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Home My WebLink About1258-zTOWN OF SOUTHOLD BUILDING ~EPAETMENT 'I'OW~ CI~EEK'S OFFICE $OUTHOLD. N. Y. CERTIFICATE OF OCCUPANCY No ....Z...!.!..$..1.. ..... Date ........................................................... , 19 ....... TH~S CEP~TIFIES that the building located at Rt, 25, ~:aSt ~rio~ Street Map No ........................ Block No .........................Lot No ...................................................................... conforms substantially to the Application for Building Permit heretofore filed in thi~_cfffice November 15 60 dated ................................................... 19 ........ pursuant to which Building Permit No ..................... ~ov~r ~ ~0 dated .................................................. 19 ......... was issued, and conforms to all of,the require- merits of the applicable provisions of the law. The occupancy for which this certificate is ~A~ O~ F~ILY D~ING ~ssued ~s .................................................................................................................................................... RO~rk Re~ine, o~er This certificate is issued %o (owner, lessee or tenant) of the aforesaid building. Building Inspector / FOI~M NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFIC£ SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 1 58 Z Date ......... ,}~o.~.e~L~er..... ], .~'. ................... 19.~0,. Permission is hereby granted to: ~o~ Nor ~],~.... ,~/. ,¢ ,. ~o.~er.t, .. ~e~,b ~e ...................... ..... .0~. 1.e.~..~..... ~ ,.Y., ............................................ at premises Iocoted at .......~.,~.....~J~,.~4~a~ .................................................................................... ............................................. ~.$..¢..~.~,.oz~.,.....~f~ ~Z ......................................................................... pursuant to application dated ............................... }~'~e~'b~....,]~,~....19.~O,., and approved by the Building Inspector Fee $...'~.*.O~ ........... Building Inspector JOSEPH L, ALBERT~ON, UR THOMASB. ALBERTSON WARREN S. AGATSTON WALTERA. BOBROW January 26, 1989 Building Department Town of Southold Town Hall Southold, New York 11971 Re: Section 31 Block 5 Lot 7 - Althea C. Reybine Dear Sirs: I enclose herewith my attorneys check to the order of the Town of Southold in the sum of $10.00 to cover the fee for a copy of a Certificate of Occupancy. Please send me a copy of the Certificate of Occupancy issued on the above property for work done under Permit No. 1258 around 1960. A return envelope is enclosed. Very truly yours, TBA/ab enc. Thomas B. Albertson NO. ! Approved ............ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. APPLICATION FOR BUILDING PERMIT ....................... , ..... 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 Inspe.ctor. 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, as herein described. The applicant agrees to comply with all applicable laws, ordinances and regulations. ~'(~u re o~applicant, o;~'iame, if a corporation) State whether applicant is owner, lessee, 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) Location of land on which proposed work will be done. Map No: ............................................ Lot No: .................... Street and Number ...... ~'.~....~...-~- ~..~.~...~.~ ................................................ Municipality State existing use and occupancy of premises 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 Building .................... Addmon .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost ..~....~..,,O....o....O. ...................................... 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...,...~..~... t~...'' ........ Rear ....... .~...~..~.... ..... Depth .....Z~...~..~... ............. Height ...~..~..2(~.... .......... Number of Stories ...... ..~.....~-~..: .......................................................................................... Dimensions of same structure with alterations or additions: Front ..... .z(../...~.~,..._..; ........ Rear .....~. ..................... Depth ......~.~..~... ............ Height .....~....0...~... ............. Number of Stories ......~:...~-~.~. .................. Dimensions__/,~°f entire new construction: Front' ....... ~, .......... Rear .....~..,~..~ ..... Depth ...~...'...~..~.~.... ....... Height ./..~...~ .......... Number of Stories.../. ......... ~. ................. '" £ ' J,z Rear ......~.~..~. / ')'~A / 9. Size of lot: Front ....~..~....6...~ ..... .............. Depth ....~...~....~. ............... 10. Date of Purchase ........................................................ Name of Former Owner ....................................................... 1 I. Zone or use district in which premises are situated....,.~,,., ................................................................................ 12. Does proposed construction violate any zoning law, ordinance or regulation? .....~..~. .............................................. 13. Name of Owner of premises..~..~ ........... Address .~.,...~..~ ....... Phone NOY'~.,-~,.,..°.~..~...~ .......... Address Phone NO. Name of Architect ........................ ~'7~'~,'_"_"_' ii~~'.'.ii~i~ii .................... Name of Contractor ..'~.~...~..~'.~..~ .......... Address Phone NO.~...~.~..-../.,~'...~..( P,LOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate oil 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 lat. STATE OF NEWg~,(J~K ) S S COUNTY OF .... ,.~...~b~ ......... ) ' ' ........................... ~~~ ....................... being duly sworn, deposes and says that he is the applicant (Name of individLu~ll signing application) above named. He is the ......~. ........ ...~...~..~.~ ................................................................................................................... (Contractor, age,~ZC~:m:zl'e-'efii~r, etc.) of said owner or owners, and is duly authorized to perform or have performed the sad work and to make and file this application; that all 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 Jn the application filed therewith. Sworn to before me this .......... l.,,~°.~. ....... d,~of ........~,~...~..~ ................. ,I.~...~19.~.~ ...... /7'(,.;, ~,,~,/