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Home My WebLink About371-zFOIL~I ~0. ~ TOWN OF SOUTHOI. D BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at ...~.$..i..~....¥~.....~....~.....A..?~...~,~,...~...~...~.~..O.~.. Street Map No ........................ Block No ......................... Lot No ................................................................... conforms substantially to the A~lication for Building Permit heretofore filed ~n this office dated ~ 2~ 19 ~ , pursuant to which Building Permit No. ~ ~ 30 dated 19.~...,was ~ssued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ................ Zh,s ce~ificate is issued to ..... ~...~~.~...P~. ............................................................ (owner, lessee or tenant) of the aforesaid building. OWARD TERR Z FOI~ NO. 2 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? 371' Z Date .................. .~1[~...:~ Oi. ................ 19~... Permission is hereby granted to: l~l~ile7 &.~.~ ....... A/C...]~.i... ]~.~u~er ..... ................................... t~,-1'-, ................................ ............... :l~tL~..,-~..,~t~,lt,~m..m~.. em..e3r~t ~.~t~.t:~s ~ ......................................... to at premises located at '"t~llfl~' "&~r~ ................................................................... .................................................... g~a~ehogt~e ........................................................................... ............................................................. l~;:g. ............................................................................. pursuant to applicatlan dated ..................... ~ltll~'" ';~ ................... 19~ ., and approved by the Budding Inspector Fee I~OR~[ NO. I TOWN OF. SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined.....~...~.... 19..~,..~ , %/ l~ ~ t ............. Approved...~ .................................... 19: ....... Permi No ..... .~........~.. 7 (Building Inspector) Application No ..... ~..?..~ ................ APPLIGATION FOR BUILDING PERMIT INSTRUCTIONS · a. This application must be completely filled in by typewriter or in ink ond 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 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 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 and regulations. (Signature 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. ... ~ea~l...om~m~m: .................................... ~..~ ............................................................................................................ Name of owner of premises..,l~Bl~l~*~l...~,a..~r, lllgl~ll~ll~..... ..................................................................................................... If applicant is a corporate, signature of duly authorized officer. 1. Location of land on which proposed work will be done. Map No: ............................................ Lot I~.~ ................... Street and Number ..B~L~,,~IlI.t.~I~..~.~&,~..~II~IIi~I~II~ ....................................................................................... /v~unicipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and oocupancy....]L>Z~l~..l~gllle .................................................................................................... b. Intended use and occupancy.'.~l~e~EIl~..&.~ .................................................................................. 3. Nature of work (check which applicable): New Building .................... Addition ..~'.~.a ........... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost..~..2. vOD. G,D.O .................................... Fee~.. ...................................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ................................ Number of dwelling 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.,3...0. ...................... Rear ..~..0..'. ................... Depth ...... .~. ................... 16' ,, , Height ............................ ~'~umoer of Stories .]-.. .......................................................................................................... Dimensions of same structure with alterations or additions: Front ..54.! ........................ Rear ....5./~ ........................ Depth .$..2..~ ........................ Height .....]:.6..! .................... Number of Stories ...1. ........................... 8. Dimensions of entire new construction: Front ............................Rear ............................ Depth ............................ Height ............................ Number of Stories ............................ 9. Size of lot: Front .... .~,0..0.:..O.:'. ......... Rear ..,1,.0.0....0. .............. Depth ......,],~D.:..0.'.'. ....... 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated ........ .A.. ...................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? ....~.~. ........................................... 13. Name of Owner of premise~..9.~V.~..~..0.1J,,VAl~.~.~ .......Address .(~l$.~JlOg~A~ ...................... Phone NO ..................... Name of Architect ........................................................ Address ............................................ Phone NO.pe.../,;.;6~5?.t. Name of Contractor....M~g.1..9.lr....&....~.°...r..t...°.9, ............ Address ...~.~.~.~.~.O~.tl~. ................... Phone No.P.~..]*...$.f~.~.5 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. I~ '0II STATE OF NEW YORK, ) S S. COUNTY OF ............................ ) (Nome of individuol sig~ing~apl~ication) obove nomed. 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 contained in this application are true to the best of his knowledge and belief; and that the work wiJJ be performed Jn the manner set forth in the aoDlication filed therewith. Sworn to before me this ~A~[ON ~ A~N~ ~ ~~~ ........................ day of .~ ......................~:..~.~.."' (S,gnature of apphcant)