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Home My WebLink About1173-zTOW~ OF ~OUT~OLD SOUTHOLD, N. Y. C~--R'I'IYICATE OF OCCUPANCY ........................ April 20 6~ No. Z 1033 Date ........................................................... ~'19 ....... THIS CERTIFIES that the building locked at ~..,~W..D~.~..~.~.~J~eet Map No...~U~ ...... Block No ....... ~ .......... ~ot No. ~ conforms substantially to the Application for Building Permit heretofore filed in this office eared ................. ~.u. su...S..t.,....9. ............ iai..°.., pursuant to which Buildina Permit [No ..................... dated ................ .A...t!..i[.'.~.~t%...$..5. .......... 19...6.0.., wa~ issued, and conforms to all of the requirel merits of the applicable provisions of the law. The occupancy for which this certificate is issued is ~IVATE O~llt: F~Y This certificate is issued to .W..i..~..i.~..R..~..~.e..~...~...~.....A~.~...~.a~.M.~.~..?~.~....h..~:~i£*'-- owners (owner, lessee or tenant) of the aforesaid building. Building Inspector FOR?~I NO. 2 TOWN OF SOUTHOLD BUIILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION O,F THE WORK AUTHORIZED) N? 1173, Z Dote ........................ ~.e.~.~..e...~...~.. ~ ........ ~ 9..9.o... Permission is hereby granted to: Ann~ ~&y~r, hi~ ~ife ....z.~.~9...~..:...~.=.k°....~,u.z.n.~..e. ................... .... ~.~.~n..~...o...n.:....~?..:~?~. ............................. to ..... ~.t...z.~....n..e.~....o..n...e._~...~...~.X.~...~.e. Az...t..n.~. ................................................................................ at premises located at ..?f~/~...,W..,e..~...t..v-.J'..e..¥....D-,r-/:v.e..:...,~..a..t...t.~ .................................................... pursuant to application dated A~g~t 9 ~o 60 .......................................................................... , and approved by the ~uiiding inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ................. .e~. ..................... ~ .... Approved ......................................... ~9 ........ Permit No .............................. Disapproved a/c ....~ .............. ~. ................................................. ... (Building Inspector) Application No ...... !...I...?....~... ........ APPLICATION FOR BUILDING PERMIT ~, INSTRUCTIONS a. This application must b? ,completely fi,lied 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 avoilabl~ 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 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. (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. Builder Name of owner of premises.....~..~.L..L.~..A~.....~..'...~..Y~...~......-~..n..~.....'~'..~.~''~'~'''~''¢'$' ........................................................... If applical~,t~is (~/3?~r~te, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which proposed work will be done. Mop No: ...... ?~..~..ff...~..-:.~.~¢~.-/..~.. ............ Lot No: .................... Street and Number ...... ~4//..~..~.. ~¢/. .................................................. -- ivtunicipaHty State existing use and occupancy of ~emises and intended use and occupancy of proposed construction: a. Existing use and occupancy ....... .V'..a.g.~..~..~.,.,1. flvr;t,d. ................................................................ : ....................................... b. Intended use and occupancy......B...u~...1..d.....n...e~'...,.h~m.a. ............................................................................................... 3. Nature of work (check which applicable): New Building.......~. ............ Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .......... ., ........ Ot~er Work (Describe) .................... 4. Estimated Cost.....~.l..6..s.O..0...0..*..O0... ..................................... Fee ..~.. ............. ./..6)... ................................................................... (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 .........1.. ....................................................................................................... ....¢ ................ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use...NQgfJ ............ Front ........ i ................... Rear ............ .'. .............. Depth....'. ....................... 7. Dimensions of existing structures, Jf any: "* 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..~_6.'! ............ Rear ..?.~.6J.~ ................ Depth ......2..8..~. ................. Height ....... .1.~..! ............... Number of Stories ..... .1. ..................... 9. Size of lot: Front .~o. ...... .]r.~.1..*..2.?..~. Rear ....1..~.~.?..~..6.! ............ Depth ....~.6....~.8.? ............. 10. Date of Purchase ....~..~.~...~.....l~.LZ.~?. ................... Name of Former Owner ...~.~:...~..~..~.~..Z~...~:....~.~f~ ....... 11. Zone or use district in which premises are situated.....~..e..8.~.d..e.~.~.~-~.1 ...................................................................... 12. Does proposed construction' :i~:Ij~y~ ~'Z~ ....... zoni aw, .......................... Name of Owner of premises..[~T ................. ,...I~ ........... AddressGa~n..Ci~,~'.~..N,*. ............Phone NO ................ 3.~. · Frank C 3 Hicko Name of Arch,tect ................. ,..~.g~.~.~ ................... Address~$sapeq~[ ......................... Phone NO...~....8...-~..~.1..1.. 18 e' ho ke Name of Controctor..~,..D=..Or.O.0.$ ............................ Address ...{~'~ti~g.~,..~ .......... Phone NO..EQ..J].-.],000. PLOT DIAGRAM Locate cleerly and distinctly oil 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. /~ ~/ Fe 1~-i~,. A/.?f~ ~-z~' ,4u~' ~ STATE OF NEVi YORK, ) S S. COUNTY OF .~l}f ............. ) A. D. Crooe ................................................................................................ being duly sworn, deposes and says that he is the applicant (Name of individual signing application) above named. He Js the....~..~..~.1.~.e.~.$..p..-~....~..~.~.~..~T;{~1~.~.T~[L`~]3~.,..'~.~..]~.~e~ ..................................................... (Contractor, agent, corlborate officer, etc.) of said owner or owners, and is duly authorized to perform or have perfqrmed the said work and to make and file this application; that all statements contained Jn this application are true to the best of his knowledge and belief; and that the work wil be performed Jn the manner set forth !n the application,,.-(ilg,cjP't,bre'f~with. Sworn to before me this ' ' ~~ ! -~4,~, ,~f L/'~..%~..~...~'' - 19 60 ~'~t~r.. I~?~ITH~-T: BOKEN ($ ,clnature of adp cent)'-'~T~'- Notary Public, ~.~.,T~~~r~ o, ~/ C I I .-/:J=.T__ .5 /_-t_L ~ /,d ?t o IT'-/z2" , t2;o" r ~['.d." .... -4. 2mt ,~" jO~5 ~ J21-,'5 J O~ ~ 52/'/5