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Home My WebLink About558-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located Map No~,...GO~t-i~.~.... Block No ...... ~. ........... Lot No...~..&.~.~. ................................................ conforms substantially to the Application for Building Permit heretofore filed in this office dated .................. ~T.~J~J~t.~:r~...~. ................ , 19..~.~.., pursuant to which Building Permit No ....... ~.,~.~. ......... dated ........................ ~r~,~,.~...~.~ ......, 19..~.~., was issued, and conforms to oil of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is .............. ..................................... ~I~.~..~A~:~;~..~.~N~ .............................................................................. This certificate is issued to ...~.~..].~...~.~.~...g'~g~.:~. ...................................................................... (owner, lessee or tenant) of the aforesaid building. Building I~spector FO~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.o 558 Z Date .......... J~n~ ....... :l,~ ................ 19..~.. Permission is hereby granted to: Go~Son ~.. A'[4I~Y~'""ATC'""~.'~'dI"T¢';"'I~'~.~ ...................... ............ ~'ii~Y" IJa;dei ............................................ .................... ~'~;n~'S FO~'~ '~ "'"I~; Y~ ....................... to ......... ~'~'T~'"~6"'f~I~'"8~'~II'1~ ...................................... '. ............................................... at premises located at .... L'~ ~'i" ~" I3" ~" ]~'~'"'"~1~'~'"6 ~"Ni'IEi'K ~i~]Eii .............................. ................ I~r.th...~t~d..&.-Getd.~.n.-.~+~e ...................................................................................... ............................................... 90'a%ho'l~l'f .-'. ~ ;.Y ~. ............................................................................. pursuant to application dated ................ ~'ll'ff~d~'F~"'"'~' ..................... 19..~9., and approved by the Building Inspector Fee GORDO Con~ltin~ Engineer N K. AH LERS, P. January 1~ 1959 Mr. Howard M. Terry Building Inspector Town of Scuthold Office of Building Inspector Town Clerk's Office Southold, New York Re: Hain Property Southold, N. Y. Dear Sir: Enclosed please find check in the mount of ten ($10.'00) dollars together with t~o properly filled out For~s No. 1 for building permit for units ~ and 4 on lots 15 ~nd 14 per your letter of January T, 1959. Incidentally, please accept my thanks for your letter of ex- planation on this matter. Some facts had pre~ionsly not been received. If there is any f~rther action to be taken on this matter, it will be as the Owner so desires and instructs. Thank you, Very truly yours, Gordon K. Ahlers TOWN OF SOUTHOLD BUILDING DEPARTMENT Examined ....... ~ ....... .J...~.. 19..~...~. Approved ....... ~ .......... .~ ............... 19 ........ Permit No ............................... Disapproved o/c .............................................................................................. APPLICATION FOR BUILDING PERMIT Date....,,J..~ J~. ,~.. ~'./~...~J~, ......... ~ ................ 19 .~,.~.. .... 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 .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 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 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 all applicable taws, ordinances and regulations. (Signature of applicant, or name, if a corporation) (Address of op~ant)~// ' f State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ................................................................... .................................................. Nam'e' of owner Jf applicant is a ,~orporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which proposed work will be done. Map No: J~J~.~,t~.~L~).....~.O.¢~..I.~/.. Lot No: ~-.J..~. ..... Street and Number .~O.~.,]~.~N) ..~..~J~)..~ . .~;~.f~'J~J.O.l~) h,J k~' Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ................... ..~-.?..~...~.~¢~..~........C~....0...~..~'..~..~'1.~..~ ...................................................... b. Intended use and occupancy .............. J~.O..~.~/~...~...~.~..l~...~...~.q...~./~t.~.../~.....~..~.~.~..~.~.~ ............... : ........... 3. Nature of work (check which applicable): New Building .................... Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost ...... ~..,.[.~'....~...O.,..O.. ................................ Fee ...... ?,._/.~..~.~.~. ................................................................. (to be paid on filing this application) 5. If dwelling, number of dwelling units ........'~..H~..C~ ............. Number of dwelling units on each floor.....~.O. ......... If garage, number of cars ............................ ~/..0..~.~.. ................................................................................................ 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 some structure with alterations or additions: Front .................. :m'. ......... Rear ................. ~. .............. pth ...... ight '- St De .............................. He .............................. Number of aries ................................ 8. Dimensions of entire new construction: Front ....... ..,.~..- .......... Rear ....... .~...'~. .............. Depth -...,...~.. ................. Height ........... L~..I .......... Number of Stories ...... ~..~.,.~.--~., ........ 10. Date of Purchase ........................................................ Name of Former Owner..~.....7~..~..M......~...~...~.. ,p.~.~.. .............. 11. Zone or use district in which premises are situated .................................................. :; ........... ~, .............................. 12. Does proposed construction violate any zoning Iow, ordinance or Name of Contractor~.,..~*.../~.~.J.~..Z,, .............. Address NO. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate oil set-bock 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, ) COUNTY OF ~JJ.,E-../~.Ct~.~....,.) S S. .......... ~.....~....~~ ...................... being duly sworn, deposes and says that he is the applicant (Name of individual signing application) above named. He is the ............................ ~~~:.~~[~:~~~~~ of said owner or owners, and is duly authorize~o perform or have performed the said work and to make and file this application that all statement~ 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,.i~ the application filed therewith. _ Sworn to, befo e me this ~< [~;~,,~ ~ ~ Nota~ Public, ....... ,~/.. ~¢~:;Q~ ........................ ~.~?~}~]].~A~~ ..... ,~ ~ ~ TOWN GE SOUTHOLD BUILDI~NG DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ......... ? ......... ! 9..?.~ .~'. Approved ........................................ 19 ........ Permit No ............................... Disapproved o/c .............................................................................................. (Building Inspector) L Application No. 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 adioining 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 co~ered by this appllcotion 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 puFpose whatever until <~ 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 alterations, or for removal or demolition, os herein described. The applicant agrees to comply with all applicable laws, ordinances and regulations. ...... ..... (Signature of applicant, or name, if a corporation) ......... (Address ~f/applicar~ 0/ State wheth,er applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ...... . ........ ~ ........ : ......................... ~Z~.O...E,~.~..bo....~.,~..~....,~..~...c..~...L..U...~.~...~-,,~ ................................................... Na~e of. owner 'o'~premises ...... ~.V..A. ...... .F.L,..l..v/../~.<.t.~ ......... ~.or~....C,.tr~c.~.~.v.~:.~..~.~.FJ~c.,.~.,.Y, l~gd~plicant is a cq~'porote, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which proposed work will be done. Map No: ~.~..~J.~.~..~.fDL~..I~,,~J.. Lot No: ../.~.C~...I.~.... Street and Number .............. ~,-,/...O.~-.~...!.~......~..~....~.. ......... ~,.O.~..~..!~.D..~-J~..).. Municipality 2. State ex~sting use and occupancy of pr,emises and intended use and occupancy of proposed construction: o. Existing use and occupancy ....................... .~.~....~,..0~...-.~., .~......~..~,.T.. ,~...~,.~>. ............................................ b. Intended use and occupancy .............. .J~.~/~.(~...../~.~.~.~..~...~..~....~::.~.~.~.~.~/.~.Y./...r<..../~...~.~'.~.`~....~...~...~~ ~' ............ property lines. Give street and block numbers or description according to deed, whether interior or corner lot. 3. Nature of work (check which applicable): New Building ....... ../,:~..........Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) 4. Estimated Cost.......'~..J..~.~.~..-]...~....(~.. ................................. Fee ............ ..~....../.0~..O.,.~, ....................................................... (to be paid on filing this application) ,5. If dwelling, number of dwelilng 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 ......... :T.:..~..~ ...... ~.. Rear ....... ~ ..... Depth ...... ~ .................. Height ......... ~ .......... Number of Stories ........... Z.; ........... .................................................................................... Dimensions of same structure with alterations or additions: Front ............. ~. .................. Rear Depth .............. ~ ........ Height ......... :z.....;: ............ Number of Stories ......'~, ...... : .................. ! 8, Dimensions of entire new construction: Front ....... ..~.,.~.. ............ Rear ....... .~7....~..../. ......... Depth ...~,.O...~..~..../~ ..... Height ........... l,,~.! .......... Number of Stories ...... ~..../~....~., ........ 9. Size of lot: Front ........ L~,C;~..! ........ Rear ......~..~...?..~....°. .... Depth .~..:~..~...'~..~..~./,.~, 10. Date of Purchase ........................................................ Name of Former Owner ./~/~..Z~..~/~....,~,,~..,~....~..~..,A~... ......... 11. Zone or use district in which premises ore situated ....................................................... 12. Does proposed construction violate any zoning Iow, ordinance or regulation? .Y..~..~.....~/~]~..2-,4~/.~..~.]~',~/~,~.././~ 13. Nome of Owner~of premises.l:;~k/~.t'L.lY/.~;.I. Ik-~~'--'~ "~ ' * ............. Addressl~:~.,,ql~wC~.~..~,V.~..lv/./~.~.y~hone" NO.............'--'--Z. ....... o Name of'A~rchffe~......C-~..O,.~O.l>)..~...~. I~1,;~.....~ ......... Address~-~....l~,~:l~.Phone NO. ~...~..~..~..~..Z..~. Nome of Contractor,~,~..~---~.,....t.~,l..'~....,..~:~.. .............. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate oH set-back dimensions from and show street names and indicate STATE OF NEW_YORK ) S S COUNTY OF ...~'~/.F..~..~.b~.~....) ' (Name of individual signing ap~tion~ ~, ~ . above named. Fie is the ........................... ~~..~ ....................................................... . ~ (C~ntractor, agent~orate officer, etc,) of said owner or owners, and is duly authorized to perform or hove performed the said work and to make and file this application; that all statements contained in this application ore 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 tQ before me this ~ r'~',~ : ' ' TM .. ...... ........ of ...... ....... ,. of Noto~ Public,. ............... ..~.~ ......... ~t,,,~;~¢:,~s ,~.,~,~1,~o, 19~/'';: ~,,.., -3H., 0 ..~. ~~,__~{~~ -.oT id LoT II ' iI LoT I~ / .I MOTEL PL&N~_. Fo~' Mi::?. S..'T. MAI t,,L_