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Home My WebLink About932-zTOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SO~FrHOLD, N. Y. C~-RT1FICATE OF OCCUPANCY No. Z 871 Date November 7 19 60 THIS CERTIFIES that the building located at W/S .Y_O%m.gs Ave:.. South.91d Street Map No ....... *...**... Block No. . ~.*.* ...Lot No.. conforms substantially to the Application for Building Permit heretofore filed in this office dated .........D.~c.e~_ e~ 11 , 1~9 . pursuant to which Building Permit No .... Z ...9..3.2.. 4ated ............... de~...eLl~. ~7 J,~.., 19.. 59was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for xvhich this certificate is issued is INDUSTRIAL DISTRICT-TWIN FUEL TANK INST;~LL~TION This certificate is issued to Ruth Houston, D~29~ Gol(~sm~th & TUth~11, owner (owner, lessee or tenant) of the aforesaid building. Building Inspector FORM NO. 2 TOWN ~$OUTHOLD 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°. 932 Z Date ............. Permission is hereby granted to: ..... .~ .~F,~... ~.~.~ ................................................. ........... ~~....~.~ ................................... to .... ~rm:%.. ~.. ~L~..~_ ~.. ~..t~..~l~.he~d..~. ~J~,..t~/l~..~..n.~..~.~..t..i.9..~. ............................. ct premises located at ..~.~....~.9..~.~...A.¥.~,.....~./.~..~.,~,, ..................................................................... ........................................... .~..u,.t~..,....~..~.~.~ ................................................................................... pursuant to apphcat~on dated ............................ ~.~,~.~.~1~1[..~t, ............. I~i~....., and approved by the Building Inspector Fee $ .~?..'..',~...... ~...~.. Buddm~ Inspector Examined ..~......./../. ...... , Approved FOR~f NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N. Y. 19..~....Permit No. ? ~ 3 ~ 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 be,fore 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 and regulations. (Signature of applica~, or name, Jfa corporation) (Address of applicant) State whe~tl3er applicant is owner, lessee, 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 onwhch ro osedworkw e one /( ~- 7'- . .,. ~,~ p p b d . Map No: ............................................ -at r~o:r..:..:.-. ........... Street and Number ........... 7' .................................................................................. · Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..... ~...~..~J_~..~...~...~....: ......................................................................... b. ntended use and occupancy ...... .~..,~.~..~.'..'~ .......................... 3. Nature of work (check which applicable): New Building .................... Addition .................. :;~Alteration .................... Repair ................ .~.. Removal .................... Demolition...i.:...: .......... Other Work (Describe) .!.~.~ 4. csTimoted Cost ..~ ....................................................... 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 ~ ~, ~ OA, _~. .............. ~ ...................................................... Height .../....(. ......... :.v..Z ..... Number of Stories .......~ ............ 9. Size of lot: Front ..... /....~.....0. ............ Rear ............................ Depth ......~.....o..?....~.. ......... 10. Date of Purchase ........................................................ Name of Former Cbvner ........................................... ] 1. Zone or use district in which premises are situoted ................................................................................................... 1.2. Does proposed construction v[olate, o;~y.zoning law, ordinonce or regulation? ......... ...~.....~. ..................................... 13. Name of Owner of premises.~.~....Address .......................................... Phone NO ..................... Name of Architect .................................................... Address .......................................... Phone NO ..................... Name of Contractor .?..~..'~.~...~ .......... Address .......................................... Phone NO ..................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set*bock dimensions from property lines. Give street and block numbers or description according to deed, and show street names and indicate whether interior or comer lot. L.(. OR. STATE OF' ) S S COUNTY OF .,..~.~?s~.~,,~.) -'-' // ~ .............................. .V.L.....~..~ ........... ~.~..being duly sworn, deposes and says that he is the applicant (Nam~f individual s~ning a~icati~ 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 all statemen~ contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the man~.f~in the application filed therewith. Not~ Public, State al New York Sworn to before me this ~o. 5[.034~gB3. ~uff01k o0u~Ly .... o, ........... Nota~ Public, :~.~~.. C~,',,y 7 g;g~ture of applicant)