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Home My WebLink About794-zFO1EVI NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No ........ Z,,,51,g ..... Dote ......................... ~&:h..~,], ........... , 19,.~.Q.. n/s Westview Drive , ~lattituck. THIS CSRTIFISS that the. building locoted at ..................................................................... bTreeT Map No ......................... Block No ......................... Lot No ................................................................... conforms substantially to the Applicotion for Building Permit heretofore filed in this office dated ................................. .A...U.~.U...s..t.....4....., 19...5..9..., pursu,ont to which Building Permit No....Z.....7...9..4. ............ d. , A~Lgu, st 7 19..5...9...,wa,s issued, and conforms to all of the requirements area ............................................. .. ....... of the applicable provisions of the law. The occupancy for which this certificate is issued is ................ PRIVATE OLN'E FAMILY DWELLING This certificate is issued to ...Z.,,r.e..~..e....:F..o..~.a,..z...t..,~..~.....o.~.e..,~. ................................................................. (owner, lessee or tenant) of the aforesaid, building. ....... 1.:.~&¢:.',..4,~-:.i%,:~.....,. .......... : ........ -.;,:....',,.'.,,t, .......... Building Inspector J HOWARD M. TERRY ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHO~.D, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 794, Z Date ............................ :.~ .q .g~.~ ...... .?~..~. ~i~ 9~. .... Permission is hereby granted to: Bridge C,a t ~,y.. ~.~o~.~.~.... A]~...~z~,.~e.... ~ .o.g .s...~..y. ........................ ........ ~-vt-ey ~...L~ · ............................................... to ....~aL~d..n~..ona..~an~..d~%~g. ............................................................................................. at premises located at ~S..rss~..3~o~...~r.....~(2~u~h. Braa~h). .......................................................... .................................................... ~e,. ~:5 ~¢~:~z~.~.....~[, ~, ............................................................................. pursuant to application dated .................................... A~:¢....~ ......... ]~......, and approved by the Building Inspector FO~M NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Application No ..... 7...~.~./ .......... Approved ........................................ 19 ........ Permit No....~......~...~..~1. ....... Disapproved a/c ............... t'"'"~ ..................................................................... ............. (B u'¥~i'~"i;;;'~;;~;;;i ................................. APPLICATION FOR BUILDING PERMIT INSTRUCTIONS . a. Thisx 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 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,.l~,~ilding Insp.eqtqr will issue~ a Building Permit to the applicant. Such perm? sh~ll be kept on the premises available for inspection thr°6gho~tthe progress of the' work. e'. ~ No bu!lding 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 Pe~'mit pursuant to the BLfilding Zone Ordinance of the Town of Southold, Suffolk Couhty, New York, and other applicable Laws, OrdiDances or Regulations, for the construction of buildings, additions or a Iterations, or for removal or demolition, ks herein ~escribed.. The applicant agrees to comply with all applicable laws, ordinance ~agd regulations. .. (Address of applicant,). State whether applicant s o er, essee, agent, architect, engineer, general contractor, electrician?plumber or builder. Name of owne~ of premises ........ ~../~.~1~'.~.~.. ........... '~'~' -- '~.....~.~_.~ill~.,~.~y.' , ' ' ................................... '.~. ................................ If applicant is a corpor~duly authorized officer. (Name and title of corporate officer) 1. Location of land on which proposed work will be do, ne. Map No: ..... .......... r ............................ Lot No: .................... Street and Number /~.~?~.~'~ ~1~ .'~...~ .~.4/'..~.~..~..~. !.i ~ ~.'~~.~ ............................. .- !.' Municipality ~i' ~ll~,.~ ~, , , ,: . , . ,,-~,.,,-~,.~ 2. State existing use and occupancy of premises and intended ase arid occupancy of proposed construction: a. Existing use and occupancy ..................................................................................................................................... b. Intended use and occupancy'. .......... ~: ................................................................................ 3. Nature of work (check which applicable): New Building .................... Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... 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 StorJes ............................. 8. Dimensions of,~ntire new construct on: Front.......-~...!.....?.. ......... Rear ............................ Depth ..................... Height ....../.2 ................. Number of Stories ......... (. ................. 9. Size of lot: Front~'"'Z"~"~' ............. Rear ....... ../.'..~...(~ ........... Depth ......~.....~'..~......~. ..... 10. Date of Purchase .~......~-.~.../..~...~...~......Name of Former Owner .~..-..~..,..~.~_ ,]1. Zone or use district in which p~'emises are situated ................................................................................................ t1'2.' Does proposed construchon wola'te any zomng law, ordinance or regulatiop? ...... ~.~. ............. :=~ ................... ]3. Name of Owner of premises .................................. (,~.,Address ............................................ Phone NO ..................... Name of Architect,~./.4~.....~..~..~...C¢~....~...~..Address .~.'...~..~.~..~..~:..~.Phone NO,~,'~..~..:'J.L.~.,~ Name of Contractor ....... ./f ............. .~. .............. .*. ............ Address ......... 14. ..................... .~.. ........ 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. STATE OF NEW YORK, ) S S. COUNTY/O - ~T/zt-~ OF ............................ ) _ , U~J~/~/,-*~'/::2'/~/~'.~.'~...~-~//.../.1/'/'' /-~ ~ ' bein ~1 ~d sesa ' sthath , ..... ~..~ ............ ~...~..:.;~ ............. · ...... , ........... .~ ................. G-...: g y ~ , ~ ~'~y e's the applicant ~ , (~ Of indivi~ signing 6p~fion) ' x ,,, , ,, ~, %~ , ~me~a.~ ......................... .......................................................................................................... (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 ~st of his knowledge and belief; and that the work will be performed in the manne~se~h~ .~ ~olication filed therewith. ~ Sworn t~before me this . ~'~_~ ~ ~ Z ' ~. d~ ....~ ............................... 19 ............ ~. r.._ ~t~e ~licant) Nota~ Public, ~.~...~..~ ......... ~,~.~...Coun~ ~ ~ 3 '~ o