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HomeMy WebLinkAbout909-zFO1L~ NO. 4 TOWN OF SOUTHOLD BUILDING DF--PARTM£ NT TOWN CL~-RK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No. ..ii ..83.7 ...... Date .. 0¢.t;Obe~ 1.9. .. , 19 60. THIS CERTIFIES that the building located a~ l~/'a Main .Ro&cl~. Southolcl. Street Map No ........ ~.** Block No .... ~.. * I_~t No. . · . conforms substantially to the Application for Building Permit heretofore filed in this office dated ........... NO.V.....~. e= 2,4195..9... pursuaut to which Building Permit No.Z.,9..0.9. ..... November 24, 59 dated ........................ 19. , was issued, and conforms to all of the requirements of the apphcable provisions of the law. The occupancy for which this certificate is issued is This certificate is issued to ...... MarI~ & Mi=hael Morrie~..ow~em~ ........................... (owner, lessee or tenant) of the aforesaid building. Building Inspector FOlt~ NO. 2 TOW~ 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.° 909 Z Permmsion is hereby granted to: ~..~.....~... ~r..:..~ ..,~....t..~. ............... ~.~...o...~... ...................................................... IB~.~h~. ,...]~.. ~o~.,~ .............................. to 1~n~ci.. ge~a~e.. ~tt~J..~l~n..m~.....~...t..~.~.. ~,~.o~.. ~..~k..~ ..................... at premises located at .s../..~...~.~..~.....~.....R...~.~.`~.L~.~...~.~.~..~'.~.....~..e.~.~..~.?..k.' ............................................. .................................. .~?...~.~.~ ~..D~:t~ ........................................................................ pursuant to apphcnt~on dated ............................... ]~.t~...~1~1~..~.I~.. ...... lc~ ..., and approved by the Budding Inspector Building Inspector ~OWAt~ M. tn~.~RZ FORI~ NO. ! TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ....... ~....~.....~ ........ 19..?..~.. Approved ............... .~.~ ........ .~...~. 19 ~ Permit No.....~....~..~.~ ............ Disapproved a/c .............................................................................................. (Building Inspector) ~_j Application No.....?...0...~ .............. APPLICATION FOR BUILDING PERMIT 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 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 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 a Iterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances and regulati~n/s. ( ddress of applicant) / State wheth,er applicant is owner, les~ agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises .................................................................... 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 N,~: ............................................ Lot No: .................... ........ ................ Street and Number ~ Municipality (~/ 2. State existing use and occupancy of g~emises and intended use and occupancy of proposed construction: b. Intended use and ~cupancy ............................................................................................ 3. Nature of work (check which applicable): New Building .................... Addition ....... X ........ Alteration .................... Repair ................ .,~.Removal ............. · ...... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost......~... C:~..:. ~ ............................ Fee ....%C~... Z,,(.~: ........................................................................ (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 extentrO~e~ch t~;~o~Fuse...~- 7. Dimensions of existing structures, if any: Front ............ ~.C~.. ...... Rear ........... '~ ..~...47. ......... Depth ....... ~./..k.~-- . Height ............................ Number of Stories .../ ...................................................................................................... -- DimenSions of same structure with alterotions 9r additions: Front .............. '.~.~ ......... Rear ....... ...~....~....~.~.....~... Depth ~.....:.....i....C~.. ......... Height ............. 7'' ............. Number of Stories ....... J ...................... , ,t ~/~ ¢ Depth c~ ............. 8. Dimensions of entire new construction: Front ....... ..~.....~........~. ...... Rear ................................... Height ........... .,~.....z. ........ Number of Stories .........~ ...... 9. Size of lot: Front ............ ~..Z.(Rear .....~.....~...~....~..f ....... Depth .......... .c~....~....~...f..?- 10. Date of Purchase ........................................................ Name of Former Own~er ........................................................ 12. Does proposed construction violate any zoning ~law, or.d~a~e or regulg,tion? .... ~,.....~ ................................... ~'~'~ ~~z'~ ~~~ P n Nome of Architect ........................................................ Address ............................................ Phone NO ..................... Nome of Controctor .................................................... Address ............................................ Phone 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. STATE OF NEW )~RJ~ . ~ ) S S COUNTY OF .~.~.'.) ' above named~e is the ......... ~~ ....................................................................................................................... (Contractor, agent, corl~orate 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 befgr~.~rne this ---, -- ~.. day of ~~ 19..~ta~ Pubtic State o]~ew Yo~i~nature~ applicant) ................... ~ , ~ ~ , ~ ~ I No. 52-0~4496~, ~Coun~ ~/ Nota~_ Public,~, ~~ ,~oQ ~ti~~~ ,~ . ~~