .......... Street and Number ....................... G:L&.]Le.~:~...Dr.:L.~e.,....t~a~.~t..$[~.~.on ............................................................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ............................................................................................................................... b. Intended use and occupancy .................... C}n~...~,z~:L2..~...~.~L~Ln~; ............................................................... 3. Nature of work (check which applJcaNe): New Building.....X ............ Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost ................. ~'I.A..,.CIOQ ............................ Fee /.'...O.....~ ......................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units .......... Qn~. ............... Number of dwelling units on each (Ioor ....... C)~ ............... If garage, number of cars ..........:':: ............. Gne. ............................................................................................................ 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 construcHon: Front ........ ,,R.2;,8.!! ........ Rear ......... ,52.:.8.!~. ...... Depth .....~0.'. ................. Height ........... :1,6.[ .......... Number of Stories ........ Dn.e. ............. 9. Size of lot: Front .......lOQ.~. ........... Rear ..],O0.~O..4.! .......... Depth ....... ~.~3.,.Q~.~ ..... ]0. Date of Purchase ...........J.ul~..5.,...19,5.6 ................ Name of Former Owner ..~.9.$.~..z'.....B..1...a..n...k....&;.....S...o..n. .............. ~1. Zone or use district Jn which premises are situated .............. JL .............................................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation? ...Va.z',1..an.c.e...gr.a,n.%.f~ .......... .. ]3. Name of Owner of prem,sesJ.....Ru["sez~s...Jami~.~ress .E....Gi,lla~.%.a..D~.. ....... Phone NO. , .7. -17. .7. .~ .... Name of Architect ........................................................ Address ............................................ Phone NO ......... Name of Contractor..J.,,...Bu~.ge.s$..Jam~t.es.~n....Address .E,,...Gillat.%.a...bt? ......... Phone NO...7.-3,7..7.4', .... PLOT DIAGRAM Locate clearly and distinctly ail 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. ~ cz_ :~, O5` STATE! OF NEW YORK, COUNTY OF ..SD~.F...C)L~C ......... SS. ................ J.,,..,~.tA~.~.~...J~,I,.¢.I%0.~ ................................... being duly sworn, deposes and says that is the applicant (Name of individual signing application) . - above named. He is the ........................................................... c.an.~=aa~m .......................................................................... (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 th s application; that all statements contained in this application are true to the best of his,~nowledge and belief; and that the work will be performed in the m.ann~r set~:~grth in the applicatio~ filed therewith.[ ~ ~ . . · ~,_. ~,~ "~' '~:~- , ~ fl~ ..... ~ "~. .bhc, ................... ..................... y .... TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE sOuTHOLD, N. Y. Examined ....... ./...~.... ........................ 19 ........ Approved ........................................ 19 ........ Permit No. Disapproved a/c ....................................... ~ ...................... ................................ (Building Inspector) Application No .......~...~.(...~ ........... APPLICATION FOR BUILDING PERMIT Date ............... :;O.Y..~ ~.~. .......................... 19..~f~ ...... INSTRUCTIONS a. This application must. be completely filled in by typewriter or in ink and sut)mitted in duplicate to the../ Building Inspector. b. Plot plan showing location of lot and of building~ 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 Buildiqg 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 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 issuanoe 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. /(S~gnature o%(~pphca , or name, .f a corporation) .li',.~.tc.. ru;:~,Lt,~.CJ~...DZ:~.~...?.:~.t,...V;.~.J..~,...L,...L, ...... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ................................................. ~,,.~:~..~,..~.~.~.~L...~o~t,,~.~.o. .~ ................................................................. Name of owner of premises...~.....b.~..~.~?.-.9.~....~.e..~.9.~,~..,~./¢¢~.t~.,].~.;~,.0~,~...~t.~..-'~.~ ..................................................... If applicant is a ~orporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which proposed work will be done. Map No: ............. ~Q~.8. ..................... Lot No: .....~ .......... Street and Number ...................... .('z.$~.~,~.t~.?~t~...P.~..~,~e,*...~f~.t~..~[¥ff~.~,.O~ ............................................................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ................................. ..~,~'..~.~ .......................................................................................... b. Intended use and occupancy ................... LL.qfL..[~,?.~,L].~;..~[).~.L~L:~t~; ............................................................... 3. Nature of work (check which applica'ble): New Building.....~, ............ Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost .................. ~i&..4.,O.00. ............................ Fee /0 o~z . (to be paid on filing this application) 5. If dwelling, number of dwelling units .........L'~O ................ Number of dwelling units on each floor ...... .Q~'I.~ ............... If garage, number of cars .......................... 0Zle ............................................................................................................. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ........... .?.:.~.'r.. ......... 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 ......... ,~2,...l] ......... Depth ....~.O..I. ................. Height ........... 1.6!. .......... Number of Stories ........ ;~:~.~ ............. 9. Size of lot: Front .......10~.1. ........... Rear ..~Q0.*.0~ ............ Depth ....... ~.~.~.~..0.~.! ..... 10. Date of Purchase ...........J~1;~...~.~...19~.(~ ................ Name of Former Owner .?.,e.~?;...~.....~.~..~...t~......~....~O..~. .............. 13. Zone or use district in which premises ore situated .............. A ............................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? ..Ir&~.~.8,B.t~fL.~".tA1¢t.~.¢.~1. ............ 13. Name of Owner of premisesJ.,...J.~Z*,~;e~l.a...~a~l~.e~l~tdress .)~...Cli.~kl~.t*~#...~.l?., ....... Phone NO..?...1~.~../~ .... Name of Architect ........................................................ Address ............................................ Phone NO. Name of Contractor..,L,...flUmSO. aS...J&f~.~.~l].~la...~Add~ess .J,~,~...(,}J, ll~.t4.t,.¢...~.lr:'..~ ....... Phone NO...~.*,~'¢.?..~ .... PLOT DIAGRAM Locate dearly and distinctly dll 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 ~[W ~Q~K, ) S. COUNTY OF .~.~.,.0~ .......... ) ............... .~.~...~.~.~...~.~.~.~ ................................... being duly sworn, deposes and says that he is the applicant (Name of individual signing application) above named. He is the .......................................................... ~.Oz2.[~fl~O~. .......................................................................... (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 th s app cot on; that o statements contained ~[~[~".~li,[~tion are true to the best of his knowledge and belief; and that the work will be performed in the m,onn~.s~t',.fqf~,gW~the opphc?i~filed therewith~ Sworn to before me th s ~ ........ ~ day of...~[~.Q~¢~b.~ ........ v'" 19...5B....':''~ ~( (Signature[of op~cont) Notaw Pub~.....~~ .................. County /