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Home My WebLink About865-zPOP~ ~0. ¢ TOWN OF SOUTHOLD BUILDING DI'~PARTMBNT TOWN CI~ERK'S OFFICB SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY TH~S CERTIFIES that the building located at .e./.~...H.q~..~h..~r.,..o ..~.~...J,~.qC~.~ Street Map No...$.~.~...a...~.~'~lock No ...... ?.?.?.. ........... Lot No .........], ......................................................... conforms substantially to the Application for Building Permit heretofore filed in this office dated ................ ~:~l;~h~..$ ........... 19.$9. pursuant to which Building Permit No ........ g.-855 dated ................. ~]r-..& ......... 19..~, was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is ~.~..~.., ~ P~,Y l:~:~X~ This certificate is issued to ~.!4~...~,..../~. ]~.f-~.~.~...g~a...~*.~...~a .................. (owner, lessee or tenant) of the aforesaid building. Building Inspector / FOI~I~ 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? 865 z Date ................... ~{~.T..~'......6. ................ 19~. .... Permission is hereby granted to: .............................................. ............. ~or.~..A~.~.,.....L~.~,.t,~l~ ...................... to Baild new one family dwel]Ang at premises located at ..I4/S..Ba3~..l[iew.~%~e,,....J/,~....]i~.th..D~l.v~ .................................................. ...................................... Sh~re..A~:~.~s, ....iJa:~:~:t-, ,J~.t... I~ ..]C ............................................................... pursuant to application dated ............................ Oot, ob~p....~ ................ 1~) ...... , and approved by the Building Inspector Fee ~'..0..'...O0....... 3P~.-..i..d....'*hmo Ir FORM NO. 1 BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ......,~....,,,~,, ......... 19...?,..7 Approved ........................................ 19 ........ Permit No ............................... Disapproved o/c ................. ~ ....................................................... (Building Ins~tor) Application No.......~..,.~....~..~ .......... 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 drown 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 Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuanc.e 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, ordinancest~' regulations~.~ ~ ~ // ~ i~,n~p~z r n~a~m'e, i~ a. 7rpor!~i;~i ......... '(dd res'~s ' c(T(Gpplica nt) .............. State wheth,er applicant is owner~/ssee, 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 which proposed work will be done. Ma//p,~l~_,~..~~ .,-~- :..~..'.~..~ No: ....~ ........... Street and Number .....~...~.....~.//.4~.~.y~,~...~'.~ ................... -- ~. ~ t;wun~c~pal~y 2. State existing use and occupancy of pr.e, mises and intended use and occupancy of proposed construction: o. Existing use and occupancy ..................................................................................................... b. Intended use and occupancy.....~.~/~~ 3. Nature of work (check which applicable): New Building ~/'' Addition .................... Alteration! Repair .................... [~oval ......... ; .......... Demolition ........ .~ ......... Other Work (Describe) .................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ............. ./.. ............... Number of dwelling units on each floor ............ / ............. garage, number of cars ................ ~.. .................................................................................................... If 6. If business, commercial or mixed occt~pancy, 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 ........... i ................ lXJumber of Stories .....Z .................... 9. Size of lot: Front ...... ,~....~.~-/~. ........ Rear ...... ........ Depth.././...Q./...~.~../ ..... · 10. Date of Purchase ........... Z~..~ ........................... Name of Forme. z ~'wner ..~P~//' J ........................... -- 11. Zone or use district in which premises are situated .......... l'.,e......¢~ ........ .7~.~ .............................. 12. Does proposed construction violate any ,zoning law, ordinance or reguJat39n? ........ ~ ................................ 13. Name of Owner of premise~.."...~....Address ..&~ ....... Ph~~...~...~.~..~-) Name of Architect .............. : ............... ~ ........ ~......./~,ddress ................................... ~.~...,Phone ,,J~O .... ;~ ............. Name of Contractor..~/~~dress~.~.~... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimension from ~roperty lines,,i~jve street and block numbers or description according to deed, end show street names and Jicate whether inte, J~br- corner lot. STATE OF NEWiYO~K,~/ /) S S COUNT, (Nome of individual_siXThly/application) above named. He is the ........ ~ .......................................................................................................................... (Contractor, agent, corlborote 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 oll 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. ...... · z,.PW,