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Home My WebLink About682-zFO,R~ N~O. 4 TOWN' OF SOUTHOLD BUILDING D-VPARTMENT TOWN CLERK*S OFFI'C~ SOUTN'OLD, N', Y. Cr'--RTIFICATE OF' OCCUPANCY No ...... Z.38~50 ...... Date ..................... THIS CERTIF~S that the building located a~e.~..~lQOd~.f~..Dr, lV~,...~a~tit~eet Map No ..... 9.*~ .......... Block No ..... ~.*.~ ........ Lot No....~.0~-.~-.~.i~e~..~p .............................. conforms substsntially to the Application for Building Permit heretofore filed in this office dated .............. ~..~.9. ............... , 19...~ pursuant to which Building Permit No.~...~.~ ............ 4areal .............. ~...%~. ................. 19_~.9., ~as issued, and conforms to ail of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is This certificate is issued to ............. ~.~.~.~9~..~...~9~...~ ........................................... (owner, ~essee or tenant) of the aforesaid building. FOI~M 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 682 Z Date .............................. ~....~l,b ............. 1~. .... Permission is hereby granted to: ~il!~..T ~..~.~.tl#~ ................................................... ............. ;,~.~.,;btu~,....ll.,Z.. ................................... to ..... ~.:~:t..a...~.,..,...~?.~!z...t~.¢. ............................................. at premises located at .~/,S...]~l~A',f..,1)~-~l ................................................................................... .............................................................. MI~ ~t,~t, uokr. .. 317L, ................................................................... pursuant to application dated ................................ .~....~ .................. 19,~c~...., and approved by the Building Inspector ui ding nspector I FOI~M NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY ....................... June 24. 60 No. ~ 685 . Date ........................................................ , 19 ........ THiS CERTIFIES that the. building located at Map No ......................... Block No ......................... Lot No ................................................................... conforms substantially to the Application for Building Permit heretofore filed in this office dated ...................................... .~...a.~...~..6...., 19..,~...9.., pursuant to which Building Permit No. Z 68;3 dated ............................... .¥..~.¥.....~. ~ .' ....... 1~ = ........ , wois issued, and conforms to all of the requirements of the applicable provisions of the law. The occupa, ncy for which this certificate is issued is ................ ~Ri'VAT~ O~ FAMILY This certificate is issued to W~ll~am T. Fla~ley, oJmer (owne,r, lessee or tenant) of the aforesaid, building. FOBM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, H. Y. Exam i ned ............ /~ .............. 19.~7../... Approved .............. ,~../~..~..~...1~ .~.Z. Permit No ...... ../~.~..~..~.~.. ..... Application No ................... (Building nspac or) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and su6mitted 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 coYered 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 o 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 (3 Iterations, or for removal or demolition, os herein described. The applicant agrees to comply with all applicable laws, ordinances and regulations. (Signature of applicant, or,, ~a~, if a corporation) ............. .............................. State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .............................................................. . .~....~2....-.-.~..~..~.. .................................................................................. Name of owner of premises ..........~ -- .~,~.~.'.~..-.~., .,,~.."....~....~.'ff.~.~. If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Location of land on which pr~oposed work will be done. Map No: ............ ~ ............................. Lot No:x../.~.~.. ........ Municipalif~ State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~x~.~.,~r;;.....~-.....~..~....~....'~...~. ............................................. b. Intended use and occupancy ....... ...~......-~..'..~...~...<.~..~.......~.~.£;~.~ 3. Nature of work (check which applicable): New Building ........ ~ ........ Addition .................... Alteration Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost ............~.Z..~..,....~...c/.~ .............................. Fee .................................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units --~./~..~.C:~" ......... Number ofdwe nguntsoneochfoor ........ (//'.~..~ 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 Height ............................ Number of Stories / 9. Size of lot: Front ......../.(..~. ............... Rear ....... ./../...o. ............. Depth ....... ~...~....o. ......... .%". 10. Date of Purchase ....... 2~....~.¢../- .~.~..-~. ................. Name of Former Owner ....... ..~...~-..'~-..i..~..~.~-....-.'~.-'......~.¢-~..¢~;~.tx 11. Zone or use d,str,ct ,n wh;~ch prem~ses-- are situated .............................. ~.~...'i.....~ .......................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? .......... ~ ................................... 13. Name of Owner of premises...~.:.*r.~...../..'~'~..~.~.....~.....Addross ...~.~r"~'" '~"/"~'.' ...... Phone NO...~..~...~...~...~'. ..... ~c~/c_ j~L~/' ~/~' . ........................................... ~' Phone NO. Name of Arch~tect....~....~..' ...................... .~ ............. .......Address .................... Name of Contractor .................................................... 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 It. /,,, - *4 ~ STATE OF NEW._YORK~- ) S S w ~.~tdFF 0&LYE COUNTY OF .*.~..~. ........ ) ' ....................................../' r' ~...,~......;/..: ...... ..~...~ ............... being duly sworn, deposes and says that he is the applicant (Name of individual signing applicatior/) above named. He Is me ..................................................................................................................................................... (Contractor, agent, corl~orate off cer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this aaa ication; that all statements contained in this application are true to th.e best of h. is knowledge and belief; and tl~t the work will be performed in the manner set forth in the application fded therew th. Sworn to before me this ~ X~,,x~~ /. c~~//' //~ 4nv of r..~...c2TZ. .......19 ..~..~. j, .......... .(Signature of applicant;)/ / Notary Publ ... oiler 52 ¢344963, Suffolk County ~ mssion Expires /',1arch ~O.~ 19~' FOItM 1gO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TO~N CLERK'S OFFICE $OUTHOLD, N. Y. Examined ......... ~./~....... 19~.. Approved ' ..~....~.. 19''-G Perm t ........... .............. ... Disapproved a/c ................. -...... ~ .......... .~,;i../. .... ' ................... APPLICATION FOR BUILDING PERMIT I ~TRUCTIONS a. This application must be completely filled in by ~pewriter 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 prope~y must be drawn on the diagram which is part of this location. c. The work covered by this a~lication may not be commenced before iss~nce 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 pa~ for any purpose whatever until a Ce~ificate of ~cupancy 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 regulations. , .... ""i ' .ature of""""- - %pp ........ .............. .............................. '~ (Address of a~lica~ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ~ 7,{- Name of owner of premises ......... .~'~.~,~.~--~.~-~..~ ............................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Location of land on wh ch prog. osed work w I be done Map No' Street and Number .~.//'~ ...~..x~...~c~., ...... : ....... :..~..- Municipal~ / ........................... State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ......... ,,.,.~,,4~,.~..~.,~,~,,~...'~,,~,'r.~... .......... L ............................................................. b. Intended use and occupancy ~..~.'. ~.~, ~; "~-'~-~s~.. . 3. Nature of work (check which applicable): New Building .................... Addition ....................Alteration .................... Repair ....................Removal .................... Demolition ....................Other Work (Describe) .................... 4. Estimated Costl.....?./.~..~..~...q..~. ....................................... Fee i O (to be paid on filing this application) ,f dwe,,ng, number of dwe'"ng un'ts .......... of dwe,,ing units on each 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........~..~...f.~...'i' ......... Rear ....... .~...-~..../...~..~ ....... Depth .... ..~...~....~.~....'~ ........ Height .~.:.../..~...r.... Number of Stories ........ ./. .................. 9. Size of lot: Front ....... J/~..f. ...........Rear ....... ./../...O...: ........... Depth ...... /..°~...d....~ ........... ~,~--~J~ ........... ~'~ /~ ....................." 10. Date of Purchase ........... ...~=.~,~ /. Hame of Former Owner .~...-(~...~Z.....-......:.,.:..~...~...~.~=.... 11. Zone or use district in which premises are s tuated ..................................... /~...~).~.~....I... ...................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? ........... ..~...?. .................................. 13. Name of Owner of premises..'~.~.z~-~...../..'~......~...~..~...Address -./..~-~.~ ~ Phone .../~...~.~..~.:.~...~. Nome of Architect......~..5..~...~..t..~.....~..~.~../5...~.. ....... .~........Address ............................................ Phone NO ..................... Nome of Controctor..~Z. ......... .~.,.....'.~..Z~ ........ 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. COUN~ OF ..~....) ' ................ ~...;....~ ........ ;......~~ ................. being duly sworn, deposes and says that he is the applicant (Name of individual signing applica~on) above named. He is the .......................................... ~.f.-..~....D..~ ...................................................... (Contractor, agent, corporate officer, etc.) of said owner or ownem, and is duly authorized to ~rform or have performed the said work and to make and file this application; that all statements contained in this application are true to the ~st of his ~owl~dge and belief; and that the work will be performed in the ~nner set forth in the application filed therewith. Sworn to before me this -- ,...Z~ d~ ............. ~. ~ 19 ~ .. ~ ~. a0~gnature of applica~