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Home My WebLink About638-z~O~M NO. ~ TOWN OF SOUTHOLD BUILDING DEFARTI~AENT TOWN CLERK'S OFFICE $OUTHOLD, hi. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located ot~/,~,.,Q.O~..]~k..~(t..9...~//.fL..~.~.~'~t Mattituok, New zork Map Nc~ol~eWOOd ..... Block No ......*..~..~ ............. Lot No...~.9..~c.1(~. ............................................... conforms substantially to the Application for Building Permit heretofore filed in this office dated ..................... ~,~21,1..~L~ ............... , 19...~.~, pursuant to which Building F~ermit No...,~6,~ ................ dated .............................. ~L~:~,~.~(~ ....... , 1 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 .............. ................................. .............................................................. This certificate is issued to .~I.I~.'I~...~..~...O~.~.~.~R..~....O...~..~..~..?. ......................................................... (owner, lessee or tenant) of the aforesaid building. r"'"7'"'- - Building Inspector Howard M. Terry TOWN OF SOUTHOLD BUILDING DEPARTh4[NT TOWN CLERK'S OFFICE SOUTHOLD, N. ¥. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 638 Z Permission is hereby granted to: ~..~ ~.~.3:...e.¥...8..e..~..~..9. ~......~... ,q ....~..u~...~...F. ?.....0. ~.e..r...r..e..~ eh M~..~ ~,l.t,~.~.~, ~.¢.~...~.o.r~ .................................. atpremiseslocated at.~.~..~O~ E~k I~.ady ~.~ ~e~.p~ ~o~t ............................. To/lewood~ Lot~ ~o. 99 & 100 ...................................... Ha~ue~...~e~..~er~ ........................................................................... pursuant to application dated ..................... .~.~..~..~...1....]...~. ........................ 19.~..~..., and approved by the Building Inspector Fee $...~,~0 ............ ......................... i~;~ii;~ig;~"ig;'~';jj ............... '] ......... Howard M. Terry 1 NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ............. .~, ~ ...../'.~... 19~...~... Approved ............ ~.....~...~'....1 .9~....~.~,rmit No..~ ............ Application No ..... .~.. ~.~....~.,. ......... (Building In~l~ APPLICATION FOlK 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 premls~s, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property mu~t 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. Uoon 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 Depar~rne~nt for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of So~tholc~, Suffolk Count% 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 lows, 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. · u , OBE. RR h Name of owner of premises ...... E,.......~...~.. ...... ~ ................................................................................................................ 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 No: ~~ ..... .. Lot No: ..~..~'~ ..~. ~ Street and Number ..~/', .~.....~Z~.~..c.~.'~.~.~......~..~-~.--..~.....'~....~....-*~..:."~'...~..~...~...~'~.~.;-'....~ ........... Munlcipalit~ a. Ex sting use and occupancy .......... ~.~..:.: ............... h ....... , .................... ; ............................ ;.2.............;"., .......... b. Inte~:l use and occuppncy ........ ~ ... I,~.. , ..................................................................... 3. Nature of work (check which applicable): New Bui d ng ........ Addition ................ Alteration .................... Repair .................... Removal .................... Demolition....~ ............... Other Work (Describe) .................... '4. Estimated Cost...~..0.~ ............................................... 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 ......... ~.....o.. ........... Depth Height ............................ Number of Stories Dimensions of same structure with alterations or additions: Front .... 5....0.. ................. Rear ...~,~. ..................... Depth ...~,~.1~.../. ................ Height .............................. Number of Stories ...... ~ ........... 8. Dimensions of entire new construction: Front ........ ~...0. ............ Rear ........... /....~.. .......... Depth ...~. ..................... Height ............................ Number of Stories ...... ~ ........ 9. Size of lot: Front ............................ Rear ............................ Depth ............................ 10. Date of Purchase ........................................................ Name of Former Owner ...................................................... l 1'. Zone or use district in which premises are situated ............................................................................... 12. /V~) Does proposed construction violate any zoning law, ordinance or regulation.> .................................................... 13. Name of Owner of premises..~....~.~.:...'~..~ ....... Address ............................................ Phone NO .................... Name of Architect ........................................................ Address ............................................ Phone NO ..................... Name of Contractor....i~..~.~.~ ................... Address ............................................ Phone NO ..................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set;beck dimensions from, property lines. Give street and block numbers or description according to deed, and show stree names and indicate whether interior or corner lot. I STATE OF NEW,~YO~,I~, A t ) S S .~ ..............................................7' ~...~ ........... b~ing duly swo'm, deposes and,says that he is the applicant COUNTY OF ...~r,~....) · (Name of individual signing apl~llcation) abov~r~amed. He is the ................................................. ~ ....................... ; .................................................... (Contractor, agent, ~orlborate offl~ etc.) of said "owner or owners, and is duly authorized to perform or have performed the sai~l work and to make and file this' application; that all statements c. ontained In this ap. plication are true ,to the_ ~best of his knowledge and belief; and that the work will be performed m the man~ner set torth .in ~tt~e~licatton filed therewith. Swam to before me this . ' .~.~i~'~:~'~,~.,~_~' .................. o, ..... ............... ..., ' na reofapp,.nt)