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Home My WebLink About203-zFO,Pa'~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located a~ ~O~..C~O.~ ~ ~.. C~Cho.~e Street Map No. ~1&8~:.~ ..... Block No ...... *.t.. .Lot N~* ........................... Neck conforms substantially to the Application for Building Permit heretofore filed in this office dated ..... Jall%tax'~ 6 1958 pursuant to which Building Permit No. Z ~-03 4ated Ja~_~.~ 6 1958 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 W. ~r~ L~ster, ~er This certificate ~s ~ssued to ..................................... (owner, ~es~ee o~ ~enan~) of the efforesaid building. Building Inspector FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE ~.i~(~y~E~P~r~i~J~e~P~Cr~[~'~(~,~ UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission ~s hereby granted to Oor~n Orath~ot~.....~/g - W.,.- H~-ry.-.~t,e~ ............ ................ Cutehoa-ue~ .... tl..Y~ ................ to ..Move e'~iet~..dwe]~l ~_~g.. t~"new"loeat4on 'w~th' ~. addition ................ at premises located at J~/~ ~/l:lt, he~'h' ~[~O~$' ~ad ..................................... .................................... Flee.ts..~eck .............................................................................. .................................. 4~;¢~hotJue ~ ..... ~I,-~ ............................................... pursuant tO application dated ................. ~RI~. ~ ......... 19~'jJ..., and approved by the Building Inspector Fee $"10~ O0..pa:J:-d Budding Inspector 40'--I." A MAP O~ LAND E LNA~:;~. P--- EALT¥ COP~P. C U~ CIHOGU ~-. TOWN OF 50UTHOLD, N."~, FOB. M NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. " No 7 Approved ........................................ 19 ........ Permit ...~ ............................. (Building Inspector) Application No ....... .'.'~.....~... ~ ........ APPLICATION FOR BUILDING PERMIT 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 Jot 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 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 J~ermit 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 Certificate of Occupancy shall hove 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 applicable laws, ordinances and regulations· ............................ (Signature of applicant, or name, if a corporation) ....... State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrican, plumber or builder· Na 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 done. Map No ................................... Block .................................. State existing use and occupancy of premieses and intended use and occupancy of proposed construction: b. Intended use and occupancy......~...~...C....~~~-- ............................................................... 3. Nature of work (check which applicable): New Building .~ .................. Addition .................... AIteration.._~.i.i..~..~.. '- Repair .................... Remova~ ................. Demolition .................... Other Work (Describe)~~e~' . ~ 4. Estimated Cost ............................................................ Fee ./.~ .. (to be paid on filing this application) FEES: If dwelling, number of dwelling units ...... ./... ................ Number of dwelling units on each floor ............................ If garage, number of cars ........................................................................................................................................ 6. If business, commerical 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 ....x./...~...../. ............ Depth ........~....~...../. .......... Height ......... ./4~.. ............. Number of Stories ........../.. ............... 9. Size of lot: Front ..... ../..~'...~......~'..~...~.. Rear ..... ./...~...~...x.._~.. ........ Depth ........ ../.~..'Z.../...~...~) ~' 10. Zone or use district in which premises are situated ......................................................................................... 1 1. Does proposed constructic~n violate any zoning Iow, ordinance or regulation? .............. ~< ............................ 12. Name of Owner of premises. '.~.,.//.¢~....~....'~Address---- "'-- ..~./.~,~.~',-~'...Phone-- NO. Name of Architect~/l~;~..,~".~ .................. Address ~~...~?......Phone'"'"'i~" .................... Name of C°ntract°;"Z/'~/'~'~'~{(~'C ........ ~.~.... Address t~./.~~....~...~..,....Phone NO~.. -~..~.~..~..~..2.NO ..................... 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~ YORK, ) S.. ..................................... being duly sworn, deposes and says tbat he the opp,cant (Name of individual signing application) 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 thi~ appl'ication are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the applicatlon filed therewith. Sworn to before me this ..... .~...~ ........ day of .......... ~.....: ...... 19..,~'...~x/ Notary Public,. .... EL01SE BOWDEN Notary Public, State of New York Residing in Su:fc!k County No, 5.- ...... (Singature of applicant)