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Home My WebLink About1179-zTOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY TH~S CERTIFIES that the building located a~.~..~..i.~...'.B..a.~..~'..d.?~..4..~..t.~..i..%.?,l~ceet Map No......~.3~*. ............. Block No ........... ~.~,.*.-.-.Lot N'o. *~ conforms substantially to the Application for Building Permit heretofore filed in this office August ~ 18 , 196.. 0 Z 1179 dated ........................... : .............................. pursuant to which Building Permit No ..................... dated. AUgUSt 19 1~60 ................................................ , ~ ........ , was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is ~ssued is ........................ pr 7at.¢,...on~.. ~a~.a~,Y....~.w~.3,3~;~.~t ......................................................... This eeet~fieate is issued to ..~l.r.~z....C...'.....B.e..~.i...n..-q...e.~.{....??_~_.e..r. ............................................. (owner, lessee or tenant) of the aforesaid building. FOEM~ NO. 2 TOWN OP $OUTHOLD BUILDIIqG DEPARTMENT TOWN CLERICS OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 1179, Z Dote ............................ At~U.~%......*I 9 ...... 1960.. Permission is hereby §ronted to: .I~. ]~, ~ e eve..&.. ~e~t-.-A/~.. ~4z'~.r.. ~ ~---.]~& ~.~ ...... M~t't i%me'k'f ' ' '" N'Y.' ................................................ to ....... b~--3:t~t..-~n...ariel.ti ~n.. en...a~...e~ ~.t.i. ng...d~.l.t.$.ng ................................................... at premises located at '~/~'""Pe',on~e'"l~'ay"%'~d ............. (~O~"~r',p~%y') ...................... ......................................................... ~*~,~'el'~'"'"li';'Z'~ ......................................................................... pursuant to application dated ............................ ~"L~%'"*'~'~ ............ 19.~0.., and approved by the BGilding Inspector Fee FORM NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved ........................................ 19 ........ Permit No. ...... . Application No..~.!...Z.,7. ............ APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and su~)mitted 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 avoiloble 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 issuanoe of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other appHcoble Lows, 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 ail applicable laws, ordinances a/nd regulations. :/ ....... (SigDature of opplicc~nt,~ or name, if o corporation) " (Ad~/f '~'ppli~;)' .............................. State wheth.er applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. General Contractor Mrs. C. Belliuger Name of owner of premises ..................................................................................................................................................... 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:~.?.~.~.?....D.?.~?...~..r.°.?..??.~.. Lot No: .................... Street and Number ?econic Municipality 2, State existing use and occupancy of premises and intended use and occupancy of proposed construction: OCCU anc a. Existing use and p y .................................................................................................................................... · .. nov oro~ . 3. Nature of work (check which applicable): New Build ng .................... Add t on ....... ~. ........... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... Cost......~. ...................................................... Fee ..~.~.~..0..0. .............................................................................. 4. Estimated t~]. 7~ (to be paid on filing this application) 5. If dwelling, number of dwelling units ................................ Number of dwelling units on each floor ............................ If garage, number o¢ 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 a~terations or additions: Front ~1 Rear Depth .....~.~ ................... Height ....~.~ ..................... Numbec of Stories .~ ............................. 8. Dimensions of entire new construction: Front....~ ................... Rear ....... ~ ................ Depth Height ~0t Number of Stories 9. Size of lot: Front ..~.~ .................... Rear ........ ~ ............... Depth .~. ................... 10. Date of Purchase ........................................................ Name of Former Owner .A~.~.~.~.t...~ ........................ 11. Zone or use district in which premises are situated ....... ~ ...................................................................................... 12. Does proposed construction violate any zoning iow, ordinance or regulation? ....... ~. ........................................ 13. Nome of Owner of ~ ......................................................................................................................... Nome of Architect ........................................................ Address ............................................ Phone NO ..................... ~ . . }h~O~ ~, ~eeve · ~ ~"res ............................................ Phone NO. Name of aontracmr .................................................... ~aa s .................... 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 NE~/ ~Y~iEK~>1~ ! S S COUNTY OF~..) ' ............. ~~',.. ..................... be ng duly sworn, deposes and says that he is the applicant (Name of individual,~s~licg~) , above named· He is the .........~~..~,...~.~ ............................................................................................................ ~ "%~ . ~:(~ntr~ctor, agent, corporate officer, etc.) of said bwner or owners, and is du y authored ~. or have performed the said ~grk and to make and file this application that all statements contain~/~'~.~Pfec~ion are true to the best ot his knowledge and belief; and that the work will be performed n the mann~ ~o.,~h ~he applicat~n filed therewit~ Sworn to before me this~ '"~V47~%~ ~ ~~Z .......... ....