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Home My WebLink About1274-zFO~ NO. 4 TOWN OF SOUTHOLD BUILDING D EPART/vlEI~IT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No....Z.,~2.0~ .......... Dote .................J~ll'lllar. F ....... ~ ............ , 19~1,... THIS CERTIFIES that the building located at ..1*//5...~.~(~a.~.s...I,a~qe ........................... Street Map No...BOatb. ....... Block No.....,~,~ ........... Lot No. -.F-,.~ ....... ~O.~;hOl~,~...l~,~,~', .................. conforms substantially to the Application for Building Permit heretofbre filed in this office dated ..................................... D~e~.q~'.....~.., 1960.. pursuant to which Building Permit No. ~.1-2~..~.... dated ...............D~,a(~ttl~......l. ........... , 19..60, was issued, and conforms to oil of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is .......... ....... P~. i.v.a.~e...or~.. ~:a~t ~... d,~.:].:ki.~ g. ....................................................................................... This certificate is issued to ....~l......F~b~t.~:i.~k.*; ........... O'a~e~ ............................................... [owner, ~essee or tenant) oF the aforesaid building. -- Building Inspector FORM NO. 2 TOWN OF SOUTHOLD 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.o 1274' Z Date .................... D~Jbe:l'"'~' ............. 19'"~0 Permission is hereby granted to: . .Pa~I...l~b~.- ~ tm J.~k .......................................... ....... L'i't'iOi't7 ..................................................... to ....t:o...bul. tv4...rmw..one..~amt.lT...ew~ ~":t4_~g ........................................................................... at premises located at '"11~/J~"'"~]~l"~'"~ ................................................................................ .................................................... 8ou.th~,l-d.t......N.~.y.~ ......................................................................... pursuant to application dated ............................ D~c~OI~t),~:~...'I. ............ 19...60, and approved by the Building inspector Fee $...'1.0~ O0 ......... (212) 446-7130 November 14th, 1978 Building Department Main Road Town Hall Southold, N. Y. 11971 RE: Premises 975 Tuckers Lane, Southold Certificate N.o/ Z 1204 Owner: Jelica Krincic and Katica Radivoj Title No. 1040 S 5928 Gentlemen: As per telephone conversation, enclosed please find check in the sum of $1.00 for a copy of Certificate of Occupancy No. Z1204. Thank you for your courtesy in this matter. Very truly yours, COMMUNITY ABSTRACT LTD. ca/jc enc CharlesAckerman TITLE INSURANCE AGENT COMPLETE TI~FLE SERVICE FOI~M NO. 1 TOWN OF SOUTHOLD "UILD'NG DEPARTMENT TO~VN CLERK'S OFFIGE SOUTHOL., N. Y. Examined ..... .~.........c~.,.., ./. .......... , 19.,~..?... Approved .................... ~ ............ , 19...~...Permit No...?..../...'~...~....~. ........... g Ins ector) Application No...I....~....?....~. ............. 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 adjaining 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 tt~[~; 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 shah 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 Deportment 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. Joseph ~1~,~ i.¢.k.. ~'..G.. P.a~t.l .. F. ahi J.unick ............................... (Signature of applicant, or nome, if a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .......................... ~g~n.~...£.a~...o~z~er. ................................................................................................................................... Name of owner of premises...~..~..~.cq.b,'[.J]3,D,'l.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:....~c~=c ........ Street and Number ....~./~.....~.g.~.~.~.~...~f~Kke ................................................................... : ...................................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: o. Existing use and occupancy ...¥~.C~%T~...~%P,~ .................................................................................................... b. Intended use and occupancy 0zle _f'~.~,~. ¢].~f~,l,],J,Ttg ............................................................................... 3. Nature of work (check which applicable): New Building ..... .Z....~... ........ Addition .................... Alteration ............. Repair .................... Removal .................... Demolitior~ ......... i .......... Other Work (Describe) .................... 4. Estimated Cost ....~.2.~.Q0.Q ......................................... Fee: ........ L~,OA.0.Q .................................................................... (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~r~s,~ commercial or mixed ~cupancy, s~cify nature and extent of each type of use ................................ 7. Dimensions of existing structures, if any: Front ............................ Rear ............................ Depth ................................ Height ............................ Number of Stories ................................................................... j ......................................... Dime~ions 0f some structure with alterations or additions: Front ................................ Rear ................................ Depth ................................ Height ............................... Number of Stories ................................ 8. Dimensions of ~fire new construction: Front ..... ~ ................... Rear ....~ ................... ~pth ...... ~.~ ................. Height ............................ Number of Stories. O~ ........................ 9. 'Size of lot: Front ....... ~.~0 .............. Rear .......... ~0~. .......... Depth ....... ~ .............. 10. Dote of Pu~ha~ ............... ~.~D. ............................... Name of Former ~ner ..... ~.~.,.~.O.~.~ ............................. 11. Zone or use district in which premises are situated ........... ."?.~sZ..~.e~ ......................................................................... 12. ~s pr~osed construction violate any zoning law, ordinance or regulation? .......... ~O ......................................... 13. Name of Owner of premises ........................................ Address .......................................... Phone NO ..................... Name of Architect .................................................... Address .......................................... Phone NO ..................... Name of Contractor ....~.~...~.~ .............. ~ ......... Address .......... ~.~.~.~g.~. ............ Phone NO ..................... PLOT DIAG~M L~ate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from proper~ lines. Give street and block numbers or description according to deed, and show street names and indicate whether interior or corne lot. [ STATE OF NEW ~OgK ) S.S. COUNW OF ..... ................................. .~.~.~..~.~.Q~. ............................. being duly sworn, deposes a~d says that he is the applicant (Name of individual signing application) above named. He is the ................... ~g~...~.~...~ .................................................................................................. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or hove performed the said work and to make and file this application; that oll statements contained in this application are t~e 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. Sworn to before me this . . ,