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Home My WebLink About1263-zl~OPd~ I~0~ 4 TOWN OF SOUTNOLD BUILDING DEPARTMENT 'I"OWI~ CI~ERK'S OFFICE SOUTHOLD, N, Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at ~]~.....~;..IIC~c] ....................... Street ~a..~o. ~ ................ Block ~o..~ ............... ~ot ~lo. ~q~.~. ........ ~.9...U..t.~.l..~ .................. ~ conforms substantially to the Application for Building Permit heretofore filed in this office dated ....................... ~t):~..0~..0~.......2~9....6..0. pursuant to which Building Permit No ......... :.~,.~...2.~ dated ................ ~O.~.~Itl~.fl~.....22.., 19.~.0..., 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 ..... .P~..~.v..a...t...e...o~a~..~.i.~y...d~..1..1.~.,.~g ................................................. i ........................... This certificate is issued to ..... {~gr..~.~....~..e.~.~...&....W.~....i ....... (..O.v..~..ri..e...r..~).. ................. (owner, lessee or tenant) of the aforesaid building. Building Inspector'I FOR~[ NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS P, ERMIT MUST BE KEPT ON THE PREMI~ UNrFIL FULL COMPLETION OF THE WORK AUTHORIZED) 1263' Z Permission is hereby granted to: Che~ Or lo~.ski .... ~..C......Ck~,s.. ]~.e.~k.~ ................... ~.. ............. Cn~c_ho.g~a ~.. t'~'~.I .............................. to ...Build...~n.. ~dd±tion..on..an...exis.t~g...~.ell~P~ .......... at premises located at ................................................... L~u. th~ld.~... ·..N o. ~.., pursuant to application dated ...................... -]~o~e~1~e~.....~.% ............. 19..~0., and approved by h~ : Building Inspector Fee $ ' ' ~' ;' 0'0' "6']¥~'~k Building Inspector J 'lo-~ c-ze-,e,v'_v v,~'/~/cc-' TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD~ N. Y. ~ Y ' No. Approved ........................................ 19 ........ Permit .............................. APPLICATION FOR BUILDING PERMIT Date ............ ................................... ...... INSTRUCTIONS ' a This appl cat on must be completely filled in by typewriter or in ink and submitted in duplicate to the Inspector . · ' I',n rem ses relat,onsh, to ¢~d o~mn rem,~es or ~blc ~tr~e~t's b. Plot plan showing location of lot cna of buia' gs on p ' , ' 'P j ' ' g P ' ~! ' or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of th~$ lo~gfion. c. The work covered by this application may not be commenced before issu.ance of Building Permit. d. Upon approval of this application, the Building Inspector will issue o Building Permit to the applicant. Such permit shall be k, ept 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 o 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 a Iterations, or for removal or demolition, os herein described. Chester 0rlowski A/C ..................................... (Signature of applicant, or name, if a corporation) ....... /. . . .z. .z (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ................................. ........... ............... ... . Name of owner of premises ~--~./-./..~-..~-/~.~ ~ ...~...~..:.C:...4'_..C,~....~.......~..~...~....~....~.C../~..~..~.......(....~.../...~...~.~.~... ......... 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 ................. ~ ................ ~ .................. ~...4~...~....~ ..................... / .................................. Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing useandoccupancy . ~Z 6~-.~ .~ Intended use and occupancy ................ s~me ....................................................................................................... .; 3. Nature of work (ct~'ec~'wh]~h applicable): New Building .................... Addition .................... Alteration .................... Repair .............. ~...Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost ...... ~..5.'~... .......................................... Fee ..~...~A.Q.O. .......................................................................... (to be paid on filing t. his application) 5. If dwelling, number of dwelling units..~cf~.~.:...~..J¢¢/.¢../~.. ...... Number of dwelling units on each floor ............................ ;~f ~ar~g~, number of cars ............. 4~..~.~..~..f~.....~..¢...4~.....~...~.].~.~..'~.......~.....~...~./...Z~..,,7~./"~,...-~.../?..~ .......................... 6. If business, commercial or mixed occupancy, $oecify nature and extent of each type of use .............................. 7. Dimensions of existing structures, Jf any: Front ............................ Reft ............................ Depth ............................ Height ............................ N.,,,mbar Dimensions of same structure with alterations or additions: Front ................................ Rear ................................ Depth .............................. Height .............................. Number of Stories ................................ 8. Dimensions of entire new construction: Front ......... ,R.Q .............. Rear ........ 3..O. ............... Depth ].8~-6" Height ............................ Number of Stories ....... .o...~.e. ............... 9. Size of lot: Front ..... ~'~ ................ Rear ...... .~.,~) ............ Depth ....../...ZJ ............. 10. Date of Purchase .../.~.~.3 ................... ........................ Name of Former Owner ..... ..~....'.~.....~'..~.,~,.,,/~. ................... 11. Zone or use district in which premises are situated,.....~T.. .............. .~!~!! .................................................................... 12. Does proposed construction violate any zoning Iow, ordinance or regulation? ............................ ' · . ......... 13. Name of Owner of prem,ses...~4~¢.~..~.~,.~,c. ........ Address ../~../.:..~..../.~-~....~...~.. ............ Phone NO..Z.~...~..~..~....../'/ Name of Architect ........................................................ Address ........................................ Phone NO ..................... Name of Contractor...~?./..-('..~..~..:.~.~.~..~....~.~..~...~..~...,/l~./ ........ Address .i~.~.'..~..~...5.'..~.....~..,?.~.. ........ Phone NO...-~.4~.~... '.~....~...7..~/~' 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. ~EE ATTACHED DRAWING STATE OF NEW YORK, ) S S. COUNTY OF .... ~.~. o.lk~ ...... ) ............................ ..0..~..9.§,t.e..r,....0..~..]:..o..~.~..~..J:. .............................. being duly sworn, deposes and says that he is the applicant (Name of individual signing application) above named. He is the ............. .¢.f~P$~'.~,~.$.~...f~'...,~,~.~xq.~.,.,,f'.C~:~...O.~,."q.~. ......................................................................... (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 app]icotion; 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 ~0~ ~rr~pu~l~rTs~t01f~rth in the apF~!ication filed t~re~th. .; .................... of ..... .... ..... .i::i f-, ,-ti-H-j- I:' ',"---+- -:-tTi+1 ,:~~',r.- ~' Lh.:r=-i+1=M~ r-,= ' . ' i-:,: 1:'::_7.;J:I-1 1-,_ ~-:: '~:.:::<<~ _ ' + .-'- . I ,c.-!; --I ~ ' "~L- 1,'__"" .--- --------.>' -------.. --p' .,. <-i--:'+-- cm=, -L,---,~-itjT=;-1 I " --'--"-1- ------I -- -+,---,----- -'-'-+-- --f---".." _"_..,..J' I! ;.-,. --:- - ~-;"~-':'~ :+-1--H--i-: ' ,i-1- --j j-i. ,,'--ro- -~ ' -I"T +- I .J i ~ ' , I I iTt ' , -"iT::t::11.1 :r-h, '__ · .;..41 ;-i--:-, i _IJt'~-h':; -- 1 -I +-, I..:. f-i---f- ~-~l~~- ''1; , 1 i-I 1+-+ , . 'I . 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