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Home My WebLink About616-zFOI~M ~0. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOL~ N.Y. CER, TIFtCATE OF OCCUPANCY THIS CERTIFIES that the building located at..~b~$...~e,~...C~.eetl~c~.t~,..~.~. Street Map No ...... ~.~.~.. ........... Block No ...... .~..~...~. ............ Lot No ...... .~.~..~. ........................................................ conforms substantiol)y to the Application for Building Permit heretofore' flied in this office dated ......................... ~G~..'~(~ ........... , 19~...., pursuant to which Building Permit No....~..6J~(~ ............. dated ............................ ~f~..~,~..,~.0......., 19..~.~.., was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is .............. .............................................. ~,3,'.?~,~...0~,,..~'~'~..~D1#~;[~ ................................................. This certificate is issued to ~.~f~.]~~..~O.~.,~...Q'~.e ..................................................................... (owner, lessee or tenant) of the aforesaid building. Building Inspector Phone: JUniper 5-8222 Milli tanHnnsen CUSTOM DESIGNED HOMES Box 11, Middle Country Road Lake Grove, N. Y. August 10, 1959. Town of Southold Sodthold, L. I. New York. Dear Mr. Terry: Att: Mr. TerrZ Re: Joseph VoJik E~S Inlet Lane S/ Manhansett Ave. Greenport, L. I. I am enclosing Building Permit Notice as in- structed and would like to request a Certificate of Occupancy et this time. Encl. Very truly yours, I~ILLIGAN ~P~NSEN TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved ........................................ 19 ........ Permit No ..... ~ ......................... Application 'N o. !~. !'. ?. .................. Disapproved a/c .............................................................................................. -~,; c,.*, ~ ' (Building Inspector) APPLICATION FOR .BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in.jnk 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 0r~'thb diagram'Cvhich 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 pu~'pose whgtever 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 a Iterations, or for removal orI demolition,,,, os herein described. The applicant agrees to comply with all applicable lows, ordinances and regulations. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engine, er, 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) I. Location of land on which proposed work will be done. Map No: ............................................Lot No: .................... /4/~ 2~ ~/~/~ ~ ~C/~'~--N/~o~ ~- i /~ ~, Street and Number . Municipality 2. State existing use and occupancy of p~emises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..................................................................................................................................... b. Intended use and occupancy ........................................................................................................................ , ........ 3. Nature of work (check which applicable): New Bulldlng......~.. ............ Addition .................... Altero~ ...................... 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 Stories ................................ 8. Dimensions of entire new construction: Front ....... ~ff.. .............. Rear ....~..~. ................... Depth ....~...~.. ................. Height ....... ?.f?...; ............ Number of Stories ....~..4~..~ 9. Size of lot: Front ......../.~...o. ............. Rear ..... 10. Date of Purchase ........................................................ Name of Former Owner ..................................... ;. ................. 11. Zone or use district in which premises are situated ..........................,~.,.,. ............................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? ...z~..9 ............................................. 13. Name of Owner of remises..'~.?.>~-.~.../< ..)'~4/.~... Address~¥ Name of Architect ........................................................ Address ............................................ Phone NO ..................... Name of Contractor..Z~...f..~.~/..~z.~...~....~../.?.~...'~..~...~......Address ..~7...6,..~,~.~,...~...~.(.<....~....~;.?-..'~..-/,..Phone NO.~..R¥..~..~.>....~. 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. ~$'o~ t STATE OF NEW YORK, ) S S. COUNTY OF ............................ ) ................................................................................................. being duly sworn, deposes land says that he is the applicant (Name of individual signing application) above named. He is the ............. ..C..~...¥..G...Q..Q.~...r.~..~..7. .............................................................................................................. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorize~10~gl'l~e~or~'fh0~Lr have performed the said work and to make and file this application; that all statements contai~u~sS~D~i~i~ are true ~he~bes~ of ~i~ knowledge and belief; m the ¢~8 , ~ ~ c ,tthe a hc ~ therewith Sworn to,afore me his . . ~ nk,~ ~ta~ ~ ~ .~v of ~ ~ ~ 19 ~ ~ v~.~ ~c~Signature of appli~nt) - ...................... "" . / ' FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ......... ~..~..(~C.~......~...~ ....... 19.~].~. Approved ........................................ 19 ........ Permit No ............................... Disapproved a/c .............................................................................................. ........... ...,.. .............. (Building Inspector) Application No ............................. APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS e. 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 laws, ordinances and regulations. (Address of applicant) State whether applicant is owner, lessee, agent, 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) 1. Location of land on which proposed work will be done. Map No: ............................................ Lot No: .................... Street and Number ........................................................................................................................ .'.~., ......................... Municipality 2. State existing use and occupancy of p~emises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..................................................................................................................................... b. Intended use and occupancy....../.....~..~.~..~:~:~......~.z.~.-~../.Z~...~..~.,.,g(~ .................................................................. 3. Nature of work (check which applicable): New Building.....~... ........... Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost ........... .?..?....c)?...,. ..................................... Fee ..~./..~:.f~.. ........................................................................... (to be paid ~ .q filing this application) 5. If dwelling, number of dwelling units ........... ./.. .................. Number of dwelling ,~ .tits 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 .....~...?. .................. Depth .......Z....~.. ............... Height ........ ?...~....~ ........... Number of Stories ..... ..~....'~.~ ............. 9. Size of lot: Front ........./...~...O.. ........... Rear ...... ../.?...o. ............. Depth ......~'..~.?...-¢.... ......... 10. Date of Purchase ........................................................ Name of Former Owner .~?(.(.(ff...Q......,/~(Jt:!.{"..~i ................... 11. Zone or use district in which premises are situated ..............................'.'?..'kf[ .......................................................... 12~' Does proposed construction violate any zoning law, ordinance or regulation? ...../~'..~ ........................................... 13. Name of Owner of premises.:?'..e~r¢'.~.~...Jf~me?.~¢ ........ Address ,~:..(~fC.¢..~.~.~....~.?.¢:i,..~¢..CZT../.Z(J~one NO.."~..¢..../.:../~?...~.. Name of Architect ........................................................ Address ............................................ Phone NO ..................... Name of Contractor...~...~ff..~../..c'..~.~..'~.....~.?./..¢~.~...'~.....Address ..~..{.~.i.Z.C,...Z...~.(?..~"i..~',.~...*~.'~Phone NO...~..~..~?.?..~.~....Z- PLOT DIAGRAM Locate dearly and distinctly all buildings, whether existing or proposed, and indicate all 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, ) S S. COUNTY OF ............................ ) ................................................................................................. being duly sworn, deposes and says that he is the applicant (Name of individual si,g, ning application) above named. He is the ............................................................................................................................................................. (Contractor, agent, corporate ~ficer, etc.) of sa~'d owner or owners, and s du y authorized, to perform or. have perfor~5 ,,, said work. and to make and file ths c [ication' that al~ statements contained ~n th~s apphcat,on are tr~¢~st of h,s knowledge and behef; and t~t the w~rk will be performed in the manner set forth in the~~iled therewith. Sworn to before me this , ~ ~ ~, ~ ~ ~ - 19~ ~?~'~ (Sianature of applic~t). Notary Publi~~. ~.~....~ounty