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Home My WebLink About536-z/ ! FORM NO. 4 TOWN O~: $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY Date .......................................................... , THIS CERTIFIES that the building located at~t.~.~.~..D~.~.l,..~.~,t,~g.O,~ ............ ~ Map No .~** .... Block No. **** ' ~ ............................................................... ............................................ bat No. ~onforms substantially to the Application for Building Permit heretofore filed in this office dated ..................... ]~O.~.t~/~lb.e.[...~ ......... , 19.....~'~pursuant to which Building Permit No. ~'~.. ................... dated ........................ ~J~.~f~.~...~....., 19...~..~.., was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is .............. .................................................... ~z.~....0.~.z..~.. ~.~?~.z.~..z. ~.~.. ~....o..~...~.~....~.~..~ This certificate is issued to ...... ~Ck~.¢l;~t~..~,J'~L~,~,DJ~.j...~l~G~. ......................................................... (owner, lessee or tenant) of the aforesaid building. Building Inspector FOI~FI NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 536 Z Dote ............ ~ ~-~(~ ~ ~..~...... ~.. ................... '[ ~..~ .... Permission is hereby granted to: R:L. ~ez~e s]~:L ....,~..C~..... ~[o. ~.~.o. ~..,P.~$..]:.]:.& ~..s.. ..................... ..... .~ e,~ .t;...~?J,e .~.~L. P.:r.;L ~ .e. ...................................... .................. ~'~t~:~l.~.~0..~.,......~.~.Y..,. ........................ to ..... .]~.~.Z~...~n.~ad~.~L.t;~z~..~..a~t..~J~.~:L~..~.~1`~.~g..~...(....~...n..e.....q..a.z~:...g§~.~.?~..). ...... at premises located at ..... .~/.~.....~?~.~.~...¥.~-.~'~...?.~.~.:~.~ ....................................................................... ........................................................ -~:~:~..~:~-~ .~ ~.....~!.'.~.~. ........................................................... i ...... pursuant to application dated ............... ,~O.T.f~.....~ .................... 19~.~..., and approved by the Building Inspector Fee $...~.,.O.Q ............ ................... Building Inspector ................ ~ FOI~][ NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD~, N. Y. Examined ............ ...~,.~.q. ~,~....:) ......... 19..~.7~.. ' Approved ........................................ lC? ........ Permit p~o ............................... Disapproved a/c ......r. ........................ - ................................................... .......... ................................ ......... ...... ............ ........................ App,icot,o. ............ APPLICATION FOR BUILDING PERMIT ....................... INSTRUCTIONS o. 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 cov, 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 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 issuance of o 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, adqi.~r.i, onS:/or a Iterations, or for removal or demolition, as herein described. The applicant agrees to comply with all,'opplic.ab'le laws, ordinances and regulqtie~s. ...... ........................ (Address of~ppqicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises..~~:~z....'..~....~ ....... ~~...~.....~.~...~(~..~.... ...................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which/.,, ' ~ ~-" /~ /'q /f/ /J2-- _4pr°p°se~°zk~z[l~!'be done. Mop No~: .......... ,,~ ............................... ~L~ot No: .~,~ ................ Municipality 2. State existing use and occupancy of pr, emi~es and intended use o~d qccupancy o_,f~proposed construction: 3. Nature of work (check which applicable): New Building .................... Addition .,~.. ............... Altera ion Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... , ..................................................................... 4. Estimated ~ost~.....'..p,./..,.,L.:...¢,. ...................................... ~-ee . (to be paid on filing this application) 5. If dwelling, number of dwelling umts......-;.:.~:;:': ................. Number of dwelling units on each floor ................. If garage, number o? cars .........~¢.~,/ _~ ........................................................................................................................ 6. If business, commercial or mixed occupancy, specify nature and extent of each type ~f 7. Dimensions of existing structures, if any: Front...~..::.~ ...... Rear.~¢~:..~ ....... Depth .~C...~ ............ Hemght ........ ~;.....~...~.....Number of Stones ..........':,,,.~.~ ................... ? ........ ~ .............................. ~ ................. Dimensions of structure with alterations or additions: Front ........ Rear ...,~.~..Z..~ ......... Depth :;:;~...~'/~'~ . Height .Z~ ................... Number of Stories ....~.~Z~ ............ 8. D,mens,ons' ' o~ent,re' .~ew construct,on.' .... Rear ...~,~,~....~"r . ...... D. e~h .~Z2 ................... . z ~ ~ofSro' ¢-¢: ' 2¢ ¢~ ....... He.ght .~.~..~,-..~.... Numbe rl~s .'t,.~ ....... ~,~ ~ 10. Dote of Purchase ,, t, ,,~ Name of Former Owner ................... .... 7':';"L'.~ ~ ................................ - ';*" ~ ...... 1 1. Zone er use district i~ which premises are situated ................................................................................................. 12, Does proposed construction violate any zoning Igw, ordinance or regulation? ..... ,,,m-,=:~ ............................. , 3. ,ame of Ow,e, of ," ............ ' ' ..... :"%~ ' ' ' ..... Phone Name of Contractor/ ........ ,¢*....k¢; ............ ..~; ............. Address ,Xy~,~.>~?~ ........ ~._ ,, C-...'~ ,.%"~,.~¢~ , //¢.; ~6///~'' PLOT DIAGRAM Locate clearly and distincdy all buildings, whether existing or proposed, and indicate all set-back dimensions from property Hnes. Give street and block numbers or description according to deedr and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, ) S S COUN%Y OF ~,~.,,,~,~,~.../~ '" ~ -- '~¢~/_.~_.4'~LV')~~¢'/'~ J///--/~.¢.~fc,~. 'el 'ul sorn de oses and sa s that he s the a cant ..... /~~~..[.2 ......................... ~ ng a y w , p ' y pp (N~~dual ~nin~cation) above named. He is the .......................................... ~'.~;~ .................................................................................. (Contractor, agent, corporate officer, etc.) of said owner or o~ners, and is duly authorized to perform or hove .performed the said work and to make and file this app cation; that all statements contained in this application are'true fo the best of his knowledge and belief; and that the work will be performedin. th~e~ in the app~at~n~ f~d th~ Sworn to before me this ~li~, ~t~ o~ ~0w ~0~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN C, RK'S OmC= SOUT,OL, N. Examined ........................ Approved ........................................ 19 ........ Permit ~o ......... ...: .................. Disapproved o/c .................................................... ~;~'. ......................... (Building, Inspector) '-(' Application No ..... ..'~..i~.....?. ........ APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be comple, t. 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 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 o~ 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 port for any purpose whatever until a Certificat,e of Occupancy shall-have been granted by the Buildii?g 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 alterations, or for removal or demolition, as herein described. The applicant agrees to comply with oil applicable lows, ordinances and regula~ ~s. .,* State whether applicant is owner, lessee, agent, architect, engineer, general co~ftractor, electrician~, plumber or builder. ................................................................................... ¢~.-'; .Z~< ¢. :';:':'~z~.-,~ .~;~-c~.'. ........ ~ ..................................... ... ................................. .ame o, owner o, prem.ses.~ If applicant is a corporate, signature of duty authorized officer. (Name and title of corporate officer) . ]. Location of land on wh ch/propos, fl, be done. M¢p~a:, ........ Street and Number ............................................................ ,~ ...................................................................... Municipality 2. State existing use and occupancy of p~emises and intended use q~d occupancy"~/'.°~ ~roposed construction: a. Ex~sbng use and occupancy .............. ~.¢.-.~....~-~% ...................... ~ ...... r~'"'¢' ............................. ,,, 1¢ ........................................... ~A 3. Nature of work (check which appllca'ble): New Building .................... Addition ................... Iteration .................... Repair ................. ~>,p,,~noval .................... Demolition ............... .~,.~,~Other Work (Describe) ..3 ................ 4. Estimated Cos} ....... ,xS......c~.. ............................................ Fee ................................................... .~ .................................... (to be paid on filing this~pplication) 5. If dwelling, number of dwelling units.....: .......................... Number of dwelling units on each floor ...... ~ ................. m. 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, ifany: Front...../..~.~..:.Z,~. ..... Rear..~,~.'.Z.~ ...... Depth..~..,.,~,,......~ .... Height ...Z..~...,~..Numberrz of Stories ..... ~ ............... ,, ~,~ -'~'X:"":"4 .......................//~ -,;'"'~'Z ...... .x. ........ Dimensions of sa~me structure with alterations or additions: Front ...~..~.....'~... ....... Rear ,...(~....~....-....::~ ........ Depth '"'~"'"' '~'"'~'"':r'f ..... Height ...~...~....,,~-/~'/~Numbe'r of Stories .....~~"'" ..... ~ 8. Dimensions__~_~.of~entire ew construction: Front....~.....~....."~...... Rear .... ~,~"" Depth ....'i..~.. .................. Height .../....~...:~'... Number. of Stories ..~......,~. ~ ~, ' / 9. Size of lot: FrOnt ...../,--, ,-c-z~~~'''~'~''-:''' Rear ..Z~.~/~/',~.. Depth'-~...'.~...'~..'..ZZ.~.:,~,~,[ _,' 10. Date of Purchase ../...~..~ .............................. I~a~ne of Former Owner ~:..'~.~.:.;.?....-~. ....................... 11. Zone or use district in which premises are situated ................................................................................................ 12. Does proposed construction violgte ar~y r~oning-,,I/~,,.or~Jlnanc~ or regulation? ,,~;:~ ............................. 13. Name of Owner of premise~~.'...~....~-..~e~s .~...~~....~......Phone NO. '~..' .~..~.....".~... Name of Architect "~-*--~"-'-~~ ...~.~'~Address ......... r.; ................. .z ........... PJ~one NO..~ Name of Contracto~~i ....... Address~ ...... Phone NO..~..Z.~.~.'.L... 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 NEW YORK, ) S S .... -. . z ~r,~]~: /~'~"~ . I s orn e ese th t h t ....... ~ ...... ~....~~...: ...................... be'ng du y w , d p s ,and says a e is he applicant (Name of individual ~ing~ation) ~ _ ~__ above named. He is the .................................................... ~'~.~ ................................................................. (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 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 manner[~t fort,h in the appl[ceti~q f~d t~re~t~ n