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Home My WebLink About734-zTOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the, building located at ...~].a..~.~.~.~,e.,,~.~...~.d..:.m....C.:.a..~..c,.b. 9.~J~..e. ....... Street · N~SS~u Point, , . ~ 381 Map INa ......................... blOCK ~NO ......................... Lot No ................................................................... r conforms substantially to the Application for Building Permit heretofore filed in this office dated' ........................... .~...g...~.,e...2..~. ............ , 19....~..?., pursu,ant to which Building Permit No......:Z,...~..3..4.. .......... dated ............................. ,.~..¥./.1..e....,2..~......,. 19...~...g.., 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 ................ ................................................. ............................................... This certificate is issued to Thomas H, ~BJ¢~37~ OW~eZ (owne, r, lessee or tenant) of the afbresaid building. Building Inspector HOWARD ~4, TERRY FORM 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.° 734 Z Dote ........................... ~g~e...2~ .............. 19.~... Permission is hereby granted to: Ghe%. Gr'low~ $.. ·. A/0. ·...'l"~t~,e..e ·. · ~..kel~ ....................... .......... I~l~t...li.~ ...................................... to ~d"~'~-~l~.~ ................................................................................................. at premises located ct ..... ~"~"~8~ ...... g~'"'~ ..................................................................... ................................................... ~p~&e~..~m~....g~g~....l,Z ............................................ pursuant to cppricatiom dated ................................. ~....~ ...............19.5~..., and opproved by the ~uiJdin~ ~nspector Fee $....,~).i(~, ......... Building Inspector TOWN OF SOUTHOLD BUiLD}NG DEPARTN~ENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ^ppraved ........... ..... D~sapproved a/c ................... ~ ............. ...~ .............................................. ......... ...... (Buildin~ Inspector) ~ ~ 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 .ad]oJnJng 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 Bui]dlng 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 alterations, or for removal or demolition, as herein described. The applicant agrees to comply with ail applicable laws, ordinances and regulations. .... (Signature of aplSlicant, or nome, if a corporation) (A rddrdr~ss of applicant) State whethjer applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises i.~.... ~... ~..,..../~-.~ ......................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) i. Location of land on which proposed work will be done. Map No: ...... ~...~...~. ........................ Lot No: .,~..~.../. ...... Street end Number ,L.~ ...... ~~ .... "...~. .............................. ..... '/" L,~ Municipality 2.State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ........... ...G7'...~ ..................................................................................................... b. Intended use and occupancy........~.....~...~z~....!...~.....~,2~........~....~.. ........................................................ 3. Nature of work (check which applicable): New Building ....... ,~' ......... Addition .................... Alteration .................... Repair .................... R,~ovol .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost ............. ./....~..~ ............................. Fee ............. ./...~..r..r,-dT;~. ......................................................... (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. [f 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 ........ /. ................. r ........... 9. Size of lot: Front ..... ./....~C'R.....~. .......... Rear ..... /...C4Tk'. .............. Depth ¢__~, 10. Dote of Purchase ..... ~?....~ ...... ¢../..'~....."/. ................. Name of Former Owner · . ./. . . f2 , 11. Zone or use distr,ct ,n which prem,ses are s,tuated......¢.:~........... .................................................. 12. Does proposed construction violate any zoning Jaw, ordinance or regulation? .......... ~......-. ............................ 13. Name of Owner of premises..~..,..../.'J..;..,~..~ ....... Address~..~...ff/_~:~.~..3.)..~,e/., ....... Phone NO./~...:.~..':.~;?..~-,(~ Name of Architect ........................................................ Address ............................................ Phone NO ..................... ~ , Name of Contractor~..~.....Address ..~-~-~..J'/..:.~.."Phone PLOT DIAGRAM Locate clearly and distinctly oil 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 NE'~F-YO[K, ~/~- ) S S ~ COUNTY OF .'.~m~?~'~. ) o.//- '~ ................................. l~:~ . .~ .................. ;~.. ~ duly sworn~ deposes ond s~ys thor he is tho oppl~cont (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. Sworn to before me this r~ -~. ~,~ ( ~ ~ (~.~ ' ~. ~f ~ 19~ J~T, BO~gnoture of applicant) ....................... ~ ~ , ,~'~"-~ ............ ~ ..... Notary Public, State of ~ew York Nota~ Publi~~ . ~..,,~ ~0. 52-0s449~, Suffolk count~ _ FORM NO. ! TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUT.O,D', N. ¥. E×om ned ............ Disapproved a/c ...?,. ...................................................................................... ............................ .~...:.:~....:..2: .......................................................... r:.7.7:.2 ^pp, cat,on No ......... APPLICATION FOR BUILDING PERMIT Dote ........... ~......~.... h.7 .................. 19..&.-7 .~... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicote 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 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 o Iterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances and regulations. ,,-'- ~ D /::,,-x., .......... .......................... (Signature of applicant, or name, if o corporation) ............... ........ ......... (Add~'4ss of applicant) / State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ....... :t~:~.. ..~ ................................................................... If applicant is o 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 and Number .../;.~...f....~...~'........~....~..T,.~z.~....~ (J Mu~i~'il~'~iiJ~ ............................................... 2. State existing use and occupancy of pr, emise~'anZintended use and occupancy of proposed construction: a. Ex~st~ng use and occupancy ............ 24.~o~ ...................................... ~ ............................................................... b. Intended use and occupancy ........... ..q~.- ...... ?.~ .... ~ ................................................. 3. Nature of work (check which applicable): New Building ....... ..~...i ....... Addition .................... Alteration .................... Repair ................ y~Removal .................... Demolltion .................... Other Work (Describe) .................... 4. Estimated Cost ......... /'.~' ........ ~ ............................ 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 .......... .~..~. ........... Rear ...... ;~..,f/....r. ........... Depth .....~.....,~.. .............. Height ........ /..~. ............... Number of Stories ......................... 9. Size of lot: Front ...../..~...~. ............... Reor ......... Z..~ ......... Depth ...... ,~.....~.~... .......... Date of Purchase !.~...~..m../...~....,.~'~.. P. Nome of Owner ~.~../.~...~...~, 11. Zone or use district in w ich premises are si ua ed....~.~ ......................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? ...... ~....T7 ................................. 13. Name of Owner of premises..~...'.~..,..../~...~ ....... Address %,.~...:Y/.4.r/.~..~.~. ....... Phone ........ l-t Name o~ ~rcni~ec~ .................................................... ~~ ~~~aaress ................................ ~ ........... mane NO ..................... Name of Contracto~~-.'....,Address~~.z..~.,..~.,....Phone NO.~.~=.~.2.~. 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 wh~ther interior or corner lot. STATE OF NE~L~YOP~K, , ............................... :.~...~..(~4/d;~</.~;.~~.~.~./.?..~.T..be ng duly sworn, deposes and says that he is the applicant (Name of individual signing application) above named. He is u~e ...................................... ~-~.~ .............................................................................................................. (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. Sworn to before me this ........ .......... ...... ~) ~