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Home My WebLink About1279-zTOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLEHK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No. ,Z...l~a ......... Date .....i ................. ~ar.eh....2~ .............. 19._6...1 TH~S CERTIFIES that the building located at I~],neh/t/q&..~lJ.¥d ........................... Street Map No.19.~.g.h.:~g....W..al~l%%~k No..~..X. ............... Lot No. ~ ....... Sa'u.thalel,...~I,X .................. conforros subsfantially to the Application for Building Permit heretofore filed in this office dated ....................... -D~i~i~mbe]z..~, 19...~0 pursuant to which Building Permit No. dated ................ ~O~l~v..~,.....~. ..... 19..(~.0., was issued, and conforms to ail of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is .......... ~.1~.,% .V~..t e.. ~l'~e...:t~a~lt;~ 1~.. dliel i:L~ g ....................................................................... This certificate is issued to .,.Fltb/:[I1.._.}~o.ed~e.el'ker. ............. .0%~/~e~ ........................................ (owner, lessee or tenant) of the aforesaid building. Building Inspector FOR:M[ NO. 2 TOWN OF SOUTHOLD I~UILDING 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? 1279 Z Date .............. D~O~11:~1~. · ...~. ................. 19.~0.. Permission is hereby granted to: ......................... ~4a%titt~k~......N,:~., ................. to ..... Build..ne.~.. one...f~z~i.l~c..due !.ling ................................................................................. N/S Mlnehah~ ~l~d - Laughin ~al~er~ at premises located at ..................... g ..................................... ............................................. .s...o. ~ .h...q.1. 7l.. L...~.:.~& ............................................................................... ~ pursuant to application dated .......................... ]~eCt~t~tb~.....~ ........... 19....~ and approved by the Building Inspector Fee $...1Q.GO ......... Building Inspector FOI~M NO. 1 · TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Yo Examined ....~...~..~...~.~..'..~.,~. ............ , 19..~..?. Approved ................. t..: ................ , 19.)..~....Permit No.~..../.i~.~..i]..~L ......... Disapproved a/c ........ .............. .................... (Building Inspector) APPLICATION FOR BUILDING- PERMIT INSTRUCTIONS o. 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 a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regu ations, 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. ................ ........................................... (Signature of a~plican%_or name, if o corporation) ~ A. Reil±y & Sons Mattituck, New York (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Cozttra~tor Name of owner of premis1~..~..J:.~..~..~..:.~..&.~..`C..`~.~.~..~...e..]:.~....~..:...~...~..e...c1:.e.~ .......................................................................... If applicant is a corporate, signature of duly authorized officer. ' '. (Name and title o~ corporate officer) Location of land on which proposed work will be done. Map No: Lau~hin~ Waters *** ......................................... Lot No: .................... Street and Number ...... ~/.~.~.J`.~.~e.h.~'a'~..a.~.~.~.~..g~.~.e."~..a.~.~..d.~.~.~.~u.~~9~ ...................................... Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: o. Existing use and occupancy ................................................................................................................................. b. Intended use and occupancy ..._O.~,e,....~.~.m...i.~..~.~..e...1..1..,J:,n.g. ............................................................................... 3. Nature of work (check which applicable): New Building ..... ~ .......... Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... ~ . $15,500.00 r $10.00 4. Estimated ~osr ............................................................ tee .......................................................................................... (to be paid on filing this application) · 5. If dwelling, number of dwelling umts .......................... Number of dwelling units on each floor .................................. if garage, number of 1 car 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ................................ 7. Dimensions of existing structures, if any: Front ............................ Rear ............................ Depth ................................ : Height ............................ Number of Stories ............................................................................................................. Dimensions of same structure with alterations or additions: Front ................................ Rear ................................ Depth ................................ Height ................................ Number of Stories ................................ 8. Dimensions of entire new construction: Front .....6.~..~..9..'.' ............. Rear ........ .~ .................. Depth 26' Height ............................ Number of Stories....,.~ ........................ 9. Size of lot: Front .....1..0,3.~.fi.'. .......... Rear ..... 75.,.3.Q.' .......... Depth ..,.~5...0./..1..5..5. ........ 10. Date of Purchase ......... ..N..o..¥..e...n~....e.~...3:..9..6.~ ............... Name of Former Owner ......... ..N..$.g,h..°...l_s.....P.~.gRe.~,e..s,... 1 t. Zone or use district in which premises are s tuated .......... tt.....R.~de~f,.3,a'l...&..J~gtrz.cu,l,'clzra,], .................... 12. Does proposed construction violate any zoning law, ordinance or regulation? no · Edwin W. & Consu~l~ L. Boedecker 13. Nome of Owner of premises ........................................ 7¢aure~s "N'ew"~Iyde'"Pa'rk ......... Phone NO ..................... Name of Architect .................................................... Address .......................................... Phone NO ..................... Name of Contractor ....A......,P,.,e..J:?:..]:¥.....&.....S..o..,p:~ ........... Address ......... ~..a:.~...~..~...&..~.?...k. ........... Phone NO ..................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or propose~J, 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 corne, r lot. STATE OF NEW_YO.R.!.( .. ) S.S. COUNTY OF ....~.u...z..z...o..z..K.......) ........................... .A...r.~..o.?:..d.....R.?,..i.,]:.]:.~.....,. ....................... ~ ......... being duly sworn, deposes and says that he is the applicant (Name of individual signing application) above named. He is the .................. C~n.'c~a,¢~z~z ............................................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and s duy authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are tFue 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. JUDAH T'. BO[(EN- Sworn to before me this N~. 52-0344983, SufFolk County Comm~ior~ E×,Qi~s [~arch 30, 19~_~/ .......... ...... - ......... ..... R.e...c..e ' ......... , Notary Public, .-~.~¢~.~-~¢~ Co,~ty (Signatu re of al:/plicant) (/'