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Home My WebLink About337-zFORM ~0, 4 TOWN OF SOUTHOLD BUILDING DBPARTI¢IENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located a~ DOgX~.Od ~..a~ ~. $0~0~ Street Map No ...... ~.~... Block No... ~.~ .Lot No .... ~ .................... co~orms substantially to the Appli~tion for Building Permit heretofore filed in this office dated ........... ~..2 .. , 1~ pursuant to which Building Permit No. ~ated ............. ~e.2 ......... 19...$~ 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 This cert~mate is issued to ...~ K~, ~er .............................. (owner, lessee or tenant) of the aforesaid building. Building Inspectort ~0~ ~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°. 337 z PerrnfssJon is hereby granted to: pursu.nt to opphcot~on doted ............................ ~ll~e .... ~ ................ 19..~r~., ond opproved by the Budding Inspector Fee $ "~0~'00 ........ Building Inspector TEL. SF1 LJTHE]LD TOWN I-IF SOUTHOLD OFFICE OF BUILDING INSPEP. TDR TOWN P. LERK'S OFFII~E SOUTHOLD, N. Y. TOWN OF SEIUTHDLD TOWN CLERK'S OFFICE SOIJTHOLD, N, Y. TEL. SFILITHI:3LD S-26613 May 1~ 1958 Miss Mary Kearns 94-25, 41 Road glmhurst 73, N. Dear Miss Kearns; Enclose pleas~ind an application for a building permit: which you may fill in and- sign before a notary public. The fee for a new dwelling is ~10.00. The setback r~quirement is 35 ft or in line with the other houses on that straet, a resr vsr~ of 25 ft~ and side yards of 18 ft on ooe side and 15 ft on the other side. If you have any difficulty in filling the application out~ will be ~lad to help vmu any morning at ¥o~r convinence. Yoors truly Building Inspector. b L FOUR ROOM FLOOR HOUSE PLAN KITCHEN 7'- 6"×-I 4'0" "= 5 0'×9'0" BED ROOM 1 2'- O'X 12'-0' BED ROOM 8'- 0" X 12-0 LIVING ROOM 12'- O'X 14-0" PORCH 6-OX 1 2:0" FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved ........................................ ! 9 ........ Permit No ............... Disapproved o/c ...... .~....~,.~...~ ....... ~ ........................... >~ ........................... ........................... · ....................... ......... ........ ...... ....... f ........ Application No ..... .?...~...~ ............. APPLICATION FOR BUILDING PERMIT Date ................... ~........~... ...... 19..~..?.. ..... 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 cd}oining 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 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 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, additions or o Iterations, or for removal or demolition, os herein described. The applicant agrees to comply with oil applicable laws, ordinances and regulations. ................. .... (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) 1. Location of land on whicb, groposed work will be done. Map Np;, ............... ~ ................. Lot I~o:,'..'...[....n ...... Municipality 2.. State existing use and occupancy of pr~mises and intended use and occupancy of proposed construction: b. Intended use and occupancy .................. ~ ...................................................................... 3. Nature of work (check which applicable): New Building .................... Addition .................... Alteration .................... Repair .................... Removal .................... Demolition ........... .;..._....g.t]~r Work (Describe) .................... aa 4. Estimated Cost ............................................................. Fee .......................................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units .... . ........................... (~ Number of dwelling units on each floor ............................ If garage, num[~er at 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 Stories ............................................................................................................. Dimensions of same structure with alterations or additions: Front ................................ Rear ................................ Depth .............................. Height .............................. Number of Stories ................................ 8. Dimensions of entire new construction: Front .............. ..~T......~...... Rear ~ ~'' Depth Height ............................ Number of Stories ............................ 9. Size of lot' Front I O O Rear I 0 ~ .. Depth /¢:)~./..°~' ~ ~ 10. Date ^f Purchase ...... ~ ...... '~"*/ 5~'q ................ ~1'~'~'~ LfForm~i"~'; ..... b~j~j, ~ ......................................................... r3 ...... ; ....................................... 11. Zone or use d~stnct m which pram,sas are s~tuated ......... .J~........I..~ ......... ~ ............................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? .................................................... 13. Name of Owner of premises..~.l...~..~...l....C~...~..Address ............................................ Phone NO ..................... Name of Architect.....l~~~ ........... Address ............................................ Phone NO ..................... Name of Cantroctar-. .- ................ Address ............................................ Pha 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. Io0 STATE OF NE~) S c ou. o. ................................................................................................. being duly sworn, deposes and says that he is the applicant (Name of individual signing applicatio~ ,,, ~ 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 belief; this application; that all statements contained,jrt th~plication are true to the best of his knowledge and and that the work will be perfgcmed in the mdl~J~r,~L'~OJll~z)Ja the application filed, t~er~.~~ Swor~to b~ore me this ~ ~ . ~ ~~;~,~ ~ ~ ~ ~ ~ ........................ day of ........... ~ ..... :'~~ ~ (Signature of applicant)