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Home My WebLink About315-zFOR~ IVO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No .Z,..16~: ..... C::)ote ................. ,,T..,,,g,.or....3.q ............ '19. ~'.~. THIS CERTIFIES that the budding located at ~l~,~,t~'.tJ,t~...~O.~ .............................. Street Map No ~,& ]J],]~l~h~]~, .. Block No ....... ~/'~ .............. , ~L~.. O.:['..$.~...~...?.~.~:,~.~.S.. conforms substantially to the Application for Building Permit heretofore filed m this off,ce dated ......................... )lll.~.....].~ ......... 19~'8. , pursuant to which Bu,ldmg Permit No ...~...~..]:~.. .............. , dated ................ ]~1.~...'1 ~ ..........19~l~ ....was issued, and conforms to all of the requirements of the applicable prowsions of the law. The occupancy for which this certificate is issued ~s ............ .................................. FRI.V~TE ~.J~L I t~ G .............................................................................. Th~s cerhficate is issued to ..J,~mes...~hes... (.ow~e~') ............................................... (owner, lessee or tenant) of the aforesaid bu~Iding Budding Inspector N.o Pen FO~J~ NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS F~ERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 315' Z mss~on is hereby granted to' Hma~ton ltomea..Con~t...Co....A/C .... at premmes located at . .l~lifS, t;~ .1~011~}. ......... ~It~.IL.Ot~-..t~,&-1B~- .J~-~,.~ ....................... ............ ~ ......................................... O~£ent~..po~z~1;~ ..... N,~., ................................................... pursuant to application dated .......................... ]~Ii~..~L~' ................. 19 ..~., and approved by the Build~ng Inspector Fee $ .. ,~0~.00 ........ Budding Inspector / TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. NOTICE OF DISAPPROVAL 7 296 A~rll F~le No . ~ ................................................. Date .................................................... ~. ...... t,{,. ,aD,. p..t. 9,.n...,B,,a,y..s.,,..,~.[, .~.. .............................. PLEASE TAKE NOTICE that your application dated ....................... ~,$!,r...i,~...~,.~, ......... 19...,~.~. for permit to construct .......c3.~...e..]:..t..i.~g ................ at the premises located at .~.i..¥..a/.6.e...~?..a...d. ........ eas.t..e.n~.~mu.te 2 .~ .,.. Dm. ian.t ~.. ~N~.~ Street ~ap ..L~tb. am .Bras ......... BJock .......................................... Lot ............................................ is i.~~[~[d~sapproved on the folJowln§ grounds .I-~c~..of..icaes.a ......................... /s/ Howard Terry FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TO'WN CLERK'S OFFICE SOUTHOLD, N. Y. Disapproved o/c .............................................................................................. (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 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 bv 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. 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 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 issuonoe 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 herein described. The applicant agrees to comply with all applicable laws, ordinances and regulations. ....... ...... "~'" ....................... /~;-'~""; ........ ;:r'""~ ......... F ....... ~'"~ t~aaress at ~li~nt) ~ State whether applicant is owner, lessee, ogent,/~chitect~tengineer, general contractor, electrician, plumber or builder. ............................................................................ ........................................................................... Nome of owner of remises ~tT~.,--.,--~ ,, P .......... U' .................................... ~ ...." ................................................................................ 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~J~-~-- ~ Lot No' Street and Number .~.~....J.....~....~...:~...~x....~./..~.'.~Z.....~.....~...~.../....~....~..........~./..~.j(`:......x~....~' Municipality State existing use and occupancy of premises apd intended u_se~and occupancy of proposed construction: a. Existing use and occupancy ..................................................................................................................................... b. Intended use end occupancy ....................... ~...~1, .................................................................... 3. Nature of work (check which applicable): New Building ...... ~...Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... Estimated Cost ...... ~.. !..~..?. ~.......~.. ............................. Fee ..... ../...~...~ ........................................................................ · % (to be paid on filing this application) 5.q,~welling, number of dwelling units ........... ~ ......... Number of dwelling units on each floor ............................ I,~ g,~ge, number of cars ............................................................................................................................................ 6. I~,f. bu .~ss, commercial or mixed occupancy, specify nature and extent of each type of use ......... : .................... 7. ~iT~?io,~existing structures, if any: Front ............................ Rear ............................ Depth ............................ Height .... :._..x~ ............... 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 ......... .?....~.. .......... Depth ....~.....~. .................. Height ................. ~...q .... Number of Stories ..... ../..~ .......... Size of lot: Front ...... ~....0...0. ............. Rear ........ ./...0...o. ............ Depth ...../...~....~.......~...?....~ Date of Purchase ............../....~...~....7.. .......................... Name of Former Owner ..~...~..~.....~....~......~.. .............. Zone or use district in which premises are situated ......... ~......~.:. ................................................................... Does proposed construction violate any zoning law, ordinance or regulation? ...... .../~'...~ ..................................... Name of Owner of premises.~..~....(..~...cr....~.........Address ............................................ Phone NO ..................... Name of Architect......~....~.........f~......v~....~.....i ....... Address ............................................ Phone NO ..................... Name of Contractor....~.¥.....~.. ~.~ ............. Address .................... ~ ....................... Phone NO ..................... 10. 12. 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 NE'~AYQP~- ! ) S S ~ · COUNTY OF-~J ........ ) (Name of individual signing application)/~ ~ above named. He ~s the ............................................ ~ ............................................................................................ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duty authorized to perform or hove 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 mawr ~f~rth in the application fi~ed therewith. Sworn to before me this __ "~_~.~:e,-~oEIf ,I,~ C~,I.'~J_~t~',i/ ~,,.~ ..... ........ Notory Public, ...'~J_.~./~..~..~un~ e~-~ eo, ~ ~-7