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Home My WebLink About336-zFOR~! NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No ........ l~...~.~,~. ...... Date ..................... i~'~11~i,t~:~r..23 ........... , 19.~I~.. THIS CERTIFIES that the building located at ...~..~......C...O.~'..t....~..~.I[~....~.~...e~..,.l~,t.../~, ........ Street O~cient-By-T13_e.,.~,ea Th~'ee gat:ers lane, O~t.ent Map No ...................... Bloc~ ~1o.....~..~...q..t-...i.o..ll...~Lot No ......... 3. ......................................................... conforms substanhally to the Application for Building Permit heretofore filed in this office dated ............. ~.~.....~.?. ...................................... 19...5...8.. pursuant to which Building Permit No ..........~...~t36 dated . ~Ir..~l. ................................... , 19-...l~6 was issued, and conforms to all of the requirements of the apphcable prowsions of the law. The occupancy for which this certificate is issued ~s .......... ............. ~V~T~.. ~ .. F~.~,v..ll~..!,~ ~.~.~ ................................................................................. This cert,f,cate ,s issued to ....~....C~..~.O...~..I'....C~......P..~..,O .J~...~...~..i...e..~..,....~...l!..c..:.L..~.~.~ ............................... (owner, lessee or tenant) of the aforesaid building. Building Inspector · 1~01~ ~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) N°. 336 Z Date ........................ ~lt'...~ .1. ............. 19..~'~. Permission rs hereby granted to: ~lter b-nl..Inc~ ...... A/.~. W~d~oll~w...Pr~pe~.t~ Ine. .......................... g--e~-e]~o,t...~u, -~ ,-¥ .... ~.~ ~ ..... to ..... ~B~_Id..~ew...ds,:ellin~ ........................................................................................................ at premises located at --.],ot--~ .-~---.-~.:p--~?-~. "{. 'O~'.n~;' ~' ~;e.-~,e~.) ........................... ............. ~ ................... .l~/~g.....~exk..~'.te~.. ]'~. $c... ~h~. ee...~.te~.s...~ .................................. ................ ; ........................ ~ ........... 0z~z~t ........ ~..~ ..................................................................... pursuant t~ apphcatson doted ....................................... Mm~...;~? ......... 19..,~., and approved by the Building I ~nspector FOI~I NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. ¥. Examined ......... ~ ?.:~.J....~.~..~/......~../... 19...~.....~ Approved ...................... ' .................. 19....~.i..Permlt No. '~- ~ ~ (~ Disapproved a/c .......... : ........ ..? ............. .~ .......... ~.~ ............ ;~ ............ ~ ........ .................................. ./..: ....... ...... (Building Inspector) Apphcahon No ~ ~ ;' APPLICATION FOR BUILDING PERMIT Date ............. ~ ~?.¢h,.. 195.~. ................ ~ ........ INSTRUCTIONS a. This apphcahon must be completely filled in by typewriter or in ink and subm,tted in duplicate to the BuHdin Inspector. ' b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public stree or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this Iocaho, c. The work covered by this application may not be commenced before issuance of Budding Permit. d Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant 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 p art for any purpose whatever untda Certificate of Occupant 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 tl Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances , Regulations, for the construction of buildings, additions or a Iterations, or for removal or demolition, os herein describe, The applicant agrees to comply with all applicable laws, ordinances and regulahons (Signature of apphcant, or name, if a corporahon) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builde ........................................ ~.~-~1,..~.¢~t,~r~o.¢.o~. ................................................................................................................. Name of owner of premises.....~..°.~.°..'l..*l..°.~..~.Y.9~.~.~...~t...~.~.q.e ........................................................................................ I fapp~y~~eofdulyauthorizedofficer. ....... ~ ....... ~.e s~lfu'~ ............... / ~ (Name and title of corporate officer) 1. Locahon of land on which prop~osed work will be~ done. MaD No ............. ~:/:/:/ ....................... Lot No ...~. ............. Street and Number~/..~....~..~.e....~..~.~...e..~.~..~'e.~..~.ep~.-..~.~r.-...~...~.-.~g~.~...~.~...~...~.~. ........................... Municipality 2. State existing use and occupancy of premises and intended use-and occupancy of proposed construction' a. Existing use and occupancy ................................................................................................................................... b Intended use and occupancy.......O~...e..-.?.~..~..~Y.~.e....z:..e..8.~-.~.e.~9.,e. ............................................................... 3. Nature of work (check which applicable) New Bu~]ding ...... .:~. ......... Addition .................... Alteration ................... Repair .................... Removal .................... Demohtion .................... Other Work (Describe) .................... 4 Estimated Cost....~.2. J~..O~...*.O~.. ........................................ Fee ..~..~.~..0~. ........................................................................... (to be paid on fihng th~s apphcation) 5 If dwelling, number of dwelling units ............ ~ ............... Number of dwelhng 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 ............................. 7 Dimensions of existing structures, if any Front ............................ Rear ........................ Depth ........................... Height ........................... Number of Stones .......................................................................................................... Dimensions of same structure with alterations or additions. Front ............................... Rear ............................... Depth ............................ Height .............................. Number of Stories ................................ 8. Dimensions of entire new construchon: Front ...... ,3~.I. .............. Rear ......... ,3~.! ........Depth ......2,~.! ............... Height .......... 3,2..I. ........... Number of Stories ...... ;L ................. 9. Size of lot: Front ...],OO .................. Rear ......... ]4~1~3, ......Depth ...],~?..~t2 ............ 10. Date of Purchase ........................................................ Name of Former Owner .~;1.W~',..if,:La~ ................................ 1 1. Zone or use d~str~ct m which premises ore situated...~ea£cl, et3e,~.a3. .................................................................... 12. Do~s proposed construction violate any zoning law, ordinance or regulation) ..~9. .......................................... 13 Name of Owner of premises.~.g.o.~g.]~-g."f..~g-D.e...~..~..qia, ddress ...~q~;l~.g~9...~'~.~.s...~.9.:~g~hone NO. ~fL.~.-..~.. Name of Architect ........................................................ Address ........................................... Phone NO .................. Name of Contractor..l~,~l¢...-t,lb~..~.* .................. Address .,)'~,~.O~O..~',O~s...6ea:~O,b, CLPhone NO ~..~.-.~20. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back d~menssons frorr property lines Gwe street and block numbers or description according to deed, and show street names and ind~catr whether interior or corner lot. STATE OF NEW YORK, ) S S. COUNTY ~F ...~[t~T~ ............. ) ...................................... ~a~l.%.ez'...tl]3]. .......................... :.....:....being duly sworn, deposes <:nd says that he is the applicani (Name of red,vi'dual si~ning application) above named. He is the ........ oo~Boz, a~..~££~u~, ................................................................................................................... (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 f,l~ this apphcation; 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 Jn the application filed therewith. Sworn to before me this ~'~-~ ~ w001) - .....l~....'..Ib. .......... day of~ ........ ;..~...-~¢.~, .............. 1 _f~.([~T~s~o (Signature of applicant)