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Home My WebLink About323-zTOWN OF SOUTHOLD BUILDING DI!iPARTM£NT TOWI~I CLERK°S OFFICE SOUTHOLD, 1~. Y, CERTIFICATE OF OCCUPAHCY No ..... ~I .7.~L5 .... Date .... ~TUXlr !0 ...... 19 6.0- TI-IlS CE~RTIFIES that the building located atB~,~,,~,ood & .lP~lt~ay R~II~ ~ ..ti~Ot~l~J~d _Map iN~OII~ Block No .... ~.~ .... Lot No. · 2~ ........................................... conforms substantially to the Application for Building Permit heretofore filed in this office dated ......... ~y. ~. ., 19~1] . pursuant to whicla Building Permit No. ~...323. ...... dated ..............l~...ig i11~ ........ 19~.i~.., 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 ............................................ l~:l~i~ '(:~rg '~rl~N~" il~l~l'J~ ................... This certif~cale is issued to .. ~O~ Co & Ilo~ .~..1~1.1.~1:~ ......... (owner, lessee or tenant) of the aforesaid building. YO~ ~0. ~ frown ~I~.~SOUTHOLD BUILDING DE~PARTMENT TOWN CL[i~'S OFFICE SOUT~O.~O. N. Y. BUILDIJqG PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N.° 323' Z j Dote ............................ ~IR.... 6 ........... 1 ~.~. ..... Pelm~ssion is hereby granted to: ..ll~g~...G, ..~.~. ..................................... t . .............................. ~.~...Z.~ ..... ~:.~, ........... to ..%..~..~t~lL:Lt~--- ~' ............................................................................................................ at premCces located at ...... ,,~--~4l ..... ~.~l.l,t~"e~O~ .......................................................................... .............|~ ................................. ~m~...&..~.~!r .............................................. ~ ................ ............. i ................................................ ~-~.?.~.'- ..... ~'-~.: .............................................................. pursuan~ to apphcabon doted ..................... ~,~.....~,~ ........................... 19.~.~.., and approved by the I Building1 Inspector Fee $..~,~OO.....]~l.~Ld Building Inspector / FOR!~ NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. NOTICE OF DISAPPROVAL Fde No ..... ..~... ~..~.? ....................................... Date ......................... ...I~., Z ...~..~. ........... 19.~..~... To ......... .~...o ~.~.e....~:.. ~z...Z.e.~ .................. ........... ~.t.~...$. ~.., ............................. ............. ~onthal~,../~..~fl .................... PLEASE TAKE NOTICE that your application dated .................... ra~,y...9 .~ ................. 19~8... for permit to construct dwellln~ at the premises located ~Paz'kway & Beachwood I~ .............................................................. Street Map ...... ~..o.~..¢.~q ~..cl ........ Block ........................................... Lot ...... P-.9 ................................. is returned herewith and d~sapproved on the following grounds 1-ns~fJ, o£ez~t..~.z~n.~ .............. .............. ~,a~.~ ~Am..tlcle.. IIT,.. Se~&oz~..~D~,.. ~u.i.ldin~...Zone O~din~ne~.) ........... Building Inspector FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N. Y. Approved ........................................ 19 ........ Permit No ............................... Disapproved o/c ...~.~.......?~.~....~....o~....~..~..r~ .. __ ...... 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 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. 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 pui'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 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, odditions or a Iterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ord inances~a~nd regulat~O~ - (Signatu~'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. ......................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) ~'L~.....~... 1. Location of land on which proposed work will be done. Map No: ........................................ Lot No: ...~....~,. ........... Number .. ~.~...~......~.....~ .-'..~-. ............. ~-.'~ '"'. ~'"'~"~'"'~' .............. Street and Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ........................... ~ .C~.~.....~ ........ .~.. ......................................................... b. Intended use and occupancy.....~ ......................... ~..'~. ............................................................. 3. Nature of work (check which applicable): New Building .................... Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost ......... ! .................................................... Fee .J..~. .................................................................................. (to be paid on filing this application) 5. If dwelling, number of dwelling units .......... ~ ........ Number, lot dwelling units on each floor ............................ f garage/number of cars ................... ~.Q?~.......~..~.. c-~,~.....~. ................ ; ............................................. 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 ....... ../~..~..'..~. ....... Rear ......... ..~Z'...../~.....~. .... Depth Height ............................ Number of Stories ...~ ........ 9. Size of lot: Front ............................ Rear ............................ Depth ............................ ........... ............................ Nome of Former Owner ....~./..~.~ ................ 10. Date of Purchase ]1. Zone or use district in which premises are situated ....... ~...~..~ ................................................ 12~ Does proposed construction violate any zoning law, ordinance or regulation? .... ~...'~..~ ........... 13. Name of Owner of premises...~-r:g...~......Address ............................................ Phone NO ..................... Name of Architect ........................................................ Address ............................................ Phone NO ..................... Name of Contractor .................................................... 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 indicate whether interior or corner lot. /-0-/30 STATE OF NE"~,, Y~.~K~]., ) S S COUNTY OF ~~... ...... ) ' ...... ................ ....... being duly sworn, deposes and says that he is the applicant 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 containe~t~plication are true to the ~st of his ~w~dge and belief; and that the work will be performed in th~a~~ in the application~ed therewith. // / Sworn to befoEe me this ~ ~ ~e~a~ ~,?~ _ ~ ~]) ~/~ ........ o, ........... ........ Nota~ ~UD C, ..... ~ .......... ~y ~8 ~