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Home My WebLink About715-zTOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at ..~,~.....J~O1;t~..~,/le .................................Street Map No....~;,~¢,~ ........... Block No..~ ............. Lot No ..... ~ ....... ~,.~1t~.~, ....... ~.~,~..~ .......... conform~ substantially to the Application for Building Permit heretofore filed in this office dated ............................ ~.!.1~.....~1 ..................... , 19..~9.. pursuant to which Building Permit No.....~..1.~[~... daCed ...................... ~.tttr~ ....... .1.O .......... , 19.~.~..., was issued, and conforms to all of the requirements. of the applicable provisions of the Iow. The occupancy for which this certificate is issued is ........ ..... ~.rSv~t e...o~e...fa~i.ly. · ~lwe 11~ ......................................................................................... : The certificate is issued to ..... ~.o~.eph..~..~a.~ale..l~.ta,~lzi~;.~.e, .......... (b~.e~.fi.,. ................. ....... (owner, lessee or tenant) of the aforesa'id building. ~0~, ~his certificate i~ an "updated"a~proval of the original certificate from s~trvey dated Aug lt~ 196~ by VanTuyl~e ......................... ....... '[ ............... FO~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No..J,...ff69 ......... Date ....................... ~tme.....g. ............... , 19..60.. THIS CERTIFIES that the, building located at ....~/.S...~D.'~LC~..A~'I~. ............. .~.~ ................ Street Mop No.;~lr, ................. Block No ....... ~ .......... Lot No.;~. ........ .J/~t, tit;~ok~!....N.,~,, .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ........................ ~l':,stl,e,.....9 ............... , 19~.~...., pursu.ent to which BuiJding Permit No.i ......~[...~.~ ......... dated ........................... ~'t;gl~e...lO .......... 19...~.~.,wa.s issued, and conforms to all of Yhe requirements of the applicable provisions of the law. The occuparnCy for which this certificate is issued is ........ ;~%[i'" ............... P~i.v.a.~e .. ~n~ ..£amil~...d.~ellin~ ......................................................... i ............... : ........ This certificate is issued to .Jo~e~..&..i~.t,~.l.e.,St;a~.t;.,~a ........ :.(e~,)-...: ............. '...:\,... towne, r, lessee or tenant) of the aforesaid building. FOI~M NO. 2 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N. Y. BUILDING PERMIT (THIS I~ERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N.o 715~ z Date ........................... .J....~/...e,...,...]:.0. ............. 19...~..9... Permission is hereby granted to: st~n~.~y.. ~.k...o...~ ..~...~...z.~9 ..................................... ................ ~tr..'t.. ~, .'% ~ ~ e~ ~.....~.,.Y.~ ................................ to..~.t..%~...-.?.~...?..~.t..z.~...a.?.z..z..t.~.g.. ............................................................................................... at premises located at ~./.8.....~..%~...d....A.?..e. ................................................................................................. ........................................ ~t.t J3At~lr, ~.... ~ ~., ........................................................................................ pursuant to application dated .................................. .~.~e.....~. ............... 1~....., and approved by the Building Inspector Fee $~Q.QQ .............. B~d~mg Inspector ! · NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ....... u' ........ .......... Approved ........................................ 19 ........ Permit No ...............................u (Building I nspe~or) Application No ..... ?../..~ ............... 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 adjoinin9 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 cov, ered 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 a Iterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances and regu~!~ations. ............. ........... .............................................. (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. Name of owner of , ................... ::'....~......: ............... ~"~":'"' '7'""~7 ................................................................................. 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 end Number ...~...~ ............................................................................................................................................. Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: b. Intended use and occupancy ~'g~'~'<J/~/~z'"'~"] 3. Nature of work (check which applicable): New Building .................... Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Co ................................................................ 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 ............................ 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,.,...~.~...,~..,."..Z ......... Rear ....... .......... Depth Height ............................ Number of Stories ...~.....'~/.~.::.~ .......... 9. Size of lot: Front ....,/...~.....O.. ............ Rear ......... .~...~...0. .......... Depth ...../. .'. . ?. , .0. .. ,'~ ....... 10, Date of Purchase ........................................................ Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated ......... ~ ................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? ........ ./.~ .................................... 13, Name of Owner of premises.,.//.~..~..~..~.~.~.. .......... Address .....Y....b~...~..'i ..................... Phone NO ..................... Name of Architect ........................................................ Address ............................................ Phone NO ..................... Name of Contractor.....m.~....:~.~.:J ......................... Address ............................................ Phone NO ..................... PLOT DIAGRAM Locate clearly ond distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property Hnes. Give street and block numbers or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW ~9.R.J~, ~/~ ) S S COUNTY OF .... h...~. ,,~..ZZ'.. ·..: ....... ) ' ~ ~' ~,,z/(o ben du sworn de oses and says that he s rhea cant ........................................................... : ....... '.a f~...'...; ................. g y P PP (Name of individual signing a~[ca~ ..... 0 (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 ali statements contained in this application are tr~ to. the best of his knowledge and belief; and that the work will be performed in the manner set forth in the ~ f~ilod therewith. Sworn to before me th~s ~ ~ ~,, ~f ~ 19 ~ ~ ~, ~k~.',~' ~ ,, (Signature of lapp can~ ..................... ~. ~ ~ :..g .......... ~'71 ........... ~'"'._ '~Z" "~ Notaw Public~.,..,~.:~.~