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Home My WebLink About1195-zFORg~ Ara. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No ........ Z..3.~44. ...... Date .................... Ja~lua~y..~.8 ..........., 19.6~.. THIS CERTIFIES that the building located at Southold Map~.~..~..~....l~..~.~.~.~,.l~ Block No ........ .~.?...~. ........ Lot No ................... 1..&..,~ ..................... r ................ conforms substantially to the Application for Building Permit heretofore filed in this office dated ............. ..~..~..~.~...~..~....~_0.. ............................... , 19..{}.0.. pursuant to which Building Permit No. dated ..Atl~a~.-,~{~ ........................... , 19...~ was issued, and conforms to oil of the requirements of the applicable provisions of the I~w. The occupancy for which this certificate is issued is .......... ~RZVAT~ ON~ FA~Y lhis certificate is issued to ............ ~..~.. {%~..~..~...~.~=~...~i~]~ .......................................... (owner, lessee or tenant) of the .a.foresaid building. Building· Inspector FOI~M NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. ¥. BUILDING PERMIT (THIS DERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 1195 Z Date ........................... ~%tg~¢'"'~O ...... 19..60. Permission is hereby granted to: Rich. a~.~..Baez, ......................................................... 8~O.~...,...l~l...~ ~;-. -J~a.le a-...3.2. ~. · .]~., (~ ......... to .B.ulJ. d..c~e:,~.. ~n~..ff. ~it~r...~e.l.!.~g ..................................................................................... at premises located at ,~/'.~,,~.~:O.,~.~..,f~zr~,~;,..]~,TlO.t~~, ....... ~tl~'II~"'"~;~'~;'~) ....................... ........................................... 8 ou~ho.l¢] ~ ..... ~ ~.-~-,. ................................................................................ pursuant to application dated ........................ '~;g['%tS~'"'"~'~ ............... 19~(~..., and approved by the Building Inspector Fee $3.0, O0 ........... FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved ........................................ 19 ........ Permit No ............................. Disapproved a/c ................. ~ .... ~_ ~" ................. .................................... (Building lnspe~or) APPLICATION FOR BUILDING PERMIT D . August 30 60 ate ............................................................ 19 ............ INSTRUCTIONS o. This application must be completelV 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 o detailed description of layout of property must be drown on the diagram which is port 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 e 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 a Certificate of Occupancy shall have been g~anted 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, ordinanc~nd regulations. ......of if': ......... 8805--171st St. Jamaica 32, N.Y. (Address of applicant) State wheth,er applicant is owner, lessee, agent, circhitect, engineer, general contractor, electrician, plumber or builder. Owner of the l~remises · Richard Thomas Baer . Name of owner of premmes .................................................................................................................................................... If applicant is o 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: .....B.~..~..e.~...~.o...~..~.~ ......... Lot No: 1 & 2 Street and Number ,...~..~.....?.~.~..~.e...~....~...~..°...~..]2~!....~.°.?~..~°..~..~..°..~..~....~.~.e.~...~..°.~ ................................. Municipality 2. State existing use and occupancy of pr,emises and intended use and occupancy of proposed construction: ..... .~ ~u~anc, Vacant lot a. Existing u~= u,,u u,....., p y ..................................................................................................................................... One family dwelling b. Intended use and occupancy ................................................................................................................................ 3. Nature of work (check which applicable): New Building....~ .......... Addition ....................Alteration .................... Repair ....................Removal .................... Demolition ....................Other Work (Describe) .................... ~ ~4000. 00 - ~10.00 4. Estimated L~ost .............................................................. kee ......................................................................................... (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 ..................... .I~.,O..n..e. .............................................................................................................. 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 ................................ Rear ................................ Depth .............................. Height .............................. Number of Stories ................................ 8. Dimensions of entire new construction: Front ............. .2.~ .......... Rear ..... ~..4. .................. Depth ..... ,3.,0. .................. Height ............................ Number of Stories '1 9. Size of lot: Front ........ .~..5...0. ............. Rear ...... ~...~..,~..5..~. Depth ..... 1..~..~..~....4...2./....~:~1¢ 196 10. Date of Purchase .............. .1..9...6. Q ................................. Name of Former Owner .....M..a...r.J.9.r...i..e....,B..u..r..n...s. .................. .... "A" Re~.-Aari. Il. Zone or use district in which premises are s~ruareo ................................ ,~ .............................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation? .... .~.o..: ......................................... J3. Name of Owner ofpremises ...................................... Rich&rcl ~r'j. om&EI .~,~ess ...... .,~.,~.m.~...~.~.~..~/.....~.?..~..? ....... Phone NO ..................... Name of Architect ........................................................ Address ............................................ Phone NO ..................... ~ . . Haro].d Reeve & Bedosk~^s~ ~4attituck & Sou.t..t]~]~ NO. Name of t-onrracTor .................................................... ~uu~ ~ ................................................................... 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 YORK, ) S S. COUNTY OF .... ,~u,f,f o&]¢ .......) Richard Thomas Baer ~ being duly sworn, deposes and says that he is the applicant (Name of individual signing application) · th O~Lner .......... abow~ named· He ~s e ...................................................................................... : ............... ; ........................................... (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 ali statements conta ned 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 filed therewith. Sworn to before me th,s /2 ,, -~ Nora lic