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Home My WebLink About1272-zFOR~Y~~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No..-.Z9~.5 .......... Date ...: .... ~i......De0eSltl~l~.....8 .............. , 1960. THIS CERTIFIES that the building located at 0sseo...Roadi'i,.: ................ : ........................ Street. .. L~jAghing wat.e~l~ck ~,wap ~o ....................... No ..................... Lot ~o. :~......i.....s~ho~a~,~,.~, ......................... conforms substantially to the Application for Buildiug Per~ l~eretofore filed in this office dated ...... : ......... Noveraber.-...&9 19..60. pursuant to {vhieh Bui!ding Permit No...~'~i}".'"-' dated ..................... l~Io.e~tbe~..2~ 19...60, was issued, ,~nh conforms to all of the requirements ' of the applicable provisions of the law. The occupancy for which this certificate is issued is This certificale is issued to ....t~O~eZ~.~;.. C~llaff~qg.S.~y .......... Owrler .................................................. (owner, lessee or tenant) of the aforesaid building. FOR~I NO. 2 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 1272 z Date .................... Permission is hereby granted to: C~eem-~e.-..-A-h-lers- .............. ~ o u bho '~d- ¥...~'~ .~ ~. ................................ to .. ~a~./.l:d... r~:~. · a~ d.~. ¢.t.ort.., o~ .. ,~ta...~ ~ ~J,~ ~t..d~.a ]. I~ ~ ....................................................... at premises Iocoted at ....g)s,~til,..i*load. r.....~a,~[t.:t,zl~g-..~,aJ~,~.t .................................................. .............................................................. f~o~th~td'f-'-'-'£~ ~"if ~- .............................................................. pursuant to application dated .......................... ']~O~:~e~'"'";;:) .........t9.~.., and approved by the Building Inspector Fee $....~.OO ........... Building Inspector Approved .................................... , FOBM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE 5OUTHOLD, N. Y. 19..'.'.....Permit No.......~'.....!...~...~....."~..... ApplicotJon No.../.~...~......~c.. .......... APPLIGAtlION FOR. BUILDING PERMIT Date ............... ~..:~.~...~......~......?. ............ , 19...~..:.). 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 Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of o Building Permit pursuant to the Building Zone Ordinance of ther 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. (Signatur~ of applicant, or name, if a corporation) ........... ....... (Address of applicant) ' 7' ............ State whether ~ol. lcant 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: .~.~.?.~..~..~.~4}....~.~....?..s .......... Lot No: ....... .z-/.Z ....... Street and Number ........... .O....5..~..c....of. ............................................. ~ . ~ .......................................................... 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 Addition // Alteration ....... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 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 ........ f./..~. .............. Depth ......... ~ .................. Height ............. ./...~'..i...i.... Number of Stories ............ J. ............................... i .................... Dimensions of same structure with alterations or additions: Front ........... ~..~ ............... Rear ....... '.~ ....................... Depth .......... ~.(4. ................ Height ............ (.~..'. .............. Number of Stories .........../. .................. 8. Dimensions of entire new construction: Front ............................Rear ............................ Depth ....~. ..................... Height .......... ./..~...! ........... Number of Stories .............. ./. ................ 9. Size of lot: Front .......~.?.:.~. .......... Rear ............ ~...d/. ........... Depth ..... /..~.~;.~.~./.. ....... 10. Date of Purchase ................. Name of F~rmer Owner .......~._~_....._....r..c._./.a...._~R ..... ] ]. 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 ....... .e. (~<~.~s ddress O~.~e.o .~.vc.. ~ou~)~o Phone ........................ Name of Architect ......................... , .......................... Address .......................................... Phone NO ..................... Name of Contractor ...~.~.,~.~....~..~l~.~'.~. ..................... Address Z~.~. ,~...'{.~......~.°..u.~.?~..~.......;. Phone NO..~o.....~.'...~..~.~ 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 ~nter or or comer ot . STATEOF N~R~ a/) S S ' · ' COUN~ ~ .~~ ' ' .................... (Na · ~~~~m ~ individua~igning app'ca'o ) abov~ nam~, H~ is th~ ..~ ......... ~ ........................................................................................................ / (Contractor, agent, co~orate officer, etc.) ' of said owner or ~ne~, an8 ~ ~ly aut~rized to perform or have ~rformed the said work and to make and file this application; that all statemen~ contained in this application are tree to the best of his knowl~e and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ~ u~ :344963 re of New (Signature of a~ficant)