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Home My WebLink About689-zNO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY December 23 19..57..... No....~..Z,.6..~. ............ Dote ........................................................ , THIS CERTIFIES that the. building located at .Lt!I/.S..~e, cob~..lr~.(lJ~Bltil/.~'tl~l~'..]~ima~.) ........ Street Map N~e~.9.~..l:.t,. ........ Block No...~ ................ Lot No..X..X~;.. ........ .S..o..u.?..h, ql.d.j..;?.N..t.~..~. ...................... conforms substantially to the Application for Building Permit heretofore filed in this office dated .......................... J~/~y....~,,O ................ , 19..~.9..., pursu.ant to which Building Permit No...}..~..~.. ............. dated ............... ~.....aO ......................... 195.9...., was 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 ................ ....................... P.~.~.~t,e ....~u~..~:l,y.. ~]~e~ ~ ,! ~ .................................................................................. This certificate is issued to ....iJlt.~e,..T,vr~r......,(mme~:) ...................................................................... (owne.r, lessee or tenant) of the aforesaid building. Building Inspector 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? 689 Z Dote .............................. :ay ...... ~e ........... :9~ .... Permission is hereby gronted to: '~. Be°be A/C.....~,,E^~r~ ....................................................... ..... New-.S'a_-¢. f. ~.lk.-.- -~ ............................................. ...................... Cu:toho~ue~,..N.~., ............................. to .....~..~...X.~...a..e.~.,~.e-.:,~t~ ................................................................................................................... at premises ]oceted atE/S....,,T2aob~..~.l~e ............... (...~e~6ow..Po.i~%..p~op.,-) ..................................... ................................. ~,.~.th.oJA., ................................................................... pursuont to opplicotion doted ............................... ~' ...... 22 ................. 1c~.9....., °nd opproved by the Buildin9 Inspector Fee , .]:..0......O~.. .............. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ....... . .~./. ,~... ~Z.'' .:.~..f.~. 19..~~ ~ Approved .............................. .~.{ ........ 19..~....Permit ......................... ~:r3¢ ................... (~uildin~ Inspector) Application No .......:~.....O~.'...~.~. ......... 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 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 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, os herein described. The applicant agrees to comply with all applicable laws, ordinances and regulations. (Signature of applicant, or name, if a corporation) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, eJectrican, plumber or builder. Name of owner of premses ; ~ < ..~.'~ ....................................................................................................... If applicant Js a corporate, signature of duly authorized officer. (Name and title of corporate officer) ,:q ~ ~,, ~ ,., , , ' - ' oca 'on o land on wh'ch p p sed work w'l be, done. Map No. ~.~....,..~ .......... Block .....~~ ...... Street and Number 2. State existing use and occupancy of premieses and intended use and occupancy of proposed construction: a. Ex st ng use and occupancy , b, Intended use and occupancy ............................................................................................. 3. Nature of work (check which applicable): New Building ..... /~. .......... Addition .................... Alteration .................... Repair .................... Remov~,~, ................. Demolition .................... Other Work (Describe) .................... 4. £stimated Cost ..... :/...../4.~.--~.....~... ........................... Fee ............ 7'"; .......... : ............................................................. J (to oe paia on filing this application) FEES: : 5. If dwelling, number of dwelling units ............ ./ ............. Number of dwelling units on each floor If garage, number of cars ............... ./. ...................................................................................................................... ~ 6. If business, commerica] 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 some structure with alterations or additions: Front ................................ Rear ................................ Depth .............................. Height .............................. Number of Stories ................................ 8. Dimensions of entire new construction: Front ....... ~..C) .............. Rear ....... ~.....(-~.. ............ Depth ...... ~ ............ Height ....... ,Z.~.......~.'. ......... Number of Stories ....... ~ ................... 11. Does proposed construction violate any,~.zoning law, ordinance or regulation:) Name of Architect ...........~...~ .............. ~ ............... Address ........................................... Phone NO ..................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, end indicate all set-back dimensions from property lines Give street and b ack numbers or description accord, ipg to deed, and show street names and indicate whether interior or corner lot. /~ //~,c' --"-~,7 r STATE OF NEW YORK, ) SS..' COUNTY OF ............................ ) ................. ~~.....,~...~ ........... : ............ being duly sworn, deposes and soys that he is the applicant (Name of individual signing application) 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 are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Swam to before me this .................... :.. day of ....................... Motafy Public, State of New Y<~rk l~o ,52-0344963, Suffolk County ~,,ml..slon Expires March 3Q~,,19~/ (Singature of applicant)