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Home My WebLink About1135-z TOWN OF SOUTHOLD '~?OW~ CLEI~I,U.~ OFF~'CE SOUTHOLD, N~ Y, CERTIFICATE OF OCCUPANCY TH.IS CERTIFIES that the building located at ~1~..~.~..~....~.. ~..~..~..l.~...~...C.~. ....... Street Map No ........ ~. ........ Block No ....... ,~?..?, .......... Lot No ....... .~.~?.. ...................................................... conforms substantially to the Application ~or Building Permit heretofore filed in this office dated .................. .~..~,$.~...~.]'.. .............. 19,.~...0... pursuant to which Building Permit No ........ ~...~ dated ................ ~[B,~[..~ ............... 19..~., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is ............................ ]~1{ X~t~,'~...Q~.. ]$~'.. ~...W~.~; .~...~...~_~. ..................................................... This certificate is issued to .......... ~,,h~..~,...O~c~Ct~C~l.~,...~e~ ................................... (owner, lessee or tenant) of the aforesaid building. Building InspectOr FORM NO. 2 TOWN OP $OUTHOLD BUILDIHG D~=PARTMENT 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? 1135 Z Date ......................... ~'~....-l..l. ............. Permission is hereby granted to: . A....~ ,..0.~ ~..r.b.~..~ ................................................. ........... ~ o.~..~.e ............................................... .................... ~e~'~.i.t. ~iek. s......t~.~ .~. ......................... to..B.~l Ia..-att---aria i.~i eh.. ~n-..at}..e~i ~i~g... c~.~e.]:ti-~g ........................................................ at premises located at '~/~'""'~O~ttZl~'"~'~e'f ........ ~¢'~i~'~l~y""~i"~l' ......................................... pursuant to application dated ................................... ~'~l'l~..."~"~ .......... 19.~0.., and appro~,ed by the [3uJJding Inspector ~uilding Inspector FORM NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N, Y. Approved ........................... .k. ........... 19 ........ Permit No. *~'-J 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 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 p art 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 Regulations, for the construction of buildings, additions or a Iterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances and regulations. ................. ..................... .................. . t ........... :'.'. ............ (Signature o~ applicant, or name, if a corporation) ......................... ............................... fX;;;;;;';f State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises .................... .%.~ ~%~ .... .~ ............................................................................. If apphcant ~s a corporate, s~gnature of duly authorized 0f~ce . (Name and title of corporate officer) 1. Location of land on which:l~roposed work will be done. Map No: ....t ............. ~. ......................... Lot No: .................... Municipality 2. State existina¢ use and occuponcy_ of D~emises,~,. and intended use/ and occupancy of p~pposed, construction: b. Intended use and occuponcy......G..Q:,:*.~:Sm../~*,*-S%~;~(b%2.~:;S, ...... !..]~X~:.X/¢;:*5".%, ........................... / 3. Nature of work (check whlch applicable): New Building .................... Addition ~ Alteration Repair ~ Removal ... Demolition ....... ,.~. Other Work (Descr be) .................... 4~ Estimated Cost "~.3 .b.'~...~....~...~....'~'...o. ...... Fee ....~..~.. ~ ...................................... (to be pald on filing this application) §. 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 ...... ..3..?.. ................... Rear ....~...~.. ....................... Depth...'-] ........ ''~ r. ........... . ...... Height ....~. ....................... Number of Stories ..... .~.?...t~.. ................... 8. Dimensions of entire new construction: Front t/~t Rear ..... I ...................... Depth .../...~.. .................... Height ........ .~. ................ Number of Stories ..... ~.'!'..t..~. ............... ~ 9. Size of lot: Front .... :.I...0...~ ............. Rear ....L:...O. ............... Depth ....L.~..I ................~ ,~ · ~ ~.:.~. ................. 10. Date of Purchase ...... y~,...t~......~...~.~....~ .........Name,,,o~f,~, ,,~4,, ~-~'~F°r~er Owner ..1.?..['.~./....~. :;..?[.....~.......(,j.~.~..~.~' 11. Zone or use district in which premises are situated ......... /7........~ztM.~e...:..~..~.~.~m' ..........., ............................ 12. Does proposed construction vi,olate any zoning law, ordinanqe or re~]ulcjtion~ ....... ~..'L~.'.? ...................................... 13. Name of Owner of premises ~L'k.~U.~.LU,,X~,,.Lb~dress~'~ ~'k-~C,~.~.¢i.~..~.,.~..Phone- · ~'~ Address '" .3 Phone NO . Name of Architect ........ ~/~._z-.¢q.....~ ............... .'~ ................................................................................. Name of Contractor....~'~..~.'..fb.~...~ ............................... 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. STATE OF NEW/~'r'O,P,~, .~/~, ) S S COUNTY OF ~~...) ' (Name of individu~ signing application) above named. He is the......~~~/ ............................................................................................................................. (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 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. JUDITH T, BOEEN Sworn to befor me th~s ~ ,, , ~ < 19~2.034~963, S,~fo~ County (Sm ature of ap tic nt) ........... ....... of .... ,