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Home My WebLink About740-zNO. 4 TOWN OF SOUTItOLD BUILDI~NG DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD. N. Y. CERTIFICATE OF OCCUPANCY Z 891 THIS CEI T FmS that the building located al .~a~.. l~p.?.~..~....~.~....~...a.~,~.O..n. .......... Street Map N~..tt~....~...S....P...~.9~. Block No .....................u~. ~,u ............................................................................... conforms substantially to the Application for Building Permit heretofore filed in this office Jtlne 29 19..~...9... pursuant to which Building Permit No. Z 740 dated ............................................... ' ....................... June 29 19.~.?..., w.as issued, and conforms to all of the requirements qated ................................................. of the app!ieable provisions of the taw. The occupancy for which this certificate is issued is PRIVATI~01~ F~IILY DWELLI l,lO Pete~: Frument&, ovrner This certif~cale is issued to .......................................................................................................................... (owner, lessee or tenant) of the aforesaid building. FOI~M NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 740. z Permission is hereby granted to: l~er Fru~ent! 3..~.~. ~..*. ~t.~.. ~:~n~,...~..~.~ L~..'Z. to eonJtruet new one f~mily dweLl, lng at premises located at lmFt* gd.t ' Star Ro~.d, E~.st ...M~lon, N~¥. pursuant to application dated ........................... ~ 2~......19~.~...., and approved by the Building Inspector ..Buildin¢~ ID,,spe~to r ~ n~war~ ~. Tex'r~ TOWN OF SOUTHOLD BUILDING DEPART/v~ENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. 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 pbn 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 unti~ a Certificafe of Occupancy shall ha~e been granted by the Building Inspector. APPLICATION IS HEREBY MADE t0 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, as herein described. The applicant agrees to comply with all applicable laws, ordinances and regulations. .... ................... (Signature of al~plicant, or name, if a corporation) (Address of applicant) State whether applicant is owner, lessee, qgent, architect, engineer, general contractor, electrician, plumber or builder. ............... .................. ................................................................................ Name of owner of premises......~~...~~..~..'...-..~.~ ........................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) o /~.~. '.~ .~ .~...../~...~... ~ 1. Location of land on which ~roposed work will be done. Map N : ...,r:. ~.~. ' ..... J..ot No: .................... Street and Number ......................................... ~.~ ...................................................................................... Municipality 2. State existing use and occupancy of p~emises ond~intend~ed use and occupancy of proposed construction: b. Intended use and occupancy ......... .~_~..~~r... 3. Nature of work (check which applicable): New Building ........... .~.....Addition Alteration Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost...~...~.O.O..O ........................................ Fee ....l.O. ................................................................................ ~ (to be paid on filing this application) 5. If dwelling, number of dwelling units ....... 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'½ ...... Rear .......,~-- ,~-"5-"t-'"'A ..... Depth '"" 'Z~'~,.~, ............. Height ...... ../.7~..~ .......... Number of Stories .,......./ .................. 9. Size of lot' Front ................. Rear ................. Depth ...,:.....,~ .......... · '' ~"O 10. Date of Purchase ....~,~--~....~..,~ ............................... Name of Former 6wner .~ ...... J/~c'.. ......................... '"' /"/ 1t. Zone or use district in which prem'ses are situated......~,~....~.~.:~,,l~ ............ ~J .................................................. ~' t~on~ ]2. Does proposed construction violate any zoning law, ordinance or regula' . .... ~,,~,~;~ ..................................... Name of Owner of premises ..,,, ..~,~.,~,~ss ......... Name of Architect ........................................................ Address ............................................ Phone NO ..................... Name of Contractor .................................................... Address ............................................ Phone NO ..................... 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 whether interior or, corner lot. STA~rE~ OF NEWk"~'OJ~,~i ) S S . · ~; / 7.,,,,-t.,~-~. /,~'.,~.~" be n depose~ and says that he is the applicant ............................. ~ ....... ~.~.. ~...~ ................................. g duly sworn, (Name of individual signing application) above named. He is the ............................................................................................................................................................. (Contractor, agent, corporate officer, etc.) of soid owner or owners, and is duly authorized to perform or have performed the said work and to make and file this applicaton; that a 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 th~iicat~filed therewith. Sworn to ~fore me this ,~ ~ /~ ~ . ~ ' ........................ ~ ....... '~"'"~""7 .............. ~ Pubhc, SJ~Je oJ N~bF~ .... / / ~ ~/~/l d~ . ~ No, 52-0344963, Suffolk County /_ / t uilding inspector) ~ ~ APPLICATION FOR BUILDING PERMIT~'-~, TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Application INSTRUCTIONS ' ~.~_~ a. This application must be completely filled in by typewriter or in ink a~n,~ed in duplicate to. the Building Inspector. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining prer6ises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is port of this location. c, The work co)~red by th s application r~oy not be commenced~f~ore issuance of Bu din Perm t. d. Upon oppr~'~of this application, the Building Ins~c,t~' ,W~'~J~/i_~L~e O Building Pe, l~,[ to the opplicc~qt. Such permit shall be.k,ep~ ~'.n the premises available for inspe~t)pn ~.hroughout the progress of tiCk'%lark. J I e No bu IL~ ng~h'~ b~ occupied or used .'n~wJ~ko~,~jn~=rt; for any:pur~p_ps~e w~ta~v,~r ,u~tll/~l Certificate of Oj:cupancy 'shall have bee~ granted b~ the Building Inspector. ,"~ Z i' ~ '~ r ' / J ~,J,~l~:~'lbN ,IS HERBJ3~J~AA,E~F to the Building De/p~rtrrjent f~:~ ~Je ,ss~ance of a ~il, lng Pe 'r~ ~t to the ~Building ZoneJOr~i.~dQc. e._9~ the T'~n of S~uthold Suffolk County New York, and other c~ cable -a~ ances or J~egulations, f~'t~At~'~S~uction of buildings,; additior~/~,r a Iterations, or for removal or d~(n lition, as The applicant agre~ to comply with all applicable laws,~¥dinances and regulations. nature 'porat (Address g~.~pJica nt) State whether applicant is owner~J~,~) ~g~erJt, ~rch~t~.~ineer, general contractor, electrician, plumber or builder. .............. b,..'... 6~.,~ .......... ~..~ :~ ........................................................ ': .......... : ............... Name of owner of premises.....L,L.-:~:~...~-,~.,:~:-~.~,~Xm;. ............................................................. 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: ..... ...~:: .... f 'Lot No: .................... · · : :.... Street and Number ...... :'.~.....~.:;?:'.'~?,..~.::::.~.: .............................................................................. Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .......... ..~.~~ ................................................................................ ..,~ .~/2,~' b. Intended use and occupancy Addition 3. Nature of work (check which applicable): New Building ........................................ Alteration .................... Repair ............. ,~.....Removol .................... Demolition .................... Other Work (Describe) .................... l~r-~ '~ Fee ../..O.. ~ 4. Estimated Cost.......~..O...O....~.d ......................................... ................................................................. (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 ............ ~-~..~ ............. ~. ,~lNumber of Stories ...... .-~...~..";' ......................... / ..~...../. ,,/..~.. _ 8. Dimensions of entire new construction: Front ....... ~..r.. ....... Rear ...... ........... Depth ..................... J Height ....../..~....].. .......... Number of Stories ...... ./.. .................. 9. Size of lot: Front ......~....~.....: ........ Rear ....... ~..~.....~ ........ Depth ...~....~.....~.....' ....... /~ ,¢ 10. Date of Purchase ..... ~..¢...~...~. .............................. Name of Former Owner ~....~ .................. 11. Zone or use district in which premises are situated....~f%....0~../..~?'~ '~" ~-' ............ ..RI. ............................................... 12. Does proposed construction v3~late any zoning law, or~tizqancel-or regul.c~ion? ....~,~...'...~ ...................... 13. Name of Owner of premises .~ ' re~s ~.~.~ ~.¢~.¢.10~¢~r,~f~=, ../~ooe NO ~.[:~..~ Nome of Architect ........... ~ .......................... Address ............................................ Phone NO ..................... Name of Contractor ....... ~ ......................... Address ............................................ Phane NO ..................... property whether PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from lines. Give street and block numbers or, ascription according to,deed, and show street names and indicate interior or corner lot. STA'rE OF NEW,~YO~,J~,b ~¢ ) S S COUNTY OF ,_",-~vZ/.~f~ ....~) ' ........................................................................... ~ .......... being duly sworn, deposes and says that he is the appllcaht (Name ~f individual signing application) above named. He is the ............................................................................................................................................................. (Contractor, agent, cor¢orate 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 w I be performed in the manner set forth in thegpp~icgtio~ filed therewith. apphcant) ~ ~ J ~ ~_ ~_ ~ ~ ~otaty Pul)hc, State o[ New York Notow Public~ · . · ~ ..... ~r~ty- No. 52 0344963, Sulfa]l( 0aunty