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Home My WebLink About372-zFORi~I NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No Z 22.6 ...... Date .............. ~lovember...11+ ........ 19....~ THIS CERTIFIES that the bu,lding located at .... ~/.8.....l~/.C~l-'l-wo~d ..... ~ ............ Street Map No ~ ............... Block No ...... x:w~ .................. , ~ ..]/~,.t~u~:lc.¥ ..... ~.y, conforms substant,ally to the Apphcot,on for Building Permit heretofore filed ,n th,s office dated ...................... ~Tl,l~le...-.~O .............. 19..%J~.., pursuant to which Building Permit No ..~...3.~.~ ............. , dated ............. ,]'II1~1~ . .50 ..........I9.%~.., 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 ............ ............................... i~tI.VATE O~..FAMILY.. DMELLING. .......................................................... This cert,ficate is issued to ...f]~cl.vat, o~.....Siracusano ...... (...o~rn~..) ......................................... (owner, lessee or tenant) of the aforesaid budd,ng Budding Inspector FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLEI~K'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 372 Z Dote . ,,~e 30 19~'~J Permission is hereby granted to: to .......... :i~.. z~.~.. ~m~;t~ ..................................................................................................... at premises Iocated at ..... ~.....~..~..~...1~....O..~...~_,.~,.~. .................................................................... .................................................... i~t~.~ua~ ~ ..... 1~.~ ............................................................ pursuant to application doted ......................... ~'.~7~....~. ................... 19~..~,...., and approved by the Bu~ldmg Inspector Building Inspector FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. EXa mined"~'"'~'" 19'"'~" '~u,/ '...~ 19...~.....Permit ..~......~....~..~ ... Approveu...~.~ ........... ................. No. (Building Inspector) Application No ..... ~...~/....z~.. ............ APPLICATION FOR BUILDING PERMIT Date..Zt3J3. f~.. ~, ............................................ 19.58 ....... INSTRUCTIONS a. This application must be completely filled in bv typewriter or in ink and submitted in duplicate to the Building Inspector. b. Plot plan showing location of lot end of buildings on premises, relationship to adjoining premises or public streets or areas, end giving a detailed description of layout of property must be drown on the diagram which is port of this location. c. The work covered bv this opplicotlon 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 Opplicont. Such permit shall be kept on the premises available far inspection throughout~the progress of the work. e. No building shall be occup'ied or used in whole or in port for any puPpose whatever until o Certificate of Occuponcv 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 a Iterations, 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. General contractor Name of owner of premises....,S, alvatore & ~a....S..~.~{~g..~.{~ . If applicant is a corporate, signature of duly authorized officer. 1. Location of land on which proposed work will be done. Map No: ............................................ Lot No: .................... Street and Number ....;t~3,¢t3.3,~D.O.0,..~i~0.~., ........ ~l.~£?,tLC~ ................................................................................ Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy. D.D~n..1QJ~ ................................................................................................................. b. Intended use and occuponcy.....~,~.~...~.t~D~'~...~t,t~.f~...~.~.~h..~f~f~..~l.J~.t,~h~ ...................................... 3. Nature of work (check which applicable): New Building......~.~.$. ........ Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost......$...'lS.~0.0.0.,.00 .............................. 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 ............................ 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 .................... Depth .....~.~.~.~[~ ........... Height ..,~..~. ..................... Number of Stories ......... ,1, ................. t 9. Size of lot: Front ...10.0.? ................ Rear ........ lO.Q ............. Depth ....... '.lS.CJ.~. ........... 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated....~ .......................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation.> ..... ~P. ................. : ........................ Astori or a L.I.C. 13. Nome of Owner of premises.~.~,~.~,fxg~..t~...~l,~.~.Qg,~tf~ss 19..-.l~...~,J~..~,Qf~0,,..~Jl~il~l~T. IglO ..................... Name of Architect ........................................................ Address ............................................ Phone NO. Midgle & Horton Cutcho ue ................... Name of Contractor ...............~'. ................................... Address .............. $. ........................... Phone NO. Pec ~ 686.5 PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block numbers or description according to deed, and show street names and indicate whether interior or corner lot. Beginning at a point on the ~orth~z'ly line of Kl~ollwood Lane, 600' westerly along sai northerly line from Grand Ave$ and running along said Northery line, S 71. 47' 00" W. 100.0' Thence along ~ther land of the party of the~ first part and land of Arthur Casuara. N 18 13' 00" W. 150.0' Thence N. 71'47' 00" E. l$~.00'. Thence S. 18~13' 00" E, 150.0' to point of beginning. /0 ,,oa,o,V /,/'/YOZ Z 0 ,9 STATE OF NEW YORK, ) S S COUNTY OF ............................ ) ' J (Name of individual signing application) 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 oil 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 · , ,~v~_//, ]2~'-, .,~,_// Z /~ .......... ~ ........ day of ..~ .................. ~~.~;;~.~,teo~ewy~k (Signature of ~pli~t) COmmlssio~ ~zgires ~rch 80. ~ ~' '