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Home My WebLink About365-zFORI~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No 2~. 2]..8 ...... Date ........ N~vembe~....1.% .............. !~.%~... THIS CERTIFIES that the budd,ng located at .... F_~.....C~:~,~C.:[.-~g...~.~ ..................... Street Map NoA...~e~::L .............. Brock No ........... ~ ......... , ~ .~t,O¥10~tle.t ...... [~.~.y. conforms substantially to the Applicatzon for Building Permit heretofore filed in this office dated ...................... ~.~.eh....2~'. ........ 19 .~.., pursuant to which Building Perm,t No ..Z-...~.~' ............... dated .............. ~r~l~... ~.6 ........ 19.~8..., was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which th~s certificate is ~ssued is ............ ..... ~%z~i r~ $~.. ~u~ld ing.~.. ~U..$. P.o.z~..0 ~'~i.c ~ ..... C~t~o~u~ ~...~..Y. ~ ........................... Th~s certif,c~te is ~ssued to ..~h~.e~ ~,.hr~eic~e.r ....... ~r~er.~ ............................................. (owner, lessee or tenant) of the aforesaid budd~n§ Building Inspector F~ NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTAAENT TOWN CLERK'S OFFICE SOUTHOL~}, Iq. Y. BUILDING PERMIT (THIS F~ERMIT MUST BF' KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N.° 365 Z Dote ................ .............. Perm~ssmn is hereby granted to. Ch~lea..l~ml~uei~e~ ................................... ...~.... ~lr~. ~w .I,ane ...................... ........ ~mat;ington, .. I,. I,, ...~.L ............ to ..~,ld.,xmv...'buat=eaa..hu~d.t~ ..... C..~,,~,l~,at..Oft..:Lc,e,) ......................................... at premises located at .... ~.~. ....~.~.~..t~..$.t ....................................................................... ............................................ ~.~c~u~ ......................................................................................... ......................................................... Y~,~]:, ......... 1i1:~2'~ ................................................................ pursuant to opphcat~on dated .......................... A~X'~.~. ............... 19.~.(].., and approved by the Building Inspector Fee $iO,.O0...~...eheek ~301 Building Inspector FOI~Y~ NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. NOTICE OF DISAPPROVAL F~le No ....................................................... Date .................. J/[.aJ~}i,....~ ............. 19 .~8.. To .... Cha~tes..~ehniedel, ....................... ~8,....Gr. eer~..lee~do~...I~me. ........... ....... gtmtin~toat .... If~.¥.~ ........................ PLEASE TAKE RiOTiC£ that your apphcahon dated .......... J/~tT'~h'";~7' ................... 19 ~j~.. for permit to construct Po~st"0~'f"~t~t ............. at the premises Jocated at .................................... · '(Jr~L~fi:13~" 'J~ ..................................... Street Olltcho~l~ ~ JJ.~. Map' "Y~h'3' ................... Block ...................................... Lot ...................................... is ~~ d~sapproved on the following grounds ....... S~e~.e....~..i3Q. ~'o~:,~J, .............. · - or'~ a~tempt been eaa~e t~. con~u~ ~ ~oa~. t~now~ .a~ .G~lf~.~-~ St · .. as...of · th~.s., date ~ ......... Thi.s..app~[ca.~cn.. ~.~'t...be..he'ld...unt,t.t...such...t~me .... as e.l.t..dete~l.s, h~e .l~eez~ .set.t. te~..end,.so~e .£~rm 0£ access..apl=o~ecl. Also the plan_ has been marked approved But there ~s no signature of the person giving approval, and his authority to do so. Building Inspector ~ :! -_. _:~--/.5:~:_= "U_NITED STATES' Post i,CF:,~ __COTCH 0 G- U?.. ,' _/. ' P-IP_oZ/-7- .__FI FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Exam ned ~ c,~ 19 Application ~'~o ........................... Approved....C..~......~x...~.?......~.4. ~ ...... t 9..ff..~..Permit No...~...~...¢..~Z ....... ....... '] .............. '0 ......... 7': ................................................... _. ....... ;. ......... .......................... (Building Inspector) APPLICATION FOR IBUILDING PERMIT ' Date. ~ .~.~...~ · .' ................................ 10...~.. ....... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicote to the Building Inspector. ~ b.~PI°t plan showing location of lot and of buildings on .premises, relationship to a. djo. ining premises or public streets or a'r~as; and g wng o deta~ ed descnp¥ion ~)f la',out of property must be drawn on the diagram which is part of this location. · ~ c. The work covered by this application ,moy 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 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 alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances anc~ regulations. .~ (Signature of applicant, or name, if o corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrican, plumber or builder. Name of owner of prem ses 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 ................................... Block .................................. Street and Number ...~.?...Jt.~...~.~...~....~.~?. ................... ..0.~.?~....~..~..1~..1~... .............................................................................. 2. State existing use and occupancy of premieses and intended use and occupancy of prOposed construction: a. Existing use and occupancy .................................................................................................................................. 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 JJ~l[rOOOeO0 F ............ .~. .[. .0. . ?. .0. .0. . ................ (to be paid on filing this application) FEES: 5. If dwelling, number of dwelling units ............................ NuMber of dwelling units on each floor ............................ If garage, number of cars ............................................................................................................................ . U.~ol~OSt O~fio 6. If business, commerical or mixed occupancy, specify nature and extent'of each type or 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.....4.~."...-.$.,~. .......... Rear 4~-6" Depth Height ..~.~.'....'~....". ........... Number of Stories ...... .0....~.. ............... 9. Size of lot: Front 100! Rear ]'001 Depth st -~as~ness varianoe grante~ for ]~ost Offtoe 10. Zone or use district in which premises are uaream. .................................................... , ......................................... 11. Does proposed construction violate any zoning law, ordinance or regulation;~ "mm'w, ~j~'1~6 ~' ;""=;;'I; ........................... Name of ........ Phone Nome of Contractor0h&z'~elB Soh~e:L0-er Addr~,, 3~l~e &8 &l~o.?e ph~,e *~. 0. De s t gn"~'~"'~:i: ~,'~'~'~'~'-"~ ~:~'~: ~"'a ~"' 1~ ac t~: ff,'[ ~'~; '"~6'~'~ ~'~'~'[ ~'~ PLOT DIAGRA~ 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 ~_z~' -~-~, ~ lot. ,,, l~ ......... STATE OF NEW YORK, ) SS.' COUNTY OF ............................ ) Oharle~ ~ohnetder ................................................................................................ being duly sworn, deposes and says that he is the applicant (Name of individual signing application) above named. He is the ~lZil 8,aZ' (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 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 in the application filed therewith. Sworn to before me this ......... ........,. ..... day of .............. D~..i~....~k.~ [~l...: ....... Notary