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Home My WebLink About1197-zFO~R~ ~0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at ...~./~.,.0%~5,..}{~l}~c].~.al~..ltDafi ........... Street Nassau Point Club Prol0~ . ..39..2.,...~...~.,9.3 ........... ~.~A~...h...o.g.]g..%...~.a.~.: ...... Map No ....................... Block No ..................... ~ot N'o. conforms substantially to the Application for Building Permit heretofore filed in this office dated ............. ~&p.t.....1 .............. , 196.0... pursuant to whicl~ Building Permit No...Z..Z..~,.9.7.. .......... 4ated ............... ~.9Pt ........ ~ .......1~.6.'.0..., was issued, and conforms to ali of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ?rt,~,'ate one faraf~ clwe~A, ing ............................................................... This certificate is issued to ....... ]k~.e.~f;02.....L;~.o~g~ ...................... (.....°..~:/.D.~F..~ ....................................... (owner, lessee or tenant) of the aforesaid building. FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 1197 z Date ....................... Permission is hereby gronted to: Ori gi.n~....-..t~omee.....A/.~---..Pc ~.. George ................. Mld~!e.. ~e!~nd.~-...-.N.;.M~ ............... to ....... ~ui. td...ne'~.. ~e.. ff.~lt~.. ~.~ ~i~¢ ............................................................................... at premises rocoted at .....~O%.~..~. ...... ~.~a~...Po.~n~ .............................................................. .................................................. ~ld...H~'e~' '~o ~.~ ................................................................... ................................................................... ~os~r....~.Z~ ....................................................... pursuant to application dated ................................. ~.....~ ..............19.~.., and approved by the Building inspector Fee $..~Oe-O0 ......... For,~ No. 4 TOWN OF SOUTHOLD BUILDING DEPAI{TMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. TEMPORARY C~-RTIFICATE OF OCCUPANCY No ..... .Z._9..~3 ...... Date .......................... ~).~..0..e...~.~! .e.~. _ 3 ......... 19..6..0.. THIS CERTIFIES that the building located al .._S/.~...0ld. ,l~t'l,hadderl_Rd ............... Street Nassau Point .Map No ....................... Block No.....~ ........ Lot ~'o. 3.9.~.....a....~.93 .......... ~.u..~.h..o. gu...e..,......N..,.X, ... conforms substantially to the Application for Building Permit heretofore flied in this office dated ..,.. ......... ..S..e..p.~.....~. .............. 19....6...0. pursuant to which Building Permit No ..... .Z...1...1.9.~. ....... ~lated .................... ..8...e.p..~.......~, ........... 19.6.0.., 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 ............. . .P..r....%..V.~..t..~....~e...f. amil¥.., d~w~ lling ........................................................................................... This certificate is issued to ....P...e..~.e...~.....~..e...o...r.g.~ .............. Q...w~....e.~. ............................................................. (owner, lessee or tenant) of the aforesaid building. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Exam ined....~...../.. ...... 1 ~...¢?. / _c~o ' No. Approved..~~.: ............ 19.~ ...... Perm.t ....... ~...z~'..,~'..~.. .... Disapproved a/c .......................... ~_~ ............................... (Buildin~ Ihspector) J~ Application No .......././../.~..~_ ........ APPLICATION FOR BUILDING PERMIT Dote ......................... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and su/omitted 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 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. (Signor r~f applicant, or name, if o corporation) ........ ............................... (Address of applicant) State wheth.er applicant is ow~se~e,~e~,chitect, engineer, general contractor, electrician, plumber or builder. If oppl~},~ isa corporate, ~?~,gna. t~u r~ of d~y~outhorized ........... ................... 1. Location of land on which proposed work will be done. Map No: ....~L~,.k~ ............ Lot No: ~ ............ Street and Number ..~'.....~.~.~.~..~....~~~~ ........... ~ .................. / Municipality 2. State existing use and occupancy of p~emises and intended use and occupancy of proposed construction: a. Existing use and occupancy ............. ~.~. ........................................................................................ b. Intended use and occupancy ................................................................................................................................ 3. Nature of work (check which applicable): New Building Addition Alteration ......... j~ / Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost (~'" . . ....Fee . /.-...~. ................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ..... . ..................... I . .... 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 .............................. Fr nt /'~"~" Rear ............................ Depth 7. Dimensions of existing structures, if any: o .................. · .................................... Height ............................ Number of Stories ............................................................................................................ Dimensions of same structure with alterations or additions: Front ..... (.~.?::Z~ .............. Rear ................................ Depth .............................. Height .............................. Number of Stories ................................ 8. Dimensions of entire new construction: Front ......... ~.~ .......... Rear ......... ~..~'. .......... Depth .....~.:.'.~.~.¢ ...... Height ......J.~. ................ Number of Stories 9. Size of lot: Front ........ ~..~[~....... ..... Rear ......... (.4~.~ ............ Depth ...~..~ ............... 10. Date of Purchase ......... d.~: .~..~ .......................... Name of Former Owner ........... .~.(..~.~: ......................... 11. Zone or use district in which premises are situated ............. ~ .............................................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation? ...... ('~_.~ ..................................... ~ ...... ~.~.....A:...Z ................. Phone NO. 13. Name of Owner of premises' ............ )...~...Mr~.f,~¢..Address ~" x z '" Name of Arch tact ................. ~.. ....... ~ ............................ Address .............................. ~ .................................... ~K~.~:'.~.T~.~ ~ ~Z~ ~~ x'~ .............Phone NO. ..... '.~ ............ Name of Contractor ...................... ............ Address ........ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, ~nd 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 ~0~ ............................ ,-~ M' 'r'~ ~ ~,'~ 3e I,/1~'~ be ng duly sworn, deposes and soys that he is the applicant (Name of individual signing application) above named. He is the ............... ~.~:.~.~..,~....~.~..~ ............................................................................. (Contractor agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have~ed the said wo~and t~ak9 and file this apphca' t on' ....... that al statements contained in this applicat on a~ true to the best of Bis k~wled~e ~nd belief; and that the work will be performed fn the manner set forth mn theJapp~gn fmled there~th. -~/'~ Sworn to, befor me this ............. ~ ......... , · ,~mzr ss)on Expires ~arch 30 1