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Home My WebLink About227-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERT1FICA'r~: OF OCCUPANCY No. S 7~,6 .,. Date ....... ~lL~.y. ~8 ....... 19 60. THIS CERTIFIES that the building located af P&:ra~. ,ide, .,.8tl.o...~..e.,~.~..SO~ ,t~..o.l,~.... Street Map No. . ~...~.,~, Block No .... .~.,~..,~. ,.Lot No~..~ .................... conforms substantially to the Application for Building Permit heretofore filed in this office dated .. l~'~]3~y 1.3 19.5..8._. pursuant to which Building Permit No. Z 227 dated ............. .]~i ................... 28 , 19 .. .58, 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 This certificaie is issued to ....... Dall~e.~.~ .ow~...e.r,. ................................... (owner, lessee or tenant) of the aforesaid building. Building Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUT~O, LD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N.° 227 Z Permission is hereby granted to: pursuant tb application d<:ted ....................... .]~lt~r~ir ....~' ........... 19..~., and approved by the Buddmg Inspector \ FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOL. D, N. Y. NOTICE OF DISAPPROVAL F,le No ......... .Z...2...2.7 .............................. Date F.low.e.r.. La.q?. ........................ · R o ~.!3: m ..~.e .1. g..h..~.~. ~ ...N.e..~... :~..r. $.c ............ PLEASE TAKE NOTICE that your application dated ............ ~.e..b...r..-g..~.r~'..~.. ................ 19..~.. for permit to construct a:.Z]....a.~.~.J:..~.o.~. ...... at the prem,ses located at ?.?. ?~..&.~..e.....r..o.&...c]: ......... ~f~...P.~.~...~.$.s..e....S..~t.~...z~..e..s.....z~..~..d....f.pr.$¥..~.t~re~pad ) bouthold, N, Y, Map ...... ~ .................... Block ...... .Z~..';~. ............................. Lot ..~ .................................. is r~j;~r~_wZ~'~Ze~l~:,]~l:~ d~sapproved on the following grounds ............................................................ ........ .L...a.c..k...o~'....~p.g~o¥.e~ .~..o..o..e..~..s.~...~.e...q:....2..~.O..-...~.....~o~.~... L.~...~ ..................................... /s/ Howard M. Terry Budding Inspector FORlVi NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. NOTICE OF DISAPPROVAL PLEASE TAKE NOTICE that your apphcation dated ........... ~.e..b...r..~...a...~.~'....~'. ................ 19...~.~.. for perm,t to construct . .~q ad.d..Jr...t¢.~..o..~.. ..... at the prem,ses located at p.r~..8:?...e.....r..o.~.~ ......... off....pa~..s,.d...i..s..e...~..h.p...r..e..s.....z.~.Q.a.d....(p.r...i..v...a.t~r~pad ) bouthold, N.Y. Map .....~ .......................Block y~,,,z,. Lot XZ'~X is r~w~l~'eSr~biZ~l:r~ d~sapproved on the following grounds ......................................................... /s/ Howard M. Terry Budding Inspector FOKM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. c: 13 Approved.....~..'.~./:!~..-~.....~....19..~-~...Permit No. ,~_ Z 2- '~ Disapproved a/c ................... ~ ....... .~..~ ............................... : ............. ..... ....... : : .... .. .... (Building Inspector) Application No..:..~Z.....'~......~. ........... APPLICATION FOR BUILDING PERMIT D~,~ February 5, 58 INSTRUCTIONS o. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building Jt~spector. b. Plot plan showing ]ocotion of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving o detailed description of layout of property must be drown on the diagram which is port of this location. c. The work coYered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue o Building Permit to the applicant. Su~:h 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 pu~'pose whatever until o 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 alterations, or for removal or demolition, as herein described. The applicant 9~rees 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, agent, architect, engineer, general contractor, electrician, plumber or builder. 0~ez, Name of owner of premises ...... ..B..e...~.}..zl...a~......B..:.....D..a..i...k.~..zl ..................................................................................................... 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: ............................................ Lot No: .................... Street and Number .................. .~.[.s..~....S..~.0.EfL?,~...~.O.~,.1;;~D'I ~. ~ o ~. ...................................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .......... ~.~J,~],ex-q.D.e. ................................... occ c Residence b. Intended use and upon y ................................................................................................................................ 3. Nature of work (check which applicable): New Building .................... Addition ..... .X.. ............ Alteration X Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... ~t $1,500 4. Estimated Co ................................................................ Fee .......................................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ..........C~...? .................. 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..~..°.~...~J~.P..~..i..c...a.,ble 7. Dimensions of existing structures, if any: Front......~..8. ................... Rear ........ .~...8. ............... Depth ...3..O. .................... Height ......... .~.....!..~.. ....... Number of Stories ...... ~ ..................................................................................................... Dimensions of same structure with alterations or additions: Front ....... ...~.7. ................. Rear ..:'~..~. ........................ Depth .............................. Height .............................. Number of Stories ........ ./. ...................... 8. Dimensions of entire new construction: Front ........ .~. ............... Rear .....~, .................. Depth ............................ Height ............................ Number of Stories ........ '..~. ................. 9. Size of lot: Front .. 98 Rear 97 Depth 142 10. Date of Purchase .....~..§~..~.....~.~.~. .............................. Name of Former Owner ...... ...~...e...cl:....~..o...8..e...1.~?:..~. .................. "A" Residential 11. Zone or use district in which premises are situated ................................................................................................. 12. Does proposed construction violate any zoning law, ordingnce or regulation;) ....... ~.o. ........................................ 13. Name of Owner of prem,ses' ........................................ Bertram ]~ ga.iker Address4~Jo,S.]~V...~.~*S.*..~-z^F owe La ...... Phone NO. Bus Name of Architect....~..°..n...e. ........................... i .............. Address ............................................ Phone NO ..................... Name of Contractor..~?....aD....c.~....S..~.h...v.~.e...t..e...v. ....... ~ddre. s$ ........................................... Phone NO ..................... (for cellar only - a-z o:~er wor~ oy owner) 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 Jot. oi= STATE OF NEN~/ YORK, ) S S. COUNTY OF .~.t~.~..~.g.g, ............. ) ;~ra~/~;r~' g,c,~ ~/~/ BERTRAM B. DAI~R ................................................................................................. being duly sworn, deposes and he is the applicant (Name of individual signing application) 0~e~ above named. He is the ............................................................................................................................................................. (Contractor, agent, corporate officer, etc.) of ~c;~ ......... - ..... r: --~ ~' du~ .... ,~.~.~ ,~ ~..~ ..... k ....... ~ ....a .b..-:u ..... "--~ t~ ' ~,,d ~" ............................ ~ 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 application filed therewith~ - Sworn to before .e this ,/:~o . ~a_ /~ '~ ' Term Ex~ires March 30, 1958