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Home My WebLink About1280-zTOWN OF SOUTHOLD BUTLDING DI~PARTMENT 'I'OWN CL~--RK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at .:~.i~.(l~,~.....L.~. .......................... Street Map No....~ ................ Block No.~ .................... Lot No.~.~. ........ t~'..(~..~...r!.I~.C.,k%?j~ ................................ conforms substantially to the Application ~or Building Permit heretofore filed, in this office dated ..................... t~)~etllbo.~.......7., 19....~0 pursuan{ to which Building Permit No...~.'~280 ..... dated ................ Ds~o~b~...,.~. ..... 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 \ issued is ...... P~i. Va .!~3-. on,e...ga~ri.l.y-.d, we.~.tilag...:..: ..................................................................... This certificate is issued to ..... $ohrt...B~ttol~...g~'i .............C24rlo2.- ............................................ (owner, lessee or tenant) of the aforesaid building. Building Inspec~o FORM NO. 2 TOWN OF $OUTHOLD BUILDING DEPAJ(TMENT 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? 1280' z Dote ................. ~e~el~bl~..7. ................ 19..~). Permission is hereby granted to: John...B~ue.~...~r ....................................................... .1.~ai~m.~t .............................................................. ........... .6r.eenpo~.~.,......N.,~ ............................... to ...... l~ui.14.-.ne.~.. (~ne-.-~. a~i&¥...d~,e-~.l.i~g ................................................................................ at premises located at ...~t~/~...~C~C~,..~t~ ................................................................................... ......................................... G~a~pe.~.t.r.. ~.,.'./., ................................................................................... pursuant to application dated .................... D~fl~.~b~,~...-~. .................. 19.,~0., and approved' by the Building Inspector NOT~ variance granted by Bal. Appea~so Fee $...~..0..,..0...0. .......... ouna~ng inspector l~OltM NO. 1 T0~V'N OF $OUTHOLD BUILDING DEPARTMENT TOWN GLERK'S OFFICE SOUTHOLD, N. Y. E×om ned ....... ~pproved ........... ~:~.('..~M....4...., 19...:.(hPer~it No. Application No. ! ''>''' ~'"0 T Inspector.a' This application must be b. Plot plan showing location ar areas, and giving a detailed des c. The work covered by this ~ nd submitted in duplicate to the Building ip to adjoining premises or public streets the diagram which is part of this location. Jance of Building Permit. d. Upon approval of this apr Building Permit to the applicant. Such permit shall be kept on the premises avdilable for inspection mrougnuuL ,.,~ 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 issua.nce 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. ................. ........................... (~SJ~lnature of applicant, or name, i~ a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Blame of owner of premises ........................... &St ............................................................................ 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 .............. '~.~..'~,.'~.~ ..,(,~.,.:...~...: ............................................................................. 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 ....... L .................................................................... 3. Nature of work (check which applicable): New Building .~... Addition .................... Alteratior~ .................... Repair .................... Removal .................... Demolition .......... :,~, ....... Other Work (Describe) .................... 4. Estimated Cost .............. .~...~.~...~..'.d..~....*~.. ..................... Fee .?~'.~.2. ~ (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 ................................................. : ......... i ................................................................................. 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 add'itions: Front ................................ Rear ................................ Depth ................................ Height ............................... Number of Stories ................................ 8. Dimensions__of entire new construction: Front ..... ,~.,~../~...~ ........ Rear ..~..~....'~..'~ ............ Depth ..... Height ...,..~.'.,~: ............. Number of Stories .......~<~.,*-,~¢ ........... 9. Size of lot: Front .......~.~.~..~ ....... Rear ...... ~:~(.....~../.~. ....... Depth ..... /...~.(...~/~...: ....... 10. Date of Purchase .t~..:.~.~../~'5 .............................. Name of Former Owner ~,~,~.~..V~:t~.....~.4~r..~;~.... 11. Zone or use district in which premises are situated ............ ~,~...,...~,.~.,~.<Z...r.~.~.,..'~..~..: 12. Does proposed construction violate any zoning law, ordinance or regulatioh.~ ......... .~....; ....................................... 13. Name of Owner of prem,ses..;,.'(~t~(?/~.,.~..,,....6,~i~Z~t ...... Address .'~..(.)..,~.~¥.~ ' ...... '~ z,~....~d~_~/~l~,('one NO.~...~.~..~.. ..... Name of Architect ........................................ '.C......... Address ........................................ "Phone NO ..................... Name of Contractor .................................................... Address .......................................... Phone NO ..................... PLOT DIAGRAM Locate clearly and distinctly ali 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. STATE OF NEW ,~O~y. ~/.,.~ ) S S COUNTY Of~..)//~//,~,.~' ' ~ ~/ . ...... '"'""'~"~'~'~"~'~~'i~ ................ being duly sworn, deposes and says that he is the applicant ena ~ ~i ~u ~ d. .......................................................................................... (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 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 application filed therewith. Sworn to before me this Notary Public, . ......................................................... County ignature of applicant) l~OltM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined .........(~,~..~..qw... ~.'~...., 19...(,~..0 Approved ............. ~¢~..~%.....~..., 19.....~rmit No. (Building Inspec[tor) APPLICATION FOR BUILDING PERMIT Date .................... ~..~. ~,~ ..~...¢~......~..., 19...(d..?. 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 ma,/ not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue o 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 o Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION tS 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 alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances and regulations. (Signature of applicant, or name, if a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ............................................................ ~'~..~.'~...qc.¢¢r3.~ rr;,. ................................................................................................................ Name of owner of prem,ses .............. .,./.?..~ ........ ......................................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Location of land on which proposed work will be done. Map No: ............................................Lot No: .................... Street and Number ........................... ................................................................................ Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: o. Fxisting use ond occuponcy ..................................................................................................... b. Intended use and occuponcy ....... y.~../~.~,~..~.~.~2.~.~ ............................................................. 3. Nature of work (check which applicable): New Buildin~ _,~......... Addition .................... Alteration .................... Repair .................... Removal .................... Demolition ............ ;~ ...... Other Work (Describe) .................... 4. sheared Cast .............. .~...~.(...~...~. .......................... 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 ............................ 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 ...... ~..'..,~..Z ......... Rear ...... ~.~..~.~....~ ......... Depth .~.~..,.r.,~..~ ............ Height ....... '.~....f.,~.,. ........ Number of Stories .......... ~ ....... 9. Size of lot: Front ........ ~..!~..~ ......Rear ...... ~..~...~,.Q.?,~ ....... Depth ........ ~.~E.r...~...7. ..... 10, Date of Purchase .~.'rr~..:..../.~.'./..~Z~.....~ ..................... Name of Former~Owner0/-.,~.~..~....~.~..~.~-~¢.. .............. 1 1, Zone or use d str ct n wh ch~rem ses ores tuated ......... ~../.~.?.. z ~.~.,~.~. 12, Does proposed construction violate any zoning law, ordinance or regulation? ......... 13. Name of Owner of premises ..... (~ .~..:.,Address .................. Phone NO.~.~..c~..~.. ........ Name of Architect .................................................... Address ..........................................Phone NO ..................... Name of Contractor ..................... .' .............................. Address ..........................................Phone NO ..................... 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. STATI: OF NEW~¥ORJ~ ,~/ ) S S COUNTY OF__~.) ' ' .................... ..~-z....~r~_,..~_~ ............................. being duly sworn, deposes and says that he is the applicant (N~ne of individual//j~ ~4, ,,~,/,//,/~ning~Pp[i~ati°n) ,,~ (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 application; that all statements contained in this application ore true 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 ~ub~ day of ~)~.~£. ~.-Z 19. ~...~... Notary lic, . ......................................................... County (Signature of applicant)