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Home My WebLink About646-z TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CEERK'S OFFICE SOUTHOLD, N. CERTIFICATE OF OCCUPANCY No .....~, ,.1147. ..... Date ................. .8.~t,~.~l:... ~. ............. , ~9.~. TH~S CERTIFIES that the building located at g~.a~..~.,.~...M~.... Street ~CaD~. K~dd Map No. ~,~.~ ..... Block No ........~?~ ....... :.Lot No ......... 9~ ....................................................... conforms substantially to ~he Application for Bufldin~ Permit heretofore filed in this office dated ........................... 8~A...~.%.., 19..~. pursuant to which Building Permit No. Z ~46 dated ........................ ~p~l.l...21 ..... 19..$~, was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this cert~icate is issue is ............................ ...................................................... This certificate is issued to ...~...~.~9~.~....9~.~ ....................................... ' ....... (owner, lessee or tenant) of the aforesaid building. Building Inspector FOI~M~ NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N, Y. BUILDING I>ERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N9 646 Z Date ............................. ..A.~. ?..~?:....2.~. ......... 19~'..~..... Permission is hereby granted to: Tnc~e~.. ~......Fi~he.r... ~/e..~t eYe--.T- s.ez~.to~ H~.t .t ituck~...~w...¥~z.k ................................... to ...... btzil~..~..new., on~ f. ami-l.y...d.we.!~ .t~...sh~.L ............................................................. at premises located ai~/~,p.~.,...~[~'L~L..E~eS.~...~{~p..~o,-.i~ ................................................. Lot No. 93, Central Drive, t~.ttituck, New York pursuant to application dated .......................... .A~F-i~'"2't' .................. 19~.~...., and approved by the Building Inspector Fee $.1~., ~.0 ........... Building Inspector Herald Mo Terry FORi~ NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. E×om ned ............. Approved .............. ~-°~..../...19..'~..~...Permit No........~..~.....~.. ........... Application No, d'~ (Building Inspector) APPLICATION FOR BUILDING PERMIT /q te ~- ' /t;,~ ' 6 ' Da ...... Z ............................. INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building ~nspector. 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 issuanoe 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 amd regulations. (Signature of applic65t, or name, if a corporation) (Address of applicant) ,~ State whether applicant is,~r,,~ee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises......~,~. ....... ~ r...~....~... .................................................................................. If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which propos,~ wo;k,~vill be don, e. Map No: ~.~.~~.... Lot No: ..... .~....~... ...... Street and Number ......... .~..~....~..'~.....~......,.~..~ ............ ;.~/".~.. · .~]..~.....~./.~-..~.~. ........................... Municipality' ' ~/ ' 2. State existing use and occupancy of pr, emises~,,~ intended use and occupancy of proposed construction: a Existing useandoccupancy ...... .~~~~ ............................................................................ / 3. Nature of work (check which applicable): New Building .................... Addition .................... Alteratiqn .................... Repair .................... Removal .................... Demolition ......... ;~, ........ Other Work (Describe) .................. .. · -'" 4. Eshmeted Cost ............ .--/.~..×.z.. .................................... Fee .......................................................................................... (to be paid on filing this application) · ~ r 5, If dwelling, number of dwelling umts .......... ~ .............Numbe of dwelling units on eoch 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 Steries ................ ,. .............. 8. Dimensions of entire new construction~ Front ......... ~ ........... Rear ...~,~.. .............. Depth ....~..~~. Height ............................ Number of Stories ....... ~.. / 9. Size of lot: Front ......... ~....~... ........... Rear ...?~.~..¢2..L. .......... Depth ~¢¢z:~./.,.f..~ 10. Date of Purchase ............ .~.....~..7..~... ............................ Name of Forme~ 11. Zone or use district in which premises are situated ........................... ~ ......... f /'/~ --./~--~...'....~..: ............... 12. Does proposed construction,~-.~-_ ~--- --~-'~v~°late any z,~__~oning 19w, ordinance, ~ ~ ~ ~,,,,lor,regulation?, "2¢,d9.,~/..~....~...: .................................... 13. Name of Owner of ~remise~../..~~Address .~~.~one NO ..................... Name of Arc, hitect..~ .~...~Address~'"- ~* '~ .~Phone¢, NO ..................... Name of Contractor .................................................... Address ............................................ Phone NO ..................... PLOT DIAGRAM Locate clearly ond 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. } s s , ..................... '~~... beMg 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 al statements contained Jn this application are true to the best of his knowledge and belief; and that the work will be performed Jn the manner set forth Jn the ~pp)jc~f~d,~berewith. Sworn to before~e this ~ ~V '~b~-¢¢~y., - - ........... ......... W TOWN OF SOUTHOLD . BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Exam ned ........... Approved ............. ~....~../... 19 ..c~..tPe r m it No ....... ...~..4~.. ~... / Application No ...... .~....~..~.. ......... APPLICATION FOR BUILDING PERMIT Dee ............................. ~ .......... 1 INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and su(~mifted [n duplicate to the Building Inspector. b. Plat plan showing location of lot end 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 p art 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 issuanoe of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southotd, Suffolk County, New York, and other appllcable 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. ................. ......... i~[b'~'i~'~f '~ii~'~,'or ~a~[ [f'a corporation) ............. ~...('-Z.~Z.~. f :~:;.~.::..~.:~:-~...~.....:..' ....... .;~.......-: ................ (Address of applicant) State whether applicant is o/w~i~r, lessee, agent architect, engineer, general contractor, electrician, plumber or builder. If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. location of Iond on which proposed work will be done. Mop No: lot No: . .v~.....~? Street ond Number ...~...~..~..'...~~;~-...~......~.~.....~. .................................. 2. State existing use and occupancy of premises anti int,e,.nded use and occupancy of proposed construction: b. Intended use and occupancy .......... ~?:~..X'~,~d¢?;~<~X.~/X~~~~/ ................ / 3. Nature of work (check wh ch applicable): New Building ....... .~.... ....... Addition .................... Alteration .................... Repair ................ Removal .................... Demolition .......... ,~. Other Work (Describe) .................... 4~ Estimated Cost ........ i'.~..~..'..~..?..~.! .................................... Fee ............................................................................. (to be paid on filing this application) 5. If dwelling, number of dwelling units ........... ..~'...~l¢'..<~....Number of dwelling units on each floor ............................ If garage, number of cars ................ ~....~?~:~:?¢~.~ ........................................................................................ 6. If business, commercia] 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 ~ame structure with a~terations or additions: Front ................................ Rear ................................ Depth .............................. Height .............................. Number of Stories ................................ 8. Dimensions of entire new construction: . Front .......... ~C~ ..........Rear ...~. ............. Depth ...~~ Height ............................ Number of Stories ........ ~..¢... ....... ~ 9. Size of lot: Front .......... ~.O ........... Rear ..... Z~....Z ........ D p ..~t.<~./. . __ ~ , /~ ~/ " - Former Owner/ ~ ' ~ ~ · ]0. Date of rurcnase ............. ~.z~.~ ............................. Name ot .~~ ............. 11. Zone or use d,str,ct ,n wh,ch prem,ses are s,tuated ...........................~ .......... ~;~.,...~-~..: ............... 12. Does proposed construction vi~ate any zoning la~, ordinance or zegulation? ...... ~2~--// ................................. 13. Name of Owner of R/emises~..~~Address .~~~ NO....................., Name of Architect ...... ~.~Z.::~ ......................... Address .~:T~ .................. Pl-,one NO ..................... Name of Contractor .................................................... Address ............................................ Phone NO ..................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate ~11 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 NE.~f4~'O~///~/ ! S S ' - /' · .................................... ~.~h~;~:~<~:~.....being duly sworn, deposes and says that he is the applicant (Name of individual signi~plication) ~ 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 statements contained in this application ere true to the best of his knowledge and belief; h ork w be erformed in the manner set forth in the ~R~lic~f, il~d~erewith. and that t e w P ~ ,~, ~>~ ,¢~ ,, Sworn to before~e th,s ~ '-'~1 ~b~]~,>~,~ ~.~ ~ '-' f ~ - ' I 19 - _ ~g.D6ture ap~[~can~ ' Notaw Public,. .............................. ~/,~:~:~T~..~fv ~~.~ _/~.. ~C~)' C~W