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Home My WebLink About1259-zFOB~ N~O. 4 TOWN OF SOUTHOLD BUILDING ~EPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, H. Y. CERTIFICATE OF OCCUPANCY TH~S CERTIFIES that the building located at .S_.a.~.. ~.a...k..?.....V..~,~l.a..q...e.~.....~..a..~.,. Street Map No ...........1,3:L0... Block No ..... ~.~..~. ............ Lot No ...... 5.0...~.,....Q~...~.~...~...~..~. ................... conforms substantially to the Application for Building Permit heretofore filed in this office dated .................. ..lq~o..v.~.~...e.~....7. ...... 19..6...0... pursuant to which Building Permit No ...... ~..~.~ dated ................... ~0.'/..e.~.~.. ~.~..., 19..~.0.., was issued, and conforms to all of the require2 merits of the applicable provisions of the law. The occupancy for which this certificate is PR~J~TE OL~ FAI~II~,Y issued is ................................................................................................................................................... This certificate is issued to .~[~.V~...~...~.~?,~l~....O..~,~_e_.~. ................................................ (owner, lessee or tenant) of the aforesaid building. Building Inspector FOI~M NO. 2 TOWN OF SOUTFIOLD BUILD'I~IG DEPARTMENT TOW~4 CLERK'S SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°. 1259 Z Date ................ ~:o**m~her.....:L6 ............. ~9...~.0 Permission is hereby granted to: H. R. Reeve..&..~.....A/C... ~.~-l~.. ~ ¢.ha.~. ............... .............. ~at fc&¢.ue!~r ......................................... ....................... N','~', ................................................. to ....... .BuS 1 d... a~.. a~l d.l t;&.o ~..~n.. ~n.. ~l s .~ ~a~g.. ~t ~ 1.3.1 ~ .................................................. at premises located at ...~o~...r/&pa.r~...off...~.f.....~.t...~e..V.$t.]:.a~.e ...................................... .................................................. ~.~%-~-tue~..-.. ~., ~, ........................................................................ pursuant to application dated .......................... ~'OU~t~et~'......~ ........... 19..(~., and approved by the Building Inspector Fee $ ... ;~, .0.0 ........... FORM NO. 1 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ....... ~...~....~. ........ 19 ........ Approved ........................................ 19 ........ Permit No. 7~1',~ ~ ~. Disapproved a/c ....................................................... ...................... .......................... (Building Inspector) Application No....':/. '~- C~ ? APPLICATION FOR BUILDING PERMIT Dote ................. ................... .... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and sut~mitted in duplicate to the Building Inspector. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of proper~y must be drawn on the diagram which is part of this location. c. The work coYered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Buildinfl Inspector will issue a Building Permit to the applicant. Such permit shall be kept on the premise~ available for inspection thFoughout the progress of the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall ha~e been granted by the Building Inspector. APPLICATION IS HEREBY MADE ta the Building Department for the issuanc,e of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffol~ County, New~.~ork, and other applicable Laws, Ordinances or Regulations,' for the construction of buildings, additions or a Iterations, or for re. moval or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances and regu, l~,tions:'~ Z ..... '~ , -' _ ($ignoture of ciRplican~, o/~no~e, ff~o corp~rotion) (Address of a~!~licant) - State whether applicant is owner, lessee, agent, archffect, engineer, general contractor, electrician, plumber or builder. Name of of remises Zj,~.~./.~z,/ ~ .~..~.~..~.~...Z~',.~ If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) >"~' ,, ~,L. ,~,.~...,~: ~ 1. Location of land on which proposed work will be done. '~ap Nb: ~...~2.Z..'w: ............................ , .~t No: ........ ~,<..., .... ....... ................................ -- M~icipalit~ 2. State existing u~e and occupancy of ppemises and intended use and occupancy of proposed construction: a. Existin~ use and occupancy ............................. ~,~ ................................................................ b. Intended use and occupancy ......................... R.~.Z~.~.~ ~ ............................................................. property lines. Give street and block numbers or descri 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 ........ .?..~?....~...0....0....~..~. ............................ 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 ......... ~..Jt~..~ ............ Rear ...... .b..q:~. ............... Depth ...~.,~..~..'. .............. Height ....... /..~..~ .............. Number of Stories ....... ./ .................................................................................................... Dimensions of same structure with alterations or additions: Front ........ ./~.'~.:..~ ............... Rear ....&~f.'.¢ ..................... Depth .......N..~...~...~'.~.~. ......... Height ........ /.~...'.' ............... Number of Stories ..... ¢ .......................... 8. Dimensions of entire new construction: Front ........ ~..~.! ............. Rear ...... ~.I .............. Depth ...~..~. ..................... Height ....... ./..O..~. ............... Number of Stories ...... (. .................... 9. Size of lot: Front ..... .~...~...~. .............. Rear ..... /..0..0. ............... Depth .....J.~.~...,, ........... ~- //~-~/7 /. (0,y,~ Da~e of Purchase ..~-..;.~.M~...~..~...~?......./.~/~.O...:..z~......Nome of Former O,;;,~~.'~....~.....~..~..~....~...Z~' '~-', 11. -~one or use district in which premises are situated ........................................ :'Z~ .................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? .................................................... 13. Name of Owner of premises.....~'..t:F.!.~.l¢..~..'~'~../.t~.:~.~....Address .,,¢'~.~¢..J,.~Jf.q_.V.t..?,~..~.?...~.......Phone NO ..................... Name of Architect ........................................................ Address ............................................ Phone NO ..................... Name of Contractor...~.~t.l~.~..'~.~...R...!?..~.~.~;.c.'.~..~.."...~..~.....Address ............................................ Phone NO ..................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate oil set-back dimensions from according to deed, and show street names and indicate COUNTY OF ? (Name of ind ~gn~ above named. He is the.. ~...' ................. being duly sworn, deposes and says that he is the applicant (Contractor, agent, cor~borate officer, etc.) of said owner or owners, and is authorized to perform or have performed the said 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 in the applicat[en filed therewj,th. Sworn to bef~ore me this '\ "~,.~, t~ ,,,~s ,.~/~¢~e /~--Jp~ ,, ,~ ~L~~ ~ z ,,r. ,~,~ o~ 7Z day of .~;-~, ~ ,.,~ :~.f ~g;rf~,,tl~ Noto~ Public ................................................ )~.~;..,,~u~ ao~ t~ >