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Home My WebLink About672-zFOR~ ~0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY ~ 66,3, June 15 60 No ......................... Dote ........................................................ , ]9 THIS CERTIFI[S that the. building located at ..~..q.%~.n,,d..e.:.r.~...?..a..'~l).~...~..o.}.~:~,~...d: ....... '... Street ap inc. ........................ mock ~No ......................... Lot No .......................................................... conforms substantially to the Application for Building Permit heretofore filed in this office dated ~4aF 11 59 Z ........................................................ , 19 ........ , pursuant to which Building Permit No ............................ dated .................................. .~.~..~.~....l...1. ..... 19..'.5...9.., was issued, and conforms to oil of the requirements of the applicable provisions of the law. The occupa, ncy for which this certificate is issued is ................ PI~tR~AT~ O~E FAMILY D'~LLI~ Carolyn Mullen, o~er Th~s certificate is ~ssued ~o ..................................................................................................................... (o~n~, lessee o~ ~encnO of the aforesaid, building. 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.o 672 z Dote ..................................... Iga~....ll ....... Ig~s .... Permission is hereby granted to: Gold ~%h....Birol......&/O....,%:l.~ ................... ~ ........ to ..... II.lsd.. ~z~. ~itzLo~. mz. ~..ezia'~..d~t e.L~J~ ..................................................................... at premises located at .Ll~t.l~. ............... ~.o~W. ere,.E~4~ ................................................................ ........................................................................ Z/-~...Fo~e~*~. i*e.t,b~-... ~outho".4 .............................. pursuont to applicotion dated ................................... Ila1~......1.t. ............ I9~...., ond approved by the Building Inspector Fee $.5~0~3. ............... FORIVJ[ NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Exam ned .............. )(...~.k.....~ ........... 19 ...... .~ ~J " ' ~ .7::.:: Approved ........................................ 19 ........ Perrmt No ........ Disapproved o/c ....... il ........ /.. ................................................ ............................... (Building Inspector) Application No. ~ ''/ ~ APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and su~)mitted in duplicate to the Building Inspector. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining p. remises or public streets or areas, and giving e 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 lear 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 applicant, or name, if a corporation) ................... ....... ........................ (Address or opp.contr State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .......... ~.~.~.~14~ .............................................................................................................................................................. .. ~ g~ , · ~r; ~. ~'-~. -'~ /~ ~.~ ' ~ of ow.~ of p~,~ ...... ~ .............. ~...~ ........ ~,~ZL ....... ~ ................................................................................ If applicant is a corporate, signature of duly authorized officer. ..... ........ .......... // (Nome and tit~e of corporate officer) 1. Location of land on which proposed work will be done. Map No: .)z-.~...~ c.~....~¢~ Lot No: Street and Number .......... ~.~.(~.<~....~[~ ..................................................... ' ........................................... Municipality 2. State existing use and occupancy of p~em~ses and intended use and occupancy of proposed construction: o. [xistin~ use ond occuponcy ...... ~r~.,,~...~ ......................................................................................... b. Intended use ond occuponcy .................................................... 3. Nature of work (check which applicable): New Building .................... Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost ........... ~..~..c~..~.~'...L~ ..................... Fee ,'i~ , ~ (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 ............ 'M,i....-~.. ....... Rear ......... .~..~. ,~ ............ Depth ........ ..~...~.'., .~ ......... 7, Dimensions of existing structures, if any: Front ........ ~.?....'. .......... 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 ......../..~ ........... Height ....... /...~. .............. Number of Stories ......... /.. ................ 9. Size of lot: Front ..~...~...~.~.,/./~.~.g.2¢.... Rear ...... Z...~...~. ............. Depth ...... /....~.,.~,'~. ........ 10. Date of Purchase ...... ~/~/~.~.'f.~.~.;~ ....................... Name of Former Owner ...................... Z~.x ,,?..~.~..,~ ........................ 11. Zone or use district in which premises ore situated ....~.~,.~.~,~..~'~Xt'.t~.~..g-~ ........................................................ 12. Does proposed construction violate any zoning law, ordinance or regulation? ~....~. .,<~...~....,~J .... 13. Name of Owner of prernises.~.4~.9......Z~/'-~.L~,~.~...Address .,~.~.;~.¢~'~.~ ..................... Phone NO, :_-:z_ Name of Architect ........................................................ Address ............................................ Phone NO ..................... Name of Contractor.~.~.J~../f~....?.~....4~...~...~,~..- ....... Address ..~5~.~.Z~./.~..,.L.~. .................. Phone 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 COUNTY OF ..... ,,~.,~k,,..) ' ..... ~..~.r..Z.~...; .~..';..~~..~.~.~..././, ....................... bein duly sworn, deposes and says that he is the applicant / (Name of individual signing application) above named. He is the.....~.~.~ ............ .. of d this application; that a statements contained in this application ~re true to the bes o ' now~edge and belief; and that the work will be performed in the manner set forth in the appl~ed .therewith. Sworn to before me th~s L~ day of ~.~}~ .~, ~,,,,~ t~s~,, ~s~lgnature of appl.cant) ....................... · FOR~[ NO. 1 TOWN OF $OUTHOLD I]UILD~NG DEPARTMENT TOWN CLERK'S OFFICE SOUT,OLD, N. v. Exom~ned ............ (:: ,~.~ ......[....'19 .... Approved ......................... ~ .............. 19 ........ Permit ~o ............................. Disopp roved o/c ...... r'" h ......... .[. ........ 6x ............. ~ ...................................... .............. ~?..~:~,.: ~ ....... L~ ~:~:~-:~ ................ (Building inspector) ~ Application No ............................. APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink end 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 applicatio~ 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 purRose 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 Lows, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as hereir~ described. The applicant agrees to comply with dll applicable laws, ordinances and regulations. (Signature of applicant, or name, if o corporation) ................... · .......... z/.,. f.,,?.; ........ , ................. (Addres~ of appli'c~nty ' State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .......... .............................................................................................................................................................. Name of owner of premises~..].~¢.5...-~ ............................... ,~.~.,,~.../,z~..~,~.~.~*,~. ................................................................................ If applicant is a corporate, signature of duly authorized officer. .... ...... .......... ~(Name and title o~ corporate oTficer~ 1. Location of land on which proposed work will be done. Map No: ............................................Lot No: .................... Street and Number ..........iZ.f..~fX~.;'~(.(~;~...ZM:':/.~;.~* ................................................................................... . ~ Municipality 2.. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...... /~mJ.~-~..~ ........................................................................................ b. Intended use and occupancy .................. ~: ......................................................... 3. .~,Nature of work (check which apphcable): New Budding .................... Add,ban .................... Alteration .................... ~"ep~ir .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Es'ri ted Cost c,,,~¢~.f,(g2 ~ Fee ' ', (to be paid on filing this app cat on) 5. If dwelFr~g, number~, of dwelling units .............. [ .......... ,":'"Numbe of dwelling units on each floor ............ /. ............. If garage, '~er of cars ..................... ~.~.~..¢. ......... ~;~.~L.~..~,~,~,::~ ........................................................................ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ............ ~T.X.~.. ...... 7. Dimensions of existing structures, if any: Fcof~t ......... Lj~..' .......... Rear .......... .~Z'¢...! ........ Depth ........ .,:;~.~..: ......... Height ........ ~...~ ............. Number of Stories ......... ,~,.Z ................................................................... I ............................ Dimensions of same structure w th alterat ohs or ad--crff ohs: Front .... ._~ ..... Rear , .~.¢ ............... Depth ......~;.~, ................. Height ........ b~.:~+ ............. Number of Stories ...... ]..¢_~ ................ 8. Dimensions of entire new construction: Front ........... ;/g,../~f;: ...... Rear ....... .?~;¢ .............. Depth., Height ....... ../.¢ .............. Number of Stories ......... k¢ ................ Size of lot: Front , , . '"~':,¢'"';t~'?'~:"[~'"' Rear ....... 2..¢.f ............. Depth ...... ~r.~..5.~ ~ Date of Purchase ., ~., .¢'. .......................... Name of Former Owner ..../?. ...... ~./. ......... ,,* ......................... Zone or use district in which premises are situated....~,..~_~ ~, / g~-h//"/t~l ................................... /. ............... J! ........................... Does proposed construction violate any zoning Jaw, ordinance or regulation? ~.. ....... ,. ............... ~ .................... ., ...... Name of Architect ........................................................ Address ............................................ Phone qO ..................... PLOT DIAGRAM 10. 11. 12. 13. Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-bacl, property lines. Give street and block numbers or description according to deed, and show street whether interior or corner lot. STA'FE OF NEW "¢~;~f~''''/''(~,'-' ) SS. COUNTY OF ........... ~..t. ............ ) dimensions from nas and indicate .~. ~.,~ ' /,// / 7~ .~'.?.~ ¢~,'¢ .)?~ ..,c'.' ' '~J""/~'"t being deposes and says that hb is the applicant ..... ............... duly sworn, , above named. He ~s the.....~¢2 ...................... & .................................... (Contractor, agent, corporate officer, etc.) i of sa d owner or owners and is duly authorized to perform or have performed the said work and ~o make and file this application that all statements contained in this application are t(~e to.. the best of his knowledge and belief; and that the work wi I be performed in the manner set forth in th~ ~ ~i/ed therewith. Sworn to befo me th~s ---~. . ¢0 ,~d~ see ,,tt~x~ ~-~ I ........................ ........... .......... .. - ,,