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Home My WebLink About300-z ................................. ................................. -- ---- ...................... ... .......... .......................... Town of Southold 12/26/2017 P.O. Box 1179 53095 Main Rd )Y" Southold,New York 11971 00), ---------- CERTIFICATE OF OCCUPANCY No: 195 Date: 9/19/1958 ....................................................... ................................................................................................... THIS CERTIFIES that the building SINGLE FAMILY DWELLING .. ..................................................................................... .......----............................ .......................... Location of Property: 580 Gin Ln, Southold .. .. ........... .................................. ....... ..................... ........... SCTM#: 473889 Sec/Block/Lot: 88.-3-8.1 ............ —................................................................. ................................................... .............................. ............. Subdivision: Filed Map No. Lot No. . ... ...... ........................... --------------- ........ . ........................ conforms substantially to the Application for Building Permit heretofore filed in this office dated 4/28/1958 pursuant to which Building Permit No. 0300 dated 5/1/1958 ...................................................................................... ............................... ......................................................................................... 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: private dwelliM Note: 12/26/2017 -Corrected only for filed mal) lot munber which 3 aridpart of 2 in the Bay Flaven at So itliold subdivision rnap. The certificate is issued to Arthur ur ............................................ ........................................................ --- -----of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ---------- ELECTRICAL CERTIFICATE NO. .............................. PLUMBERS CERTIFICATION DATED ................................... ........... . .......... ....................................... ............................. . ............ 1111--l-1-1--........................ - - -- ----- ------------ ---------------- Au h Wed Signature FORlI~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERIC'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the build,ng located at ...~.i~....~,~. .................................. Street Mop No .I~Y .Iii~Y.~ll t~ .c~..~lBIock No .......... ~ ........ , Lot No .br.~......~Oll$}a~.~ ..... conforms substantially to the Application for Building Permit heretofore filed in th,s office doted .......... JLp~'I_~L . ..I~_~ ........... 19 .~'t~., pursuant to which Bulldog Permit No ..... Z~ .~.QO .......... , dated ................ ~ ...~, ........... 19..~.~.., was ~ssued, and conforms to all of the requirements of the apphcable prows~ons of the law The occupancy for which tho certificate ~s ~ssued is ............ ......................................... ..................................................................... Th,s certificate ~s msued to ....... ~'.~.ll.t~.. ~,T~-..~ .... C .OliTi~l~'.). .................................................. (owner, lessee or tenant) of the aforesaid bmldmg N°, Pert FO1L~ ~0. ~ 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) 300' Z ussion is hereby granted to: A~'t,,hu~.....~eil~ ................................................... ................. ~1~. l..~t~..~. .............................. .......................... 3~':~;~ ........ ~.,L ............ to ......... ~t~.~.- ~w..Dw~111~ ................................................................................................ at premiss located at ....... ~;~..][~1~,~ ......~.]~L~L~;;~..]~.~.~ ..... ,~,~..]ll~...~ ....... .~.r!;r.:..~...j.,. :::,.... ~ ............... l ................... ]~,~...~.t~w..~*&G ..... t~.~r~t,h~.~ .... ~,.L ................................................ pursuant ~o appUcotion dated ........................... A~I~;~..;~ ...............19~..., and approved by the Building Inspector F~e $.,10~ O0.....~O.d Building Inspector FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Exom i n ed... ".~.':~..f...~...u~..[... Z ........... 19..g:./.~- Approved .................. '.! .................... 19.~...~."Permit--~ No....~.~. .... Disapproved a/c .......t~ ........ 1 ......... .[. .............. 'l ............... ? ............ 'l .......... '! .... / i / , , L .................. i ....... ;..../. ........ .~; ........ 1~,,;. ....... ',7' ............ ~'~ .......... I~.,,:.....; ............ ..................... (Building Inspector) Application No....~..-~.'. ............. APPLICATION FOR BUILDING PERMIT Date ........... ~j~.t 1.. p,~ ........................... 19.1~ ...... 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 adjoining premises ~'r public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is port 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 appl. icant. Such perm!t 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 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 Laws, . Ordinances or Regulations, for the construction of buildings, additions or a Iterations, or for removal or demolition, as heFein described. The applicant agrees to comply with all applicable laws, ordinances and regulations. (Signature of applicant, or name, if a corporation) ................ '(',~Jd r; ~ '; ~" '~'l~'r~ ........... ~" ........... State whether applicant is owner, lessee, agent, architect, engineer, general contract6r, electrician, plumber or builder. Name of owner of premises.....~/,J~..~Jn~J ................................................................................................................... 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: ..... ,$.O.~.~.~ ................... Lot No: .,.~ ............. Street and Number ......... .~,~llJ..~lJ,~i,...J~...JJJ~.lJl,~...~.'L~ifi~l~,Jib.~lJe..JJ.~...~[... ................................................. Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: Existing use and occupancy ..................................................................................................................................... Intended use and occupancy ?.IP~I.?~ ~O!~ ~...1~....[..~.~.. ...................................... 3. Nature of work (check which applicable): New Building.....,lj ............ Addition .................... Alteration .................... Repair .................... Removal.. ................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost ....... JJ?.~4~)o~ ................................. Fee .......................................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units .......... 01~ ............... Number of dwelling units on each floor ............................ If garage, number of cars ...........0~'~ ............................................................ 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 construction: Front.....U!~ ........... Rear ...,~JjJ.l.~ ........ DePth .......j~j.i. .............. Height ....lJ~.I. ................. Number of Stories ..... ~ ................. 9. Size of lot: Front ..~lOJJ .................. Rear ......... 100 ............ Depth ....~.~l~l ................ 10. Date of Purchase ..... ~J~:~TL.....~,~,..'lg~8 .............. Name of Former Owner ...]ll~l,,~,~l~..J/~].~,~ ..................... 11. Zone or use district in which premises are situated....JJ~lJ,~ll~ ................................................................ 12. Does proposed construction violate any zon ng aw, ordnance or ragu at on~ ..... ~ .......... · .......................... 13. Name of Owner of premises..~...~l ......... Address .J~JJ.~...6JJ~..l~, ....... ..~'one NO.II'J,...~...~,~ Name of Architect ........................................................ Address ............................................ Phone NO ..................... Nome of Contractor ....... JJ,J~l.~J~Jlli..~'~],,~,lll .............. Address .~J~JJ~..J~J,11'~,~...J~'....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 indicate whether interior or corner lot. STATE OF NEW_YORICk, ,,! ) S S COUNTY OF ....~J~.....~.,....~..¢.;...) ...... t ............................ : :........~.~,.~.....~:~.~,~.....being duly sworn, deposes and says that he is the applicant (Name of individual signing application) ~ above named. He s 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