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Home My WebLink About871-zFORIH NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No. Z 528 Date April 1 19..6...0... THIS CERTIFIES that the bu,lding located at ..s.../..s....?....-~...e.....T..r...e..e.....R...~.:.:.....C.~.t..c...h.~.e. Street ., Namsau Farm~1 _,. *** 124 Map p~o ...................... z:'q~ o~. No ......................... Lot No .................................................................. conforms substantially to the A[:~lication for Building Permit heretofore filed in this office dated October 8 59 ........................................................ , 19 ........ , pursuant to which Building Permit No ....... ..~.....8.7...1. ....... dated ................. .0..c...t..°..b...e..r.....9. .............. 19..5...9...,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 ............... PRIVATE ONE FAMILY DWELLING This cert,f,cate is issued to ~....M~...:.~.~.P..a.'.t.~y....~.~..~..e.....F....e~..~..n..e..:~..?....w~....e..r.. ........................................... (owner, lessee ar tenant) of the aforesaid building / Building Inspector HOWAR~ M. TERRY FORM 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.° 871, z Dote ..................... ~I~X.....~ ~ .............. 1959.... Permission is hereby granted to: 1II,rd gl~y..& .~o~t, on....A/O.. F~.t~.. D~. F~tn~ ............. ...... C~t, chog~r... ~v., .......................................... to .... B~].d.. a~. s~ddi~dP, n. ~. ~u..e~idttng..~fld~ ~S ..................................................................... at premises located at .-.P~lz~...$,r~.~.o~..&..~lol~t, ol~...~..t~ ................................................................. ............................................ C~tehegu~....l~,~, ................................................................................... pursuant to application dated ............................. Oe'l~be~"'$ ............... 1~....., and approved by the Building Inspector Fee $ ,l~l....'.~..~.Z-, .... Building Inspector FORM NO. 1 TOWN OF $OUTHOLD BUILDING DEPARTMENT "I'OWN CLERK'S OFFICE SOUTHOLD, N. Y. ....... ....... z .......... · (Building Inspector) ~/ ~ - Apphcat~on No .... ...~...~./. · ........ APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This apphcat,on must be completely filled ~n by typewriter or ~n mk and submitted ~n duphcate to the Buildin, Inspector. · b. Plot plan showing location of lot and of buddings on premises, relationship to adjoining premises or pubhc street or areas, and giwng a detailed description of layout of property must be drawn on the d,agram which is part of this location c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon appro~t of ~1~ applica't~on, the Buildk~ InspeCtbr wdl issue a Building Permit to the apphcant Suc[ permit shall be kept on the premises available for inspection throughout the p. rogress of the work e No building shall be occupied or used ,n whole or in part for any purpose whatever until a Certificate of Occupanc ~hall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the ~ssuance of a Building Permit pursuant to th- Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances o Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describec The apphcant agrees to comply with all apphcable laws, ordinances and regulations (Sign [icant, ar name, if a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrican, plumber or bu~lde, ............................................. ~.~. O.O~.~f~o.t,o~..~ ...................................................................... Name of owner of premises...~.?......~..~.~r....]).~..~..~...e....~...~..t.~. ................................................................................... If applicant is a corporate, s~gnature of duly authorized officer. (Name and t~tle of corporate officer) Number ~../.~...~.~3D...~'f~.~. Street and ~ ~f~0~-..~.~'".~...."~.~--~./.~..~ ......................................................... Store existing use and occupancy of prem~eses and t ntended use and occup~r~cy of proposed construction' a Existing use and occupancy ................. J~rC¥~C~. ]~0~ ............ : ........ b. Intended use and occupancy .............. ~r~r-~.'.C'...J3~m~ ................................................................ 3 Nature of work (check which applicable) New Building ............. Addmon .. . ~ ..... Alteration ................ Repair .................... Removal ................Demolition ................... Other Work (Describe) .................. 4 Estimated Cost ..... $....2,.0..0.0..,.0.0 ..................... (to be pa~d on fihng this apphcation) FEES' 5 If dwelhng, number of dwelhng units ..........................Number of dwelling umts on each floor .. If garage, number of cars ......................................................................................................................... 6 If bus~ness, commerical or m~xed occupancy, specify nature and extent of each type of use ......................... 7 Dimensions of existing structures, if any. Front ........ ~?. ......... Rear .?-,-~.~. ............ Depth ........16.!. ........ Height ..15.! ..............Number of Stories ......... i ................................................................... Dimensions of same structure with alterations or additions' Front ...... .,3.~..t. ............. Rear ..... ~..~..~ ............... Depth ...... ~-,5.! ................. Height . 'I5.! ............... Number of Stones ... 'I .............. 8 Dimensions of entire new construction Front ..~,!. ......... Rear ...12.~. .............Depth .. ~;.! ............... Height . '1~!. ...... Number of Stones . .'1 ................. 9 Size of lot Front ..10Or.. . . Rear . lQ0~ ............ Depth ...LS.Q! ......... 10 Zone or use d~stnct m which premises are s~tuated ........ ~..~;.O~.e. .................................................................... 1 1. Does proposed construction wolate any zoning law, ordinance or regulahonP ......... .13.O. ............................ N.Y.C. 12. Name of Owner of prem,se]~.~?~S~...D~llf~..~ZA~la~ss ..2.1~5.cj..l~,o~r0~nJ~...~,.V.e...Phone NO .................. Name of Architect .................................... Address ....................................... Phone NO ................. Nome of Contractor.]'$~.d.~x.~..e.~r...~....~..o..~.~.o~ ........... Address ...C..~.l~.o~.O.{~.e..~.~.,.~^ ........ Phone NO..~.~;.~.5 ........ PLOT DIAGRAM Locate clearly and d~stmctly all buddings, whether existing or proposed, and red,cate all set-back dimensions fror property hnes Give street and block numbers or description according to deed, and show street names and indicat whether interior or corner lot STATE OF NEW YORK, ) ~'~ SS' 'k ~ .,~,~_ ~,~ ' ""J~_ ~.~COUNTY OF ........................... ) , ~ ~ , (Name of individuoisigning app ica ~on) sworn, deposes?6', ~esoys ~ot he is the opplican ............... 2 ..... day of ...~ .... 19....~...~... (Singature of applicant) No. 52.7135300, Suffolk County Term Expires larc 30, 1960 Sworn to before me this above named. He is the .............. ..O.O.~...~.~...~.O...~.o.?. ................................................................................................. (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 ill, this application; that all statements contained m th~s application are true to the best of his knowledge and belief and that the work will be performed in the manner set forth ~n the apphcation filed therewith.