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Home My WebLink About1186-zTOWN OF $OUTHOLD B'UILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No. Z 1220 Date JMI~/' 23 19....6...2. THIS CERTIFIES that the building located at .s/s..N;L~g~a..E~o.....G~e~r.t.... Street Map No*'l~* Block No. ...................... *** Lot No ..................................................................... **~ conforms substantially to the Application for Building Permit heretofore filed Jn this office dated ............. ,~...~...?.~.?...~....2,.,~. ................................ 19..~..?... pursuant to which Building Permit No.~.....~..~...~..~.,.. dated ..A...~.¢~..~..~.~...~...5, ............................ , 19...~.~., was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is .......... PRIVATE ONE FAMILY DI~E~Tt~G . Walter & Blanche l~oncta~chu~, ?..w~...e~s This certificate is issued To ................................................................................................................... (owner, Jessee or tenant) of the .aforesaid building. FO~M NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFfiCE SOUTHOLD, N. ¥. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? H86, Z Date ........................... A~tg~m.t....-~. ...... 19-60. Permission is hereby granted to: · Wa-l.t e~..Bon~e~eh~tk ...................................... ...... Wl~gins"~t ................................................. .............. ~'~'~o~'t'f '"" N;' %' ............................ to ...... ]~ti'td..'an"a~di'ti'on",on"a~"exi's ~,It~g.-~,~.~t.l. ing ................................................... at premises located at '"~/~'""~gi~S"'~ ..................................................................................... .................................. : ................... Gre~np'~r t~'" "N ;' T~ ..................................................................... pursuant to application dated ......................... J~l~gl~'St'""~ ............... 19..~O, and approved by the ~uilding Inspector Fee $ · '¢'i'O0 "~:}" ~.heck ...... ......... .~..~;..x::%;:...;~..~;.~ ............... - Building Inspector ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Exa m.ned.......x~.-¥~...:,~'....~...~. ......... 19 ........ Approved ........................................ 19 ........ Permit No ............................... APPLICATION FOR BUILDING PERMIT --. INSTRUCTIONS o. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Buildi~ Inspector. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving o detailed description of layout of property must be drown on the dio§rom which is port of this tocotion. 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 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 port for any purpose whatever until o Certificate of Occupancy shall hove been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Deportment for the issuonoe of o Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Lows, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, os herein described. The applicant agrees to comply with oil applicable lows, ordinances and regulations. (S gnature o¥ a~plicant, or name, if a corporation) Wiggins Street, Greenport, New Y~k (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general co~tractor, electrician, plumber or builder. -remises Walter &, Blanche Bondarchuk ' ~, ~ ' Nome of owner of y ..................................................................................................................................................... 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 .~.,./..~...~,,.J:.g..~...~,.~.,~...~.~..~...e..e..~*.....G..~..,?.?..~..~.°..~..~t....~..~..~ ...... i.....'..'...: ..................................... Municipality ,, 2. State existing use and occupancy of p~emises and intended use'and occupancy of plroposed construction: a. Existing use and occupancy ............ ?...~..&..¥,.a..t...e....9...t~,.....~..a...m.~.,']'.2',,,~.~,,.e..~...~..J:~.g ....................................................... " " " " w/porch attaching garage b. Intended use and occupancy ................................................................................................................................ ~o main house 3. Nature of work (check which applicable): New Building .................... Addition _.~ ............ Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost...~..5..0...0..*...0..0. .......................................... Fee ..... ~..5..:..0...0. ..................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units .........1. ...................... Number of dwelling units on each floor......~ .................... 1 detached garage to be attached to house 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......3.~ ................... Rear .....3..2. .................... Depth ...~..~. .................... Height ............................ Number of Stories ~ .................................................................................. Dimensions of same structure with alterations or additions: Front 59' 9" Rear 59' 9" Depth 24/23' 6" ...................... .............................. Height .............................. Number of Stories '1-'1½ .......... 8. Dimensions of entire new construction: Front ......... .3. ................. Rear ..3. ......................... Depth .~..3. ....................... Height ............................ Number of Stories '1 9. Size of lot: Front '102 Rear '102 Depth 10. Date of Purchase .....3:.~5...0. .......................................... Name of Former Owner ...A..~..~..e...r..~....A..:...~.]:~..e..'g.. ................. 11. Zone or use district in which premises are situated ........... '.'..~..'.'...~.e.~..$..d...e..~.~!~.~..~..~g.r...J=g..q~.'q.~.~'.~ ............. No 12. Does proposed construction violate any zoning law, ordinance or regulation? .................................................... 13. Name of Owner of premises.~...~..1...~..e-r.....~..9..~...a..~..r..g..~-...l~t~Address ..~..:k.g~$~r/~...~'..~,~.~....~.~..~'~tNO ..................... Name of Architect ........................................................ Address ............................................ Phone NO ..................... Name of Contractor .................................................... Address ............................................ Phone NO ..................... PLOT DIAGRAM Locate cleorly and distinctly ail buildings, whether existing or proposed, and indicate oil set-back dimensions from property lines. Give street and block numbers or description according to deed, and show street homes and indicate whether interior or corner lot. , , ~' 199t'~'~ STATE OF NEW_YtJ~I%__ ' ) S $.i.. - COUNTY OF ,...~..~;..z.q&~ ....... ) " Walter BondarohlJ~ ......... being~duly sworn, deposes and says that he is the applicant (Name of individual signing application) Owner · cor~tractor above named. He is the ............................................................................................................................................................. (Contractor, agent, corlborate 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 s§~off~rhb f~x~fl~e application filed therewith. Sworn to before me this N'otsry pt~bJJc, State of New Yor~( ........... .2..5...~..~..... d~7~,o~I ............ ~,?~....coi~,sg~[...P] (Signatu~ of applicant)