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Home My WebLink About719-zFO,R~f NIO. 4 TOWN OF SOUTNOT-D ]BUILDING DEPARTMENT TOWN (.'LERI&'S OFFICE SOUTHOLD. N. ¥. GERT1FICATE OF OCCUPANCY No. Z 775 Date July 21 60 THIS CERTIFIES that the building located aI Haywaters R4., Cu~:cho~Fue Street *** - 380 _'Map No...N..E...S..,B.E.~.__. Block No ..................... Lot i~o .............................................................................. Poin~ conforms substantially to the Application~for Building Permit heretofore filed in this office 1959 pursuant to which Building Permit No. 719 dated ............................................... . ....... ' ....................... J~,%e 16 19.~?.., was issued, and eonforms to all of the requirements ~]ated ................................................. of the applicable provisions of the law. The occupancy for which this certificate is issued is ................................................................. PRi~ATE - ONE.. ~'~M ILY.. DWE LLI N~ This certificate is issued to George & Johana ~ant:zen, owners (owner, lessee or tenant) of the aforesaid building. Building Inspector FOP~rV[ 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) 719' Z Permission is hereby granted to: ~e.o~a....~ .................................................. .............. ~L..~r..~.....i ................................ ..................... g~....~ ............................ at premises located at lot # 380, ]/a~au p. otnt Out, chogue~ ~.Y. pursuant to application dated ........................... ~?..a~..~..~ ................... 1~9 ., and approved by the Building Inspector Fee $~9.~ .............. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Exomined ...... ./.~ ~. ~ ................... 19 ........ - ...... Approved ........................................ 19 ........ Permit No. . Disapproved a/c .......................................................... App.co.on No...Z.CZ ............ (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS o. 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 o detailed description of layout of property must be drawn on the diagram which is port 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 o 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 port 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 issuanoe 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. K' ......... i~i~ .~¥ ;~-iji[~.~.;,¥~.g;.;;;jX~, .i-i. ;~.~;;~;;j~i;;;i ......... .............................. '~X~;;;;';i"~'ii~;~ ......................... State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ' ,,' Name of owner of premises ....... .; ........... ~ .................................... If applicant is a corporate, signature of duly authoriz~'d/officer. ~ (Name and title of corporate officer) 1. Location of land on which propo.~ed work will be done. Map No: ..~.("~.....~.~:.. Lot No: ....?.....~...0. ...... Street and Number ............... ./...~..~:.~ ...... ~...cff....~_...: ......................................................................... '~ Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ................... .C.. ................................... ; .......................................................................... b. Intended use and occupancy ........ ~t..~;...~...~h~...1.~;'..~...~...~~x'.:~ ......................................................... 3. Nature of work (check which applicable): New Building ........ ~ ....... Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost.../...O~...~......~Z..'~- .................................. Fee .../..0...~ .......................................................................... (to be paid on filing this application) ,5. If dwelling, number of dwelling units ......... ~.~..tT~.. ......... 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 ...... ~......--~.. ........... Rear ........... ,.~....~ ...... Depth .......~....E~... ............ Height ............................ Number of Stories ..... ~.'T....k~%... ........ 9. Size of lot: Front ........./.....f~... ........... Rear ...... f.....~.. .............. Depth ....~...~....0.. ............ 10. Dote of Purchase ........... .................. ../..~....~.. ~ Nome of Former Owner ..................................................... 1 ]. Zone or use district in which premises are situated .......................... .~........~... ................................................... 12. Does proposed construction vi,olote Any zoning Iow, ordinance or regulation? ............. ..~....i.0. ............................. 13. Nome of Owner of premises .......... ~~.....Address ............................................ · NO ..................... y,v~-- ...~....'~..~.~./. ......... Phone NO. Nome of Architect ........................................................ Address .................... Name of Contractor ................~..'. ................................. Address ............................................ Phone NO ..................... PLOT DIAGRAM Locate clearly and distinctly alt 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 NEWc.yo~I~, n ~ ) S S COUNTY OF ....~..~.....) ' ................... ~~..~,~eing duly sworn, deposes and says that he is the applicant above nam(eNcee-J-lee ~jt~ed. ~1.~.~.~.~.~..~.1.'.~:~.'.~.~ ............................................................................................ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly outhorlzed to perform or have performed the said work and to make and file thls application; that all statements contained in this application are true to the ~st of his knowledge and belief; and that the work will b~ performed in the manner set forth [n the application filed therewith. ~m Sworn to before me this ~ ~~ .~ ~~._ Notaw Pub c,~~.,..~.~..~.....~.~ounw ~,",,',L~:~ L~ ;~ ~h ~0, ~