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Home My WebLink About262-zFOll~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLDo N. ¥. CERTIFICATE OF OCCUPANCY 760 Date ............. .~I!Y...2.1 ..... 19.60. THIS CERTIFIES that the building located al .n/B P. iI-~. ~1:~ .~,d~ ~ .Cllt~hgotl~treet Map No. N&B~.~%I . Block No. . *.*.? Lot No~. ** .................... conforms substantially to the Application for Building Permit heretofore filed in this office dated ............. ApF~ .2 .... 195..8... pursuant to which Building Permit No ....... Z 262 4ated ..............A]~i~, .~ ..... 19 58 , was issued, and conforms to all of the requirements of the apphcable provisions of the law. The occupancy for which this certificate is issued is Patrtcta N. Kenne. d.y.f .._.o~m. ?~ ............................ This certificate is issued to ..... (owner, lessee or tenant) of the aforesaid building. Btlilding Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT N°. Pen (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 262 Z nission is hereby granted to: ~a~..~r..gr ..... 1~, :J, ....................... to...~ ~1,~. e~..J~l~Lt4~..t~..~..ez$m.~..~tw:l~ ................................................... at premises located at ...................................................... ¢~t, abell~e~ .... ~w.t', ................................................................... pursuont?o °pphcation dated ..................... ~JJ~....~j~ ............. 19~J~..., and approved by the Building Inspector F~e $.~r~ ............. Building Inspector FORM NO. I TOWN OF SOUTHOLD BUIkDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Exomine ..................................... Approved.....~ ...................... a. ......... 19 ........ Permit r~o~- .......... ~ .................. Application No ..... .D.....~.....~... ......... Disapproved a/c ............ ~,~::~: ,.: ........................... :; ....................................... ...................... .......... .......... ............ ....................... .... .................. ......... .................. APPLICATION FOR BUILDING PERMIT Feb. 18 {o 58 - INSTRUCTIONS a. This application must be comDletely filled in by typewriter or in ink and submitted in duplicate to the Building Inspector. I~. 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. ~. 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. Suc.h permit shall be kept on the premises available, for inspe~ction throughouLthe 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 a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Lows, 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, oral inances aja~/]'egt~ations. ~~~ietered Architect. .. ........................ (Address of applicant) State wheth.er applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Architect Name of owner of premi~es.~~.~..~ .................................................................... "~. ' '~ /) officer. V If applicant · corpor e, signature of duly authorized of 'ce . ~~le of corporate officer) - ], Loc ~(~on of land on which proposed work will be done. MaD No: ......~'.,.~. ...... !~.~ ......... .,~..t_~ ......... Lot No: .................... N.S. Pine Tree Road 237,16~ Eaet of Bay Ave.~ Peconic~ Town/~a~ Southold~L.I. N.Y. Street ond Number .................................................................................... .~.~.~.~&~7. r...t,~...:C .................................. Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ........ .0...n.9....(..1../..?..?..m..i..l..~...?..°..t..t..a.~.9. ............................................................................. b. Intended use and occupancy ........... .S.~ ............................................................................................................ 3. Nature of work (check which applicable): New Building .................... Addition ...... .~. ............ Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost....S...4.~.0.....0..0. ............................................ Fee . . ~. .5. :. .0. .0. ............................................................................. (to be paid on filing this application) 5. If dwelling, number of dwelling units .......... Q~..~ ................ Number of ~lwelling units on each floor..fl~.e .................... 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...~..1~..$ ........... .0...... Rear ..... ~.~...~#.,...(~...O.. Depth ..~.~....-.0. ............... Height ........ .9. t...-..8.'.'....~.......Number of Stories ...... .l.....~.n..d...At:.~.c. ................................................................................ Dimensions of same structure with alterations or additions: Front ...... 5..Q.z.I)!'. ................ Rear ....5~...0 .................... Depth 24~-0" Height ...~..~......-. .............. Number of Stories ...... .1....a.n..d....a...t..t..i..c.... 8. Dimensions of entire new construction: Front.....2...0.~. .................. Rear 20~ Depth Height ....... .~..9..J-..8..'~...~. Number of Stories ..... Size of lot: Front ..... .1..l..5.,'. ............... Rear .....l.[.1..~..6.?J. .......... Depth ..1..t..~5.!...~%...1~.1'.,.9.~~ Date of Purchase ................................... Name of Former Owner .. Zone or use district in which premises are situated ............... /~....(~.~::C~...: ......................................................... Does proposed construction vj~ot.~ ~ny zoning law, ordinan, r~ or r~ulation ...,Ne ............................................. Name of Owner of premises.~~......Address~....~~.~' ....... Phone NO....~ ......... Name of Architect.....A.:..J..*..D..A..I..D...0...N~..~...~-:.I...*..A..~...../. ....... Address 7..2.q.0....Pt.i..d.~..e....B..l..~..d. ............. Phofeh~lr(~...E..°.~.d....8..Z.5...~.8 ? Brooklyn 9~ N.Y. Name of Contractor .......... (~..J ................................... Address ............................................ Phone 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 indief~te ,~,hether interior or corner lot. ~.~10. --11. 12. ---13. ~ee plot diagram on plans submitted herewith, STATE OF NEWaV/ORK~' . ) S S. COUNTY OF ..,;.Y~.~.~...~../.~...) ......... ......~. ....... ;...:....~..~.?.J......D..A..I.~.0...N~...~ .......... ;.~ ........ ,......;.:......being duly sworn, ~depa~es and 'says that he is the applicant (Name of individual signing application) above named. He is the......A...r..c..h..i..t..e..c...t....f.g..r....%.h..e...~f~'. ...................................................................................................... (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~al~Plication ate true tc~e b~st of his knowledge and belief; and that the work will be performed in the manner~et,~t~%~the applica~/~n/file~lther~with. Sworn to before me this Notary P"'u~l']c, S'""~st';';[~e'~vY~l~, __//. ~ / ///. / 18 F ~ ~,~ 3~-mt~oo , .~'/-.~' /xL/.¢¢.,--~,,-~--~ · ........................ day of/~ ......... .e~?...r..u.a,.r.~'. .............. Qi~fi~5~[.~w¥orkC~,t~ ~'/ ~ ~i~naf'ure of applicant) Notary Public, ..Z~.~/..~..: .................. ..~C...f.t..~.. i ............ County //