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Home My WebLink About1166-zTOWN OF SOU?I{OLD BU~LDIN~ DEPARTMENT ~['OWI~ CLERI{~S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No... Z ],006 Date ,~'anua;rF ].9 , THIS CERTIFIES that the building located at ~/.~...Y~.l~B.~/~...A.V..e,.~...~%~%~.~.U.~reet Map No ............. ~.$~.... Block No .......~ .......... Lot No ........~..~[ ...................................................... conforms substantially to the Application for Building Permit heretofore filed in this office dated ................. .~,9~.,a..t.....8. ............ 19.~..0._ pursuant to which Building Permit No ........ dated ................ ~,~g~,lS.~,...9. ........... , 19...6.~,, was issued., and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is FRXVA%~]~I 0~ F~NII~ '/'his certificate is issued to ..... ~..~..~,F'....?.t.. ?..,}..~...~.~.~.f......o~__a~.e,.~. ............................................ (owner, lessee or tenant) of the aforesaid building. Building Inspector FOR~I NO. 2 TOWN OF SOUTHOLD BUILDING D£PARTMENT TOWN CL[RK'$ OFFIC£ SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 11[;6' Z Date ..................... ~,~I~Lt,$ ~ ....... '9 ............ 19.60. Permission is hereby granted to: Harry &...1~. g.a~ $.. ·..T.u.~.LZ .................................... ........ Y<~.~g s...Ave ................................................ .................. ~at t £t~k.~.....~.~o ........................ to ..... ~u.21&.. a~. · ~d ~ .~.2o~ .. ~n.. ~...e~t~. s.ti.ng...d~e Z.I ~ z~§ .................................................... at premises located at . 1~/~ ~l).'aZ~$ A.V.e .................................................. ................................................ .t~a.~;.~.t~w.....~ 0'Y', .......................................................................... pursuant to application doted .............~ .................... A~tt..q,~ ....... ~ ...... 19..(~0., ~nd approved by the Building Inspector Fee $..~,O0..e,a~h. .... '~uuamg inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved ........................................ ]9 ........ Permit No ............................... Disapproved a/c .~~ ............. ........................................ (Building Inspector) Application No..../..l....(.~....9. .......... APPLICATION FOR BUILDING PERMIT Date ............................. INSTRUCTION5 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 co,~ered 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 issuanc.e 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. ........ ............................. (S~notu e of applicant, or name, if o corporation) ...... ~ (~ dress of ap Ii,ant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. [! ff applicant is o corporate, signature or'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 ..~/~....~..,,~-~,,~C~....~....~u~[~.i~~ ..................................... / // f po,w State existing use and occupanc~r, emis§s and irjtended use and occupancy of proposed construdtion: a. Existing use and occupancy ............ .~...~..~..?~----~...~. .................. :'. ......... ,....: .......................... b. Intended use and occupancy ....... ~...::......? ............... ~..~...~~..~-~C~.... ......................... 3. Nature of work (check which applicable): New Building .................... Addition ...... b'"'"/. ........... ..Alteration .................... Repair ................ ,~.Removal ............ ;t,~...Demolitian .......... ~ ....... Other Work (Describe) .................... 4.. Estimated Cost.....·'~....cd....c~...~...; .................................... Fee .....%Z.. .................................................................................. (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 ........ .Q~.~... .......... Depth ...~....~. ../. Height ............................ Number of Stories ................. ...................................................................... ./... ............. Dimensions of same structure with alterations or additions: Front .....~...4~..[. ................ Rear ....... ,~... ............... Depth ..................... Height .............................. Number of Stories ................................ 8. Dimensions of entire new construction: Front ......... .~....~....~ ...... 'Rea) ........ ~.( ......... Depth .....~..~. ............ Height ............................ Number of Stories ..................... ~ r f 9. Size of lot: Front ......... /..~.. ............ Rear ........... ./.~ ...... Depth ........~.~..Z......._... 10. Date of Purchase ........../..~..~....'~... ............................ Na.m,e of Former Owner ....~.~.~.,-,,,..,~. . .......... ............ .', ]1. Zone or use district m which premises are situated,,..,,.,................... .............. 12. Does proposed construction viol,ate any zoning law,,~ordij~ance,, or ~egulation.,~' .................................................... 13. Name of Owner of premises~.~...~...,.,~..~~'/' ~ ...... ~-~~~~ne NO Name of Architect ...................... ................... .~ ........ Address ....~_._...~_Phone NO ..................... Name of Contractor.~....~..*..~...~ddress ..../' ...................... hone NO ..................... PLOT DIAGRAM Locate dearly end 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, one show street names and indicate whether inter Dr or corner lot. STATE OF NEWJf..gE~'/~,,~)~ S S COUNTY OF ................ ' / .................... ~~~ ............ being duly sworn, deposes and says that he is the app, icant above named,.~He is the ...................... ~.~.~ ............................................................................................................... (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~iled therewith. ~ ~ ' Sworn to~efo~ me this ~ ~ .... ~ ~ /- ~/- ~ ~ ITH ~ ~ ~ a .... ~ ~9~ ~.~ - 0~ (S nat reof a cant) .......... ~ ............. ~ ...................................... ~,~. , State o - ,. 'g ~re pp ' ~ .~ /~ ~. ~ ~a. ~2'03¢4~6~ S.~,Ze~ rot*