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Home My WebLink About1244-zFORM~ !~O. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT ~'OWN CLERK'S OFFICE SOUTHOLD, N, Y. CERTIFICATE OF OCCUPANCY No. ,, ~%Q,.2~ ........ Date ................................................................... ~/ay 29 19 61 THIS CERTIFIES that the building located at .0..~..k..}.~9.o.d....12~.f.¥.9 ........................ Street [Vlap No. Smith Block No ........ ~ ......... Lot No. X~r_y~X Southold conforms substantially to the Application for Building Permit heretofore filed in this office dated 0ctob, ~r 27 60 Z12~.)+ ................................................... 19 ........ pursuant to which Building Permit No ..................... dated ................. ..... was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is ~ssued is Private one fam'~l dwellin~ This certificate is issued to ...~:~..R.~...~..~..g..a..~) ............... ..O.3.~n.~ ..................................................... (owner, lessee or tenant) of the aforesaid building. Building Inspector ! FOI~M NO. 2 TOWN OF SOOTHOLD ~UILDING DEPARTMENT 3'OWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 1244, Z Date ................. O~ ~O~......2.~. .............. 19-60. Permission is hereby granted to: K~asneski & .P.~sll....A/~..G...R..LO~a~ ............................ .. ........... ~..o.~..o..Z. ~.,.......~{:.~.,. ............................... to ...... ~lZ~...~e~..c~ne...2. a~i.ty...~wel.~.i~g ................................................................................ at premises located at ..... ~:/.fJ...O .g~...~O~...~re ....................................................................... ........................................................ ~on%.ho.l~ T"' ~'~'~Z~ ..................................................................... pursuant to application dated ........................... O~.t~O.~e~'.....~.?. .......... 19..~., and approved by the Building Inspector Fee $. IO,~.C}0. .......... FORM NO. i Approved .................................... , TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ,, . 19 ........ Permit No ................................. I qL/ Application No ..................... , ........... Disapproved a/c ~ .............. _ nspector) APPLICATION FOR BUILDING PERMIT october 27 ]9..6..0.... Dote ........................................................ , 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 Bu.ilding 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 issua.nce 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 comp y w th a I applicable laws, ordinances and regular ans. .......................................... (Signature of ap~olicant, or name, if o corporation) Kwasneski & Powell Southold, New York (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Contractor · G.R. Logan 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: ...Q.~..k.w...o..o...d._.P...a.r,k. ............. Lot No:......*..*...*. ........ corner Oakwood Drive, Southold, New York Street and Number ..................................................................................................................................................... Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: vacant lot a. Existing use and occupancy ................................................................................................................................. b. Intended use and occupancy private one family dwelling 3. Nature of work (check which applicable): New Buildin~l ......X~.. ........... Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost .~,],8.~.0..Q.Q .......................................... Fee ~'10. O0 (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 two-car attached 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 73 Rear 73 Depth 31 1 Height ............................ Number of Stories ................................ 9. Size of lot: Front 150 Rear 150 Depth 150 10. Date of Purchase 1960 T.J. B~.rnes ........................................................ Name of Former Owner ...................................................... 11. Zone or use district in which premises are s tuated ........ ~....~..A.~'.~".R.e..s~.i...d..e..n...t..i...a..~...-..A.9`.r.~...c..u..~...t.`u...r..a..~.. ............. 12. Does proposed construction violate any zoning law, ordinance or regulation? no · G.R. Lo an Adams St., Apt. ]3. Name of Owner of premises ................. ~: .................... Address~.6~i~.,,i,;..,~;.~12.,6...A Phone NO, Name of Architect .................................................... Address .......................................... Phone NO ..................... Nome of Contractor ..K~/...a...s..n.e...s..k...J:....&.....P...o..w...e..1..1., ........ Address Sou. thoZd Phone NO. PLOT DIAGRAM L.ocote clearly and distinctly all buildings, whether existing or proposed, and indicate ail set-back di~ property lines. Give street and block numbers or description according to deed, and show street name~, whether interior or corne, r lot. nensions from and indicate STATE OF NEW YORK COUNTY OF .... ~..,g...~..~.g.~.]¢......) S.S. ............................ .L...e..o......k~....a..s...n..e.~..k...i. ............. ; ....................... being duly sworn, deposes and says that he is the applicant (Name of individual signing application) above named. He is the ........... ..C.9.n...t..r...a.c.,t.,°..r. ..................................................................................................................... (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 oil 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. Swam .o before me this ~l~!'~;fv~!'"e.' s,~:t, . 27tn Hn ,~f OC~:oDer lO ~s march 30, Notary Publ County (Signature of applicant)