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Home My WebLink About730-zFO1/Si NO. 4 TOWN O.F SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No. ~ 4'~0 Date .............................................. _~Oard~ers B~y E~tates~ E~t M~ion~ N.~. THIS CERTIFIES that the building located u~ ........................................................ . ............. orreer O~d~nevs ~? Estates Mop No ......................... Block No ......................... Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated ~,?tl~ ~ 19..~?..., pursuant to which Building Permit I~o Z ~0 dated ~/~:tZte 2~ ]~..~....,was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ................ ?EZVATE 01~.~ FAMI~ DWELLZNO This certificate is issued to .......... ..~.?~..?....e..~...~...O.?..~.~.~...?~?..~. ....................................................... (awne.r, lessee or tenant) of the aforesaid, building. / Buildina Inspector 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? 730 Z Date .......................... June-..-g~ ............... 1~9 ..... Permission is hereby granted to: · Deug .~e..t~o~eve... 4/C....Co:Le¥...T.... ~ro~ ........ ................... ~s.¢.. ~ion~.... N..Y.o ......................... to ..... Butld..n.e~'.. o~.. fnmi~., dw.elli~ ............................................................................................ at premises located at .~.t~.~JJ~.~.lXc)....Gat.~1;~n~r~..Ba~r..Es.%~ ............................. ............................................................ ~.~..s.L..~.~r~..qn.,....~.:.¥... ................................................................. pursuant to application dated .......................... ,tu~e....24 ...................... 1959...., and approved by the Building Inspector r~e $.~9.~g~ ............. Building Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD', N. Y. Approved .............. 9.. rmit No ....... Disapproved ~ ................................................................................. ........ {Buildln~ Inspoctor) Application No....~ ............. APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be complet:ely filled in by typewriter or in ink ond 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 ~ayout of property must be drown on the diagram which is port 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 port for any puFpose whatever until a 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 Lows, 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. (SYgnatu~ of applicant, or,name, if a corporation) (Address of applicant) State whether applica t is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on wh ch pr, oposed work will be done. ~M, ap No: ....... J ............. ~.....~.~; Lot No: ................... Street and Number .......... v ..... ~ ........................ ~ p Y 2. Sto~e existing use ond occuponcy of p~emises ond in~ended use ond occuponcy of proposed construcHon: 3. Nature of work (check which applicable): New Building.....~....Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .............. ~.j,,..Other Work (Describe) .................... 4. Estimated Cost....~..,~..~ ............ : ................................... Fee ..... L4~....~ (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 ...... ..~..~ ..........Rear ........... ..'~....~. ...... Depth ......~ ......... Height ......;./.~...../.. ......... Number of Stories ....... ~ ..... 9. Size of lot: Front ......,~..'.(~...d...~ ........... Rear ..... ./..~..O...z. ........... Depth ...../..~....~.. .......... r?.? 10. Date of Purchase ........................................................ ~'~ame of Former Owner ..... ; ............... 1 ]. Zone or use district in which premises ore situated .................................... ~ ............................................. 12. Does proposed construction violate any xoning law, ordinance or regulation? ..... ~. ........ ~..~..~ ........................... 13. Name of Owner of premises..~....~X~-...~.,Address ..~'.*..~'...~., ~ // ~ ,~ ~...d~...~o;e NO ..................... Name of Architect Address ~.,'~,,,,,.,,(,/,~,' PhoneNO Name of Contractor......~.....~.~...Address ...... ~.~~.....Phone NO..~?.Z....... 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 de.scription accor, dinq to deed, and ,show street names and indicate whether interior or corner ~ -- - ? STATE! OF NEW YORK, ) S S. COUNTY OF ............................ ) ............... ~a '~; 'f' "i ' ~ ~J i '~ i '~ 'd ~'~ '~'~ ~, 'a' ~ i '~ ;')' ............... above named. He is the ........ ..¢K/~ ......................................................................................................................... (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 Jn the manner set forth in the application filed th~ewith./,-~~') Sworn to before me this . ~ t/~,.- ~/~,,, ~/'/~__~//,,~.,~